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Trial · NCT02388737

Efficacy and Safety of Vonoprazan Compared to Lansoprazole in the Maintenance Treatment of Erosive Esophagitis

NCT02388737, Phase 3, Completed, Takeda; results first posted 2020-02-21

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Efficacy and Safety of Vonoprazan Compared to Lansoprazole in the Maintenance Treatment of Erosive Esophagitis. Trials, record NCT02388737. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT02388737

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Trial

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

Title
Efficacy and Safety of Vonoprazan Compared to Lansoprazole in the Maintenance Treatment of Erosive Esophagitis
NCT number
NCT02388737
Status
Completed
Phases
Phase 3
Enrollment
703 participants, actual
Lead sponsor
Takeda
Conditions
Erosive Esophagitis
Interventions
Vonoprazan, Lansoprazole, Vonoprazan Placebo, Lansoprazole Placebo
First posted
2015-03-17
Last updated
2020-02-21
Results first posted
2020-02-21

Source ClinicalTrials.gov

Registered outcomes9

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Recurrence of Erosive Esophagitis as Confirmed on Endoscopy After the 24-week Maintenance Phase24 weeks
Erosive esophagitis recurrence is defined as participants endoscopically confirmed to have erosive esophagitis (Los Angeles \[LA\] classification grades A to D) during the Maintenance Phase (24 weeks). Grade A: \>/=1 mucosal breaks \</=5 mm, none of which extends between the tops of the mucosal folds; Grade B: \>/=1 mucosal breaks \>5 mm, none of which extends between the tops of two mucosal folds; Grade C: mucosal breaks that extend between the tops of two or more mucosal folds, but which involve \<75% of esophageal circumference; Grade D: mucosal breaks which involve \>/=75% of esophageal circumference.
SecondaryPercentage of Participants With Recurrence of Erosive Esophagitis After 12 Weeks of Treatment in the Maintenance Phase12 weeks
Erosive esophagitis recurrence is defined as endoscopically confirmed to have erosive esophagitis (LA classification grades A to D) during the Maintenance Phase (12 weeks). Grade A: \>/=1 mucosal breaks \</=5 mm, none of which extends between the tops of the mucosal folds; Grade B: \>/=1 mucosal breaks \>5 mm, none of which extends between the tops of two mucosal folds; Grade C: mucosal breaks that extend between the tops of two or more mucosal folds, but which involve \<75% of esophageal circumference; Grade D: mucosal breaks which involve \>/=75% of esophageal circumference.
SecondaryNumber of Participants With Adverse Events (AEs)From Day 1 to 14 days after the last dose of study medication (up to 26 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 Abnormal Clinical Laboratory FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 26 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 Abnormal Electrocardiogram (ECG) FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 26 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 Abnormal Vital Sign MeasurementsFrom Day 1 to 14 days after the last dose of study medication (up to 26 weeks)The percentage of participants with any markedly abnormal vital sign measurements including (body temperature, blood pressure and pulse), mmHg = millimeters of mercury.
SecondaryChange From Baseline in Serum GastrinBaseline and Weeks 4, 12 and 24
SecondaryChange From Baseline in Serum Pepsinogen IBaseline and Weeks 4, 12 and 24
SecondaryChange From Baseline in Serum Pepsinogen IIBaseline and Weeks 4, 12 and 24

Outcomes9

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Recurrence of Erosive Esophagitis as Confirmed on Endoscopy After the 24-week Maintenance Phase24 weeksFull analysis set included all randomized participants who received at least 1 dose of the Maintenance Phase drug and had at least 1 post-baseline endoscopy, and was based on randomized treatment.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Recurrence of Erosive Esophagitis After 12 Weeks of Treatment in the Maintenance Phase12 weeksFull analysis set included all randomized participants who received at least 1 dose of the Maintenance Phase drug and had at least 1 post-baseline endoscopy, and was based on randomized treatment.percentage of participantsNUMBER
SECONDARYNumber of Participants With Adverse Events (AEs)From Day 1 to 14 days after the last dose of study medication (up to 26 weeks)Safety analysis set included all participants who took at least 1 dose of the Maintenance Phase drug and was based on the treatment received in the Maintenance Phase.ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Abnormal Clinical Laboratory FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 26 weeks)
Safety analysis set included all participants who took at least 1 dose of the Maintenance Phase drug and was based on the treatment received in the Maintenance Phase. The number analyzed is the number of participants with data available for analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Abnormal Electrocardiogram (ECG) FindingsFrom Day 1 to 14 days after the last dose of study medication (up to 26 weeks)
Safety analysis set included all participants who took at least 1 dose of the Maintenance Phase drug and was based on the treatment received in the Maintenance Phase. The number analyzed is the number of participants with data available for analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYNumber of Participants With Abnormal Vital Sign MeasurementsFrom Day 1 to 14 days after the last dose of study medication (up to 26 weeks)
Safety analysis set included all participants who took at least 1 dose of the Maintenance Phase drug and was based on the treatment received in the Maintenance Phase. The number analyzed is the number of participants with data available for analysis.
ParticipantsCOUNT_OF_PARTICIPANTS
SECONDARYChange From Baseline in Serum GastrinBaseline and Weeks 4, 12 and 24
Safety analysis set included all participants who took at least 1 dose of the Maintenance Phase drug and was based on the treatment received in the Maintenance Phase. The number analyzed is the number of participants with data available for analysis.
pmol/LMEAN
SECONDARYChange From Baseline in Serum Pepsinogen IBaseline and Weeks 4, 12 and 24
Safety analysis set included all participants who took at least 1 dose of the Maintenance Phase drug and was based on the treatment received in the Maintenance Phase. The number analyzed is the number of participants with data available for analysis.
ug/LMEAN
SECONDARYChange From Baseline in Serum Pepsinogen IIBaseline and Weeks 4, 12 and 24
Safety analysis set included all participants who took at least 1 dose of the Maintenance Phase drug and was based on the treatment received in the Maintenance Phase.The number analyzed is the number of participants with data available for analysis.
ug/LMEAN

