search
Back to results

Rabeprazole Extended-Release 50 mg Versus Esomeprazole 40 mg for Healing and Symptomatic Relief of Moderate to Severe Erosive Gastroesophageal Reflux Disease (GERD)

Primary Purpose

Gastroesophageal Reflux Disease (GERD)

Status
Completed
Phase
Phase 3
Locations
International
Study Type
Interventional
Intervention
Rabeprazole sodium
Esomeprazole
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Gastroesophageal Reflux Disease (GERD) focused on measuring GERD, erosive GERD, erosive esophagitis

Eligibility Criteria

18 Years - 75 Years (Adult, Older Adult)All SexesDoes not accept healthy volunteers

KEY INCLUSION CRITERIA:

  1. Male or female, ages 18 to 75 years.
  2. History of GERD symptoms for at least 3 months immediately before screening.
  3. Heartburn for at least 2 days a week for at least 1 month before screening.
  4. Esophageal erosions of Los Angeles (LA) grades C or D based on EGD taken within 14 days prior to enrollment.
  5. Subjects who are H. pylori negative based on a screening test.
  6. Females should be either of non-childbearing potential or of childbearing potential. Females of childbearing potential must have negative pregnancy tests prior to randomization. Female subjects of childbearing potential must agree to use medically acceptable methods of contraception.
  7. Subjects must be able to read, write, and understand the language of the symptom diary.

KEY EXCLUSION CRITERIA:

  1. Current or a history of esophageal motility disorders.
  2. Current or a history of Barrett's esophagus. Current esophageal strictures or esophagitis (known or suspected to be due to etiology other than GERD such as infection or medications).
  3. Current or a history of Zollinger-Ellison syndrome and other acid hypersecretory conditions, or current gastric or duodenal ulcer.
  4. Current or a history of cancer, with the exception of fully excised skin basal cell carcinoma.
  5. Inflammatory bowel disease.
  6. Unstable diabetes mellitus.
  7. History of esophageal, gastric and duodenal surgery except simple suturing of an ulcer.
  8. Subjects who require daily use of nonsteroidal anti-inflammatory drugs (NSAIDs), oral steroids (->;= 20 mg/day prednisone or equivalent), or aspirin (->; 325 mg/day).

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Active Comparator

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

Percentage of Participants With Erosive Gastroesophageal Reflux Disease (eGERD) Who Achieved Endoscopically-confirmed Healing by 8 Weeks
Healing at week 4 or 8 were based on improvement of eGERD of the Los Angeles (LA) classification of esophagitis Grade C or D from Baseline. Classifications include: Not Present: No breaks (erosions) in the esophageal mucosa (however, edema, erythema, or friability may be present). Grade A: One or more mucosal breaks not more than 5 mm in maximum length. Grade B: One or more mucosal breaks more than 5 mm in maximum length, but not continuous between the tops of 2 mucosal folds. Grade C: Mucosal breaks continuous between the tops of 2 or more mucosal folds, but involving less than 75% of the esophageal circumference. Gread D: Mucosal breaks involving at least 75% of the esophageal circumference.
Percentage of Participants With eGERD Who Achieved Endoscopically-confirmed Healing by 4 Weeks
Healing at week 4 or 8 were based on improvement of eGERD of the LA classification of esophagitis Grade C or D from Baseline. Classifications include: Not Present: No breaks (erosions) in the esophageal mucosa (however, edema, erythema, or friability may be present). Grade A: One or more mucosal breaks not more than 5 mm in maximum length. Grade B: One or more mucosal breaks more than 5 mm in maximum length, but not continuous between the tops of 2 mucosal folds. Grade C: Mucosal breaks continuous between the tops of 2 or more mucosal folds, but involving less than 75% of the esophageal circumference. Grade D: Mucosal breaks involving at least 75% of the esophageal circumference.

Secondary Outcome Measures

Percentage of Participants Who Achieved Diary-recorded Sustained Resolution of Heartburn by Week 4
During the first 4 weeks of the Double-blind Phase, participants were to record heartburn in a daily diary. Participant daily symptoms for the assessment of hearburn was based on a commonly used 4-point Likert scale of none, mild, moderate and severe. A participant was considered achieving sustained resolution of heartburn if the participant had maintained at least 7 consecutive heartburn-free days.

