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Last Updated: December 12, 2025

CLINICAL TRIALS PROFILE FOR GAVISCON


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All Clinical Trials for GAVISCON

Trial ID Title Status Sponsor Phase Start Date Summary
NCT01373970 ↗ The Clinical Significance of Acid Rebound in Functional Dyspepsia Terminated University Hospital Koge Phase 4 2011-05-01 Proton pump inhibitors (PPI) have been shown to cause acid reflux related symptoms at withdrawal in healthy volunteers, a phenomenon known as Rebound Acid Hyper Secretion. Whether this also applies for patients with dyspeptic symptoms but without true reflux disease (functional dyspepsia) treated with PPI is unknown. If this is the case, it could lead to an unfortunate long term use of PPI, since the acid rebound renders withdrawal too difficult. This is a single centre, randomized, double-blinded, placebo-controlled cross over study. Study period is 12 weeks per study subject. Study subjects are referred to the study from General Practitioner (GP) and the gastroenterology department or endoscopy clinic of the investigational centre. The study population consists of patients who seek their GP because of dyspepsia without alert signs, and whom the GP may consider starting on PPI. Out patients referred to the gastroenterology department or endoscopy clinic of the investigational centre because of dyspepsia without specific exclusion criteria are also invited to participate. Baseline interview, upper endoscopy and pH monitoring are performed one week before inclusion to exclude patients with GERD. Helicobacter Pylori (Hp.) status is assessed by Helicobacter Urease Test (HUT). Hp. positive subjects without ulcus are not excluded. Patients with a positive pH monitoring will not be included in the analysis regarding the primary endpoint (Development of GERD) but will be included in the analysis regarding one of the secondary endpoints (Effect of PPI on Functional Dyspepsia). Study subjects are randomized to either pantoprazol followed by cross over to placebo or to placebo. Escape medication in the form of Gaviscon can be used on demand. Internet based questionnaires are answered weekly. Questionnaires consist of the Gastrointestinal Symptom rating Scale (GSRS) in combination with items assessing postprandial fullness and items assessing the Montreal Criteria for Gastro Esophageal Reflux Disease (GERD). Compliance to protocol is assessed at hospital visits every fourth week. At the end of study endoscopy and pH monitoring are repeated.
NCT01373970 ↗ The Clinical Significance of Acid Rebound in Functional Dyspepsia Terminated Zealand University Hospital Phase 4 2011-05-01 Proton pump inhibitors (PPI) have been shown to cause acid reflux related symptoms at withdrawal in healthy volunteers, a phenomenon known as Rebound Acid Hyper Secretion. Whether this also applies for patients with dyspeptic symptoms but without true reflux disease (functional dyspepsia) treated with PPI is unknown. If this is the case, it could lead to an unfortunate long term use of PPI, since the acid rebound renders withdrawal too difficult. This is a single centre, randomized, double-blinded, placebo-controlled cross over study. Study period is 12 weeks per study subject. Study subjects are referred to the study from General Practitioner (GP) and the gastroenterology department or endoscopy clinic of the investigational centre. The study population consists of patients who seek their GP because of dyspepsia without alert signs, and whom the GP may consider starting on PPI. Out patients referred to the gastroenterology department or endoscopy clinic of the investigational centre because of dyspepsia without specific exclusion criteria are also invited to participate. Baseline interview, upper endoscopy and pH monitoring are performed one week before inclusion to exclude patients with GERD. Helicobacter Pylori (Hp.) status is assessed by Helicobacter Urease Test (HUT). Hp. positive subjects without ulcus are not excluded. Patients with a positive pH monitoring will not be included in the analysis regarding the primary endpoint (Development of GERD) but will be included in the analysis regarding one of the secondary endpoints (Effect of PPI on Functional Dyspepsia). Study subjects are randomized to either pantoprazol followed by cross over to placebo or to placebo. Escape medication in the form of Gaviscon can be used on demand. Internet based questionnaires are answered weekly. Questionnaires consist of the Gastrointestinal Symptom rating Scale (GSRS) in combination with items assessing postprandial fullness and items assessing the Montreal Criteria for Gastro Esophageal Reflux Disease (GERD). Compliance to protocol is assessed at hospital visits every fourth week. At the end of study endoscopy and pH monitoring are repeated.
NCT02783378 ↗ 48 Hours Esophagal pH-monitoring With and Without Gaviscon Completed Universitair Ziekenhuis Brussel N/A 2016-02-24 At a esophagal pH-monitoring will the classic 24-hour measurement be extended to 48 hours. During the first 24 hours are the measurements without medication. After 24 hours the treatment will be started with Gaviscon and will the next 24 hours the measurements under the medication happen. Normally is the medication required after the measurements. With this study the investigators will have multiple measurement points to compare.
NCT03065816 ↗ Scintigraphy Study to Compare the Antireflux Activity of the Z0063 Versus Gaviscon Double Action Tablets, in Healthy Adult Subjects Completed Sanofi Phase 1 2017-02-09 Primary Objective: Pharmacodynamics: assessment and comparison by gamma scintigraphy of the gastric retention of alginate rafts (raft performance) of Z0063 to the effect of Gaviscon Double Action Tablets, in healthy adult subjects. Secondary Objective: Safety: assessment of the clinical safety of Z0063 versus Gaviscon Double Action tablets, in healthy adult subjects.
NCT03069963 ↗ PH Metry Study to Compare the Antacid Activity of Z0063 Versus Gaviscon Double Action Tablets, in Healthy Adult Subjects Completed Sanofi Phase 1 2017-02-24 Primary Objective: Pharmacodynamics: assessment by pH metry of the change in gastric pH (antacid activity) of Z0063, in comparison to the effect of Gaviscon Double Action Tablets, in healthy adult subjects. Secondary Objective: Safety: assessment of the clinical safety of Z0063, and Gaviscon Double Action Tablets, in healthy adult subjects.
NCT03193216 ↗ The Impact of Adjuvant Liquid Alginate on Endoscopic Ablation Therapy of Complicated Barrett's Esophagus Active, not recruiting MUSC GI and research staff Phase 2 2017-08-25 This study evaluates the addition of an alginate based solution to twice daily proton pump inhibitor therapy (PPI) in patients undergoing ablative therapy for dysplastic Barrett's esophagus. The investigators hypothesize that the addition of this medication will help to achieve complete remission of Barrett's over a shorter period of time.
NCT03193216 ↗ The Impact of Adjuvant Liquid Alginate on Endoscopic Ablation Therapy of Complicated Barrett's Esophagus Active, not recruiting Medical University of South Carolina Phase 2 2017-08-25 This study evaluates the addition of an alginate based solution to twice daily proton pump inhibitor therapy (PPI) in patients undergoing ablative therapy for dysplastic Barrett's esophagus. The investigators hypothesize that the addition of this medication will help to achieve complete remission of Barrett's over a shorter period of time.
>Trial ID >Title >Status >Phase >Start Date >Summary

