Esomeprazole Treatment for Patients With Lymphocytic Gastritis (LYNEX)
Recruitment status was Recruiting
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Purpose
The purpose of this study is to determine whether treatment with esomeprazole alone is able to heal patients with lymphocytic gastritis
| Condition | Intervention | Phase |
|---|---|---|
|
Lymphocytic Gastritis |
Drug: Esomeprazole |
Phase 3 |
| Study Type: | Interventional |
| Study Design: | Allocation: Randomized Endpoint Classification: Efficacy Study Intervention Model: Parallel Assignment Masking: Double-Blind Primary Purpose: Treatment |
| Official Title: | Double-Blind, Randomized, Placebo-Controlled Multicenter Trial on the Efficacy of Esomeprazole Treatment for Patients With Lymphocytic Gastritis |
- The primary objective is to assess the healing rate of
- patients with lymphocytic gastritis irrespective of H. pylori status after treatment
- with esomeprazole 20 mg twice daily for 2 weeks.
- Secondary objective of the study are to evaluate the grade and activity of gastritis before and after
- treatment according to updated Sydney classification, to assess the clinical GI symptoms at baseline and after 3 months
- and to evaluate influence of the H. pylori-Status
| Estimated Enrollment: | 40 |
| Study Start Date: | February 2007 |
| Estimated Study Completion Date: | December 2009 |
Recently, a placebo controlled trial of our group has shown that H. pylori eradication therapy consisting of omeprazole 20 mg bid, clarithromycin 500 mg bid, amoxicillin 1000 mg bid for seven days leads to a complete long-lasting resolution of lymphocytic gastritis in 96 % of patients. However, after 3 months we also found a healing rate of 50 % in patients who received omeprazole 20 mg bid and placebo antibiotics for seven days suggesting spontaneous remission or a potential PPI effect. Thus, we speculate that PPI therapy may have led to elimination of H. pylori and subsequently healing of lymphocytic gastritis in those patients with potentially minimal H. pylori colonization at baseline. For this reason we investigate whether a PPI treatment alone is able to heal patients with lymphocytic gastritis.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Histologically proven lymphocytic gastritis (IEL > 25/100)
- Male or female aged 18 years or older
- Signed and written informed consent
Exclusion Criteria:
- Regular NSAID or aspirin intake
- Concomitant medication with antibiotics, bismuth subsalicylate, aminosalicylates
- Regular PPI therapy
- Treatment with ketoconazole or other CYP3A inhibitors
- previous surgery of the stomach
- known or suspected hypersensitivity to esomeprazole
- Malignant diseases
- Concomitant severe diseases
- Pregnancy or lactation
- Contraindication to take biopsies (Quick < 50%, PTT > 50 s, thrombocytes < 100.000/mm3)
Contacts and Locations| Contact: Ahmed Madisch, MD | ++493514584780 | ahmed.madisch@uniklinikum-dresden.de |
| Contact: Stephan Miehlke, Prof., MD | ++493514585645 | stephan.miehlke@uniklinikum-dresden.de |
| Germany | |
| Medical Department I, University Hospital Carl Gustav Carus, Technical University | Recruiting |
| Dresden, Germany, 01307 | |
| Contact: Ahmed Madisch, MD ++493514584780 ahmed.madisch@uniklinikum-dresden.de | |
| Contact: Stephan Miehlke, Prof. ++493514585645 stephan.miehlke@uniklinikum-dresden.de | |
| Principal Investigator: | Ahmed Madisch, MD | Medical Department I, University Hospital Carl Gustav Carus, Technical University Dresden, Germany |
More Information
No publications provided
| ClinicalTrials.gov Identifier: | NCT00455754 History of Changes |
| Other Study ID Numbers: | LYNEX |
| Study First Received: | April 3, 2007 |
| Last Updated: | April 3, 2007 |
| Health Authority: | Germany: Federal Institute for Drugs and Medical Devices |
Additional relevant MeSH terms:
|
Gastritis Gastroenteritis Gastrointestinal Diseases Digestive System Diseases Stomach Diseases Omeprazole |
Anti-Ulcer Agents Gastrointestinal Agents Therapeutic Uses Pharmacologic Actions Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on May 22, 2013