New pill aims to heal Acid-Damaged esophagus
NCT ID NCT05587309
First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tested a new drug called BLI5100 in 1250 adults with erosive esophagitis, a condition where stomach acid damages the esophagus. Participants took either BLI5100 or a standard PPI (proton pump inhibitor) daily for up to 8 weeks to see if it healed the damage, then for 24 more weeks to see if it kept the damage from coming back. The goal was to compare the new drug's safety and effectiveness against a current treatment.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- BLI5100 (a drug taken as a tablet)
- What this could lead to
- If it works, this could offer a new treatment option for healing and preventing the return of erosive esophagitis, a condition where stomach acid damages the esophagus.
- What could go wrong
- This is a completed Phase 3 trial, but results are not yet public. The new drug may not be more effective than existing PPIs, and side effects are possible.
This is an AI summary of the original study and may miss details. Read our disclaimer.
Study facts
What this study's own registry entry says, in plain language.
- Phase
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Phase 3
Large-scale testing in a bigger group. Usually the last step before a treatment can be approved.
- Participants
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1,250 people
The number who actually took part.
- Started
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Oct 2022
- Finished
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Jun 2025
- Lead sponsor
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A company
The lead sponsor is a pharmaceutical, biotech, or medical-device company.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
-
18 to 85 years
- Sex
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Anyone
- Healthy volunteers
-
Not accepted
This study is not open to healthy volunteers. The entry requirements below say who it is open to.
Show the full entry requirements Hide the full entry requirements
Copied word for word from the study's registry entry, so the wording is the study team's rather than ours.
Inclusion Criteria: 1. Aged ≥18 years at the time of signing informed consent; 2. Have experienced both heartburn and regurgitation within 7 days prior to the Screening Visit; 3. Current evidence of EE of LA grades A to D based on an upper GI endoscopy; 4. Able to understand and comply with the protocol requirements; 5. Willing and able to provide written informed consent at Screening; 6. A female of reproductive potential defined as a non-post-menopausal female who has not had a bilateral oophorectomy or medically documented ovarian failure; or If a female of childbearing potential, agrees to use an acceptable form of birth control and avoid egg donation from the Screening Visit until 6 months after the last dose of study drug. 7. If a male, agrees to use an acceptable form of birth control from the Screening Visit until 3 months after the last dose of study drug. 8. If a male, agrees to abstain from sperm donation through 3 months after administration of the last dose of study drug. Exclusion Criteria: 1. Unable to undergo an upper GI endoscopy; 2. Presence of esophageal stricture, gastroesophageal varix (including post sclerotherapy or ligation), untreated Barrett's esophagus, gastric bleeding, infection, tumor, or gastric or duodenal ulcer on the upper GI endoscopy; o Note: Patients with diagnosis of Schatzki's ring (mucosal tissue ring around lower esophageal sphincter) are eligible to participate. 3. Alarm symptoms such as odynophagia, severe dysphagia, upper GI bleeding, weight loss, anemia, or hematochezia within 4 weeks prior to Screening, unless the presumed malignancy is ruled out; 4. History of eosinophilic esophagitis, achalasia, or other primary esophageal motility disorder; functional heartburn; physiochemical trauma (including radiation, mucosal resection, or cryotherapy); or documented history of delayed gastric emptying; 5. History of a connective tissue disorder associated with GI symptoms (eg, scleroderma or systemic lupus erythematous) or inflammatory bowel disease; 6. History of acid-suppressive, esophageal, or gastric surgery; o Note: This is not applicable to appendectomy, cholecystectomy, or endoscopic excision of benign tumor. 7. History of malignancy within the past 5 years (with the exception of resected basal cell or squamous cell carcinoma of the skin); o Note: This is not applicable to patients who had complete response or pathological complete response and whose tumor had not recurred for at least 5 years from the date of last treatment, or patients whose tumor had been removed by endoscopic resection without any findings indicating recurrence of the tumor within 3 years. 8. History of an allergic disease, or hypersensitivity or intolerance to the active ingredient or excipients of the study drug; 9. History of alcoholism, chronic opiate use, or substance addiction in the 12 months before Screening or a positive urine drug screen for opiates or substances of abuse; * Note: Patients on prescribed opioids are eligible to participate if they have been on a stable dose for \>3 months prior to Screening. * Note: Retesting of a positive urine drug screen requires Medical Monitor approval. Positive urine drug screen for all drugs will require verification of prescription for the positive tested substance. 10. Presence of manic-depression, anxiety disorder, panic disorder, somatoform disorder, personality disorder, or other psychological disorder; o Note: A diagnosis of manic-depression, anxiety disorder, panic disorder, somatoform disorder, personality disorder, or other psychological disorder is not exclusionary, as long as the patient is asymptomatic and well-controlled on stable treatment (ie, stable dose for \>6 months prior to Screening), including non-medical therapy. 11. Current use of antipsychotics, antidepressants, anxiolytics, or prescription sleeping medications, with the exception of a stable dose for \>6 months prior to Screening; 12. Use of any gastric acid-suppressive agents, including PPIs, within 2 weeks prior to the upper GI endoscopy at Screening; 13. Use of 2 or more commercial doses of ref lux esophagitis-related medications (including H2 blockers, prostaglandins, mucosal protective agents, and prokinetics) within 1 week prior to the upper GI endoscopy at Screening; 14. Requirement of persistent use of non-steroidal anti-inflammatory drugs (NSAIDs) during the course of the study; o Note: Low-dose (≤100 mg/day) aspirin is allowed provided that it has been used for prophylaxis prior to study participation. 15. If a female, is pregnant, breastfeeding, or planning to become pregnant during the study or within 6 months after the last dose of study drug; 16. Positive test result for human immunodeficiency virus, hepatitis B surface antigen, or hepatitis C virus at Screening; 17. Positive test result for H pylori at Screening or diagnosis and treatment of H pylori within 6 weeks prior to randomization; o Note: Patients who test positive for H pylori at Screening will be offered treatment according to local standard of care and may be re-screened for eligibility following completion of treatment. 18. Abnormal laboratory results with clinical relevance at Screening as follows: * Aspartate aminotransferase (AST), ALT, or alkaline phosphatase level of ≥2 × upper limit of normal (ULN); * Total bilirubin level of ≥2 × ULN, unless Gilbert's syndrome is confirmed when direct bilirubin is ≤0.3 mg/dL; * Estimated glomerular filtration rate \<30 mL/min; or * Serum magnesium \< lower limit of normal. 19. Abnormal ECG of clinical significance (eg, major arrhythmia, multifocal premature ventricular contractions, or 2° atrioventricular block anomaly); 20. Presence of any gastric acid hypersecretory conditions, such as Zollinger-Ellison syndrome; 21. Involvement in another clinical study within 4 weeks of initiation of study drug; 22. Any other clinically relevant condition that would confound study endpoints or adversely affect patient compliance with the study procedures in the medical judgment of the Investigator or Medical Monitor based on previous medical history or findings on Screening assessments.