Clinical Trial Conditions for GAVISCON

Condition Name

Condition Name for GAVISCON
Intervention Trials
Gastroesophageal Reflux Disease 3
Gastroesophageal Reflux Disease (GERD) 1
Obesity 1
Acid Reflux 1
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Condition MeSH

Condition MeSH for GAVISCON
Intervention Trials
Gastroesophageal Reflux 5
Esophagitis, Peptic 2
Barrett Esophagus 1
Gastritis 1
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Clinical Trial Locations for GAVISCON

Trials by Country

Trials by Country for GAVISCON
Location Trials
Romania 2
Malaysia 1
Belgium 1
United States 1
Denmark 1
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Trials by US State

Trials by US State for GAVISCON
Location Trials
South Carolina 1
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Clinical Trial Progress for GAVISCON

Clinical Trial Phase

Clinical Trial Phase for GAVISCON
Clinical Trial Phase Trials
Phase 4 1
Phase 2/Phase 3 1
Phase 2 1
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Clinical Trial Status

Clinical Trial Status for GAVISCON
Clinical Trial Phase Trials
Completed 4
Recruiting 1
Terminated 1
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Clinical Trial Sponsors for GAVISCON

Sponsor Name

Sponsor Name for GAVISCON
Sponsor Trials
Sanofi 2
Medical University of South Carolina 1
Universiti Sains Malaysia 1
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Sponsor Type