Full Information

First Posted
April 9, 2008
Last Updated
November 19, 2015
Sponsor
Eisai Inc.
search

1. Study Identification

Unique Protocol Identification Number
NCT00658528
Brief Title
Rabeprazole Extended-Release 50 mg Versus Esomeprazole 40 mg for Healing and Symptomatic Relief of Moderate to Severe Erosive Gastroesophageal Reflux Disease (GERD)
Official Title
A Randomized Double-Blind Parallel Study of Rabeprazole Extended-Release 50 mg Versus Esomeprazole 40 mg for Healing and Symptomatic Relief of Moderate to Severe Erosive Gastroesophageal Reflux Disease (GERD)
Study Type
Interventional

2. Study Status

Record Verification Date
November 2015
Overall Recruitment Status
Completed
Study Start Date
February 2008 (undefined)
Primary Completion Date
September 2009 (Actual)
Study Completion Date
January 2010 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Eisai Inc.

4. Oversight

5. Study Description

Brief Summary
The purpose of this study is to determine the safety and efficacy of Rabeprazole extended release (ER) 50 mg versus Esomeprazole 40 mg for healing and symptomatic relief among subjects with erosive gastroesophageal reflux disease (GERD).
Detailed Description
This is a multicenter, randomized, double-blind, double-dummy, parallel-group study. Subjects who meet all the inclusion/exclusion criteria will be randomly assigned to 1 of 2 treatment groups, Rabeprazole ER 50 mg or Esomeprazole 40 mg for the treatment of moderate to severe erosive GERD.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Gastroesophageal Reflux Disease (GERD)
Keywords
GERD, erosive GERD, erosive esophagitis

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantInvestigator
Allocation
Randomized
Enrollment
1061 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Active Comparator
Intervention Type
Drug
Intervention Name(s)
Rabeprazole sodium
Other Intervention Name(s)
Aciphex
Intervention Description
Rabeprazole ER 50 mg capsule, taken orally, once daily for 4-8 weeks.
Intervention Type
Drug
Intervention Name(s)
Esomeprazole
Intervention Description
Esomeprazole 40 mg capsule, taken orally, once daily for 4-8 weeks.
Primary Outcome Measure Information:
Title
Percentage of Participants With Erosive Gastroesophageal Reflux Disease (eGERD) Who Achieved Endoscopically-confirmed Healing by 8 Weeks
Description
Healing at week 4 or 8 were based on improvement of eGERD of the Los Angeles (LA) classification of esophagitis Grade C or D from Baseline. Classifications include: Not Present: No breaks (erosions) in the esophageal mucosa (however, edema, erythema, or friability may be present). Grade A: One or more mucosal breaks not more than 5 mm in maximum length. Grade B: One or more mucosal breaks more than 5 mm in maximum length, but not continuous between the tops of 2 mucosal folds. Grade C: Mucosal breaks continuous between the tops of 2 or more mucosal folds, but involving less than 75% of the esophageal circumference. Gread D: Mucosal breaks involving at least 75% of the esophageal circumference.
Time Frame
Baseline and Week 8
Title
Percentage of Participants With eGERD Who Achieved Endoscopically-confirmed Healing by 4 Weeks
Description
Healing at week 4 or 8 were based on improvement of eGERD of the LA classification of esophagitis Grade C or D from Baseline. Classifications include: Not Present: No breaks (erosions) in the esophageal mucosa (however, edema, erythema, or friability may be present). Grade A: One or more mucosal breaks not more than 5 mm in maximum length. Grade B: One or more mucosal breaks more than 5 mm in maximum length, but not continuous between the tops of 2 mucosal folds. Grade C: Mucosal breaks continuous between the tops of 2 or more mucosal folds, but involving less than 75% of the esophageal circumference. Grade D: Mucosal breaks involving at least 75% of the esophageal circumference.
Time Frame
Baseline and Week 4
Secondary Outcome Measure Information:
Title
Percentage of Participants Who Achieved Diary-recorded Sustained Resolution of Heartburn by Week 4
Description
During the first 4 weeks of the Double-blind Phase, participants were to record heartburn in a daily diary. Participant daily symptoms for the assessment of hearburn was based on a commonly used 4-point Likert scale of none, mild, moderate and severe. A participant was considered achieving sustained resolution of heartburn if the participant had maintained at least 7 consecutive heartburn-free days.
Time Frame
Week 4

