E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
Gastro-Esophageal Reflux Disease (GERD) |
|
MedDRA Classification |
E.1.2 Medical condition or disease under investigation |
E.1.2 | Version | 8.0 |
E.1.2 | Level | LLT |
E.1.2 | Classification code | 10017885 |
|
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
To investigate the effect of CJ-040,714 on the fraction of time that esophageal pH is < 4. |
|
E.2.2 | Secondary objectives of the trial |
To investigate the effect of CJ-040,714 on the duration of the longest acid reflux event. To investigate the effect of CJ-040,714 on the number of acid reflux events. To investigate the effect of CJ-040,714 on the number of acid reflux events > 5 minutes in length. To investigate the effect of CJ-040,714 on the esophageal clearance time of acid reflux events. To investigate the PK/PD relationship with regards to the primary endpoint. |
|
E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Male or female (non-child bearing potential) subject aged 18 to 70 years inclusive. 2. A previous diagnosis of gastro-esophageal reflux disease by positive upper GI endoscopy (Los Angeles grade A, B or C)9 within 5 years of screening. 3. Active GERD as defined by a positive 24-hour pHmetry test at baseline. Positive is defined as having an esophageal pH of < 4 for > 5 % of the time. 4. Body Mass Index (BMI) of approximately 18 to 32 kg/m2; and a total body weight within the range of 40 to 120 kg. 5. Evidence of a personally signed and dated informed consent document indicating that the subject (or a legally acceptable representative) has been informed of all pertinent aspects of the trial. 6. Subjects who are willing and able to comply with scheduled visits, treatment plan, laboratory tests, and other trial procedures. |
|
E.4 | Principal exclusion criteria |
1. Subjects with a history of significant cardiovascular disease, e.g. ischemic heart disease, arrhythmias, QT prolongation, MI or stroke. 2. Subjects with a resting BP greater than 170/110 mmHg or less than 90/50 mmHg. 3. Subjects with a significant history of symptomatic postural hypotension or greater than a 20 mmHg drop in systolic or 10 mmHg drop in diastolic blood pressure on standing at screening. 4. Subjects with previously diagnosed renal impairment. Subjects with creatinine values > 2x ULN and/or with a significant change to their normal values should be excluded. 5. Subjects with previously diagnosed hepatic impairment. Subjects with liver function tests > 2 x ULN and/or with a significant change to their normal values should be excluded. 6. Subjects with a history of esophageal strictures. 7. Subjects with a history of esophageal dysmotility syndromes such as achalasia or nutcracker esophagus. 8. Subjects with upper GI endoscopic scoring of Los Angeles grade D. 9. Subjects with symptoms of dysphagia. 10. Subjects currently being treated for active gastric or duodenal ulceration. 11. Subjects diagnosed with Barrett’s esophagus. 12. Subjects that have had a surgical treatment for GERD, e.g. fundoplication. 13. Subjects with any condition possibly affecting drug absorption (e.g. gastrectomy). 14. Subjects with a history or presence of esophageal or gastric neoplasms. 15. Subjects with a history of allergic disease (including drug allergies, but not untreated or treated seasonal allergies or mild asthma/eczema). 16. Subjects with a positive urine drug screen. 17. Subjects who have a history of regular alcohol consumption exceeding 21 drinks per week (1 drink = 150 mL of wine or 360 mL of beer or 45 mL of spirits) within 6 months of screening. 18. Subjects who have received treatment with an investigational drug within 4 months preceding the first dose of study medication. 19. Subjects who are unable or unwilling to withdraw from acid suppressing (e.g. proton pump inhibitors or H2 receptor antagonists), gastro-prokinetic or other drugs for the treatment of GERD for the duration of the study (including the 7 days prior to the baseline pHmetry test). 20. Subjects who are taking or have taken within 14 days of dosing any drugs that are known to be potent CYP3A4 inhibitors (e.g. ketoconazole, erythromycin, clarythromycin). 21. Subjects taking b-blocker agents within 28 days of first dose. 22. Subjects with a screening 12-lead ECG demonstrating any of the following: heart rate >120 bpm, QRS duration >120 msec, QTc interval >430 msec, PR interval >210 msec, any clinically significant rhythm abnormality, any evidence of myocardial ischemia or injury. 23. Subjects that have made a blood donation of approximately 1 pint (500 mL) within 56 days prior to dosing. 24. Subjects with a history of sensitivity to heparin or heparin-induced thrombocytopenia. 25. Subjects with any clinically significant laboratory abnormalities that may increase the risk associated with trial participation or may interfere with the interpretation of the trial results. 26. Subjects with a positive Hepatitis B, Hepatitis C or HIV test. 27. Female subjects of childbearing potential. Female subjects of non-childbearing potential must meet at least one of the following criteria: · Postmenopausal females, defined as: · Females over the age of 60 years. Females who are 45-60 years of age must be amenorrheic for at least 2 years PLUS have a serum FSH level >30 IU/L. · Females who have had a hysterectomy and/or bilateral oophorectomy. All other female subjects (including females with tubal ligations) will be considered to be of childbearing potential. 28. Male subjects that are unable or unwilling to use a barrier method of contraception for the duration of the study. 29. Subjects unwilling or unable to comply with the lifestyle guidelines. |
|
E.5 End points |
E.5.1 | Primary end point(s) |
All endpoints should be calculated for upright, supine, daytime and night-time reflux events, however the primary focus of interest will be total (defined by upright + supine) events.
Primary
· Fraction of time esophageal pH < 4 |
|
E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | Yes |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | Yes |
E.8.1.2 | Open | No |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | Yes |
E.8.1.5 | Parallel group | Yes |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | No |
E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | No |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
|
|
E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | 0 |
E.8.9.1 | In the Member State concerned months | 6 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial years | 0 |
E.8.9.2 | In all countries concerned by the trial months | 6 |