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Esomeprazole

Phase 4FDA approved

Gastrointestinal Diseases | Small molecule | Gastrointestinal |Haleon plc|Trials Updated: Feb 5, 2024

Esomeprazole development status

FDA approval on record Feb 20, 2001
Approval holderAstrazeneca
ApplicationNDA021153
Highest phase Phase 4 run by AstraZeneca (NCT00625495)
Phase scored for HLNPhase 1
Registered trials 101 across 27 sponsors since Jul 2005

Label indication NEXIUM is a proton pump inhibitor (PPI). NEXIUM delayed-release capsules and NEXIUM for delayed-release oral suspension are indicated for the: • Short-term treatment in the healing of erosive esophagitis (EE) in adults and pediatric patients 12 years to 17 years of age. ( 1.1 ) • Maintenance of healing of EE in adults. FDA label

Esomeprazole target and mechanism

Molecular targetATP4A, ATP4B
Target classInhibitor
ModalitySmall molecule

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindCONTROLLED
Total Trials1
Total Enrollment61

FDA Designations

No designations recorded

Esomeprazole clinical trials

Esomeprazole · 1 trial · 1 indication

Phase 1 1
NCT05265247Bioequivalence Study of Esomeprazole 20 Milligram (mg) Delayed-Release Capsules in Healthy Adult ParticipantsGastrointestinal Diseases
COMPLETED61 Analytics
PHASE1COMPLETED
Bioequivalence Study of Esomeprazole 20 Milligram (mg) Delayed-Release Capsules in Healthy Adult Participants
Gastrointestinal DiseasesUnlock trial analytics

Study Endpoints

Primary Endpoints

Maximum Observed Post Dose Concentration (Cmax)
Pre-dose (within 1 hour prior to dosing), 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.5, 4, 4.5, 5, 5.5, 6, 8,10, 12, 16, and 24 hours post dose in each treatment period (each period is of 2 days)

Cmax is defined as maximum observed post-dose concentration; obtained without interpolation. Blood samples were collected at the indicated time points for the analysis of Cmax. Pharmacokinetic (PK) parameters were calculated by standard non-compartmental analysis.

Area Under the Plasma Concentration Versus Time Curve Calculated From Time 0 to the Last Measurable Sampling Time Point
Pre-dose (within 1 hour prior to dosing), 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.5, 4, 4.5, 5, 5.5, 6, 8,10, 12, 16, and 24 hours post dose in each treatment period (each period is of 2 days)

AUC(0-t) is defined as area under the plasma concentration versus time curve calculated from time 0 to the last measurable sampling time point t, computed using the linear trapezoidal rule. Blood samples were collected at the indicated time points for the analysis of AUC0-t. PK parameters were calculated by standard non-compartmental analysis.

Secondary Endpoints

Area Under the Plasma Concentration Versus Time Curve Calculated From Time 0 to Infinity (AUC0-inf)
Pre-dose (within 1 hour prior to dosing), 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.5, 4, 4.5, 5, 5.5, 6, 8,10, 12, 16, and 24 hours post dose in each treatment period (each period is of 2 days)
Percentage of AUC(0-inf) Obtained by Extrapolation (%AUCex)
Pre-dose (within 1 hour prior to dosing), 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.5, 4, 4.5, 5, 5.5, 6, 8,10, 12, 16, and 24 hours post dose in each treatment period (each period is of 2 days)
Terminal Elimination Rate Constant
Pre-dose (within 1 hour prior to dosing), 0.5, 0.75, 1, 1.25, 1.5, 1.75, 2, 2.25, 2.5, 2.75, 3, 3.5, 4, 4.5, 5, 5.5, 6, 8,10, 12, 16, and 24 hours post dose in each treatment period (each period is of 2 days)
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelCROSSOVER
PurposeOTHER

Treatment Arms

ArmTypeDescription
Test Product/Reference ProductEXPERIMENTALParticipants will be randomly assigned to receive Esomeprazole 20 mg delayed-release one capsule once daily as oral administration on day 1 of period 1 and will receive Esomeprazole 20 mg delayed-release one capsule (Nexium 24HR) once daily as oral administration on day 1 of period 2. Participants are instructed to consume the entire amount of ambient temperature water (240 milliliter \[mL\]) along their investigational product. There will be washout period of 7 days between two treatment periods.
Reference Product/Test ProductsEXPERIMENTALParticipants will be randomly assigned to receive Esomeprazole 20 mg delayed-release one capsule (Nexium 24HR) once daily as oral administration on day 1 of period 1 and will receive Esomeprazole 20 mg delayed-release one capsule once daily as oral administration on day 1 of period 2. Participants are instructed to consume the entire amount of ambient temperature water (240 milliliter \[mL\]) along their investigational product. There will be washout period of 7 days between two treatment periods.

Interventions

NameTypeDescription
Esomeprazole 20 mg Delayed-Release CapsulesDRUGEsomeprazole 20 mg delayed-release capsules will be given as one capsule once daily as oral administration.
Esomeprazole 20 mg Delayed-Release Capsules (Nexium 24HR)DRUGEsomeprazole 20 mg delayed-release capsules (Nexium 24HR) will be given as one capsule once daily as oral administration.
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Eligibility Criteria

Age Range18 Years to 55 Years
SexALL
Healthy VolunteersYes
Study Sites1

Inclusion Criteria: * Evidence of a personally signed and dated informed consent document indicating that the participant has been informed of all pertinent aspects of the study before any assessment is performed. * Participant who is willing and able to comply with scheduled visits, treatment plan...

Countries:Canada
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Frequently asked questions about Esomeprazole

What is esomeprazole used for?

Esomeprazole is a small molecule developed for gastrointestinal diseases. Haleon plc is developing esomeprazole 20 mg delayed-release capsules, and the clinical program has focused on bioequivalence testing in healthy adult participants rather than on a specific approved patient indication.

What does esomeprazole target?

Esomeprazole targets ATP4A and ATP4B. It acts as an inhibitor of these targets, which are components of the gastric proton pump. This target class places esomeprazole among proton pump inhibitors used in gastrointestinal medicine.

Who makes esomeprazole?

Haleon plc, which trades under the ticker HLN, is the developer of esomeprazole 20 mg delayed-release capsules. The company is responsible for the clinical development program for this formulation.

What phase is esomeprazole in?

Esomeprazole 20 mg delayed-release capsules are in Phase 1 development. The program includes one completed Phase 1 trial, and no active trials are ongoing. The drug is investigational and is not described as approved.

What clinical trials is esomeprazole in?

Esomeprazole has been studied in one completed Phase 1 trial, NCT05265247, titled a bioequivalence study of esomeprazole 20 mg delayed-release capsules in healthy adult participants. It enrolled 61 participants in Canada, was randomized, double-blind, and controlled, and included healthy volunteers aged 18 years and older.