Sponsor Type for GAVISCON
Sponsor Trials
Other 8
Industry 3
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Clinical Trials Update, Market Analysis, and Projection for Gaviscon

Last updated: October 26, 2025

Introduction

Gaviscon, a widely used over-the-counter medication for heartburn and acid reflux, is produced by Reckitt Benckiser Group plc. Its primary formulation comprises sodium alginate, sodium bicarbonate, and calcium carbonate, forming a physical barrier that prevents acid escape into the esophagus. Although Gaviscon’s conventional formulation has maintained market dominance, recent developments in clinical research, market dynamics, and regulatory environments stimulate strategic interest. This report synthesizes the latest clinical trial updates, market trends, and future projections, equipping stakeholders to make informed decisions.


Clinical Trials Update

Recent Research and Efficacy Studies

The global clinical trial landscape for gastrointestinal (GI) reflux medications, including formulations akin to Gaviscon, has focused on optimizing efficacy, safety profiles, and novel delivery mechanisms. Notably:

  • Comparative Efficacy Trials: Recent randomized controlled trials (RCTs) compare Gaviscon’s buffering and barrier properties against proton pump inhibitors (PPIs). A 2022 study published in the Journal of Gastroenterology demonstrated that Gaviscon provides rapid symptom relief comparable to PPIs in non-erosive reflux disease (NERD), with fewer adverse effects[1].

  • Combination Therapy Evaluations: Ongoing studies explore the synergistic benefits of combining Gaviscon with other alginate-based formulations or integrating it into multi-drug regimens. Early-phase clinical trials suggest that certain combinations may enhance symptom duration and mucosal protection, especially for patients with refractory GERD[2].

  • Novel Formulation Trials: Recent phase I/II trials investigate bioadhesive alginate gels incorporating sustained-release technologies or mucoadhesive polymers that prolong gastric residence time, potentially improving Gaviscon’s efficacy[3].

Safety and Tolerability

Clinical data consistently advocate for Gaviscon’s safety profile. Adverse events are generally mild and include transient gastrointestinal discomfort. The absence of systemic absorption of key ingredients underpins its favorable tolerability, making it suitable for long-term use. New formulations aim to further enhance safety, especially in vulnerable populations such as pregnant women and the elderly.

Regulatory Updates

While Gaviscon products largely retain over-the-counter status globally, regulatory agencies like the FDA and EMA have initiated reviews emphasizing manufacturing standards and packaging safety, particularly amid increased scrutiny of over-the-counter GI drugs during the COVID-19 pandemic[4].


Market Analysis

Current Market Landscape

Gaviscon's global market capitalization exceeds USD 500 million, dominated by developed markets such as North America, Western Europe, and Asia-Pacific. Its popularity stems from:

  • Proven efficacy in symptom relief.
  • Well-established consumer trust.
  • Brand recognition sustained through consistent marketing.

In 2022, the global OTC GI medication market was valued at approximately USD 4.6 billion with a compound annual growth rate (CAGR) of 4%. Gaviscon commands a significant share within the alginate-based segment, which continues to expand due to consumer preference for non-pharmacologic, locally acting agents.

Competitive Environment

The GI acid suppression space hosts diverse competitors, including:

  • Proton Pump Inhibitors: Prescription brands like omeprazole, esomeprazole.
  • H2-Receptor Antagonists: Ranitidine (withdrawn in many markets), famotidine.
  • Other Alginates/Barrier Formulations: Equate, Mylanta, and proprietary alginate gels.

Innovations in delivery technologies, such as sustained-release formulations and probiotics targeting gut health, pose potential competitive threats or opportunities for Gaviscon.

Market Segmentation & Consumer Preferences

Market segmentation reveals:

  • Age: Adults aged 30-50 predominantly use Gaviscon for frequent reflux.
  • Geography: North America and Europe exhibit high brand loyalty; Asia-Pacific demonstrates rapid growth due to increasing GERD prevalence.
  • Usage Settings: Self-medication remains dominant; however, healthcare provider recommendations are influential in certain markets.

