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D961H sachet

Phase 3

Gastric Ulcer (GU) | Small molecule | Endocrine |AstraZeneca PLC|Last Updated: Jan 19, 2017

Success Probability

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Market & Valuation

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Trial Design

RandomizedCONTROLLED
Total Trials1
Total Enrollment55

FDA Designations

No designations recorded

Clinical trial landscape

D961H sachet · 3 trials · 12 indications

Phase 3 1Phase 1 2
NCT02153398A Phase I/III Study of D961H 10 mg and 20 mg in Japanese Paediatric Patients With Gastrointestinal Acid Related DiseasesGastric Ulcer (GU)
COMPLETED55 Analytics
PHASE3COMPLETED
A Phase I/III Study of D961H 10 mg and 20 mg in Japanese Paediatric Patients With Gastrointestinal Acid Related Diseases
Gastric Ulcer (GU)Unlock trial analytics

Study Endpoints

Primary Endpoints

Disappearance of Heartburn at Week 8 by Patient Diaries
8 weeks

The disappearance of heartburn was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of heartburn were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

Disappearance of Epigastric Pain at Week 8 by Patient Diaries
8 weeks

The disappearance of epigastric pain was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of epigastric pain were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

Disappearance of Upper Abdominal Discomfort at Week 8 by Patient Diaries
8 weeks

The disappearance of upper abdominal discomfort was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of upper abdominal discomfort were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

Disappearance of Regurgitation at Week 8 by Patient Diaries
8 weeks

The disappearance of regurgitation was assessed by the intensity of the symptom at Week 8. Patients who recognized disappearance of regurgitation were defined as those who selected "Mild", "Moderate", or "Severe" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "None" at Week 8.

Aggravation of Heartburn at Week 8 by Patient Diaries
8 weeks

The aggravation of heartburn was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of heartburn were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

Aggravation of Epigastric Pain at Week 8 by Patient Diaries
8 weeks

The aggravation of epigastric pain was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of epigastric pain were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

Aggravation of Upper Abdominal Discomfort at Week 8 by Patient Diaries
8 weeks

The aggravation of upper abdominal discomfort was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of upper abdominal discomfort were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

Aggravation of Regurgitation at Week 8 by Patient Diaries
8 weeks

The aggravation of regurgitation was assessed by the intensity of the symptom at Week 8. Patients who recognized aggravation of regurgitation were defined as those who selected "None" to the question about the intensity in the patient diary at pre-dose and had the maximum intensity of "Mild", "Moderate" or "Severe" at Week 8.

Disappearance of Heartburn at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of heartburn at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of heartburn were defined as those who had a heartburn at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

Disappearance of Epigastric Pain at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of epigastric pain at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of epigastric pain were defined as those who had an epigastric pain at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

Disappearance of Upper Abdominal Discomfort at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of upper abdominal discomfort at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of upper abdominal discomfort were defined as those who had an upper abdominal discomfort at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

Disappearance of Regurgitation at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of regurgitation at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized disappearance of regurgitation were defined as those who had a regurgitation at pre-dose and did not have the corresponding symptoms at Week 8 judged by investigators.

Aggravation of Heartburn at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of heartburn at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of heartburn were defined as those who had no heartburn at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

Aggravation of Epigastric Pain at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of epigastric pain at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of epigastric pain were defined as those who had no epigastric pain at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

Aggravation of Upper Abdominal Discomfort at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of upper abdominal discomfort at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of upper abdominal discomfort were defined as those who had no upper abdominal discomfort at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

Aggravation of Regurgitation at Week 8 by Investigators
8 weeks

The investigators assessed the presence/absence and the intensity of regurgitation at baseline and Week 8 based on questioning the patients or patients' guardians and the patient diary. Patients who recognized aggravation of regurgitation were defined as those who had no regurgitation at pre-dose and did have any of the corresponding symptoms at Week 8 judged by investigators.

Description of whether a D961H sachet 20 mg is bioequivalent to a D961H HPMC capsule 20 mg
27 days

To investigate whether a D961H sachet 20 mg is bioequivalent to a D961H HPMC capsule 20 mg after repeated oral doses by the assessment of percentage of time with intragastric pH\>4 during 24 hours after dose on Day 5.

