Efficacy of Gut-Brain Neuromodulators in the Treatment of Gastroesophageal Reflux Disease
NCT06945237 · Status: COMPLETED · Phase: NA · Type: INTERVENTIONAL · Enrollment: 164
Last updated 2025-11-18
Summary
Gastroesophageal reflux disease (GERD) is a common chronic digestive system disorder with a high prevalence and a notably increasing trend. It imposes significant costs in terms of treatment expenses and impacts patients' quality of life. Acid suppression remains the primary treatment for GERD. However, numerous clinical studies have shown that 20-30% of patients still exhibit poor response to proton pump inhibitors (PPIs) even after completing a standard course of acid-suppressive therapy. Many studies have demonstrated that the incidence of abnormal psychological conditions, such as anxiety, depression, and obsessive-compulsive disorder, is higher in GERD patients compared to the general population. Current international consensus acknowledges that the application of psychosomatic medicine principles and the use of neuromodulators can effectively alleviate symptoms in patients with gut-brain interaction disorders. Nevertheless, with the growing emphasis on digestive-psychosomatic-holistic medicine in clinical practice and the deepening of research on "gut-brain interactions," recent studies in the field of psycho-gastroenterology have challenged the notion that psychological processes are unique to gut-brain interaction disorders. Instead, these processes may play a universal role in symptom generation across the entire spectrum of GERD. Previous experiments have confirmed that Flupentixol-Melitracen (FM) can improve symptoms in GERD patients with a low incidence of adverse reactions. Therefore, we aim to verify the efficacy and safety of neuromodulators in patients with GERD, reduce healthcare costs, and provide new insights for optimizing treatment strategies for GERD patients in the future.
Conditions
- Gastroesophageal Reflux Disease
Interventions
- DRUG
-
Flupentixol-Melitracen + Lansoprazole
Flupentixol-Melitracen and Lansoprazole for the treatment of GERD
- DRUG
-
Lansoprazole and placebo
Placebo and Lansoprazole for GERD
Sponsors & Collaborators
-
RenJi Hospital
lead OTHER
Principal Investigators
-
Sheng L Chen, doctor · Shanghai Jiao Tong University School of Medicine,Renji Hospital
Study Design
- Allocation
- RANDOMIZED
- Purpose
- TREATMENT
- Masking
- DOUBLE
- Model
- PARALLEL
Eligibility
- Min Age
- 18 Years
- Max Age
- 70 Years
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2025-04-24
- Primary Completion
- 2025-08-01
- Completion
- 2025-10-30
Countries
- China
Study Locations
More Related Trials
-
A New System for GERD Diagnosis and Treatment
NCT03600974 ·Status: UNKNOWN
-
Important Correlation Between Anxiety and Reflux Symptoms in Patients With Gastroesophageal Reflux Disease
NCT06151067 ·Status: COMPLETED
-
Treatment Of Gastroesophageal Reflux Disease By Endoscopic Fundoplication, A Placebo-Controlled Study
NCT00235677 ·Status: COMPLETED ·Phase: PHASE3
-
Survey to Describe Impact of Reflux Disease on Everyday Life in GERD Patients Before and After 4 Weeks Treatment.
NCT00786773 ·Status: COMPLETED
-
A Novel Endoloop Pre-test to Treat Gastroesophageal Reflux
NCT05192538 ·Status: UNKNOWN ·Phase: NA
-
Performance and Safety of Afluxin® in Patients With Gastroesophageal Reflux Disease
NCT06984484 ·Status: RECRUITING ·Phase: NA
-
Effect of Rozerem on the Perception of GERD Symptoms in Patients With Chronic Insomnia.
NCT01128582 ·Status: UNKNOWN ·Phase: PHASE3
-
Proton Pump Inhibitor Empirical Treatment in Management of Outpatients With Gastroesophageal Reflux Disease.
NCT02606851 ·Status: COMPLETED
-
Efficacy of Pantoprazole in Patients Older Than 18 Years Who Have Symptoms of Non-erosive Reflux or Gastroesophageal Reflux Disease (BY1023/DE-004)
NCT00326027 ·Status: COMPLETED ·Phase: PHASE3
-
The Use of Proton Pump Inhibitor for the Treatment of Non-erosive Gastro-oesophageal Reflux Disease in Chinese Population
NCT00516971 ·Status: UNKNOWN ·Phase: NA
-
Rabeprazole in Subjects With Gastroesophageal Reflux Disease (GERD)
NCT00222170 ·Status: COMPLETED ·Phase: PHASE2
-
Gastroesophageal Reflux Disease Diagnostic Trial
NCT06504134 ·Status: NOT_YET_RECRUITING
-
Response to Supplement and Placebo in GERD
NCT01915173 ·Status: COMPLETED ·Phase: NA
-
Efficacy of Pantoprazole in Patients Older Than 12 Years Who Have Symptoms of Non-Erosive Reflux Disease (NERD) or Erosive Gastroesophageal Reflux Disease (eGERD)
NCT00561730 ·Status: COMPLETED
-
Selective 5-HT4 Receptor Agonist and Proton Pump Inhibitor (PPI) in Subjects With Gastroesophageal Reflux Disease (GERD)
NCT01472939 ·Status: COMPLETED ·Phase: PHASE2
-
Anti-reflux Mucosal Valvuloplasty Versus PPIs for GERD Treatment
NCT06348420 ·Status: RECRUITING ·Phase: NA
-
Efficacy of Pantoprazole in Patients Older Than 18 Years Who Have Symptoms of Acid Reflux (Gastroesophageal Reflux Disease) (BY1023/M3-339)
NCT00163306 ·Status: COMPLETED ·Phase: PHASE3
-
Biology in Patients With Reflux Esophagitis
NCT01194323 ·Status: COMPLETED
-
The Potential Therapeutic Effect of Melatonin in Gastro-Esophageal Reflux Disease
NCT00915616 ·Status: WITHDRAWN ·Phase: PHASE3
-
Study to Evaluate the Safety and Efficacy of X842 in Patients With Reflux Esophagitis
NCT04531475 ·Status: COMPLETED ·Phase: PHASE2
-
Structured Treatment of Gastroesophageal Reflux in a Company Health Care Setting, -Effect on Quality of Life, Symptoms and Productivity
NCT00884247 ·Status: COMPLETED
-
Comparing the Efficacy, Safety, and Tolerability of Rabeprazole ER 50 mg With Placebo in Subjects With Symptomatic Gastroesophageal Reflux Disease (sGERD)
NCT00911534 ·Status: COMPLETED ·Phase: PHASE3
-
Role of Mosapride in Patients With Gastroesophageal Reflux Disease
NCT00729339 ·Status: COMPLETED ·Phase: PHASE4
-
Efficacy and Safety of Dexlansoprazole on Heartburn Relief in Chinese Patients
NCT02873689 ·Status: COMPLETED ·Phase: PHASE3
-
Anti-reflux Mucosectomy (ARMS) is a Useful Therapy for Refractory Gastroesophageal Reflux Disease (RGERD)
NCT03259191 ·Status: UNKNOWN ·Phase: NA