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Could stopping acid reflux drugs improve IBD treatment?
NCT ID NCT07691138
First seen Jul 08, 2026 · Last updated Jul 09, 2026 · Updated 1 time
Summary
This study explores whether people with inactive inflammatory bowel disease (IBD) can safely stop taking proton pump inhibitors (PPIs), a common acid-reducing medication. Evidence suggests PPIs may make IBD treatments less effective and increase hospital visits. The trial will recruit 80 participants aged 16 and older with stable IBD who have been on PPIs for over six months, randomly assigning half to stop the medication. Researchers will measure how many can successfully stop, how well they adhere, and whether IBD symptoms change over 12 months.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- Proton pump inhibitor (PPI) withdrawal
- What this could lead to
- If successful, this could show that stopping PPIs is safe and may improve how well IBD medications work, reducing the need for hospital care.
- What could go wrong
- This is a small feasibility study, not a large trial. Some people may experience a short-term increase in acid reflux after stopping PPIs, and it is unclear how many can stay off them long term.
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 4
Runs after approval, following long-term safety and how well the treatment works in everyday use.
- Participants
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About 80 people
The number the study aims to enrol. It can still change while the study runs.
- Expected to start
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Jul 2026
An estimate. Start dates often move.
- Expected to finish
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Jul 2027
An estimate. End dates often move.
- Lead sponsor
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Other sponsor
The registry's catch-all category, for sponsors it does not file as a company, a government agency, or a research network.
Who can take part
This study's own entry requirements. Only the study team can say for certain whether you qualify.
- Ages
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16 years and older
- Sex
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Anyone
- Healthy volunteers
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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: * Aged 16 years or older. * An IBD diagnosis as defined through SNOMED codes in primary care databases \[Appendix 5\] * Taking a PPI regularly for \>6 months prior to enrolment * Patient-confirmed compliance with PPI therapy (\>75% of prescribed doses) * Able to give full, independent valid Informed consent * Stable disease as defined by no change in medication or IBD-related surgery for the last 3 months. Exclusion Criteria: * Unable to participate fully in all aspects of the clinical trial. * Barrett's oesophagus * Peptic disease at a recent upper GI endoscopy * Zollinger-Ellison Syndrome * Eosinophilic oesophagitis * Chronic NSAID usage * Pulmonary fibrosis. * Declined consent to data sharing * History of dementia * Terminal illness * Present malignancy * Active history of mental illness * In a care home * Alcohol misuse * Illicit drug misuse
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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.
How to take part
Only the study team decides who joins. These are the ways to reach them.
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The places running it
1 site. The list below names each one and where it is.
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The official record
ClinicalTrials.gov lists the study team's own contact details, including names and phone numbers. We don't republish those.
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A doctor treating you
A doctor who knows your case can contact a study site on your behalf, and can tell you whether this study is worth pursuing at all.
Contacts and locations
Locations
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University of Nottingham
RECRUITINGNottingham, United Kingdom
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