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Trial · NCT02388724

Efficacy and Safety of Oral Once-Daily Vonoprazan (TAK-438) in Participants With Erosive Esophagitis

NCT02388724, Phase 3, Completed, Takeda; results first posted 2019-06-03

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Oral Once-Daily Vonoprazan (TAK-438) in Participants With Erosive Esophagitis. Trials, record NCT02388724. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02388724

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Trial

As registered on ClinicalTrials.gov, in the graph's capture of the registry.

Title
Efficacy and Safety of Oral Once-Daily Vonoprazan (TAK-438) in Participants With Erosive Esophagitis
NCT number
NCT02388724
Status
Completed
Phases
Phase 3
Enrollment
481 participants, actual
Lead sponsor
Takeda
Conditions
Erosive Esophagitis
Interventions
Vonoprazan, Lansoprazole, Vonoprazan Placebo, Lansoprazole Placebo
First posted
2015-03-17
Last updated
2019-06-03
Results first posted
2019-06-03

Source ClinicalTrials.gov

Registered outcomes9

Each outcome the trial registered, primary first, in ClinicalTrials.gov's words.

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Endoscopic Healing of Erosive Esophagitis During the 8-Week Treatment Phase8 weeksEndoscopic healing is defined as participants endoscopically diagnosed as Los Angeles classification grade O during the treatment phase. Grade O indicates there are no mucosal breaks in the mucosa.
SecondaryPercentage of Participants With Endoscopic Healing of Erosive Esophagitis After 2 Weeks and 4 Weeks of TreatmentWeek 2 and Week 4Endoscopic healing is defined as participants endoscopically diagnosed as Los Angeles classification grade O during the treatment phase. Grade O indicates there are no mucosal breaks in the mucosa.
SecondaryNumber of Participants Reporting Who Had One or More Treatment-emergent Adverse Event (TEAE)On or after the start of study drug (Day 1) to 14 days after the last dose of study medication (up to 10 weeks)
An AE is defined as any untoward medical occurrence in a clinical investigation participant administered a pharmaceutical product; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug whether or not it is considered related to the drug.
SecondaryNumber of Participants With Markedly Abnormal Clinical Laboratory FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 10 weeks)
Clinical Laboratory Safety tests included Chemistry, Hematology and Urinalysis. Number of participants with any markedly abnormal values in laboratory tests collected throughout study is reported. ALT = alanine aminotransferase, AST = aspartate aminotransferase, GGT = gamma-glutamyl transferase, CPK = creatine phosphokinase, BUN = blood urea nitrogen, LLN = lower limit of normal or lower reference limit, ULN = upper limit of normal or upper reference limit, g/L = grams per liter, U/L = units per liter, mmol/L = millimoles per liter, pmol/L = picomoles per liter.
SecondaryNumber of Participants With Markedly Abnormal Electrocardiogram (ECG) FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 10 weeks)Number of participants with any markedly abnormal 12-lead ECG findings is reported. bpm = beats per minute, msec = milliseconds, CHG= change from baseline.
SecondaryNumber of Participants With Markedly Abnormal Vital Sign MeasurementsFrom Day 1 to 14 days after the last dose of study medication (up to 10 weeks)
Number of participants with any markedly abnormal vital signs measurements is reported. Vital signs included body temperature (oral, tympanic, or infra-axillary measurement), sitting blood pressure (5 minutes), and pulse. °C = degrees Celsius, mmHg = millimeters of mercury, bpm = beats per minute.
SecondaryChange From Baseline in Serum GastrinBaseline and Weeks 2, 4, and 8The change between the serum gastrin values collected at Weeks 2, 4, and 8 relative to baseline.
SecondaryChange From Baseline in Serum Pepsinogen IBaseline and Weeks 2, 4, and 8The change between the serum pepsinogen I values collected at Weeks 2, 4, and 8 relative to baseline.
SecondaryChange From Baseline in Serum Pepsinogen IIBaseline and Weeks 2, 4, and 8The change between the serum pepsinogen II values collected at Weeks 2, 4, and 8 relative to baseline.

Outcomes9

Each outcome the trial posted results for, in ClinicalTrials.gov's words.