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
75 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
KEY INCLUSION CRITERIA: Male or female, ages 18 to 75 years. History of GERD symptoms for at least 3 months immediately before screening. Heartburn for at least 2 days a week for at least 1 month before screening. Esophageal erosions of Los Angeles (LA) grades C or D based on EGD taken within 14 days prior to enrollment. Subjects who are H. pylori negative based on a screening test. Females should be either of non-childbearing potential or of childbearing potential. Females of childbearing potential must have negative pregnancy tests prior to randomization. Female subjects of childbearing potential must agree to use medically acceptable methods of contraception. Subjects must be able to read, write, and understand the language of the symptom diary. KEY EXCLUSION CRITERIA: Current or a history of esophageal motility disorders. Current or a history of Barrett's esophagus. Current esophageal strictures or esophagitis (known or suspected to be due to etiology other than GERD such as infection or medications). Current or a history of Zollinger-Ellison syndrome and other acid hypersecretory conditions, or current gastric or duodenal ulcer. Current or a history of cancer, with the exception of fully excised skin basal cell carcinoma. Inflammatory bowel disease. Unstable diabetes mellitus. History of esophageal, gastric and duodenal surgery except simple suturing of an ulcer. Subjects who require daily use of nonsteroidal anti-inflammatory drugs (NSAIDs), oral steroids (->;= 20 mg/day prednisone or equivalent), or aspirin (->; 325 mg/day).
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Yufang Lu, MD, PhD
Organizational Affiliation
Eisai Inc.
Official's Role
Study Director
Facility Information:
City
Anaheim
State/Province
California
ZIP/Postal Code
92801
Country
United States
City
Isidro Casanova, La Matanza
State/Province
BUE
ZIP/Postal Code
1765
Country
Argentina
City
Ramos Mejia
State/Province
BUE
ZIP/Postal Code
1221
Country
Argentina
City
San Isidro
State/Province
BUE
ZIP/Postal Code
B1642BHH
Country
Argentina
City
Capital Federal
State/Province
CBA
ZIP/Postal Code
C1425DND
Country
Argentina
City
Mendoza
State/Province
MEN
ZIP/Postal Code
5500
Country
Argentina
City
Rosario
State/Province
SFE
ZIP/Postal Code
S2000BLG
Country
Argentina
City
Rosario
State/Province
SFE
ZIP/Postal Code
S2000CRF
Country
Argentina
City
Rosario
State/Province
SFE
ZIP/Postal Code
S2000CVB
Country
Argentina
City
San Juan
State/Province
SJN
ZIP/Postal Code
5447
Country
Argentina
City
Five Dock
State/Province
New South Wales
ZIP/Postal Code
2046
Country
Australia
City
Carina Heights
State/Province
Queensland
ZIP/Postal Code
4152
Country
Australia
City
Kippa Ring
State/Province
Queensland
ZIP/Postal Code
4021
Country
Australia
City
Box Hill
State/Province
Victoria
ZIP/Postal Code
3128
Country
Australia
City
Frankston
State/Province
Victoria
ZIP/Postal Code
3199
Country
Australia
City
Malvern
State/Province
Victoria
ZIP/Postal Code
3144
Country
Australia
City
Plovdiv
ZIP/Postal Code
4000
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1233
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1407
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1431
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1709
Country
Bulgaria
City
Stara Zagora
ZIP/Postal Code
6000
Country
Bulgaria
City
Varna
ZIP/Postal Code
9010
Country
Bulgaria
City
Saint John
State/Province
New Brunswick
ZIP/Postal Code
E2K 1J5
Country
Canada
City
St. John's
State/Province
Newfoundland and Labrador
ZIP/Postal Code
A1A 3R5
Country
Canada
City
Guelph
State/Province
Ontario
ZIP/Postal Code
N1H 3R3
Country
Canada
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8N 3Z5
Country
Canada
City
Newmarket
State/Province
Ontario
ZIP/Postal Code
L3Y 5G8
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M6H 3M1
Country
Canada
City
Windsor
