Study to Evaluate the Safety, Efficacy of Tegoprazan for the Prevention of PUD in Patients on Treatment With NSAIDs

NCT04840550 — Phase 3, Completed, 392 participants, HK inno.N Corporation

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A Phase 3, Randomized, Double-blind, Active-controlled, Multicenter Study to Evaluate the Safety and Efficacy of Tegoprazan 25 mg for the Prevention of Peptic Ulcer Disease in Patients on Continuous Long-term Treatment With NSAIDs

RegistryNCT04840550
StatusCompleted
PhasePhase 3
Study typeInterventional; randomized, parallel, masking: quadruple, prevention
Enrollment392 (Actual)
SponsorHK inno.N Corporation (Industry)
ConditionsPreventive Peptic Ulcer
InterventionsLansoprazole 15 mg, Tegoprazan 25 mg (Drug)
Datesstart 2021-05-07, primary completion 2025-07-01, completion 2025-07-01, first posted 2021-04-12, last updated 2026-09-14
Locations2 sites in South Korea

Related Papers Related Patents Related Grants Related Experts
All trials for Preventive Peptic Ulcer All trials of Lansoprazole 15 mg All trials of Tegoprazan 25 mg

-Summary

This study is designed to confirm the non-inferiority of Tegoprazan 25 mg, compared to Lansoprazole 15 mg, to prevent gastroduodenal ulcers and verify the safety of tegoprazan following oral administration of tegoprazan 25 mg QD or lansoprazole 15 mg QD in patients on long-term treatment with NSAIDs.

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+Detailed description

This is a double-blind, randomized, active-controlled, phase 3 study. Subjects will be randomly assigned to one of the two treatment groups (tegoprazan 25 mg, lansoprazole 15 mg).

+Arms and interventions

ArmTypeInterventionsDescription
Tegoprazan 25mgExperimentalDrug: Tegoprazan 25 mgTegoprazan 25mg tablets will be orally administered once a day, with NSAIDs, for up to 6 months.
Lansoprazole 15mgActive comparatorDrug: Lansoprazole 15 mgLansoprazole 15mg capsules will be orally administered, once a day, with NSAIDs, for up to 6 months.
  • Lansoprazole 15 mg (Drug): Lansoprazole 15 mg tablets will be orally administered once a day, with NSAIDs, for up to 6 months.
  • Tegoprazan 25 mg (Drug): Tegoprazan 25 mg tablets will be orally administered once a day, with NSAIDs, for up to 6 months.

+Outcome measures

Primary outcomes

  • Proportion of subjects with gastric and/or duodenal ulcers at Week 24 [week 24]: The proportion of subjects with gastric and/or duodenal ulcers on upper GI endoscopy at Week 24

Secondary outcomes

  • Proportion of subjects without NSAID-related GI symptoms at Weeks 4, 12, and 24 [week 4, 12, 24]: GI symptoms are as follows; Heartburn, Regurgitation, Upper abdominal pain or discomfort

+Eligibility

Sex: All, ages: 20 Years to any

Inclusion Criteria:

* ≥60 years of age, or ≥20 years of age with a history of gastroduodenal ulcers (gastric and/or duodenal ulcers) at screening
* Requires continued treatment with NSAIDs for ≥24 weeks

Exclusion Criteria:

* Has an active stage (A1, A2) or healing stage (H1, H2) of gastroduodenal ulcers per the Sakita-Miwa classification identified by upper GI endoscopy at screening
* Has uncontrolled severe hypertension
* Has severe heart failure, congestive heart failure (NYHA Ⅱ to Ⅳ), ischemic heart disease (unstable angina, myocardial infarction), or peripheral artery disease, or has undergone coronary artery bypass graft (CABG) who is considered ineligible for treatment with NSAIDs
* Has a positive H. pylori test at screening

+Locations (2)

FacilityCityCountryStatus
Samsung Medical CenterSeoulSouth Korea
The catholic univ. of Korea Eunpyeong ST. Mari's hospitalSeoulSouth Korea

+Publications

  • Results publication: Kim SG, Kim TO, Jung SW, Min BH, Oh JH, Kim HS, Lee GH, Song JH, Sung IK, Cho YS, Choi SC, Lim YJ, Kim BW, Shin CM, Huh CW, Kim JW, Kim KO, Cho YK, Lee OY, Moon JS, Lee HW, Jung HY, Shin WG, Kim JG, Lee JY, Han SJ, Kim SW, Cho JH, Lim H, Kim TH, Park MI, Baik GH, Cha RR, Lee SK, Kim JJ. A Phase III, Randomized, Double-Blind, Active-Controlled, Multicenter Study Evaluating the Safety and Efficacy of Tegoprazan for the Prevention of Peptic Ulcer in Patients on Continuous Long-Term Treatment with Nonsteroidal Anti-Inflammatory Drugs. Gut Liver. 2026 Jul 15;20(4):551-561. doi: 10.5009/gnl260057. Epub 2026 Jun 22. PMID 42325011

+Investigators

  • Jea Jun Kim, Principal investigator, Samsung Medical Center