New heartburn test could replace uncomfortable procedures
NCT ID NCT07437768
First seen Jun 25, 2026 · Last updated Jun 27, 2026 · Updated 1 time
Summary
This study tests whether a 4-week course of vonoprazan, a stronger acid blocker, can help identify which patients with persistent heartburn actually have acid reflux. About 100 adults with symptoms that don't improve on standard treatment will take the drug and complete symptom questionnaires. The goal is to see if response to vonoprazan can replace invasive monitoring tests, making diagnosis easier and cheaper.
What this could mean
Our plain-language read of the trial. This is informational only, not medical advice or a prediction.
- Active substance
- vonoprazan (VOCINTI®)
- What this could lead to
- If successful, this could offer a simpler, non-invasive way to diagnose acid reflux in patients who don't respond to standard heartburn drugs, reducing the need for uncomfortable tests.
- What could go wrong
- This is a small, early-stage study with only 100 participants. The results may not apply to everyone, and the test might not clearly distinguish between acid-related and non-acid-related symptoms.
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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Not a phased trial
Phase numbers describe drug development. The registry uses this when they do not apply, as it does for trials of devices, procedures or behaviour changes, and for observational studies.
- Participants
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About 100 people
The number the study aims to enrol. It can still change while the study runs.
- Started
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Dec 2025
- Expected to finish
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Oct 2026
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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20 to 75 years
- 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: * Patients aged between 20 and 75 years. * Outpatients at Fu Jen Catholic University Hospital who had undergone esophagogastroduodenoscopy (EGD) within the past year. * Presence of persistent GERD symptoms, including acid regurgitation, heartburn, chest pain, globus sensation, or chronic cough. PPI-refractory GERD, defined as persistent symptoms despite receiving at least 8 weeks of standard-dose proton pump inhibitor (PPI) therapy (GerdQ \> = 8). * Scheduled to undergo high-resolution manometry (HRM) and 24-hour esophageal pH-impedance monitoring. * Patients with a history of any grade of erosive esophagitis confirmed by gastroscopy. Exclusion Criteria: * major esophageal motility disorders * history of upper gastrointestinal surgery * malignant tumors * liver cirrhosis. * esophageal strictures * esophageal varices * gastrointestinal obstruction * significant acute GI bleeding * LA Grade B, C, or D erosive esophagitis, * esophageal peptic stricture * biopsy-proven Barrett's esophagus * severe renal impairment (CrCl \< 30 mL/min) * long-term dialysis, pregnancy * hypersensitivity to vonoprazan or its excipients. * patients currently taking atazanavir sulfate or rilpivirine hydrochloride, * dependent on tube feeding * unable to cooperate due to impaired consciousness
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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
The full official record for this study. This one lists no contact details, but it is the first place any would appear.
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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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Fu Jen Catholic University Hospital
New Taipei City, Taiwan, 24352, Taiwan
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