A Phase 2, Multi‐Center, Randomized, Double‐Blind, Parallel‐Group Trial to Evaluate the Efficacy and Safety of CKD‐495 in Patients With Acute and Chronic Gastritis
CKD-495 is a newly developed drug extracted from Cinnamomum cassia Presl. This phase II study assessed the clinical benefits of CKD-495 in the treatment of acute and chronic gastritis. This study randomly assigned 250 patients with endoscopically-proven gastric mucosal erosion to five groups. The groups received either 75 mg or 150 mg of CKD-495, 100 mg of rebamipide, 60 mg of Artemisiae argyi folium 95% ethanol ext. (20 ⟶ 1) (Stillen; Dong-A ST Co., Ltd., Seoul, Korea), or placebo for 2 weeks, respectively. The primary endpoint was the erosion improvement rate, and the secondary endpoints were erosion cure rates, improvement rates of gastrointestinal symptoms, edema, redness, and hemorrhage. Drug-related adverse events were evaluated. The endoscopic erosion improvement rate was significantly higher in the 75 mg CKD-495 group than in the other groups in both the full analysis set (73% vs. 41%, 45%, 52%, 48% for the 75 mg CKD-495, 150 mg CKD-495, placebo, 60 mg Stillen, and 100 mg rebamipide groups, respectively) and the per-protocol set (PPS) (75% vs. 37%, 45%, 51%, 50%). The cure rate of gastric erosion was significantly higher in the 75 mg CKD-495 group than in the other groups. The improvement rates of hemorrhage erosion were significantly higher in the 150-mg CKD-495 group. No significant differences were observed in the safety profiles. No serious adverse events or drug reactions were observed. These results demonstrate that 75 mg of CKD-495 has excellent efficacy for the treatment of endoscopic and symptomatic improvements for acute and chronic gastritis. <b>Trial Registration:</b> ClinicalTrials.gov identifier: NCT03437785.
Authors
- Jong Sun Rew (ORCID: https://orcid.org/0000-0002-6405-9656)
- Ha‐Kyun Jung (ORCID: https://orcid.org/0000-0002-8939-1823)
- Gwang Ho Baik (ORCID: https://orcid.org/0000-0003-1419-7484)
- Jong‐Jae Park (ORCID: https://orcid.org/0000-0002-4642-5405)
- Kyung Sik Park (ORCID: https://orcid.org/0000-0003-1874-9936)
- Soo Teik Lee (ORCID: https://orcid.org/0000-0002-0758-1923)
- Tae Nyeun Kim (ORCID: https://orcid.org/0000-0003-4178-2056)
- Shin Jung Park
- Eun Kwang Choi (ORCID: https://orcid.org/0000-0002-6376-1849)
- Moo In Park (ORCID: https://orcid.org/0000-0003-2071-6957)
- Sam Ryong Jee (ORCID: https://orcid.org/0000-0002-7928-1153)
- Sung Kook Kim (ORCID: https://orcid.org/0000-0002-2861-8123)
- Geun Am Song (ORCID: https://orcid.org/0000-0003-2100-8522)
- Oh Young Lee (ORCID: https://orcid.org/0000-0002-6025-530X)
- Yong Chan Lee (ORCID: https://orcid.org/0000-0001-8800-6906)
- Dong Ho Lee (ORCID: https://orcid.org/0000-0002-6376-410X)
- Su Hyun Park (ORCID: https://orcid.org/0000-0002-6409-6895)
- Suck‐Chei Choi
Institutions
- Hallym University (KR)
- Yonsei University (KR)
- Severance Hospital (KR)
- Korea University Medical Center (KR)
- Seoul National University Hospital (KR)
- Seoul National University Bundang Hospital (KR)
- Kyungpook National University (KR)
- Chong Kun Dang Bio (South Korea) (KR)
- Chonnam National University Hospital (KR)
- WonKwang Health Science University (KR)
- Inje University Busan Paik Hospital (KR)
- Jeonbuk National University Hospital (KR)
- Wonkwang Digital University (KR)
- Hallym University Chuncheon Sacred Heart Hospital (KR)
- Yeungnam University College
- Hanyang University (KR)
- Pusan National University (KR)
- Keimyung University (KR)
- Yeungnam University (KR)
- Wonkwang University (KR)
- Jeju National University (KR)
- Kosin University (KR)
Publication Details
- Journal
- Canadian Journal of Gastroenterology and Hepatology
- Published
- 2025-01-01
- DOI
- https://doi.org/10.1155/cjgh/2702089
- Citations
- 2
- Primary Topic
- Helicobacter pylori-related gastroenterology studies
- Type
- article
- Field-Weighted Citation Impact
- 4.01