Approval Probability
TA Base Rate
Adjusted LOA
ML Risk
Dexlansoprazole · 21 trials · 11 indications
The percentage of days with neither daytime nor nighttime heartburn was equal to (=) (the days that were heartburn-free during the treatment period) / (total number of days for which either a daytime or nighttime result was marked during treatment period)\*100 percent (%).
Well-controlled participants were defined to be participants who completed the study having at least 23 days of evaluable diary entries between Days 15 and 42, inclusive, and had ≤4 occurrences of heartburn during this period.
Percentage calculated by the number of heartburn-free nights out of the total number of nights during the treatment period with a diary entry indicating presence or absence of nighttime heartburn in subjects who had ≥1 diary entry indicating presence or absence of nighttime heartburn, as indicated by the subject's daily diary. Subjects indicate the presence (Yes/No) of nocturnal heartburn symptoms in a Daily Electronic Diary. Nights missing diary results were excluded from the numerator and denominator.
The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.
The percentage was calculated as the days that were heartburn-free out of the total number of days for which either a daytime or nighttime result was marked.
Crude rates analyzed maintenance of healed EE from baseline of this study and considered prematurely discontinued subjects as relapsed.
Percentage of subjects who maintained complete healing of erosive esophagitis as assessed by endoscopy. In the life table method, subjects without post-baseline endoscopy were included as censored; subjects who did not have a recurrence of EE and did not complete the study were also considered censored.
Hematocrit measurement percent is the absolute difference in Hematocrit values, and not percentage difference.
Normal=normal tissue; Unknown Baseline = Baseline biopsy not available; Abnormal diagnoses include: Reactive Gastropathy, Chronic Gastritis, Intestinal Metaplasia, Reflective Observation Mucosa-Associated Lymphoid Tissue Lymphoma, Other Abnormal.
Normal=normal tissue; Unknown Baseline = Baseline biopsy not available; Abnormal diagnoses include: Reactive Gastropathy, Chronic Gastritis, Intestinal Metaplasia, Reflective Observation Mucosa-Associated Lymphoid Tissue Lymphoma, Other Abnormal.
Percentage of subjects with complete healing of EE as assessed by endoscopy was analyzed for change in LA Esophagitis Classification grades A, B, C, or D to healed. Healed is defined as anything that is less than the criterion for Grade A (greater than or equal to 1 mucosal break and less than 5 mm). If it doesn't meet the A criterion, it's counted as healed.
Percentage of subjects with complete healing of EE as assessed by endoscopy was analyzed for change in LA Esophagitis Classification grades A, B, C, or D to healed. Healed is defined as anything that is less than the criterion for Grade A. If it doesn't meet the A criterion, it's counted as healed.
Percentage of subjects with complete healing of EE as assessed by endoscopy. Change in LA Esophagitis Classification grades A, B, C, D to healed was measured. Healed is defined as anything that is less than the criterion for Grade A (greater than or equal to 1 mucosal break and less than 5 mm). If it doesn't meet the A criterion, it's counted as healed.
Percentage of subjects with complete healing of EE as assessed by endoscopy. Change in LA Esophagitis Classification grades A, B, C, D to healed was measured. Healed is defined as anything that is less than the criterion for Grade A. If it doesn't meet the A criterion, it's counted as healed.
Daily electronic diaries (eDiaries) will be completed which contain Pediatric Gastroesophageal Reflux Disease Symptom Daily Diaries (PGSDD) questionnaires that document presence or absence of hurting or burning in the stomach, chest or throat vomiting, regurgitation and trouble eating. Parents or caregivers of participants aged 2 to 8 years will complete the PGSDD (parent) in the eDiary for their child and participants aged 9 to 11 years will complete PGSDD (child) in the eDiary themselves. The eDiaries will be completed on a daily basis reflecting a continuous 24-hour period.
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A Treatment Emergent Adverse Event (TEAE) is defined as an Adverse Event (AE) that starts or worsens on or after Study Day 1, and no more than 30 days after the last dose.
An Adverse Event (AE) is defined as any untoward medical occurrence in a clinical investigation participant administered a drug; it does not necessarily have to have a causal relationship with this treatment. An AE can therefore be any unfavorable and unintended sign (eg, a clinically significant abnormal laboratory finding), symptom, or disease temporally associated with the use of a drug, whether or not it is considered related to the drug. A Treatment Emergent Adverse Event (TEAE) is defined as an Adverse Event (AE) that starts or worsens on or after Study Day 1, and no more than 30 days after the last dose.
A Treatment Emergent Adverse Event (TEAE) is defined as an Adverse Event (AE) that started or worsened on or after Study Day 1 (defined as first dose day), and no more than 30 days after the last dose of study drug.
The disintegration time is the total time from when the participant places the tablet on their tongue until the time at which the participant would normally swallow the remaining materials from the disintegrated tablet. The average disintegration time will be calculated for each participant based on 3 separate tests.
