Clinical trial Recruiting at 10 sites Phase 4 Interventional Ages 19 and up

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.

More GERD trials

Quick facts

PhasePhase 4
Study typeInterventional
Ages19 Years and up
SexAll
Enrollment160 (estimated)
SponsorIncheon St.Mary's Hospital
Academic / other
Locations10 sites (Ansan and 9 other locations)
StatusRecruiting
StartedJuly 7, 2025
Main results expectedMay 29, 2026
Study endsSeptember 30, 2026
Registry record updatedDecember 23, 2025
Trial IDNCT07268820 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

  • 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
  • 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

Similar studies

Other studies for the same condition or treatment. Recruiting studies are listed first.

How to take part

  1. Review the eligibility criteria above with your treating physician.
  2. Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
  3. Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.
Last reviewed 2026-11-14 by the Find a Trial editorial team. Information on this page is for educational purposes and is not medical advice. Always consult qualified healthcare professionals about clinical trial participation.