20 and older, any sex, with Non-erosive Gastroesophageal Reflux Disease. Patients with the condition only — healthy volunteers not accepted.
Results — posted to ClinicalTrials.gov
Per-arm endpoint measurements with 95% confidence intervals where reported. Source: trial results section.
Percentage of Days Without Symptoms of HeartburnPrimary· Up to Week 4
Heartburn symptoms were collected by participant diaries. Participants recorded the presence and severity (Without symptom \[No symptom: 0, No hindrance to daily activities: 1\], With symptom \[Mild: 2, Moderate: 3, Severe: 4\]) of heartburn in a daily participant diary. The score range was 0-4, with the higher scores reflecting the greater severity. Reported data was the percentage of days for each group, calculated by the number of days without heartburn divided by the number of days of treatment period.
Group
Value
95% CI
Placebo
61.50
0.0 – 100.0
TAK-438 10 mg
72.55
0.0 – 100.0
Cumulative Rate of Improvement in Symptoms of HeartburnPrimary· Day 0 to Day 24
Heartburn symptoms were collected by participant diaries. Participants recorded the presence and severity (Without symptom \[No symptom: 0, No hindrance to daily activities: 1\], With symptom \[Mild: 2, Moderate: 3, Severe: 4\]) of heartburn in a daily participant diary. The score range was 0-4, with the higher scores reflecting the greater severity. Cumulative rate of improvement was calculated as percentage of participants who experienced symptom improvement. Symptom improvement was defined as symptoms experienced on less than 2 days of the last 7 days. The cumulative data was collected betw
Day 0
Group
Value
95% CI
Placebo
0.0
TAK-438 10 mg
0.0
Day 1
Group
Value
95% CI
Placebo
14.7
TAK-438 10 mg
23.1
Day 2
Group
Value
95% CI
Placebo
15.9
TAK-438 10 mg
24.4
Day 3
Group
Value
95% CI
Placebo
16.3
TAK-438 10 mg
25.2
Day 4
Group
Value
95% CI
Placebo
17.6
TAK-438 10 mg
26.1
Day 5
Group
Value
95% CI
Placebo
18.8
TAK-438 10 mg
28.2
Day 6
Group
Value
95% CI
Placebo
19.2
TAK-438 10 mg
30.4
Day 7
Group
Value
95% CI
Placebo
20.0
TAK-438 10 mg
32.5
Severity of Symptoms of HeartburnPrimary· Up to Week 4
Participants recorded the presence and severity (Without symptom \[No symptom: 0, No hindrance to daily activities: 1\], With symptom \[Mild: 2, Moderate: 3, Severe: 4\]) of heartburn in a daily participant diary. The score range was 0-4, with the higher scores reflecting the greater severity. The severity of heartburn was calculated by the number of severity score in daily diaries.
Group
Value
95% CI
Placebo
1.140
0.00 – 2.82
TAK-438 10 mg
1.070
0.00 – 3.67
Percentage of Days Without Symptoms of Heartburn in Subgroup Stratified by Response (Improved or Not Improved) at Week 2Secondary· Up to Week 4
Participants recorded the presence and severity of heartburn in a daily participant diary. Percentage of days without heartburn was calculated in each subgroup of the response (improved or not improved) according to Criteria 1, i.e. Improved: the participants experienced heartburn on less than 2 days of the 7 days prior to Week 2 \[Day 8 through Day 14\]; Not improved: the participants experienced heartburn on 2 days or more of the 7 days prior to Week 2 \[Day 8 through Day 14\] and Criteria 2, i.e. Improved: the proportion of days the participants experienced heartburn during the treatment pe
Criteria 1, Improved
Group
Value
95% CI
Placebo
92.00
41.4 – 100.0
TAK-438 10 mg
96.00
46.4 – 100.0
Criteria 1, Not Improved
Group
Value
95% CI
Placebo
50.95
0.0 – 92.9
TAK-438 10 mg
48.05
0.0 – 92.9
