DLBS2411 Treatment for Functional Dyspepsia

Last updated: February 5, 2025
Sponsor: Dexa Medica Group
Overall Status: Active - Recruiting

Phase

3

Condition

Heartburn (Pediatric)

Colic

Non-ulcer Dyspepsia (Nud)

Treatment

DLBS2411

Placebo caplet of DLBS2411

Clinical Study ID

NCT05248802
DLBS2411-0419
  • Ages 18-75
  • All Genders

Study Summary

This is a 2-arm, prospective, double-blind, randomized and placebo-controlled study using DLBS2411 at a dose of 250 mg twice daily (before morning and evening meals), for a 4-week course of therapy, for the treatment of patients with functional dyspepsia (FD), and an additional 8 weeks after end of therapy (Week 12) for follow-up visit.

The bioactive fraction of DLBS2411 has been proved at cellular and genetic levels to have an antiulcer effect through both suppressing the gastric acidity and enhancing gastric mucosal protection. The anti-secretory effect of DLBS2411 is exerted through the inhibition of H+/K+ ATPase 'pump' as well as down-regulation of the H+/K+ ATPase gene expression, thus suppressing gastric acid secretion; while its cytoprotective defense mechanism works through the promotion of cyclooxygenase-2 (COX-2) derived prostaglandin (PgE2) synthesis, thus promoting gastrointestinal submucosal blood-flow, stimulating secretion of gastric-epithelial mucous and bicarbonate; anti-oxidative activity; and endothelial-nitric oxide (NO) formation. The mechanism altogether demonstrated DLBS2411's protective capacity to the gastric and colon mucosa by promoting mucous synthesis and stimulating mucosal blood flow.

Having such mechanisms of action, DLBS2411 is hypothesized to benefit subjects with gastric acid disorders such as in functional dyspepsia, gastro-intestinal reflux disease (GERD), peptic-ulcer, and irritable bowel syndrome (IBS).

Eligibility Criteria

Inclusion

Key Inclusion Criteria:

  1. Signed informed consent prior to participation in the study.

  2. Male or female subjects aged of 18 - 75 years old.

  3. Meet Rome IV criteria for FD, which includes:

  4. One or more of the following symptoms:

  • bothersome postprandial fullness
  • early satiation, that prevents finishing a regular meal, at least severaltimes per week.
  • epigastric pain, epigastric burning. The symptoms are persistently present (i.e. occurring at least one day per month (for male) or 2-3 days permonth (for female) for at least the past 3 months with symptom onset atleast 6 months prior to study Screening.
  1. Having no evidence of structural or organic gastrointestinal (GI) disease thatis likely to explain the symptoms, as verified by a normalesophagogastroduodenoscopy (EGD) performed within the past 3 years.

  2. Subjects who tested negative for Helicobacter pylori by urea breath-test,histological or rapid test during the screening period.

  3. Able to take oral medication.

Exclusion

Key Exclusion Criteria:

  1. Pregnancy, breast-feeding females.

  2. Subjects suspected COVID-19 by clinical symptoms and rapid antigen test (reactiveresult) for SARS-COV-2.

  3. GERD as confirmed by any documented history of endoscopic esophagitis, or clinicalsymptoms such as predominant heartburn or acid regurgitation, >2x/week in the prioryear.

  4. History of or known or suspected Zollinger Ellison syndrome.

  5. History of or known gastrointestinal malignancy or ulcers associated to malignancy.

  6. Hepatic cirrhosis or abnormal liver laboratory findings (defined as >3xULN of ALT orAST).

  7. Being under hemodialysis therapy or having advanced chronic kidney disease (definedas eGFR <60 mL/min).

  8. History of or known congestive heart failure NYHA class III and IV, or any otheruncontrolled chronic diseases, such as: uncontrolled hypertension (systolic/diastolic blood pressure ≥160/100 mmHg); uncontrolled diabetes (HbA1c c ≥7%).

  9. Currently known being afflicted by serious infection(s), or any known severeillness(es) which are judged by the Investigator could interfere with subjects'safety and/or study evaluation.

  10. Taking medication affecting the gastrointestinal system within 2 weeks prior toScreening, such as: prokinetics, acid release inhibitors (histamine-2-receptor [H2]-antagonists, proton pump inhibitors [PPI], or potassium-competitive acid blockers),gastric mucosa protectors (sucralfate, rebamipide), and any gastric-relevant herbalmedicines.

  11. Participation in any other clinical studies within 30 days prior to Screening.

Study Design

Total Participants: 106
Treatment Group(s): 2
Primary Treatment: DLBS2411
Phase: 3
Study Start date:
December 09, 2022
Estimated Completion Date:
August 31, 2025

Study Description

Study population will be patients with functional dyspepsia (FD) who come to the study site. There will be 100 subjects (50 subjects in each group) planned to be enrolled in the study.

There will be 2 groups of treatment; Treatment 1: placebo DLBS2411 caplet Treatment 2: DLBS2411 250 mg caplet Each study medication will be administered 1 caplet twice daily, 30 minutes before meal, in the morning and evening.

Eligible subjects will be randomly allocated to receive either Treatment 1 or Treatment 2 for 4 weeks, in a double blind fashion. Subjects will be instructed to come to the clinic every 2-week interval throughout the 4-week study period (at Week 2, and 4, respectively) and 8 weeks after the end of therapy (Week 12), for efficacy evaluation. The safety evaluation will be performed at Baseline and End of therapy (Week 4). Adverse events will be monitored at baseline and every follow-up visit including End of study (Week 12).

Connect with a study center

  • Department of Internal Medicine, Dr. Kariadi General Hospital

    Semarang, Central Java
    Indonesia

    Active - Recruiting

  • Department of Internal Medicine, Universitas Sebelas Maret (UNS) Hospital

    Sukoharjo, Central Java
    Indonesia

    Active - Recruiting

  • Department of Internal Medicine, Dr. Moewardi Hospital

    Surakarta, Central Java
    Indonesia

    Active - Recruiting

  • Department of Internal Medicine, Budhi Asih Hospital

    Jakarta, DKI Jakarta
    Indonesia

    Suspended

  • Department of Internal Medicine, Fatmawati General Hospital

    Jakarta, DKI Jakarta
    Indonesia

    Active - Recruiting

  • Department of Internal Medicine, Pasar Rebo Hospital

    Jakarta, DKI Jakarta
    Indonesia

    Active - Recruiting

  • Department of Internal Medicine, Dr. Soetomo General Hospital, Surabaya, Indonesia

    Surabaya, Jawa Timur
    Indonesia

    Site Not Available

  • Division of Gastroenterology Department of Internal Medicine Faculty of Medicine, University of Indonesia Dr. Cipto Mangunkusumo National General Hospital

    Jakarta, 10430
    Indonesia

    Active - Recruiting

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