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Conditions
The condition(s) this trial relates to.
As listed by the trial registrant
The condition terms exactly as the trial's registrant entered them.
Contacts and locations
Locations
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Research Site 01
Gurnee, Illinois, 60031, United States
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Research Site 02
Oak Lawn, Illinois, 60453, United States
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Research Site 03
Hialeah, Florida, 33013, United States
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Research Site 04
Marietta, Georgia, 30060, United States
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Research Site 05
Palmetto Bay, Florida, 33157, United States
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Research Site 06
Las Vegas, Nevada, 89106, United States
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Research Site 07
Great Neck, New York, 11023, United States
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Research Site 09
Lake City, Florida, 32055, United States
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Research Site 10
Huntington Park, California, 90255, United States
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Research Site 100
Bellaire, Texas, 77401, United States
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Research Site 101
Idaho Falls, Idaho, 83404, United States
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Research Site 103
Nashville, Tennessee, 37211, United States
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Research Site 105
Ogden, Utah, 84403, United States
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Research Site 107
Orlando, Florida, 32087, United States
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Research Site 108
Cooper City, Florida, 33024, United States
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Research Site 109
Mentor, Ohio, 44060, United States
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Research Site 11
Sunrise, Florida, 33351, United States
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Research Site 110
Westlake, Ohio, 44145, United States
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Research Site 111
Chesterfield, Missouri, 63005, United States
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Research Site 114
Kingsport, Tennessee, 37663, United States
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Research Site 116
Salisbury, North Carolina, 28144, United States
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Research Site 117
North Little Rock, Arkansas, 72117, United States
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Research Site 118
Springboro, Ohio, 45066, United States
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Research Site 12
Marrero, Louisiana, 70072, United States
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Research Site 124
Metairie, Louisiana, 70006, United States
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Research Site 125
Covington, Louisiana, 70433, United States
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Research Site 127
Las Vegas, Nevada, 89128, United States
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Research Site 128
Hermitage, Tennessee, 37076, United States
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Research Site 129
Englewood, New Jersey, 07631, United States
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Research Site 13
Santa Ana, California, 92704, United States
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Research Site 130
Freehold, New Jersey, 07728, United States
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Research Site 131
Jackson, New Jersey, 08527, United States
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Research Site 132
Peoria, Arizona, 85381, United States
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Research Site 134
Waco, Texas, 76710, United States
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Research Site 135
South Bend, Indiana, 46635, United States
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Research Site 136
Richmond, Virginia, 23236, United States
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Research Site 137
Columbia, Missouri, 65201, United States
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Research Site 138
Kansas City, Missouri, 64128, United States
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Research Site 14
San Diego, California, 92120, United States
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Research Site 140
Flowood, Mississippi, 39232, United States
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Research Site 141
Gurnee, Illinois, 60031, United States
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Research Site 143
Glenview, Illinois, 60026, United States
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Research Site 145
Homewood, Alabama, 35209, United States
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Research Site 147
Bristol, Connecticut, 06010, United States
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Research Site 148
Plymouth, Minnesota, 55446, United States
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Research Site 150
Peoria, Arizona, 85381, United States
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Research Site 151
Boise, Idaho, 83706, United States
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Research Site 153
Atlanta, Georgia, 30329, United States
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Research Site 154
Houston, Texas, 77024, United States
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Research Site 155
High Point, North Carolina, 27260, United States
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Research Site 156
Camarillo, California, 93012, United States
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Research Site 157
Anderson, South Carolina, 29621, United States
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Research Site 158
Columbus, Ohio, 43212, United States
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Research Site 159
Henderson, Nevada, 89052, United States
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Research Site 16
South Ogden, Utah, 84405, United States
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Research Site 160
Las Vegas, Nevada, 28919, United States
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Research Site 161
McAllen, Texas, 78503, United States
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Research Site 162
Houston, Texas, 77084, United States
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Research Site 163