Criteria 2, Improved
Group
Value
95% CI
Placebo
71.40
3.3 – 100.0
TAK-438 10 mg
81.15
14.3 – 100.0
Criteria 2, Not Improved
Group
Value
95% CI
Placebo
39.30
0.0 – 83.3
TAK-438 10 mg
24.15
0.0 – 84.0
Cumulative Rate of Improvement in Symptoms of Heartburn in Subgroup Stratified by Response (Improved Per Criteria 1) at Week 2Secondary· Day 0 to Day 22
Participants recorded presence and severity (Without symptom \[No symptom:0, No hindrance to daily activities:1\], With symptom \[Mild:2, Moderate:3, Severe:4\]) of heartburn in daily participant diary. The score range was 0-4, with the higher scores reflecting the greater severity. Cumulative rate of improvement was calculated as percentage of participants who experienced symptom improvement. The response was evaluated per Criteria 1, i.e. Improved: the participants experienced heartburn on less than 2 days of the 7 days prior to Week 2 \[Day 8 through Day 14\]; Not improved: the participants
Day 0
Group
Value
95% CI
Placebo
0.0
TAK-438 10 mg
0.0
Day 1
Group
Value
95% CI
Placebo
43.4
TAK-438 10 mg
55.6
Day 2
Group
Value
95% CI
Placebo
47.0
TAK-438 10 mg
58.6
Day 3
Group
Value
95% CI
Placebo
48.2
TAK-438 10 mg
60.6
Day 4
Group
Value
95% CI
Placebo
51.8
TAK-438 10 mg
62.6
Day 5
Group
Value
95% CI
Placebo
55.4
TAK-438 10 mg
67.7
Day 6
Group
Value
95% CI
Placebo
56.6
TAK-438 10 mg
72.7
Day 7
Group
Value
95% CI
Placebo
59.0
TAK-438 10 mg
77.8
Cumulative Rate of Improvement in Symptoms of Heartburn in Subgroup Stratified by Response (Not Improved Per Criteria 1) at Week 2Secondary· Day 0 to Day 24
Participants recorded presence and severity (Without symptom \[No symptom:0, No hindrance to daily activities:1\], With symptom \[Mild:2, Moderate:3, Severe:4\]) of heartburn in daily participant diary. The score range was 0-4, with the higher scores reflecting the greater severity. Cumulative rate of improvement is calculated as percentage of participants who experienced symptom improvement. The response was evaluated per Criteria 1, i.e. Improved: the participants experienced heartburn on less than 2 days of the 7 days prior to Week 2 \[Day 8 through Day 14\]; Not improved: the participants
Day 0
Group
Value
95% CI
Placebo
0.0
TAK-438 10 mg
0.0
Day 9
Group
Value
95% CI
Placebo
3.7
TAK-438 10 mg
2.2
Day 10
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
4.4
Day 11
Group
Value
95% CI
Placebo
6.8
TAK-438 10 mg
8.1
Day 12
Group
Value
95% CI
Placebo
9.3
TAK-438 10 mg
12.6
Day 13
Group
Value
95% CI
Placebo
11.7
TAK-438 10 mg
18.5
Day 14
Group
Value
95% CI
Placebo
14.2
TAK-438 10 mg
22.2
Day 15
Group
Value
95% CI
Placebo
15.4
TAK-438 10 mg
25.2
Cumulative Rate of Improvement in Symptoms of Heartburn in Subgroup Stratified by Response (Improved Per Criteria 2) at Week 2Secondary· Day 0 to Day 24
Participants recorded presence and severity (Without symptom \[No symptom:0, No hindrance to daily activities:1\], With symptom \[Mild:2, Moderate:3, Severe:4\]) of heartburn in daily participant diary. The score range was 0-4, with higher scores reflecting the greater severity. Cumulative rate of improvement calculated as percentage of participants who experienced symptom improvement. Response evaluated per Criteria 2, i.e. Improved: proportion of days participant experienced heartburn during treatment period up to Week 2 \[Day 14\] was lower than that during run-in period; Not improved: prop
Day 0
Group
Value
95% CI
Placebo
0.0
TAK-438 10 mg
0.0
Day 1
Group
Value
95% CI
Placebo
21.4
TAK-438 10 mg
31.6
Day 2
Group
Value
95% CI
Placebo
23.2
TAK-438 10 mg