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.
AUC(0-tlqc) is a measure of total plasma exposure to a drug from time 0 to time of the last quantifiable concentration.
AUC(0-tlqc) is a measure of total plasma exposure to a drug from time 0 to time of the last quantifiable concentration.
AUC(0-inf) is a measure of the area under the plasma concentration-time curve from time 0 extrapolated to infinity.
AUC(0-tau) is a measure of the area under the plasma concentration-time curve from time 0 to time tau over a dosing interval, where tau is the length of the dosing interval (24 hours).
The percent change in bone formation marker P1NP measured at week 26 from P1NP measured at baseline. Serum samples for P1NP were analyzed at a central laboratory for bone biomarker P1NP using an electrochemiluminescence immunoassay measured in nanograms per milliliter (ng/mL).
The percent change in bone resorption marker CTX measured at week 26 from CTX measured at baseline. Plasma samples were analyzed at a central laboratory for bone biomarker CTX using an electrochemiluminescence immunoassay measured in ng/mL.
Time to reach the maximum plasma concentration (Cmax) of Dexlansoprazole, equal to time (hours) to Cmax, as observed on Day 7. Pharmacokinetic parameters were derived using noncompartmental methods from the plasma concentrations of dexlansoprazole.
Maximum observed plasma concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve. Pharmacokinetic parameters were derived using noncompartmental methods from the plasma concentrations of dexlansoprazole.
AUC(0-tlqc) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (tlqc), calculated using the linear trapezoidal rule. Pharmacokinetic parameters were derived using noncompartmental methods from the plasma concentrations of dexlansoprazole.
AUC(0-24) is measure of area under the curve over the dosing interval (tau), where tau is the length of the dosing interval (24 hours), calculated using the linear trapezoidal rule. Pharmacokinetic parameters were derived using noncompartmental methods from the plasma concentrations of dexlansoprazole.
Tmax: Time to reach the Maximum Plasma Concentration (Cmax), equal to time (hours) to Cmax, as observed on Day 7.
Maximum Observed Plasma Concentration (Cmax) is the peak plasma concentration of a drug after administration, obtained directly from the plasma concentration-time curve.
Area Under the Plasma Concentration Versus Time Curve (AUC(0-tlqc)) is a measure of total plasma exposure to the drug from Time 0 to Time of the Last Quantifiable Concentration (AUC\[0-tlqc\]).
AUC(0-24) is measure of Area Under the Curve over the dosing interval (tau) (AUC(0-tau\]), where tau is the length of the dosing interval - 24 hours in this study).
Terminal Phase Elimination Half-life (T1/2) is the time required for half of the drug to be eliminated from the plasma.
CL/F is apparent clearance of the drug from the plasma, calculated as the drug dose divided AUC(0-24), expressed in L/hr.
Terminal elimination rate constant (λz) is the rate at which drugs are eliminated from the body.
Vz/F is the distribution of a drug between plasma and the rest of the body following oral administration, calculated as CL/F divided by λz.
| Arm | Type | Description |
|---|---|---|
| Dexlansoprazole 30 mg | EXPERIMENTAL | Dexlansoprazole 30 mg, delayed-release capsule, orally, once daily for up to 4 weeks. |
| Placebo | EXPERIMENTAL | Dexlansoprazole placebo-matching capsules, orally, once daily for up to 4 weeks. |
| 1 | EXPERIMENTAL | - |
| Dexlansoprazole 30 mg QD | EXPERIMENTAL | - |
| Dexlansoprazole MR 30 mg QD | EXPERIMENTAL | - |
| Dexlansoprazole MR 60 mg QD | EXPERIMENTAL | - |
| Dexlansoprazole MR 90 mg QD | EXPERIMENTAL | - |
| Lansoprazole 30 mg QD | ACTIVE_COMPARATOR | - |
| Weight ≤30 kg: Dexlansoprazole 15 mg | EXPERIMENTAL | Dexlansoprazole 15 mg, capsules, once, daily, for 12 weeks. Participants weigh ≤30 kg. |
| Weight ≤30 kg: Dexlansoprazole 30 mg | EXPERIMENTAL | Dexlansoprazole 30 mg, capsules, once, daily, for 12 weeks. Participants weigh ≤30 kg. |
| Weight >30 kg: Dexlansoprazole 30 mg | EXPERIMENTAL | Dexlansoprazole 30 mg, capsules, once, daily, for 12 weeks. Participants weigh \>30 kg. |
| Weight >30 kg: Dexlansoprazole 60 mg | EXPERIMENTAL | Dexlansoprazole 60 mg, capsules, once, daily, for 12 weeks. Participants weigh \>30 kg. |
