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Trial · NCT03050307

Comparison of TAK-438 (Vonoprazan) to Lansoprazole in the Treatment of Gastric Ulcer Participants With or Without Helicobacter Pylori Infection

NCT03050307, Phase 3, Completed, Takeda; results first posted 2021-06-18

3 sourcestrials-2026-11-12-0.5.0

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ConductScience Library. Comparison of TAK-438 (Vonoprazan) to Lansoprazole in the Treatment of Gastric Ulcer Participants With or Without Helicobacter Pylori Infection. Trials, record NCT03050307. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03050307

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Trial

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

Title
Comparison of TAK-438 (Vonoprazan) to Lansoprazole in the Treatment of Gastric Ulcer Participants With or Without Helicobacter Pylori Infection
NCT number
NCT03050307
Status
Completed
Phases
Phase 3
Enrollment
234 participants, actual
Lead sponsor
Takeda
Conditions
Gastric Ulcer
Interventions
TAK-438, Lansoprazole, TAK-438 Placebo, Lansoprazole Placebo, Bismuth-Containing Quadruple Therapy
First posted
2017-02-10
Last updated
2021-06-18
Results first posted
2021-06-18

Source ClinicalTrials.gov

Registered outcomes4

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

ListOutcomeTime frameDescription
PrimaryPercentage of Participants With Endoscopically Confirmed Healing of Gastric Ulcers (GUs) at Weeks 4 or 8Week 4 or 8Endoscopic healing was defined as the disappearance of all white coats associated with GUs confirmed endoscopically.
SecondaryPercentage of Helicobacter Pylori Infected (HP+) Participants With Successful HP Eradication After 4 or 8 Weeks of Treatment4 weeks post treatment (up to approximately 12 weeks)
HP infection status was determined by 13C-UBT. The urea breath test is used to detect infection with HP, a bacteria associated with stomach ulcers, by testing individual breath samples in a central laboratory. The data is provided only for HP+ participants. The participant could take 4 or 8 weeks of treatment for GU healing, then additional 4 weeks later, to have the urea breath test (UBT) test to detect HP.
SecondaryPercentage of Participants With Endoscopically Confirmed Healing of GU at Week 4Week 4Endoscopic healing was defined as the disappearance of all white coats associated with GUs confirmed endoscopically.
SecondaryPercentage of Participants With Post-treatment Resolution of Gastrointestinal Symptoms Associated With GUWeek 2 up to Week 8
The gastrointestinal symptoms included epigastric pain \[postprandial, fasting, nocturnal\], abdominal bloating, nausea/vomiting, heartburn, lack of appetite. The severity of gastrointestinal symptoms associated with GU were recorded as: none = 0, mild = 1, moderate = 2 or severe = 3. The data is reported in categories for percentage of participants with resolution of gastrointestinal symptoms associated with GU.

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Endoscopically Confirmed Healing of Gastric Ulcers (GUs) at Weeks 4 or 8Week 4 or 8
Full Analysis Set (FAS) population included all randomized participants who received at least 1 dose of the study drug. Overall number of participants analyzed were participants with data available for analyses.
percentage of participantsNUMBER
SECONDARYPercentage of Helicobacter Pylori Infected (HP+) Participants With Successful HP Eradication After 4 or 8 Weeks of Treatment4 weeks post treatment (up to approximately 12 weeks)FAS population included all randomized participants who received at least 1 dose of the study drug. Overall number of participants analyzed were participants with data available for analyses.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Endoscopically Confirmed Healing of GU at Week 4Week 4FAS population included all randomized participants who received at least 1 dose of the study drug. Overall number of participants analyzed were participants with data available for analyses.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Post-treatment Resolution of Gastrointestinal Symptoms Associated With GUWeek 2 up to Week 8
FAS population included all randomized participants who received at least 1 dose of the study drug. Number analyzed is the number of participants with data available for analysis for the specific category.
percentage of participantsNUMBER