33.3
Day 3
Group
Value
95% CI
Placebo
23.8
TAK-438 10 mg
34.5
Day 4
Group
Value
95% CI
Placebo
25.6
TAK-438 10 mg
35.6
Day 5
Group
Value
95% CI
Placebo
26.2
TAK-438 10 mg
38.5
Day 6
Group
Value
95% CI
Placebo
26.8
TAK-438 10 mg
41.4
Day 7
Group
Value
95% CI
Placebo
28.0
TAK-438 10 mg
44.3
Cumulative Rate of Improvement in Symptoms of Heartburn in Subgroup Stratified by Response (Not Improved Per Criteria 2) at Week 2Secondary· Day 0 to Day 24
Participants recorded presence and severity (Without symptom \[No symptom:0, No hindrance to daily activities:1\], With symptom \[Mild:2, Moderate:3, Severe:4\]) of heartburn in daily participant diary. The score range was 0-4, with higher scores reflecting the greater severity. Cumulative rate of improvement calculated as percentage of participants who experienced symptom improvement. The response evaluated per Criteria 2, i.e. Improved: proportion of days participant experienced heartburn during treatment period up to Week 2 \[Day 14\] was lower than that during run-in period; Not improved:
Day 0
Group
Value
95% CI
Placebo
0.0
TAK-438 10 mg
0.0
Day 5
Group
Value
95% CI
Placebo
2.6
TAK-438 10 mg
NA
Day 9
Group
Value
95% CI
Placebo
5.2
TAK-438 10 mg
1.6
Day 11
Group
Value
95% CI
Placebo
6.5
TAK-438 10 mg
NA
Day 12
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
4.9
Day 13
Group
Value
95% CI
Placebo
7.8
TAK-438 10 mg
8.2
Day 14
Group
Value
95% CI
Placebo
13.0
TAK-438 10 mg
14.8
Day 15
Group
Value
95% CI
Placebo
14.3
TAK-438 10 mg
18.0
Severity of Symptoms of Heartburn in Subgroup Stratified by Response (Improved or Not Improved) at Week 2Secondary· Up to Week 4
Participants recorded the presence and severity (Without symptom \[No symptom: 0, No hindrance to daily activities: 1\], With symptom \[Mild: 2, Moderate: 3, Severe: 4\]) of heartburn in a daily participant diary. The score range was 0-4, the higher scores indicates greater severity. The severity was calculated in each subgroup of response (improved or not improved) according to Criteria 1, i.e. Improved: participants experienced heartburn on less than 2 days of the 7 days prior to Week 2 \[Day 8 through Day 14\]; Not improved: participants experienced heartburn on 2 days or more of the 7 days
Criteria 1, Improved
Group
Value
95% CI
Placebo
0.420
0.00 – 1.44
TAK-438 10 mg
0.310
0.00 – 1.56
Criteria 1, Not Improved
Group
Value
95% CI
Placebo
1.430
0.25 – 2.82
TAK-438 10 mg
1.420
0.14 – 2.64
Criteria 2, Improved
Group
Value
95% CI
Placebo
0.960
0.00 – 2.14
TAK-438 10 mg
0.675
0.00 – 2.04
Criteria 2, Not Improved
Group
Value
95% CI
Placebo
1.610
0.44 – 2.82
TAK-438 10 mg
1.740
0.43 – 3.67
Percentage of Days Without Symptoms of Heartburn in Subgroup Stratified by Endoscopic Findings (the Modified LA Classification Grade N or M) at BaselineSecondary· Up to Week 4
Heartburn symptoms were collected by participant diaries. Participants recorded the presence and severity (Without symptom \[No symptom: 0, No hindrance to daily activities: 1\], With symptom \[Mild: 2, Moderate: 3, Severe: 4\]) of heartburn in a daily participant diary. The score range was 0-4, higher scores indicates greater severity. The percentage was calculated in each subgroup of the endoscopic findings where Grade N: normal mucosa; Grade M: minimal changes to the mucosa, such as erythema and/or whitish turbidity; Grade A: non-confluent mucosal breaks \<5mm in length; Grade B: non-conflu
Grade N
Group
Value
95% CI
Placebo
64.15
0.0 – 100.0
TAK-438 10 mg
76.70
0.0 – 100.0
Grade M
Group
Value
95% CI
Placebo
60.70
0.0 – 100.0
