Clinical Trial: Resolving Bile Reflux by Lanreotide in Patients With Roux-en-Y Gastrojejunostomy

Study Status: Not yet recruiting
Recruit Status: Unknown status
Study Type: Interventional

Official Title: Resolving Bile Reflux by Lanreotide in Patients With Roux-en-Y Gastrojejunostomy

Brief Summary:

Somatostatine induces a dose-dependent reduction of postprandial plasma cholecystokinin (CCK) secretion with a concomitant inhibition of postprandial gallbladder contraction, abolishing almost completely bile salts output from the gallbladder. Somatostatine is also known to decrease acid production with significant increase of intragastric pH. In this way, somatostatine could influence acid as well as non-acid reflux by decreasing gallbladder emptying and decreasing acid secretion.

Purpose of the study is to evaluate the efficacy of lanreotide autogel 120 mg on symptoms and endoscopic lesions in patients with an endoscopic gastrointestinal reflux esophagitis that cannot be controlled with classic therapy.


Detailed Summary:

Patients presenting with persistent esophagitis on endoscopy while on proton pump inhibitors (PPI) treatment will receive a maximal therapy consisting of 2 x 40 mg of PPI before the meals (morning and evening) and a H2 blocker before bedtime (standard practice). They will be reevaluated endoscopically and clinically 2 months later (standard practice). If reflux persists, objectivized by impedancemetry (standard practice), they will be asked to participate in this study.

Lanreotide autogel 120 mg deep subcutaneously every 4 weeks will be added to the treatment. A total of 3 injections per patient have been foreseen in this proof of concept study.

Patients will be reevaluated clinically after 2, 4 and 8 weeks. At the end of the study a new upper gastrointestinal endoscopy and impedancemetry will be performed.


Sponsor: Universitair Ziekenhuis Brussel

Current Primary Outcome: Los Angeles criteria for reflux esophagitis [ Time Frame: 4 weeks after the last injection with lanreotide ]

Endoscopy at the start of the study will be compared with endoscopy at the end of the study.


Original Primary Outcome: Same as current

Current Secondary Outcome:

Original Secondary Outcome:

Information By: Universitair Ziekenhuis Brussel

Dates:
Date Received: January 29, 2014
Date Started: April 2014
Date Completion: April 2016
Last Updated: January 31, 2014
Last Verified: January 2014