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Esomeprazole for Prevention of Upper Gastrointestinal Symptoms Associated With Continuous Use of NSAIDs

Primary Purpose

GERD

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Esomeprazole
Sponsored by
AstraZeneca
About
Eligibility
Locations
Outcomes
Full info

About this trial

This is an interventional treatment trial for GERD focused on measuring NSAIDs, Upper GI symptoms

Eligibility Criteria

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

Inclusion Criteria: Signed informed consent. Completed the SH-NEN-0001 study with relief of upper GI symptom. Relief is defined as "last 7 days with a diary assessment of None or Minimal, but allowing up to 2 days to be rated as Mild during the 7-day period". A clinical diagnosis of a chronic condition (e.g., osteoarthritis or rheumatoid arthritis) that requires continuous daily NSAID treatment for at least 6 months. Daily NSAID treatment is defined as taking the prescribed dose for at least 5 of 7 days in any given week and can include COX-2 selective NSAIDs, multiple NSAIDs, and high-dose NSAIDs. Daily NSAID treatment dose and type: (Must have been stable for at least 9 weeks prior to inclusion and; Are expected to remain stable for the duration of the study. and; Must be administered orally. If more than one type of NSAID treatment is used, at least one type must be administered orally). Hp negative on Histology performed at baseline endoscopy in the study SHNEN- 0001. Exclusion Criteria: Discontinuation from study SH-NEN-0001 Pain, discomfort or burning in the upper abdomen precipitated by exercise or relieved by defecation. Pain, discomfort or burning in the upper abdomen not associated with the use of NSAIDs, including COX-2 selective NSAIDs. Pregnancy or lactation. Women of childbearing potential must maintain effective contraception during the study period as judged by the investigator. Need for continuous concomitant therapy with: (Anticoagulants; Corticosteroids at doses higher than explained under inclusion criterion)

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Outcomes

Primary Outcome Measures

To assess the efficacy of esomeprazole 40 mg orally q.d. versus placebo orally q.d.
and 20 mg q.d. versus placebo orally q.d. through 6 months of treatment for the
prevention of relapse of upper GI symptom associated with NSAID use in patients
receiving daily NSAID therapy.

Secondary Outcome Measures

To assess the safety and tolerability of esomeprazole 40 mg orally q.d. versus placebo orally q.d. and 20 mg orally q.d. versus placebo orally q.d. when administered for 6 months to patients receiving daily NSAID therapy.

Full Information

First Posted
October 18, 2005
Last Updated
January 20, 2011
Sponsor
AstraZeneca
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1. Study Identification

Unique Protocol Identification Number
NCT00241514
Brief Title
Esomeprazole for Prevention of Upper Gastrointestinal Symptoms Associated With Continuous Use of NSAIDs
Official Title
Efficacy of Esomeprazole 40 mg Once Daily Versus Placebo or Esomeprazole 20 mg Once Daily Versus Placebo in Prevention of Upper Gastrointestinal Symptoms Associated With Continuous Use of NSAIDs Including COX-2 Selective NSAIDs
Study Type
Interventional

2. Study Status

Record Verification Date
January 2011
Overall Recruitment Status
Completed
Study Start Date
February 2001 (undefined)
Primary Completion Date
February 2003 (Actual)
Study Completion Date
February 2003 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
AstraZeneca

4. Oversight

5. Study Description

Brief Summary
This study was a multicentre, double-blind, randomised, placebo-controlled parallel group study consisting of 4 visits over a period of 6 months. The primary variable was to assess the efficacy of esomeprazole 40 mg orally qd (E40) or esomeprazole 20 mg orally qd (E20) versus placebo orally qd after 6 months of treatment for the prevention of relapse of upper GI symptoms associated with NSAID use, including COX-2 selective NSAIDs, in patients receiving daily NSAID therapy.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
GERD
Keywords
NSAIDs, Upper GI symptoms

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
Double
Allocation
Randomized
Enrollment
334 (false)

8. Arms, Groups, and Interventions

Intervention Type
Drug
Intervention Name(s)
Esomeprazole
Primary Outcome Measure Information:
Title
To assess the efficacy of esomeprazole 40 mg orally q.d. versus placebo orally q.d.
Title
and 20 mg q.d. versus placebo orally q.d. through 6 months of treatment for the
Title
prevention of relapse of upper GI symptom associated with NSAID use in patients
Title
receiving daily NSAID therapy.
Secondary Outcome Measure Information:
Title
To assess the safety and tolerability of esomeprazole 40 mg orally q.d. versus placebo orally q.d. and 20 mg orally q.d. versus placebo orally q.d. when administered for 6 months to patients receiving daily NSAID therapy.