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Endoscopic Healing of Erosive Esophagitis During the 8-Week Treatment Phase8 weeksThe full analysis set (FAS) included all randomized participants who received at least 1 dose of study medication and had at least 1 post-baseline endoscopy.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Endoscopic Healing of Erosive Esophagitis After 2 Weeks and 4 Weeks of TreatmentWeek 2 and Week 4
The full analysis set (FAS) included all randomized participants who received at least 1 dose of study medication and had at least 1 post-baseline endoscopy. Number analyzed is the number of participants with data available at the given time-point.
percentage of participantsNUMBER
SECONDARYNumber of Participants Reporting Who Had One or More Treatment-emergent Adverse Event (TEAE)On or after the start of study drug (Day 1) to 14 days after the last dose of study medication (up to 10 weeks)The safety analysis set (SAF) included all participants who took at least 1 dose of study medication.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Markedly Abnormal Clinical Laboratory FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 10 weeks)The safety analysis set (SAF) included all participants who took at least 1 dose of study medication. The number analyzed is the number of participants with data available for analysis.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Markedly Abnormal Electrocardiogram (ECG) FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 10 weeks)The safety analysis set (SAF) included all participants who took at least 1 dose of study medication. The number analyzed is the number of participants with data available for analysis.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Markedly Abnormal Vital Sign MeasurementsFrom Day 1 to 14 days after the last dose of study medication (up to 10 weeks)The safety analysis set (SAF) included all participants who took at least 1 dose of study medication. The number analyzed is the number of participants with data available for analysis.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline in Serum GastrinBaseline and Weeks 2, 4, and 8The safety analysis set (SAF) included all participants who took at least 1 dose of study medication. The number analyzed is the number of participants with data available for analysis.pmol/LMEAN
SECONDARYChange From Baseline in Serum Pepsinogen IBaseline and Weeks 2, 4, and 8The safety analysis set (SAF) included all participants who took at least 1 dose of study medication. The number analyzed is the number of participants with data available for analysis.micrograms per liter (ug/L)MEAN
SECONDARYChange From Baseline in Serum Pepsinogen IIBaseline and Weeks 2, 4, and 8The safety analysis set (SAF) included all participants who took at least 1 dose of study medication. The number analyzed is the number of participants with data available for analysis.ug/LMEAN

Results by group74

Each measurement the trial posted, group by group, in the words and numbers it posted.

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Endoscopic Healing of Erosive Esophagitis During the 8-Week Treatment PhaseVonoprazan 20 mg92.495% Confidence Interval 88.310 to 95.456percentage of participants
Percentage of Participants With Endoscopic Healing of Erosive Esophagitis During the 8-Week Treatment PhaseLansoprazole 30 mg91.395% Confidence Interval 86.890 to 94.607percentage of participants
Percentage of Participants With Endoscopic Healing of Erosive Esophagitis After 2 Weeks and 4 Weeks of TreatmentVonoprazan 20 mg2 Weeks75.095% Confidence Interval 68.970 to 80.391percentage of participants
Percentage of Participants With Endoscopic Healing of Erosive Esophagitis After 2 Weeks and 4 Weeks of TreatmentLansoprazole 30 mg2 Weeks67.895% Confidence Interval 61.341 to 73.869percentage of participants
Percentage of Participants With Endoscopic Healing of Erosive Esophagitis After 2 Weeks and 4 Weeks of TreatmentVonoprazan 20 mg4 Weeks85.395% Confidence Interval 80.146 to 89.538percentage of participants
Percentage of Participants With Endoscopic Healing of Erosive Esophagitis After 2 Weeks and 4 Weeks of TreatmentLansoprazole 30 mg4 Weeks83.595% Confidence Interval 78.035 to 88.035percentage of participants
Number of Participants Reporting Who Had One or More Treatment-emergent Adverse Event (TEAE)Vonoprazan 20 mg93Participants
Number of Participants Reporting Who Had One or More Treatment-emergent Adverse Event (TEAE)Lansoprazole 30 mg86Participants
Number of Participants With Markedly Abnormal Clinical Laboratory FindingsVonoprazan 20 mgHemoglobin (<0.8 x LLN g/L)0Participants
Number of Participants With Markedly Abnormal Clinical Laboratory FindingsLansoprazole 30 mgHemoglobin (<0.8 x LLN g/L)1Participants

Participant flow8

How many started, completed or left each group, period by period.

