Anastomotic ulcer

The objective of the study is to investigate the treatment of marginal ulcers with Low Thermal plasma in an endoscopic setting. By a treatment of the ulcerated areas with argon plasma with low power settings (
1 W) we hypothesize that the size of the ulcers will shrink, and the healing is accelerated compared to standard of care alone. Patients will benefit from this minimally invasive approach compared to a much more invasive surgical approach that comes with higher risks and hospital stay length time. From a societal and scientific perspective, this study aims to extend the well-documented clinical benefits of plasma technology - from external wound healing to internal ulcer treatment - within an endoscopic framework. The success of this study could pave the way for broader applications of LTP in the treatment of other endoscopically accessible conditions such as peptic ulcers, duodenal ulcers and esophageal ulcers. This advancement has the potential not only to improve patient outcomes through less invasive methods, but also to position LTP as a cornerstone in the future of gastroenterological wound management strategies.

以健康受试者为试验对象，兰索拉唑碳酸氢钠干混悬剂（30mg/1680mg）为受试制剂，兰索拉唑碳酸氢钠胶囊（30mg/1100mg）为参比制剂，采用单次和多次给药试验设计，进行两制剂药代动力学、药效动力学比较试验以及食物对受试制剂PK参数影响试验： 1. 比较单次和多次给药后受试制剂和参比制剂药代动力学参数； 2. 比较单次和多次给药后受试制剂和参比制剂药效动力学参数； 3. 评价食物对受试制剂药代动力学参数的影响； 4. 观察受试制剂和参比制剂在中国健康受试者中的安全性。

主要目的：研究空腹及餐后状态下单次口服受试制剂奥美拉唑肠溶片（规格：20 mg，浙江京新药业股份有限公司生产）与参比制剂奥美拉唑肠溶片（Omepral®，规格：20 mg，太陽ファルマ株式会社持证）在健康成年参与者体内的药代动力学，评价两种制剂是否具有生物等效性。 次要目的：研究受试制剂奥美拉唑肠溶片（规格：20 mg）和参比制剂奥美拉唑肠溶片（Omepral®，规格：20 mg）在健康成年参与者中的安全性。