Functional heartburn and reflux hypersensitivity with incomplete respons to proton pomp inhibitors
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: - Age: between 18 and 75 years old - Proven reflux on a 24 hour pH-impedance montoring or esophagitis > grade A - History of GERD symptoms during PPI treatment, at least 3 times per week for 12 weeks. -Daily intake of PPI treatment 12 weeks prior to inclusion, with at least 8 weeks of b.i.d. therapy Are the trial subjects under 18? no Number of subjects for this age range: F.1.2 Adults (18-64 years) yes F.1.2.1 Number of subjects for this age range 100 F.1.3 Elderly (>=65 years) no F.1.3.1 Number of subjects for this age range
Exclusion criteria
Exclusion criteria: - Endoscopic signs of severe erosive esophagitis (= grade C, Los Angeles classification) on endoscopy performed during PPI treatment in the 6 months prior to screening. - Systemic diseases, known to affect esophageal motility. - Surgery in the thorax or in the upper part of the abdomen. - Treatment with citalopram prior to the start of the study. - Major psychiatric disorder. - Regular use of medications such as: anticholinergics, tricycle antidepressants. - Significant neurological, respiratory, hepatic, renal, hematological, cardiovascular, metabolic or gastrointestinal cerebrovascular disease as judged by the investigator. - Absence of PPI intake for at least 2 consecutive days in the 2 weeks prior to the screening. - Pregnancy or breast feeding.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Main Objective: To assess the efficacy of Citalopram on reflux parameters, reflux symptoms and esophageal sensitivity for 8 weeks treatment in patients with reflux hypersensitivity or functional heartburn with incomplete response to PPI therapy;Secondary Objective: To assess the predictive value of reflux assessment, the assessment of esophageal sensitivity and questionnaire results on the primary outcome;Primary end point(s): - Change in symptom severity assesed by reflux questionnaires - Change in reflux parameters assessed by 24 hour impedance-pH - Change in esophageal sensitivity assessed by a multimodal esophageal stimulation procedure ;Timepoint(s) of evaluation of this end point: After 8 weeks of citalopram intake | — |
Secondary
| Measure | Time frame |
|---|---|
| Secondary end point(s): - Predictive value of reflux assessment - Predictive value of assessment of esophageal sensitivity ;Timepoint(s) of evaluation of this end point: After 8 weeks of citalopram intake | — |
Countries
Belgium
Contacts
Targid, KU Leuven