Potassium-Competitive Acid Blocker Versus pROton-Pump Inhibitor for GastroproTECTion Strategies In Patients at High Gastro-Intestinal Bleeding Risk Receiving Antithrombotic Therapy
NCT04416581 · Status: RECRUITING · Phase: PHASE4 · Type: INTERVENTIONAL · Enrollment: 3320
Last updated 2025-12-30
Summary
The primary aim of this study is to evaluate the efficacy and safety of novel P-CAB (tegoprazan 50 mg once daily) as compared with standard PPI (rabeprazole 20 mg once daily) for protection of GI events in patients with known cardiac and vascular disease receiving chronic use of antithrombotic drugs (either antiplatelets, OAC, and its combinations) who are at high GI bleeding risk. The primary hypothesis is that P-CAB (experimental arm) would non-inferior to PPI (standard arm) with respect to the rate of the primary composite end point of GI events at 12 months after randomization.
Conditions
- Coronary Artery Disease
- Percutaneous Coronary Intervention
- Acute Coronary Syndrome
- Myocardial Infarction
Interventions
- DRUG
-
PPI
rabeprazole 20mg + tegoprazan 50 mg placebo, once daily.
- DRUG
-
P-CAB 50
tegoprazan 50 mg + rabeprazole 20mg placebo, once daily.
Sponsors & Collaborators
-
Duk-Woo Park, MD
lead OTHER
Study Design
- Allocation
- RANDOMIZED
- Purpose
- PREVENTION
- Masking
- QUADRUPLE
- Model
- PARALLEL
Eligibility
- Min Age
- 19 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2021-05-12
- Primary Completion
- 2026-09-30
- Completion
- 2027-12-31
Countries
- South Korea
Study Locations
More Related Trials
-
Cardio-cerebrovascular Disease and Aspirin Ulcer Relapse Evaluation
NCT01051388 ·Status: COMPLETED ·Phase: PHASE3
-
Tegoprazan- Versus PPI-based H. Pylori Eradication
NCT06682533 ·Status: RECRUITING
-
Prevention of Gastrointestinal Bleeding in Patients With Severe Ischemic Heart Disease
NCT00683111 ·Status: COMPLETED ·Phase: PHASE4
-
The Effect of Dual Eradication Therapy vs PPI on Gastrointestinal Bleeding in ACS Patients
NCT04728516 ·Status: RECRUITING ·Phase: PHASE4
-
Oral vs Intravenous and Proton Pump Inhibitor (PPI)for Peptic Ulcer Bleeding (PUB)
NCT01123031 ·Status: WITHDRAWN ·Phase: PHASE4
-
Comparison of Proton Pump Inhibitor and H2 Receptor Blocker on Prevention of Bleeding From Iatrogenic Ulcer After Endoscopic Submucosal Dissection for Gastric Neoplasms: A Prospective Randomized Controlled Trial
NCT01179724 ·Status: UNKNOWN ·Phase: NA
-
Proton Pump Inhibitor Preventing Upper Gastrointestinal Injury In Patients On Dual Antiplatelet Therapy After CABG
NCT03908593 ·Status: UNKNOWN ·Phase: PHASE4
-
A Study to Monitor Intragastric pH in Patients Taking Rabeprazole vs. Patients Taking Pantoprazole
NCT00378287 ·Status: COMPLETED ·Phase: PHASE1
-
Study to Evaluate the Safety, Efficacy of Tegoprazan for the Prevention of PUD in Patients on Treatment With NSAIDs
NCT04840550 ·Status: UNKNOWN ·Phase: PHASE3
-
Emulation of Randomized Clinical Trial in Cardiovascular Disease
NCT06241833 ·Status: RECRUITING
-
Comparison of Ulcer Healing in Patients Taking Rabeprazole With Different Antiplatelets
NCT01037491 ·Status: UNKNOWN ·Phase: NA
-
Efficacy of Low Dose Intravenous Proton Pump Inhibitor for Peptic Ulcer Bleeding
NCT03814421 ·Status: UNKNOWN ·Phase: NA
-
Food-Effect on PK and PD of Single Oral Dose of Tegoprazan in Healthy Male Subjects
NCT03863938 ·Status: COMPLETED ·Phase: PHASE1
-
PPI Infusion Versus Oral Acid Pump Inhibitors for Bleeding Peptic Ulcers
NCT05582174 ·Status: RECRUITING ·Phase: PHASE4
-
Bismuth for PCAB-based H. Pylori Eradication
NCT05453994 ·Status: COMPLETED
-
Efficacy of Ecabet Sodium and Proton Pump Inhibitor Combination Therapy in the Treatment of Iatrogenic Ulcer After Endoscopic Submucosal Dissection
NCT01308177 ·Status: UNKNOWN ·Phase: PHASE4
-
Effects of Oral Rabeprazole on the Prevention of Ulcer Bleeding Following Endoscopic Mucosal Resection
NCT00844675 ·Status: COMPLETED ·Phase: PHASE4
-
A Study to Compare the Safety, Pharmacokinetics and Pharmacodynamics of YPI 011 to Rabeprazole in Healthy Adult Subjects
NCT04703868 ·Status: COMPLETED ·Phase: PHASE1
-
Proton Pump Inhibitor Prevent Dual Antiplatelet Agents Induced Gastrointestinal Ulcer After Coronary Artery Bypass Graft
NCT03038009 ·Status: WITHDRAWN ·Phase: PHASE4
-
Efficacy of Proton Pump Inhibitor in Prevention of Clopidogrel-related Peptic Ulcer
NCT01138969 ·Status: COMPLETED ·Phase: PHASE2
-
Safety of Rabeprazole in Patients Under Multiple Treatments
NCT00511745 ·Status: TERMINATED
-
Rabeprazole Protection of Aspirin Induced Gastric Damage.
NCT00220857 ·Status: COMPLETED ·Phase: PHASE4
-
A Study to Compare PK, PD and Safety of the AD-214-02 and Rabeprazole
NCT04622358 ·Status: COMPLETED ·Phase: PHASE1
-
A Study of Rabeprazole and Pantoprazole on Stomach Acid and Esophageal Acid Exposure in Patients With Gastroesophageal Reflux Disease (GERD) and a History of Nighttime Heartburn
NCT00237367 ·Status: COMPLETED ·Phase: PHASE4
-
Special Drug Use Surveillance of Vonoprazan for "Prevention of Recurrence of Gastric/Duodenal Ulcer in Patients Receiving Non-steroidal Anti-inflammatory Drugs: Long-term Use"
NCT03214198 ·Status: COMPLETED