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Trial · NCT03050359

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

NCT03050359, Phase 3, Completed, Takeda; results first posted 2020-06-12

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 Duodenal Ulcer Participants With or Without Helicobacter Pylori Infection. Trials, record NCT03050359. Release trials-2026-11-12-0.5.0, 12 Nov 2026. https://conductscience.org/library/trials/NCT03050359

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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 Duodenal Ulcer Participants With or Without Helicobacter Pylori Infection
NCT number
NCT03050359
Status
Completed
Phases
Phase 3
Enrollment
533 participants, actual
Lead sponsor
Takeda
Conditions
Duodenal Ulcer
Interventions
TAK-438, Lansoprazole, TAK-438 Placebo, Lansoprazole Placebo, Bismuth-Containing Quadruple Therapy
First posted
2017-02-10
Last updated
2020-06-12
Results first posted
2020-06-12

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 Duodenal UlcersWeek 4 or Week 6Endoscopic healing was defined as the disappearance of all white coats associated with duodenal ulcers as confirmed endoscopically.
SecondaryPercentage of Helicobacter Pylori Infected (HP+) Participants With Successful HP Eradication After 4 or 6 Weeks of Treatment4 weeks post treatment (Up to 10 weeks)
HP infection status was determined by \^13C Urea Breath Test (\^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.
SecondaryPercentage of Participants With Endoscopically Confirmed Healing of Duodenal Ulcer at Week 4Week 4Endoscopic healing is defined as the disappearance of all white coats associated with duodenal ulcers as confirmed endoscopically.
SecondaryPercentage of Participants With Posttreatment Resolution of Gastrointestinal Symptoms Associated With Duodenal Ulcer at Weeks 2 Through 6Week 2 up to Week 6
The percentage of participants with resolution of various gastrointestinal symptoms are reported as categories. Gastrointestinal symptoms included epigastric pain (postprandial, fasting, nocturnal), abdominal bloating, nausea/vomiting, heartburn and lack of appetite. The severity of subjective symptoms of erosive esophagitis were recorded as: none = 0, mild = 1, moderate = 2 or severe = 3.

Outcomes4

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

TypeOutcomeTime framePopulationUnitsMeasured as
PRIMARYPercentage of Participants With Endoscopically Confirmed Healing of Duodenal UlcersWeek 4 or Week 6
Full Analysis Set (FAS) included all participants who were randomized and 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 6 Weeks of Treatment4 weeks post treatment (Up to 10 weeks)Participants from FAS, included all participants who were randomized and received at least 1 dose of the study drug with H pylori positive status at Baseline with data available for analyses.percentage of participantsNUMBER
SECONDARYPercentage of Participants With Endoscopically Confirmed Healing of Duodenal Ulcer at Week 4Week 4FAS included all participants who were randomized and 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 Posttreatment Resolution of Gastrointestinal Symptoms Associated With Duodenal Ulcer at Weeks 2 Through 6Week 2 up to Week 6FAS included all participants who were randomized and received at least 1 dose of the study drug. Number analyzed is number of participants analyzed for the particular category (symptom).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 Duodenal UlcersTAK-438 20 mg96.995% Confidence Interval 93.889 to 98.631percentage of participants
Percentage of Participants With Endoscopically Confirmed Healing of Duodenal UlcersLansoprazole 30 mg96.595% Confidence Interval 93.406 to 98.374percentage of participants
Percentage of Helicobacter Pylori Infected (HP+) Participants With Successful HP Eradication After 4 or 6 Weeks of TreatmentTAK-438 20 mg91.595% Confidence Interval 86.853 to 94.866percentage of participants
Percentage of Helicobacter Pylori Infected (HP+) Participants With Successful HP Eradication After 4 or 6 Weeks of TreatmentLansoprazole 30 mg86.895% Confidence Interval 81.330 to 91.093percentage of participants
Percentage of Participants With Endoscopically Confirmed Healing of Duodenal Ulcer at Week 4TAK-438 20 mg89.295% Confidence Interval 84.617 to 92.731percentage of participants
Percentage of Participants With Endoscopically Confirmed Healing of Duodenal Ulcer at Week 4Lansoprazole 30 mg88.495% Confidence Interval 83.830 to 92.124percentage of participants
Percentage of Participants With Posttreatment Resolution of Gastrointestinal Symptoms Associated With Duodenal Ulcer at Weeks 2 Through 6TAK-438 20 mgEpigastric Pain (Postprandial)87.795% Confidence Interval 76.321 to 94.917percentage of participants
Percentage of Participants With Posttreatment Resolution of Gastrointestinal Symptoms Associated With Duodenal Ulcer at Weeks 2 Through 6Lansoprazole 30 mgEpigastric Pain (Postprandial)91.895% Confidence Interval 80.399 to 97.731percentage of participants
Percentage of Participants With Posttreatment Resolution of Gastrointestinal Symptoms Associated With Duodenal Ulcer at Weeks 2 Through 6TAK-438 20 mgEpigastric Pain (Fasting/Nocturnal)91.795% Confidence Interval 85.579 to 95.767percentage of participants
Percentage of Participants With Posttreatment Resolution of Gastrointestinal Symptoms Associated With Duodenal Ulcer at Weeks 2 Through 6Lansoprazole 30 mgEpigastric Pain (Fasting/Nocturnal)90.195% Confidence Interval 83.902 to 94.465percentage of participants

Participant flow6

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

PeriodMilestoneGroupParticipantsUnits counted
Overall StudySTARTEDTAK-438 20 mg265
Overall StudySTARTEDLansoprazole 30 mg268
Overall StudyCOMPLETEDTAK-438 20 mg248
Overall StudyCOMPLETEDLansoprazole 30 mg248
Overall StudyNOT COMPLETEDTAK-438 20 mg17
Overall StudyNOT COMPLETEDLansoprazole 30 mg20

Adverse events22

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

TypeEventOrgan systemGroupAffectedAt riskEvents
otherUpper respiratory tract infectionInfections and infestationsTAK-438 20 mg21263
otherUpper respiratory tract infectionInfections and infestationsLansoprazole 30 mg37268
otherPepsinogen test positiveInvestigationsTAK-438 20 mg124263
otherPepsinogen test positiveInvestigationsLansoprazole 30 mg28268
otherPepsinogen I increasedInvestigationsTAK-438 20 mg92263
otherPepsinogen I increasedInvestigationsLansoprazole 30 mg37268
otherBlood gastrin increasedInvestigationsTAK-438 20 mg97263
otherBlood gastrin increasedInvestigationsLansoprazole 30 mg20268
otherProtein urine presentInvestigationsTAK-438 20 mg20263
otherProtein urine presentInvestigationsLansoprazole 30 mg11268

Adverse event totals6

The totals the trial posted for each group.

TotalGroupAffectedAt risk
Total, all-cause mortalityTAK-438 20 mg0263
Total, all-cause mortalityLansoprazole 30 mg0268
Total, other adverse eventsTAK-438 20 mg162263
Total, other adverse eventsLansoprazole 30 mg113268
Total, serious adverse eventsTAK-438 20 mg1263
Total, serious adverse eventsLansoprazole 30 mg3268

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/NCT03050359

GET https://conductscience.org/api/trials/v1/NCT03050359/events?page=2