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Maintenance Intermittent Therapy for Symptomatic GERD Patients

Primary Purpose

Gastroesophageal Reflux Disease

Status
Completed
Phase
Phase 2
Locations
United States
Study Type
Interventional
Intervention
Rabeprazole 20 mg
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastroesophageal Reflux Disease focused on measuring non-erosive symptomatic GERD, GERD

Eligibility Criteria

18 Years - 65 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

Key Inclusion Criteria: Male or female patients, 18 to 65 years of age. If female, not of childbearing potential by reason of surgery, radiation or menopause, or of childbearing potential, but using an approved method of contraception since the last menstrual period, for example, intrauterine device (IUD), implant, double barrier method, or oral contraceptives for at least one cycle. Females of childbearing potential must have a negative urine pregnancy test before medication is dispensed. Patients must report a minimum three-month history of GERD symptoms. GERD symptoms are defined as heartburn with or without regurgitation or other associated GERD symptoms. Patients must have at least 4 days with heartburn per week in each of the 2 weeks prior to Screening. Patients must have no esophagitis, with no proton pump inhibitors (PPIs, prescription or OTC), H2 blockers (prescription or OTC) or prokinetics within 14 days, prior to the endoscopy. Key Exclusion Criteria: Evidence of significant hepatic, renal, respiratory, endocrine, hematologic, neurologic, psychiatric or cardiovascular system abnormalities, unless the Sponsor and Investigator agree that the nature and severity of any abnormality is unlikely to interfere with the conduct of the study, the interpretation of study results, or the health of the patient during the study. Females must not be pregnant, lactating or have a positive urine eta human chorionic gonadotropin (B-hCG) laboratory result. Patients with a history of allergy or sensitivity to proton pump inhibitors or to their inactive ingredients. Patients with known gastric ulcer, duodenal ulcer, infectious or inflammatory conditions of the small or large intestine, malabsorption syndromes, obstruction, a history of gastrointestinal malignancy, or prior gastric or intestinal surgery (including vagotomy). Patients who have a history of Barrett's esophagus, esophageal stricture, or pyloric stenosis. Patients with a history of endoscopically-proven esophagitis any time in the past. Patients who have taken proton pump inhibitors (PPIs, prescription or OTC), H2 blockers (prescription or OTC) or prokinetics within 14 days, prior to Screening endoscopy, or any of these medications within 7 days prior to the single-blind placebo run-in period.

Sites / Locations

  • Quality Care Medical Center Inc.

Arms of the Study

Arm 1

Arm 2

Arm Type

Placebo Comparator

Experimental

Arm Label

Placebo

Rabeprazole 20 mg

Arm Description

Outcomes

Primary Outcome Measures

The Percentage of Heartburn-free Days (24-hour Periods) During the 6-month Maintenance Treatment Phase (ITT Population).
The percentage of heartburn-free days during the 6-month Maintenance Treatment Phase in patients treated with rabeprazole 20 mg compared to patients who received placebo in the ITT Population. Heartburn-free day was defined as no heartburn in both the daytime and nighttime period on a given day. Note a total 388 subjects were enrolled at the beginning of Acute Phase and 200 subjects were enrolled into the double-blind 6-month maintenance treatment phase.

Secondary Outcome Measures

The Percent of Heartburn-free Daytime Period During the 6-month Maintenance Treatment Phase
The percentage of heartburn-free daytime period is presented cumulatively including all data collected during the 6-month Maintenance Phase
The Percent of Heartburn-free Nighttime Period During the 6-month Maintenance Treatment Phase
The percentage of heartburn-free nighttime period is presented cumulatively including all data collected during the 6-month

Full Information

First Posted
September 13, 2005
Last Updated
May 13, 2013
Sponsor
Eisai Inc.
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1. Study Identification

Unique Protocol Identification Number
NCT00165841
Brief Title
Maintenance Intermittent Therapy for Symptomatic GERD Patients
Official Title
A Double-Blind, Placebo-Controlled Study of Rabeprazole 20 mg Maintenance Intermittent Therapy Following Acute Treatment in Patients Wth Symptomatic Gastroesophageal Reflux Disease
Study Type
Interventional

2. Study Status

Record Verification Date
December 2009
Overall Recruitment Status
Completed
Study Start Date
October 2004 (undefined)
Primary Completion Date
December 2005 (Actual)
Study Completion Date
June 2008 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Eisai Inc.