AUCτ and Cmax,ss of D961H
Day 5

* AUC(0-t)-Area under plasma concentration time curve from zero to time of the last measurable concentration * Cmax,ss - maximum concentration at steady state

Secondary Endpoints

Area Under the Plasma Concentration-time Curve During a Dosing Interval (AUCtau) of Esomeprazole After at Least 5 Days of Repeated Dose
0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose
AUC From Time Zero to Time of Last Quantifiable Concentration (AUC0-t) of Esomeprazole After at Least 5 Days of Repeated Dose
0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose
Maximum Plasma Concentration (Cmax) of Esomeprazole After at Least 5 Days of Repeated Dose
0, 0.5, 1, 1.5, 2, 3, 4 and 6 hours post-dose after at least 5 days of repeated dose
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
Group 1: D961H sachet 10 mgEXPERIMENTALAge: ≥1 year Weight: \<20 kg
Group 2: D961H capsule 10mgEXPERIMENTALAge: ≥1 year to 11years Weight: ≥20 kg
Group 3: D961H capsule 20 mgEXPERIMENTALAge: ≥1 year to 11years Weight: ≥20 kg
Group 4: D961H capsule 10 mgEXPERIMENTALAge: 12 to 14 years Weight: ≥20 kg
Group 5: D961H capsule 20 mgEXPERIMENTALAge: 12 to 14 years Weight: ≥20 kg
D961H sachet 20 mgEXPERIMENTALPellets contains esomeprazole 20 mg (esomeprazole magnesium trihydrate 22.3 mg) and excipient granules filled into single-use aluminium sachets
D961H HPMC capsule 20 mgOTHERPellets contains esomeprazole 20 mg (esomeprazole magnesium trihydrate 22.3 mg) in HPMC capsule
D961HHPMC Capsule 20 mgEXPERIMENTAL2 way crossover

Interventions

NameTypeDescription
D961H sachet 10 mgDRUG -
D961H capsule 10mgDRUG -
D961H capsule 20 mgDRUG -
D961H sachet 20 mgDRUGEach subject will be randomised evenly to one of "Treatment: A--\>B (Sequence 1)" or "Treatment: B--\>A (Sequence 2)". Treatment A: D961H sachet 20 mg Treatment B: D961H HPMC capsule 20 mg
D961H HPMC capsule 20 mgDRUGEach subject will be randomised evenly to one of "Treatment: A--\>B (Sequence 1)" or "Treatment: B--\>A (Sequence 2)". Treatment A: D961H sachet 20 mg Treatment B: D961H HPMC capsule 20 mg
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Eligibility Criteria

Age Range1 Year to 14 Years
SexALL
Healthy VolunteersNo
Study Sites15

Inclusion Criteria: * Provision of signed written informed consent from the patient's guardian * Patients aged ≥ 1 year to 14 years old * Patients who have a diagnosis of or suspected to have GU, DU, AU, NERD, RE or Zollinger-Ellison syndrome. Exclusion Criteria: * Patients less than 10 kg in wei...

Countries:Japan
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Frequently asked questions about D961H sachet

What is D961H Sachet used for?

D961H Sachet is an investigational small molecule being studied for the treatment of gastric ulcer and other gastrointestinal acid-related diseases, including duodenal ulcer, anastomotic ulcer, reflux esophagitis, and Zollinger-Ellison syndrome. It is being developed by AstraZeneca PLC (AZN) and is currently in clinical development.

Who makes D961H Sachet?

D961H Sachet is being developed by AstraZeneca PLC, a biopharmaceutical company listed on the stock exchange under the ticker AZN. The drug is an investigational small molecule intended for gastrointestinal acid-related conditions.

What phase is D961H Sachet in?

D961H Sachet is in Phase 1 clinical development. It has completed early-stage trials, including a Phase 1 bioequivalence study and a Phase 1 pharmacodynamics study. The drug is investigational and has not been approved for any use.

What clinical trials is D961H Sachet in?

D961H Sachet has been studied in clinical trials registered under NCT01595425, NCT01964131, and NCT02153398. These trials evaluated the drug in Japanese healthy male subjects and pediatric patients with gastrointestinal acid-related diseases, including gastric ulcer and reflux esophagitis.

Is D961H Sachet the same as D961H Capsule?

D961H Sachet and D961H Capsule are different formulations of the same drug. A completed bioequivalence study (NCT01595425) compared the sachet and capsule forms in Japanese healthy male subjects to assess whether the two formulations deliver the drug equivalently.