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: Signed informed consent. Completed the SH-NEN-0001 study with relief of upper GI symptom. Relief is defined as "last 7 days with a diary assessment of None or Minimal, but allowing up to 2 days to be rated as Mild during the 7-day period". A clinical diagnosis of a chronic condition (e.g., osteoarthritis or rheumatoid arthritis) that requires continuous daily NSAID treatment for at least 6 months. Daily NSAID treatment is defined as taking the prescribed dose for at least 5 of 7 days in any given week and can include COX-2 selective NSAIDs, multiple NSAIDs, and high-dose NSAIDs. Daily NSAID treatment dose and type: (Must have been stable for at least 9 weeks prior to inclusion and; Are expected to remain stable for the duration of the study. and; Must be administered orally. If more than one type of NSAID treatment is used, at least one type must be administered orally). Hp negative on Histology performed at baseline endoscopy in the study SHNEN- 0001. Exclusion Criteria: Discontinuation from study SH-NEN-0001 Pain, discomfort or burning in the upper abdomen precipitated by exercise or relieved by defecation. Pain, discomfort or burning in the upper abdomen not associated with the use of NSAIDs, including COX-2 selective NSAIDs. Pregnancy or lactation. Women of childbearing potential must maintain effective contraception during the study period as judged by the investigator. Need for continuous concomitant therapy with: (Anticoagulants; Corticosteroids at doses higher than explained under inclusion criterion)
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
AstraZeneca Nexium Medical Sciences Director, MD
Organizational Affiliation
AstraZeneca
Official's Role
Study Director
Facility Information:
Facility Name
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Tucson
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Arizona
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United States
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Anaheim
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California
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United States
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Orange
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California
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United States
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San Francisco
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California
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United States
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Bradenton
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Florida
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United States
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Clearwater
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Florida
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United States
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Ft. Lauderdale
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Florida
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United States
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Jacksonville
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Florida
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United States
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South Miami
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Florida
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United States
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West Palm Beach
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Florida
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United States
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Zephyr Hills
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Florida
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United States
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Conyers
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Georgia
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United States
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Newburgh
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Indiana
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United States
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Baltimore
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United States
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Winston-Salem
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United States
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Tulsa
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Oklahoma
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Tipton
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Norfolk
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United States
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Virginia Beach
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Virginia
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United States
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Alleur
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Belgium
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Ans
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Belgium
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Beernem
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Belgium
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Betekom
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Belgium
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Bottelaere
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Belgium
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Braine-L 'Alleud
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Belgium
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Buizingen
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Belgium
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Duffel
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Belgium
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Durnal
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Belgium
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Erembodegem
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Belgium
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Genk
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Belgium
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Gent
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Belgium
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Herentals
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Lambermont
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Leut
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Linkebeek
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Liège
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Maasmechelen
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Massemen
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Merelbeke
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Natoye
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Belgium
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Nivelles
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Belgium
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Oud-Heverlee
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Belgium
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Seraing
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Belgium
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Soignies
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Belgium
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Vorst (Brussels)
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Belgium
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Waremme
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Belgium
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Zoersel
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Zolder
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Albens
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France
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Angers
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France
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Dambach La Ville
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France
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Dommartin-les-touls
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France
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Fontaine Les Dijon
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France
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Gemenos
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France
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Geste
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France
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Husseren-wesserling
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France
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La Regrip
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France
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Le Pian Medoc
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France
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Lille
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France
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Lyon
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France
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Maromme
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France
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MONT DE MARSAN Cedex
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France
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Montingy Les Metz
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France
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Paris Cedex 10
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France
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Saint-ouen
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France
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Strasbourg
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France
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Tarare
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France
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Berlin
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Germany
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Bernau
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Germany
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Bochum
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Germany
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Dresden-Test
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Germany
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Dresden
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Germany
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Erfurt
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Germany
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Erlangen
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Germany
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Genthin
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Germany
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Herne
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Germany
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Kelkheim
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Germany
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Köln
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Germany
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Künzing
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Germany
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Lienen
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Germany
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Lüdenscheid
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Germany
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München
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Germany
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Münster
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Paderborn
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Passau
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Potsdam
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Ratingen
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Regensburg
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Germany
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Ribnitz-Damgarten
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Germany
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Saarbrücken
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Germany
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Salzgitter
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Germany
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Wangen
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Germany
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Wiesbaden
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Germany
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Wolmirstedt
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Germany
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Budapest
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Hungary
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Békéscsaba
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Hungary
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Dunaújváros
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Hungary
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Szentes
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Hungary
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Szombathely
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Hungary
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Veszprém
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Hungary
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Vác
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Hungary
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Barcelona
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Spain
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Getafe
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Spain
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Guadalajara
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Spain
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Madrid
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Spain
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Mérida
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Spain
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Palma de Mallorca
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Spain
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San Sebastián(Guipuzcoa)
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Spain
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Sevilla
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Spain
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Torrelavega
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Spain
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Valencia
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Spain
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Viladecans
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Spain
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Zaragoza
Country
Spain

12. IPD Sharing Statement

Citations:
PubMed Identifier
17391505
Citation
Hawkey CJ, Talley NJ, Scheiman JM, Jones RH, Langstrom G, Naesdal J, Yeomans ND; NASA/SPACE author group. Maintenance treatment with esomeprazole following initial relief of non-steroidal anti-inflammatory drug-associated upper gastrointestinal symptoms: the NASA2 and SPACE2 studies. Arthritis Res Ther. 2007;9(1):R17. doi: 10.1186/ar2124.
Results Reference
derived

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Esomeprazole for Prevention of Upper Gastrointestinal Symptoms Associated With Continuous Use of NSAIDs

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