| Healing Phase: Dexlansoprazole 60 mg | EXPERIMENTAL | Dexlansoprazole 60 mg delayed-release capsules, orally, once daily for up to 8 weeks. |
| Maintenance Phase: Dexlansoprazole 30 mg | EXPERIMENTAL | Participants who are healed at Week 8 will be randomized to receive 30 mg dexlansoprazole delayed-release capsules, orally, once daily for up to 16 weeks. |
| Maintenance Phase: Placebo | EXPERIMENTAL | Participants who are healed at Week 8 will be randomized to receive dexlansoprazole placebo-matching capsules, orally, once daily for up to 16 weeks. |
| Group 1: Dexlansoprazole 30 mg | EXPERIMENTAL | Dexlansoprazole 30 mg, delayed-release, capsule, orally, administered as single dose on Day 1. |
| Group 2: Dexlansoprazole 60 mg | EXPERIMENTAL | Dexlansoprazole 60 mg, delayed-release, capsule, orally, administered as single dose on Day 1. |
| Dexlansoprazole OD Tablets + Dexlansoprazole Capsules | EXPERIMENTAL | Two Dexlansoprazole 30 mg, delayed-release orally disintegrating tablets, orally, once daily for 5 days in Period 1, followed by a 7 day washout period, followed by one dexlansoprazole 60 mg, capsule, orally, once daily for 5 days in Period 2. |
| Dexlansoprazole Capsules + Dexlansoprazole OD | EXPERIMENTAL | Dexlansoprazole 60 mg, capsules, orally, once daily for 5 days in Period 1, followed by a 7 day washout period, followed by two dexlansoprazole 30 mg, delayed-release orally disintegrating tablets, orally, once daily for 5 days in Period 2. |
| Dexlansoprazole 60 mg | EXPERIMENTAL | Dexlansoprazole 60 mg, capsules, orally, once daily for up to 26 weeks. Participants had the option to participate in the calcium absorption sub study to receive calcium isotope 42 Ca 3 mg, intravenously and 44 Ca 8 mg, orally, once on Day-1 and Week 26. |
| Esomeprazole 40mg | ACTIVE_COMPARATOR | Esomeprazole 40 mg, capsules, orally, once daily for up to 26 weeks. Participants had the option to participate in the calcium absorption sub study to receive calcium isotope 42 Ca 3 mg, intravenously and 44 Ca 8 mg, orally, once on Day-1 and Week 26. |
| Dexlansoprazole 15 mg QD | EXPERIMENTAL | - |
| Dexlansoprazole 60 mg QD | EXPERIMENTAL | - |
| Name | Type | Description |
|---|---|---|
| Dexlansoprazole | DRUG | Dexlansoprazole delayed-release capsule |
| Placebo | DRUG | Dexlansoprazole placebo-matching capsules |
| Dexlansoprazole MR QD | DRUG | Dexlansoprazole MR 30 mg, capsules and dexlansoprazole MR placebo-matching capsules, orally, each once daily for up to 6 weeks. |
| Dexlansoprazole MR | DRUG | Dexlansoprazole MR 30 mg, capsules, orally, once daily for 4 weeks. |
| Lansoprazole | DRUG | Lansoprazole 30 mg, capsules, orally, once daily for up to 8 weeks. |
| Dexlansoprazole Delayed Release Orally Disintegrating Tablets | DRUG | Dexlansoprazole delayed-release, orally disintegrating (OD) tablets |
| Dexlansoprazole Delayed Release Capsules | DRUG | Dexlansoprazole delayed-release capsules |
| Esomeprazole | DRUG | Esomeprazole 40 mg capsules |
Inclusion Criteria: 1. Participants identifying their main symptom as a burning feeling in the mid-epigastric area and/or chest area (that is, heartburn). 2. Must have a history of symptomatic GERD for 6 months or longer prior to Screening with GERD symptoms that were responsive to acid-suppressive...
Dexlansoprazole is used for gastrointestinal conditions including esophagitis, reflux, heartburn, and gastroesophageal reflux disease (GERD). It is being studied in clinical trials for these indications, including in pediatric and adult populations.
Dexlansoprazole is developed by Takeda Pharmaceutical Company Limited, which trades under the ticker TAK. The company is conducting clinical trials to evaluate the drug's safety and efficacy for gastrointestinal conditions.
Dexlansoprazole is in Phase 3 clinical development. It is an investigational small molecule being studied for gastrointestinal conditions such as GERD and heartburn. It is not approved and remains under clinical investigation.
Dexlansoprazole has completed seven clinical trials, including NCT00847210 in adolescents with GERD, NCT01216293 on bone homeostasis, NCT02616302 in children with GERD, and NCT02873689 for heartburn relief in Chinese patients. All trials are completed.
Dexlansoprazole is a distinct drug developed by Takeda. It is a small molecule being studied for GERD and related conditions. No alternative names are provided, and it is not described as identical to other medications.