Results by group147

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Recurrence of Erosive Esophagitis as Confirmed on Endoscopy After the 24-week Maintenance PhaseVonoprazan 10 mg13.395% Confidence Interval 8.684 to 19.084percentage of participants
Percentage of Participants With Recurrence of Erosive Esophagitis as Confirmed on Endoscopy After the 24-week Maintenance PhaseVonoprazan 20 mg12.395% Confidence Interval 7.765 to 18.158percentage of participants
Percentage of Participants With Recurrence of Erosive Esophagitis as Confirmed on Endoscopy After the 24-week Maintenance PhaseLansoprazole 15 mg25.595% Confidence Interval 19.412 to 32.481percentage of participants
Percentage of Participants With Recurrence of Erosive Esophagitis After 12 Weeks of Treatment in the Maintenance PhaseVonoprazan 10 mg27.895% Confidence Interval 9.695 to 53.480percentage of participants
Percentage of Participants With Recurrence of Erosive Esophagitis After 12 Weeks of Treatment in the Maintenance PhaseVonoprazan 20 mg10.095% Confidence Interval 1.235 to 31.698percentage of participants
Percentage of Participants With Recurrence of Erosive Esophagitis After 12 Weeks of Treatment in the Maintenance PhaseLansoprazole 15 mg35.095% Confidence Interval 15.391 to 59.219percentage of participants
Number of Participants With Adverse Events (AEs)Vonoprazan 10 mg157Participants
Number of Participants With Adverse Events (AEs)Vonoprazan 20 mg156Participants
Number of Participants With Adverse Events (AEs)Lansoprazole 15 mg158Participants
Number of Participants With Abnormal Clinical Laboratory FindingsVonoprazan 10 mgHematology: Red Blood Cells (>1.2xULN)1Participants

Participant flow9

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDVonoprazan 10 mg235
Overall StudySTARTEDVonoprazan 20 mg226
Overall StudySTARTEDLansoprazole 15 mg242
Overall StudyCOMPLETEDVonoprazan 10 mg181
Overall StudyCOMPLETEDVonoprazan 20 mg166
Overall StudyCOMPLETEDLansoprazole 15 mg180
Overall StudyNOT COMPLETEDVonoprazan 10 mg54
Overall StudyNOT COMPLETEDVonoprazan 20 mg60
Overall StudyNOT COMPLETEDLansoprazole 15 mg62

Adverse events126

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherDiarrhoeaGastrointestinal disordersVonoprazan 10 mg15235
otherDiarrhoeaGastrointestinal disordersVonoprazan 20 mg21226
otherDiarrhoeaGastrointestinal disordersLansoprazole 15 mg17242
otherDyspepsiaGastrointestinal disordersVonoprazan 10 mg18235
otherDyspepsiaGastrointestinal disordersVonoprazan 20 mg10226
otherDyspepsiaGastrointestinal disordersLansoprazole 15 mg12242
otherGastric polypsGastrointestinal disordersVonoprazan 10 mg11235
otherGastric polypsGastrointestinal disordersVonoprazan 20 mg12226
otherGastric polypsGastrointestinal disordersLansoprazole 15 mg8242
otherAbdominal distensionGastrointestinal disordersVonoprazan 10 mg5235

Adverse event totals9

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityVonoprazan 10 mg0235
Total, all-cause mortalityVonoprazan 20 mg0226
Total, all-cause mortalityLansoprazole 15 mg1242
Total, other adverse eventsVonoprazan 10 mg81235
Total, other adverse eventsVonoprazan 20 mg79226
Total, other adverse eventsLansoprazole 15 mg79242
Total, serious adverse eventsVonoprazan 10 mg10235
Total, serious adverse eventsVonoprazan 20 mg8226
Total, serious adverse eventsLansoprazole 15 mg12242

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
38654422DERIVED

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 comparisons0

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

None in this release.

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/NCT02388737

GET https://conductscience.org/api/trials/v1/NCT02388737/results?page=2