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CTRI Number  CTRI/2026/03/105353 [Registered on: 05/03/2026] Trial Registered Prospectively
Last Modified On: 03/03/2026
Post Graduate Thesis  No 
Type of Trial  Observational 
Type of Study   Retrospective, Observational Study 
Study Design  Single Arm Study 
Public Title of Study   A Observational Study to understand the Tolerability and Efficacy of Vonoprazan in Patients with Reflux Esophagitis. 
Scientific Title of Study   Vonoprazan In Real world evidence for Tolerability and efficacy in symptomatic management of reflUx Esophagitis. 
Trial Acronym  VIRTUE 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr Darshan Rana MBBS MD 
Designation  Senior Manager, Medical Affairs 
Affiliation  Mankind Pharma Ltd 
Address  Mankind Pharma Ltd, 262, Okhla Industrial Estate, Phase-Ill, New Delhi-110020, India.
Mankind Pharma Ltd, Solitaire Corporate Park, Building No 3, Ground Floor, Guru Har Gobind Marg, Andheri East, Mumbai, Maharashtra, 400093
East
DELHI
110020
India 
Phone  9766016028  
Fax    
Email  darshan.rana@mankindpharma.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr Darshan Rana MBBS MD 
Designation  Senior Manager, Medical Affairs 
Affiliation  Mankind Pharma Ltd 
Address  Mankind Pharma Ltd, 262, Okhla Industrial Estate, Phase-Ill, New Delhi-110020, India.
Mankind Pharma Ltd, Solitaire Corporate Park, Building No 3, Ground Floor, Guru Har Gobind Marg, Andheri East, Mumbai, Maharashtra, 400093
East
DELHI
110020
India 
Phone  9766016028  
Fax    
Email  darshan.rana@mankindpharma.com  
 
Details of Contact Person
Public Query
 
Name  Dr Darshan Rana MBBS MD 
Designation  Senior Manager, Medical Affairs 
Affiliation  Mankind Pharma Ltd 
Address  Mankind Pharma Ltd, 262, Okhla Industrial Estate, Phase-Ill, New Delhi-110020, India.
Mankind Pharma Ltd, Solitaire Corporate Park, Building No 3, Ground Floor, Guru Har Gobind Marg, Andheri East, Mumbai, Maharashtra, 400093
East
DELHI
110020
India 
Phone  9766016028  
Fax    
Email  darshan.rana@mankindpharma.com  
 
Source of Monetary or Material Support  
Mankind Pharma Ltd, 262, Okhla Industrial Estate, Phase-Ill, New Delhi-110020 
 
Primary Sponsor  
Name  Mankind Pharma Ltd 
Address  262, Okhla Industrial Estate, Phase-Ill, New Delhi-110020 
Type of Sponsor  Pharmaceutical industry-Indian 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr B S Satyaprakash  Centre for Digestive and Liver Diseases  Department of Gastroenterology, Gastro division, OPD Room 1, Chat Street, Door No.229, 14th Cross Rd, Vijayanagar, Bengaluru, Karnataka 560040
Bangalore
KARNATAKA 
9845017337

satyaprakashbs@gmail.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
PRANAV DIABETES CENTER ETHICS COMMITTEE  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Patients  (1) ICD-10 Condition: K20-K31||Diseases of esophagus, stomach and duodenum,  
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  Nil  Nil 
Comparator Agent  Nil  Nil 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  95.00 Year(s)
Gender  Both 
Details  Medical records of adult patients equal or above 18 years of age with symptoms of reflux esophagitis and treated with vonoprazan 20 mg once daily as per local prescribing guidelines will be retrieved and screened for further analysis. 
 
ExclusionCriteria 
Details  Screened records will not be considered for evaluation if patients had esophageal comorbidities, prior gastrointestinal or esophageal surgery, recent use of acid-suppressing therapy, H. pylori eradication within 28 days, significant hepatic dysfunction, inflammatory bowel disease, malignancy, or hypersensitivity to vonoprazan. 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Effectiveness will be evaluated as treatment response based on mean improvement in the FSSG questionnaire score and heart burn resolution   From baseline till 2 weeks and 4 weeks after treatment initiation 
 
Secondary Outcome  
Outcome  TimePoints 
Physician Global Assessment (PhGA) Scale for treatment response, as well as safety and tolerability evaluated through recorded adverse drug reactions.  From baseline till 2 weeks and 4 weeks after treatment initiation 
 
Target Sample Size   Total Sample Size="1800"
Sample Size from India="1800" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   14/03/2026 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="0"
Months="0"
Days="15" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary  

This is a retrospective observational study will conducted  in India. Medical records of  adults patients above or equal to 18 years age  with reflux esophagitis will be  screened, and  eligible patients records who are  not receiving other acid-altering medications and are  treated with vonoprazan 20 mg once daily for four weeks will be  included in the analysis. Primary outcomes assessed changes in Frequency Scale for the Symptoms of GERD (FSSG)  scores from baseline to Weeks 2 and 4, as well as the proportion of patients achieving overall heartburn resolution at Week 2 and  4. Secondary outcomes are physician global assessment of treatment response and safety/tolerability based on recorded adverse drug reactions at week 2 and week 4

 
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