Results by group18

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

OutcomeGroupCategoryValueSpreadUnits
Percentage of Participants With Endoscopically Confirmed Healing of Gastric Ulcers (GUs) at Weeks 4 or 8TAK-438 20 mg91.195% Confidence Interval 84.193 to 95.635percentage of participants
Percentage of Participants With Endoscopically Confirmed Healing of Gastric Ulcers (GUs) at Weeks 4 or 8Lansoprazole 30 mg94.795% Confidence Interval 88.896 to 98.044percentage of participants
Percentage of Helicobacter Pylori Infected (HP+) Participants With Successful HP Eradication After 4 or 8 Weeks of TreatmentTAK-438 20 mg88.095% Confidence Interval 78.439 to 94.363percentage of participants
Percentage of Helicobacter Pylori Infected (HP+) Participants With Successful HP Eradication After 4 or 8 Weeks of TreatmentLansoprazole 30 mg80.895% Confidence Interval 69.921 to 89.099percentage of participants
Percentage of Participants With Endoscopically Confirmed Healing of GU at Week 4TAK-438 20 mg76.195% Confidence Interval 67.035 to 83.788percentage of participants
Percentage of Participants With Endoscopically Confirmed Healing of GU at Week 4Lansoprazole 30 mg82.195% Confidence Interval 73.777 to 88.738percentage of participants
Percentage of Participants With Post-treatment Resolution of Gastrointestinal Symptoms Associated With GUTAK-438 20 mgEpigastric Pain (Postprandial)78.995% Confidence Interval 54.435 to 93.948percentage of participants
Percentage of Participants With Post-treatment Resolution of Gastrointestinal Symptoms Associated With GULansoprazole 30 mgEpigastric Pain (Postprandial)80.095% Confidence Interval 59.296 to 93.169percentage of participants
Percentage of Participants With Post-treatment Resolution of Gastrointestinal Symptoms Associated With GUTAK-438 20 mgEpigastric Pain (Fasting/Nocturnal)85.095% Confidence Interval 70.165 to 94.290percentage of participants
Percentage of Participants With Post-treatment Resolution of Gastrointestinal Symptoms Associated With GULansoprazole 30 mgEpigastric Pain (Fasting/Nocturnal)80.595% Confidence Interval 65.133 to 91.179percentage of participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTAK-438 20 mg115
Overall StudySTARTEDLansoprazole 30 mg119
Overall StudyCOMPLETEDTAK-438 20 mg107
Overall StudyCOMPLETEDLansoprazole 30 mg110
Overall StudyNOT COMPLETEDTAK-438 20 mg8
Overall StudyNOT COMPLETEDLansoprazole 30 mg9

Adverse events20

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherPepsinogen test positiveInvestigationsTAK-438 20 mg29115
otherPepsinogen test positiveInvestigationsLansoprazole 30 mg6119
otherPepsinogen I increasedInvestigationsTAK-438 20 mg23115
otherPepsinogen I increasedInvestigationsLansoprazole 30 mg8119
otherBlood gastrin increasedInvestigationsTAK-438 20 mg24115
otherBlood gastrin increasedInvestigationsLansoprazole 30 mg5119
otherAlanine aminotransferase increasedInvestigationsTAK-438 20 mg6115
otherAlanine aminotransferase increasedInvestigationsLansoprazole 30 mg3119
otherDysgeusiaNervous system disordersTAK-438 20 mg2115
otherDysgeusiaNervous system disordersLansoprazole 30 mg7119

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTAK-438 20 mg0115
Total, all-cause mortalityLansoprazole 30 mg0119
Total, other adverse eventsTAK-438 20 mg43115
Total, other adverse eventsLansoprazole 30 mg15119
Total, serious adverse eventsTAK-438 20 mg3115
Total, serious adverse eventsLansoprazole 30 mg2119

Papers1

The papers the trial lists on ClinicalTrials.gov.

PMIDListed as
39085080DERIVED

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 comparisons2

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

ComparisonSource
TAK-438 20 mg vs Lansoprazole 30 mg: deaths from any causeTrial comparisons
TAK-438 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/NCT03050307

GET https://conductscience.org/api/trials/v1/NCT03050307/registered