Evidence map›Paper›PMID 30390234›Full record

Trial reportDigestive diseases and sciences2019

Dual Delayed-Release Dexlansoprazole for Healing and Maintenance of Healed Erosive Esophagitis: A Safety Study in Adolescents.

David Gremse, Benjamin D Gold, Betsy Pilmer, Barbara Hunt, Bartosz Korczowski, Maria Claudia Perez

Open access · hybridAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Digestive diseases and sciences, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed, 2 pooled it
0.2field-weighted citation impact, top 45% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 2 syntheses or guidelines pooled it, 8 citations in OpenAlex.

  1. Guideline
  2. Pooled it
  3. Article
  4. Article
  5. Review
  6. Review
  7. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 2 countries.

David GremseDepartment of Pediatrics, University of South Alabama, 1504 Springhill Avenue, Rm 5309, Mobile, AL, 36604, USA. dgremse@health.southalabama.edu.
Benjamin D GoldChildren's Center for Digestive Healthcare, Atlanta, GA, USA.
Betsy PilmerTakeda Development Center Americas, Inc, Deerfield, IL, USA.
Barbara HuntTakeda Development Center Americas, Inc, Deerfield, IL, USA.
Bartosz KorczowskiPediatric Department, State Hospital in Rzeszów, Medical College, University of Rzeszów, Rzeszów, Poland.
Maria Claudia PerezTakeda Development Center Americas, Inc, Deerfield, IL, USA.
Takeda (United States) · USRzeszów University · PLTroy Gastroenterology · USUniversity of South Alabama · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn gastroesophageal reflux disease (GERD), the frequency of heartburn symptoms and erosive esophagitis (EE) increases with age in children and adolescents. Proton pump inhibitor, dexlansoprazole, is approved for healing EE of all grades, maintenance of healed EE, relief of heartburn, and treatment of symptomatic non-erosive GERD in patients ≥ 12 years.

aimTo assess safety and efficacy of dexlansoprazole dual delayed-release capsule in healing of EE and maintenance of healed EE in adolescents.

methodsA multicenter, phase 2, 36-week study was conducted in 62 adolescents (12-17 years) with endoscopically confirmed EE. Patients received dexlansoprazole 60 mg once daily (QD) during open-label healing phase. Those with confirmed healing at week 8 were randomized to dexlansoprazole 30 mg QD or placebo during 16-week, double-blind maintenance phase, with subsequent treatment-free follow-up of ≥ 12 weeks. Primary endpoints were treatment-emergent adverse events (TEAEs) in ≥ 5% of patients during treatment. Secondary endpoints included percentages of patients with healing of EE and with maintenance of healed EE.

results88% of patients achieved EE healing, and 61.3% reported a TEAE [headache (12.9%), oropharyngeal pain (8.1%), diarrhea (6.5%), and nasopharyngitis (6.5%)]. During maintenance phase, healing was maintained in 82% and 58% of dexlansoprazole and placebo groups, respectively. 72.0% of dexlansoprazole-treated patients reported TEAEs, which included headache (24.0%), abdominal pain (12.0%), nasopharyngitis (12.0%), pharyngitis (12.0%), sinusitis (12.0%), bronchitis (8.0%), upper respiratory tract infection (8.0%), and insomnia (8.0%); 61.5% experienced a TEAE with placebo.

conclusionsDexlansoprazole is safe and efficacious for healing EE and maintenance of healed EE in adolescents.

Indexed as

Abdominal PainAdolescentChildDelayed-Action PreparationsDexlansoprazoleDiarrheaDouble-Blind MethodEsophagitis, PepticFemaleGastroesophageal RefluxHeadacheHumansMaintenance ChemotherapyMaleNasopharyngitisOropharynxDelayed-Action PreparationsDexlansoprazoleProton Pump InhibitorsChildDexlansoprazoleEsophagitisGastroesophageal reflux disease

Identifiers

PMID30390234
PMCPMC6514063
OpenAlexW2899191245

What OpenQuestion holds

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LicenceCC BY-NC
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.