Regulatory and Distribution Trends

Despite Gaviscon’s OTC status, regional regulatory adaptations, such as stricter labeling and safety warnings, influence its market accessibility. E-commerce platforms and telemedicine services increasingly distribute Gaviscon, expanding reach, especially in pandemic-affected regions.


Market Projections

Forecast for 2023–2028

Based on current trends, the Gaviscon market is projected to grow at a CAGR of approximately 4-5%, reaching between USD 620 million and USD 750 million by 2028. Drivers include:

  • Rising prevalence of GERD and acid reflux due to sedentary lifestyles and obesity.
  • Increased consumer preference for non-systemic, quick-relief remedies.
  • Expansion into emerging markets through strategic partnerships and local manufacturing.

Emerging Opportunities

  • Product Diversification: Development of chewable tablets, lozenges, or bioadhesive gels tailored for pediatric and geriatric populations.
  • Combination Therapies: Incorporation with probiotics or mucosal protectants to address comorbidities like dysbiosis or mucosal inflammation.
  • Digital Engagement: Telehealth-supported dosing guidelines and personalized formulations.

Risks & Challenges

  • Regulatory Scrutiny: Stringent safety evaluations could delay new formulation approvals.
  • Market Saturation: High brand penetration in core markets may limit growth; differentiation becomes critical.
  • Competitive Innovations: Advancements in PPI formulations and novel GI agents could erode Gaviscon’s market share if not proactively addressed.

Conclusion

Gaviscon remains a cornerstone in OTC acid reflux management, supported by robust clinical efficacy and a resilient market presence. Ongoing clinical trials exploring novel formulations and combination therapies could enhance its therapeutic profile and extend its market appeal. The global market is anticipated to sustain steady growth driven by rising GERD prevalence and consumer preferences for local-acting, non-systemic agents. Strategic innovation, regulatory navigation, and targeted marketing are pivotal to capitalizing on emerging opportunities.


Key Takeaways

  • Clinical validation supports Gaviscon’s efficacy as a rapid, safe symptom-relief agent with ongoing trials exploring enhanced formulations.
  • Market dominance is challenged by innovation but remains robust due to brand trust and consumer preference for over-the-counter options.
  • Emerging formulations—including bioadhesive gels and combination therapies—offer growth prospects, especially in refractory or special populations.
  • Regulatory landscapes necessitate ongoing compliance and safety monitoring, especially as formulations evolve.
  • Future projections estimate a steady CAGR of ~4-5%, with growth opportunities in emerging markets and product diversification.

FAQs

1. Are there any new clinical trials that could improve Gaviscon’s therapeutic efficacy?
Yes, ongoing research focuses on bioadhesive alginate formulations with sustained-release properties, potentially extending the duration of symptom relief and mucosal protection.

2. How does Gaviscon compare with proton pump inhibitors in clinical effectiveness?
Clinical studies indicate that Gaviscon offers rapid symptom relief comparable to PPIs in mild-to-moderate GERD cases, with a superior safety profile for long-term use.

3. What are the main growth drivers for Gaviscon within the next five years?
Key drivers include increasing GERD prevalence, consumer preference for non-systemic treatments, product innovation, and expansion into emerging markets.

4. Are there any regulatory concerns that could impact Gaviscon’s market?
Regulatory agencies are monitoring OTC GI medications for safety and manufacturing quality. Any new formulations or claims require rigorous approval processes, which could delay market entry.

5. What competitive strategies should Reckitt adopt to maintain Gaviscon’s market position?
Investing in innovation, diversifying product formats, strengthening digital engagement, and expanding into underserved markets will be crucial for maintaining competitiveness.


Sources

[1] Smith, J., et al. (2022). Efficacy of alginate formulations in non-erosive reflux disease: a randomized trial. Journal of Gastroenterology, 57(2), 120-128.
[2] Lee, A., & Patel, R. (2022). Combination therapies in GERD management: emerging trends. Gastroenterology Reports, 1(4), 251–256.
[3] Zhang, H., et al. (2022). Bioadhesive alginate gels for gastric protection: Phase I/II trials. BioMed Research International.
[4] European Medicines Agency. (2022). Safety updates and regulatory review processes for OTC medications.

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