Las Vegas, Nevada, 89106, United States
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Research Site 17
New Port Richey, Florida, 34653, United States
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Research Site 19
Canoga Park, California, 91304, United States
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Research Site 20
Columbus, Ohio, 43213, United States
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Research Site 21
San Antonio, Texas, 78249, United States
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Research Site 22
San Antonio, Texas, 78209, United States
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Research Site 23
Maitland, Florida, 32751, United States
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Research Site 24
Huntsville, Alabama, 35801, United States
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Research Site 25
West Monroe, Louisiana, 71291, United States
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Research Site 26
San Antonio, Texas, 78229, United States
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Research Site 27
Tucson, Arizona, 85712, United States
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Research Site 28
Hartsdale, New York, 10530, United States
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Research Site 29
Lewisville, Texas, 75057, United States
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Research Site 30
Red Oak, Texas, 75154, United States
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Research Site 31
Miami, Florida, 33185, United States
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Research Site 32
Pearland, Texas, 77584, United States
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Research Site 34
New Orleans, Louisiana, 70127, United States
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Research Site 35
Brooklyn, New York, 11235, United States
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Research Site 38
Miami, Florida, 33134, United States
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Research Site 40
Rochester, New York, 14609, United States
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Research Site 41
Santa Maria, California, 93458, United States
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Research Site 42
Miami Lakes, Florida, 33014, United States
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Research Site 43
Miami, Florida, 33136, United States
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Research Site 45
Houma, Louisiana, 70363, United States
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Research Site 46
Viera, Florida, 32940, United States
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Research Site 48
Metairie, Louisiana, 70006, United States
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Research Site 49
New York, New York, 10033, United States
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Research Site 50
Shelbyville, Tennessee, 37160, United States
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Research Site 51
Arcadia, California, 91006, United States
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Research Site 54
Westlake, California, 90057, United States
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Research Site 55
La Mesa, California, 91942, United States
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Research Site 57
Salt Lake City, Utah, 84107, United States
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Research Site 58
New York, New York, 10021, United States
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Research Site 59
Sandy Springs, Georgia, 30328, United States
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Research Site 60
Nashville, Tennessee, 37203, United States
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Research Site 61
North Charleston, South Carolina, 29405, United States
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Research Site 62
Phoenix, Arizona, 85018, United States
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Research Site 64
Reno, Nevada, 89511, United States
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Research Site 65
Sandy City, Utah, 84092, United States
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Research Site 66
Bell Gardens, California, 90201, United States
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Research Site 67
Miami, Florida, 33155, United States
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Research Site 68
Katy, Texas, 77494, United States
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Research Site 69
Mount Airy, North Carolina, 27030, United States
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Research Site 71
Miami, Florida, 33186, United States
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Research Site 72
Los Angeles, California, 90017, United States
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Research Site 73
Las Vegas, Nevada, 33030, United States
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Research Site 74
Boca Raton, Florida, 33434, United States
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Research Site 75
Fayetteville, North Carolina, 84092, United States
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Research Site 77
Chesapeake, Virginia, 23320, United States
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Research Site 78
Homestead, Florida, 33030, United States
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Research Site 80
Tomball, Texas, 77375, United States
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Research Site 85
Santa Ana, California, 92703, United States
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Research Site 87
Little Rock, Arkansas, 72211, United States
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Research Site 88
Columbus, Ohio, 43215, United States
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Research Site 89
Littleton, Colorado, 80120, United States
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Research Site 90
Ocoee, Florida, 34761, United States
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Research Site 91
Doral, Florida, 33172, United States
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Research Site 92
Miami, Florida, 33173, United States
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Research Site 93
Chesterfield, Michigan, 48047, United States
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Research Site 94
Chula Vista, California, 91910, United States
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Research Site 95
St. Petersburg, Florida, 33709, United States
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Research Site 97
Morgantown, West Virginia, 26505, United States
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Research Site 98
Dallas, Texas, 75230, United States
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Research Site 99
Forney, Texas, 75126, United States
More trials for these conditions
Other studies related to the condition(s) this trial covers.
- Heartburn drug under the microscope: registry tracks thousands of pregnancies
- Can a new pill prevent esophageal damage from returning?
- Smart bottle cap could reveal hidden missed doses in GERD patients
- New GERD drug aims to heal esophagus damage when standard treatments fail
- Children's heartburn drug study halted early
- New GERD drug aims to keep esophagus healed, but trial never started