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDVonoprazan 20 mg244
Overall StudySTARTEDLansoprazole 30 mg237
Overall StudySafety Set: Randomized But Not TreatedVonoprazan 20 mg0
Overall StudySafety Set: Randomized But Not TreatedLansoprazole 30 mg2
Overall StudyCOMPLETEDVonoprazan 20 mg232
Overall StudyCOMPLETEDLansoprazole 30 mg224
Overall StudyNOT COMPLETEDVonoprazan 20 mg12
Overall StudyNOT COMPLETEDLansoprazole 30 mg13

Adverse events14

Each adverse event the trial posted, group by group: the participants affected out of those at risk.

TypeEventOrgan systemGroupAffectedAt riskEvents
otherBlood gastrin increasedInvestigationsVonoprazan 20 mg13244
otherBlood gastrin increasedInvestigationsLansoprazole 30 mg4235
seriousGlaucomaEye disordersVonoprazan 20 mg0244
seriousGlaucomaEye disordersLansoprazole 30 mg1235
seriousLarge intestine polypGastrointestinal disordersVonoprazan 20 mg0244
seriousLarge intestine polypGastrointestinal disordersLansoprazole 30 mg1235
seriousBile duct stoneHepatobiliary disordersVonoprazan 20 mg1244
seriousBile duct stoneHepatobiliary disordersLansoprazole 30 mg0235
seriousGastroenteritisInfections and infestationsVonoprazan 20 mg0244
seriousGastroenteritisInfections and infestationsLansoprazole 30 mg1235

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityVonoprazan 20 mg0244
Total, all-cause mortalityLansoprazole 30 mg0235
Total, other adverse eventsVonoprazan 20 mg13244
Total, other adverse eventsLansoprazole 30 mg4235
Total, serious adverse eventsVonoprazan 20 mg3244
Total, serious adverse eventsLansoprazole 30 mg3235

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
31409606DERIVED

Source PubMed

Grants0

The grants NIH RePORTER links to the trial, newest funded first: NIH's, and some of AHRQ's, CDC's, FDA's and VA's. Each shows its title, principal investigators, organization and funder in its newest year.

None in this release.

Trial comparisons3

Comparisons of the trial's two groups, calculated by ConductScience from the counts it posted.

ComparisonSource
Vonoprazan 20 mg vs Lansoprazole 30 mg: Number of Participants Reporting Who Had One or More Treatment-emergent Adverse Event (TEAE)Trial comparisons
Vonoprazan 20 mg vs Lansoprazole 30 mg: deaths from any causeTrial comparisons
Vonoprazan 20 mg vs Lansoprazole 30 mg: serious adverse eventsTrial comparisons

Tests0

The ConductCognition tests this trial's registered outcomes name, as ScienceGraph matched them in trial-tests-2026-11-12-0.2.1.

None in this release.

Data dates

The day each source was copied for this release.

ClinicalTrials.gov
2026-11-12
ClinicalTrials.gov
Results, from AACT
2026-03-23
AACT
NIH grant links
2026-11-13
NIH RePORTER

Sources 3

  • ClinicalTrials.gov's posted results, through CTTI's AACTFreely available. Acknowledgement requested
  • ClinicalTrials.govNo license stated
  • NIH RePORTER's clinical studies and project filesPublic domain
Each source's terms
  • ClinicalTrials.gov's posted results, through CTTI's AACTClinicalTrials.gov data via Aggregate Analysis of ClinicalTrials.gov (AACT), CTTI. CTTI makes its materials freely available and requests acknowledgement. https://aact.ctti-clinicaltrials.org/documentation/299
  • ClinicalTrials.govnone stated
  • NIH RePORTER's clinical studies and project filesPublic domain (NIH RePORTER)

ClinicalTrials.gov's data carry an international copyright outside the United States: https://clinicaltrials.gov/about-site/terms-conditions.

For software

Read this trial from software.

The record and each of its lists are JSON, twenty rows a page. No key.

GET https://conductscience.org/api/trials/v1/NCT02388724

GET https://conductscience.org/api/trials/v1/NCT02388724/results?page=2