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
The purpose of this study to determine the efficacy of 20 mg of rabeprazole given as a maintenance intermittent therapy following acute treatment for Symptomatic Gastroesophageal Reflux Disease (s-GERD).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastroesophageal Reflux Disease
Keywords
non-erosive symptomatic GERD, GERD

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 2
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
200 (Actual)

8. Arms, Groups, and Interventions

Arm Title
Placebo
Arm Type
Placebo Comparator
Arm Title
Rabeprazole 20 mg
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
Rabeprazole 20 mg
Other Intervention Name(s)
rabeprazole
Intervention Description
rabeprazole sodium tablet 20 mg once daily
Primary Outcome Measure Information:
Title
The Percentage of Heartburn-free Days (24-hour Periods) During the 6-month Maintenance Treatment Phase (ITT Population).
Description
The percentage of heartburn-free days during the 6-month Maintenance Treatment Phase in patients treated with rabeprazole 20 mg compared to patients who received placebo in the ITT Population. Heartburn-free day was defined as no heartburn in both the daytime and nighttime period on a given day. Note a total 388 subjects were enrolled at the beginning of Acute Phase and 200 subjects were enrolled into the double-blind 6-month maintenance treatment phase.
Time Frame
6 months double-blind maintenance phase
Secondary Outcome Measure Information:
Title
The Percent of Heartburn-free Daytime Period During the 6-month Maintenance Treatment Phase
Description
The percentage of heartburn-free daytime period is presented cumulatively including all data collected during the 6-month Maintenance Phase
Time Frame
6-month maintenance phase
Title
The Percent of Heartburn-free Nighttime Period During the 6-month Maintenance Treatment Phase
Description
The percentage of heartburn-free nighttime period is presented cumulatively including all data collected during the 6-month
Time Frame
6-month maintenance phase

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
65 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Key Inclusion Criteria: Male or female patients, 18 to 65 years of age. If female, not of childbearing potential by reason of surgery, radiation or menopause, or of childbearing potential, but using an approved method of contraception since the last menstrual period, for example, intrauterine device (IUD), implant, double barrier method, or oral contraceptives for at least one cycle. Females of childbearing potential must have a negative urine pregnancy test before medication is dispensed. Patients must report a minimum three-month history of GERD symptoms. GERD symptoms are defined as heartburn with or without regurgitation or other associated GERD symptoms. Patients must have at least 4 days with heartburn per week in each of the 2 weeks prior to Screening. Patients must have no esophagitis, with no proton pump inhibitors (PPIs, prescription or OTC), H2 blockers (prescription or OTC) or prokinetics within 14 days, prior to the endoscopy. Key Exclusion Criteria: Evidence of significant hepatic, renal, respiratory, endocrine, hematologic, neurologic, psychiatric or cardiovascular system abnormalities, unless the Sponsor and Investigator agree that the nature and severity of any abnormality is unlikely to interfere with the conduct of the study, the interpretation of study results, or the health of the patient during the study. Females must not be pregnant, lactating or have a positive urine eta human chorionic gonadotropin (B-hCG) laboratory result. Patients with a history of allergy or sensitivity to proton pump inhibitors or to their inactive ingredients. Patients with known gastric ulcer, duodenal ulcer, infectious or inflammatory conditions of the small or large intestine, malabsorption syndromes, obstruction, a history of gastrointestinal malignancy, or prior gastric or intestinal surgery (including vagotomy). Patients who have a history of Barrett's esophagus, esophageal stricture, or pyloric stenosis. Patients with a history of endoscopically-proven esophagitis any time in the past. Patients who have taken proton pump inhibitors (PPIs, prescription or OTC), H2 blockers (prescription or OTC) or prokinetics within 14 days, prior to Screening endoscopy, or any of these medications within 7 days prior to the single-blind placebo run-in period.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yufang Lu
Organizational Affiliation
Eisai Inc.
Official's Role
Study Director
Facility Information:
Facility Name
Quality Care Medical Center Inc.
City
Vista
State/Province
California
ZIP/Postal Code
92085
Country
United States

12. IPD Sharing Statement

Citations:
PubMed Identifier
20132154
Citation
Fass R, Delemos B, Nazareno L, Kao R, Xiang J, Lu Y. Clinical trial: maintenance intermittent therapy with rabeprazole 20 mg in patients with symptomatic gastro-oesophageal reflux disease - a double-blind, placebo-controlled, randomized study. Aliment Pharmacol Ther. 2010 May;31(9):950-60. doi: 10.1111/j.1365-2036.2010.04254.x. Epub 2010 Feb 2.
Results Reference
derived

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Maintenance Intermittent Therapy for Symptomatic GERD Patients

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