Literature DB >> 32721918

Symptomatic response to GERDOFF® in patients with gastro-esophageal reflux disease and poor response to alginates: an exploratory, post-market, open-label study.

Valentina Boarino1, Ivana Raguzzi2, Margherita Marocchi1, Alberto Merighi1.   

Abstract

BACKGROUND/AIMS: A novel medical device based on hyaluronic acid, chondroitin sulphate plus aluminum hydroxide (GERDOFF®, melt-in-mouth tablets) showed efficacy in reducing GER-related symptoms. This exploratory, open-label study evaluated symptomatic effects of a 14-day treatment with GERDOFF® in GERD patients.
MATERIALS AND METHODS: GERD Impact Scale (GIS) questionnaire was filled at baseline visit, after 7 and 14 days of treatment; patients' Global Satisfaction was evaluated at the final visit. Primary endpoint was the reduction of heartburn episodes per week; secondary endpoints were GERD-related symptoms, patients' satisfaction, and safety.
RESULTS: Forty patients were included, 22 were on stable therapy with proton pump inhibitor (PPI). Compared to baseline, the days with heartburn episodes and the GIS score progressively decreased during the first (p<0.0001) and the second week of treatment (p<0.0001). Heartburn episodes per week (p<0.0001) and the GIS score (p<0.0001) decreased in the first and the last 7 days of 14-day treatment and did not differ between patients on and off PPI. The treatment was safe and well-tolerated, and it was rated as very good (46.2%) or good (43.6%) on the satisfaction questionnaire.
CONCLUSION: GERDOFF® could effectively treat GER symptoms in patients not responding to PPI or alginate-based formulation. ISRCTN_15143752.

Entities:  

Year:  2020        PMID: 32721918      PMCID: PMC7433994          DOI: 10.5152/tjg.2020.19327

Source DB:  PubMed          Journal:  Turk J Gastroenterol        ISSN: 1300-4948            Impact factor:   1.852


  24 in total

Review 1.  Visceral hypersensitivity in non-erosive reflux disease.

Authors:  C H Knowles; Q Aziz
Journal:  Gut       Date:  2007-12-13       Impact factor: 23.059

2.  Randomised clinical trial: alginate (Gaviscon Advance) vs. placebo as add-on therapy in reflux patients with inadequate response to a once daily proton pump inhibitor.

Authors:  C Reimer; A B Lødrup; G Smith; J Wilkinson; P Bytzer
Journal:  Aliment Pharmacol Ther       Date:  2016-02-22       Impact factor: 8.171

3.  Pilot study on the effects of high molecular weight sodium hyaluronate in the treatment of chronic pharyngitis.

Authors:  C A Leone; A Armone Caruso; V Allocca; E Barra; R Leone
Journal:  Int J Immunopathol Pharmacol       Date:  2015-05-19       Impact factor: 3.219

Review 4.  Medical therapy of supraesophageal gastroesophageal reflux disease.

Authors:  P O Katz; D O Castell
Journal:  Am J Med       Date:  2000-03-06       Impact factor: 4.965

Review 5.  Update on the epidemiology of gastro-oesophageal reflux disease: a systematic review.

Authors:  Hashem B El-Serag; Stephen Sweet; Christopher C Winchester; John Dent
Journal:  Gut       Date:  2013-07-13       Impact factor: 23.059

Review 6.  Role, metabolism, chemical modifications and applications of hyaluronan.

Authors:  Nicola Volpi; Juergen Schiller; Robert Stern; Ladislav Soltés
Journal:  Curr Med Chem       Date:  2009       Impact factor: 4.530

Review 7.  Medical treatments in the short term management of reflux oesophagitis.

Authors:  Mostafizur Khan; Jose Santana; Clare Donnellan; Cathryn Preston; Paul Moayyedi
Journal:  Cochrane Database Syst Rev       Date:  2007-04-18

Review 8.  Short-term treatment with proton pump inhibitors, H2-receptor antagonists and prokinetics for gastro-oesophageal reflux disease-like symptoms and endoscopy negative reflux disease.

Authors:  Kirsten E Sigterman; Bart van Pinxteren; Peter A Bonis; Joseph Lau; Mattijs E Numans
Journal:  Cochrane Database Syst Rev       Date:  2013-05-31

9.  The role of acid suppression in patients with endoscopy-negative reflux disease: the effect of treatment with esomeprazole or omeprazole.

Authors:  D Armstrong; N J Talley; K Lauritsen; B Moum; T Lind; H Tunturi-Hihnala; T Venables; J Green; M A Bigard; J Mössner; O Junghard
Journal:  Aliment Pharmacol Ther       Date:  2004-08-15       Impact factor: 8.171

10.  Randomised clinical trial: mucosal protection combined with acid suppression in the treatment of non-erosive reflux disease - efficacy of Esoxx, a hyaluronic acid-chondroitin sulphate based bioadhesive formulation.

Authors:  V Savarino; F Pace; C Scarpignato
Journal:  Aliment Pharmacol Ther       Date:  2017-01-24       Impact factor: 8.171

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  2 in total

1.  Protective Mechanisms of Liquid Formulations for Gastro-Oesophageal Reflux Disease in a Human Reconstructed Oesophageal Epithelium Model.

Authors:  Laura Ceriotti; Paolo Buratti; Enrico Stefano Corazziari; Marisa Meloni
Journal:  Med Devices (Auckl)       Date:  2022-05-18

2.  The Effect of Hyaluronic Acid and Chondroitin Sulphate-Based Medical Device Combined with Acid Suppression in the Treatment of Atypical Symptoms in Gastroesophageal Reflux Disease.

Authors:  Gaia Pellegatta; Benedetto Mangiavillano; Rossella Semeraro; Francesco Auriemma; Elisa Carlani; Alessandro Fugazza; Edoardo Vespa; Alessandro Repici
Journal:  J Clin Med       Date:  2022-03-29       Impact factor: 4.241

  2 in total

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