TAK-438 10 mg
67.90
0.0 – 100.0
Cumulative Rate of Improvement in Heartburn in Subgroup Stratified by Endoscopic Findings (the Modified LA Classification Grade N) at BaselineSecondary· Day 0 to Day 24
Participants recorded presence and severity (Without symptom \[No symptom:0, No hindrance to daily activities:1\], With symptom \[Mild:2, Moderate:3, Severe:4\]) of heartburn in participant diary. The score range was 0-4, higher scores indicates greater severity. Cumulative rate of improvement calculated as percentage of participants who experienced symptom improvement. Cumulative rate calculated in subgroup of Grade N per modified LA classification. Modified LA classification Grade N: normal mucosa; Grade M: minimal changes to mucosa; Grade A: nonconfluent mucosal breaks \<5mm in length; Grad
Day 0
Group
Value
95% CI
Placebo
0.0
TAK-438 10 mg
0.0
Day 1
Group
Value
95% CI
Placebo
18.3
TAK-438 10 mg
22.2
Day 2
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
23.5
Day 3
Group
Value
95% CI
Placebo
19.5
TAK-438 10 mg
24.7
Day 4
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
27.2
Day 5
Group
Value
95% CI
Placebo
23.2
TAK-438 10 mg
29.7
Day 6
Group
Value
95% CI
Placebo
24.4
TAK-438 10 mg
32.3
Day 7
Group
Value
95% CI
Placebo
26.8
TAK-438 10 mg
36.0
Cumulative Rate of Improvement in Heartburn in Subgroup Stratified by Endoscopic Findings (the Modified LA Classification Grade M) at BaselineSecondary· Day 0 to Day 24
Participants recorded presence and severity (Without symptom \[No symptom:0, No hindrance to daily activities:1\], With symptom \[Mild:2, Moderate:3, Severe:4\]) of heartburn in participant diary. Score range was 0-4, higher scores indicates greater severity. Cumulative rate of improvement calculated as percentage of participants who experienced symptom improvement. Cumulative rate calculated in subgroup of Grade M per modified LA classification. Modified LA classification Grade N: normal mucosa; Grade M: minimal changes to mucosa; Grade A: nonconfluent mucosal breaks \<5mm in length; Grade B:
Day 0
Group
Value
95% CI
Placebo
0.0
TAK-438 10 mg
0.0
Day 1
Group
Value
95% CI
Placebo
12.9
TAK-438 10 mg
23.6
Day 2
Group
Value
95% CI
Placebo
14.7
TAK-438 10 mg
24.9
Day 3
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
25.5
Day 4
Group
Value
95% CI
Placebo
16.6
TAK-438 10 mg
NA
Day 5
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
27.5
Day 6
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
29.4
Day 7
Group
Value
95% CI
Placebo
NA
TAK-438 10 mg
30.7
Adverse events — posted to ClinicalTrials.gov
Time frame: Up to Week 4.
Reporting threshold: 2%.
Adverse-event reports describe events observed during the trial — not all are caused by the drug.
The purpose of this study was to evaluate the efficacy and safety of oral TAK-438 10 mg once-daily in the treatment of non-erosive gastroesophageal reflux disease (NERD).
Publications & conference data
2 peer-reviewed publications reference this trial (live from Europe PMC):
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Publications: Europe PMC API search by NCT ID, retrieved 10 June 2026
Drug + disease cross-links: matched in real time against Drug Landscape's normalised drug + company + condition tables
Sponsor: as reported to ClinicalTrials.gov by Takeda
Last refreshed: 2 August 2019
Drug Landscape aggregates and links these public records for informational use only. Always verify against the primary source before clinical or regulatory decisions. Canonical URL: https://druglandscape.com/trial/NCT02954848.