Nighttime heartburn treatment for people with erosive reflux disease
Official title: A Multicenter, Double-blind, Randomized, Investigator-initiated Trial to Evaluate the Degree of Symptom Relief of Zastaprazan and Esomeprazole in Patients With Erosive Reflux Disease With Night-time Heartburn Symptoms
Run by Incheon St.Mary's Hospital · NCT07268820 · Data updated 2026-11-12
This study will try zastaprazan 20 mg versus esomeprazole 40 mg to see if either reduces nighttime heartburn in adults with erosive reflux disease.
Quick facts
| Phase | Phase 4 |
|---|---|
| Study type | Interventional |
| Ages | 19 Years and up |
| Sex | All |
| Enrollment | 160 (estimated) |
| Sponsor | Incheon St.Mary's Hospital Academic / other |
| Locations | 10 sites (Ansan and 9 other locations) |
| Status | Recruiting |
| Started | July 7, 2025 |
| Main results expected | May 29, 2026 |
| Study ends | September 30, 2026 |
| Registry record updated | December 23, 2025 |
| Trial ID | NCT07268820 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Adults in Korea aged 19 or older with endoscopy-confirmed erosive reflux disease who have had nighttime heartburn for more than three months and who can undergo endoscopy and give informed consent.
✕Probably not a fit
People without erosive reflux disease (non-erosive reflux), those unable to undergo endoscopy, recent users of other investigational drugs, or individuals with recent substance abuse or other medical conditions deemed unsafe by the investigator may not benefit or be eligible for this study.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This is a multicenter, double-blind, randomized, active-controlled Phase 4 trial comparing zastaprazan 20 mg and esomeprazole 40 mg in adults with erosive gastroesophageal reflux disease who report nocturnal heartburn for more than three months. Eligible participants must have ERD confirmed by upper gastrointestinal endoscopy and will be randomized to one of the two blinded treatment arms. Nighttime heartburn symptoms and safety outcomes will be tracked through regular clinic visits and symptom reporting during the treatment period. Safety monitoring and adverse event assessments will be performed throughout the study.
Why it matters
Potential benefit: If successful, the test could provide better nighttime symptom relief, improve sleep, and enhance overall quality of life for people with erosive reflux disease.
How similar studies have gone: Other potassium-competitive acid blockers such as vonoprazan have shown promising acid suppression and symptom relief compared with proton pump inhibitors, but direct clinical data for zastaprazan remain limited.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: 1. Korean adults aged 19 years or older as of the date of written consent 2. Those diagnosed with erosive gastroesophageal reflux disease based on upper gastrointestinal endoscopy (EGD) 3. Those who reported nighttime heartburn for more than 3 months at the time of screening (Visit 1) 4. Those who voluntarily decided to participate and provide written informed consent Exclusion Criteria: 1. Those who cannot undergo upper gastrointestinal endoscopy (EGD) 2. Individuals with a history of drug or alcohol abuse (within the past year) 3. Individuals who have received other investigational products within one month prior to the screening visit (Visit 1) 4. In addition to the above, individuals with clinically significant findings that the investigator deems medically inappropriate for the present study
Where it's running
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Korea University Ansan Hospital
Ansan, South Korea Recruiting -
Pusan National University Hospital
Busan, South Korea Recruiting -
Kyungpook National University Chilgok Hospital
Chilgok, South Korea Recruiting -
Hallym University Chuncheon Sacred Heart Hospital
Chuncheon, South Korea Recruiting -
Chonnam National University Hospital
Gwangju, South Korea Recruiting -
Catholic University of Korea, Incheon ST. Mary's Hospital
Incheon, South Korea Recruiting
Show 4 more locations
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Gangnam Severance Hospital
Seoul, South Korea Recruiting -
Kyung Hee University Hospital
Seoul, South Korea Recruiting -
Soonchunhyang University Hospital
Seoul, South Korea Recruiting -
Pusan National University Yangsan Hospital
Yangsan, South Korea Recruiting
Study contacts
- Study coordinator: Byung-Wook Kim
- Email: gastro@catholic.ac.kr
- Phone: +82-1544-9004
Similar studies
Other studies for the same condition or treatment. Recruiting studies are listed first.
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Thread-Embedding Acupuncture plus a Proton Pump Inhibitor for GERD
This study tests whether adding thread-embedding acupuncture to standard omeprazole treatment helps people with GERD who have a traditional Liver-Stomach constraint-heat pattern.
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Transoral incisionless fundoplication (TIF) for GERD in Asian adults
This tests whether a less-invasive transoral incisionless fundoplication (TIF) procedure can reduce reflux symptoms in Asian adults who continue to have GERD despite daily PPI treatment.
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Diaphragm training for GERD symptoms
This study will test whether diaphragm-focused breathing exercises or using a volume-based incentive spirometer can help people with GERD have fewer reflux episodes and better symptoms.
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A registry for adults with esophageal movement and reflux problems.
This project will collect esophageal function tests (manometry, pH-impedance, FLIP) and clinical data from adults with reflux or swallowing symptoms to see if combining these results helps guide diagnosis and long-term care.
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Comparing Trimedat 76.95 mg orally disintegrating tablets with Trimedat 100 mg tablets in healthy adults
This will test if Trimedat 76.95 mg dissolving tablets work the same and are as safe as Trimedat 100 mg tablets when taken fasting by healthy adults.
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Using a mucosal impedance device to help diagnose chronic esophageal problems
This test tries a mucosal impedance device during upper endoscopy to see if it helps diagnose people with chronic reflux (GERD) or eosinophilic esophagitis.
How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.