State/Province
Ontario
ZIP/Postal Code
N8W 1E6
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H1T 2M4
Country
Canada
City
Montreal
State/Province
Quebec
ZIP/Postal Code
H3A 1A1
Country
Canada
City
Pointe-Claire
State/Province
Quebec
ZIP/Postal Code
H9R 3J1
Country
Canada
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
S7K 1J5
Country
Canada
City
Quebec
ZIP/Postal Code
G1L 3L5
Country
Canada
City
Quebec
ZIP/Postal Code
G1R 2J6
Country
Canada
City
Santiago
Country
Chile
City
Vioa del Mar
Country
Chile
City
Rijeka
ZIP/Postal Code
51 000
Country
Croatia
City
Zagreb
ZIP/Postal Code
10 000
Country
Croatia
City
Tartu
ZIP/Postal Code
51014
Country
Estonia
City
Dieppe 76
ZIP/Postal Code
76200
Country
France
City
La Chaussee St. Victor 41
ZIP/Postal Code
41260
Country
France
City
Lyon Cedex 369
ZIP/Postal Code
69437
Country
France
City
Marseille 13
ZIP/Postal Code
13009
Country
France
City
Nice Cedex 36
ZIP/Postal Code
6100
Country
France
City
Berlin
State/Province
BE
ZIP/Postal Code
10967
Country
Germany
City
Berlin
State/Province
BE
ZIP/Postal Code
13509
Country
Germany
City
Mannheim
State/Province
BW
ZIP/Postal Code
68167
Country
Germany
City
Muenchen
State/Province
BY
ZIP/Postal Code
81669
Country
Germany
City
Dietzenbach
State/Province
HE
ZIP/Postal Code
63128
Country
Germany
City
Marburg
State/Province
HE
ZIP/Postal Code
35033
Country
Germany
City
Wiesbaden
State/Province
HE
ZIP/Postal Code
65185
Country
Germany
City
Hamburg
State/Province
HH
ZIP/Postal Code
22143
Country
Germany
City
Dortmund
State/Province
NW
ZIP/Postal Code
44137
Country
Germany
City
Lienen/Kattenve nne
State/Province
NW
ZIP/Postal Code
49536
Country
Germany
City
Muenster
State/Province
NW
ZIP/Postal Code
48159
Country
Germany
City
Budapest
ZIP/Postal Code
1036
Country
Hungary
City
Dunaujvaros
ZIP/Postal Code
2400
Country
Hungary
City
Kisber
ZIP/Postal Code
2870
Country
Hungary
City
Miskolc
ZIP/Postal Code
3530
Country
Hungary
City
Nagykanizsa
ZIP/Postal Code
8800
Country
Hungary
City
Nyiregyhaza
ZIP/Postal Code
4400
Country
Hungary
City
Szentes
ZIP/Postal Code
6600
Country
Hungary
City
Veszprem
ZIP/Postal Code
8200
Country
Hungary
City
Zalaegerszeg
ZIP/Postal Code
8900
Country
Hungary
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110 060
Country
India
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110002
Country
India
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110017
Country
India
City
Ahmedabad
State/Province
Gujarat
ZIP/Postal Code
380006
Country
India
City
Manipal
State/Province
Karnataka
ZIP/Postal Code
576104
Country
India
City
Bhopal
State/Province
Madhya Pradesh
ZIP/Postal Code
462038
Country
India
City
Aurangabad
State/Province
Maharashtra
ZIP/Postal Code
431005
Country
India
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400 022
Country
India
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400012
Country
India
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400016
Country
India
City
Mumbai
State/Province
Maharashtra
ZIP/Postal Code
400020
Country
India
City
Nagpur
State/Province
Maharashtra
ZIP/Postal Code
440012
Country
India
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411001
Country
India
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
411004
Country
India
City
Pune
State/Province
Maharashtra
ZIP/Postal Code
PUNE-411013
Country
India
City
Thane
State/Province
Maharashtra
ZIP/Postal Code
400001
Country
India
City
Ludhiana
State/Province
Punjab
ZIP/Postal Code
141008
Country
India
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302001
Country
India
City
Jaipur
State/Province
Rajasthan
ZIP/Postal Code
302004
Country
India
City
Lucknow
State/Province
Uttar Pradesh
ZIP/Postal Code
226003
Country
India
City
Riga
ZIP/Postal Code
LV-1002
Country
Latvia
City
Riga
ZIP/Postal Code
LV-1005
Country
Latvia

12. IPD Sharing Statement

Citations:
PubMed Identifier
21114792
Citation
Laine L, Katz PO, Johnson DA, Ibegbu I, Goldstein MJ, Chou C, Rossiter G, Lu Y. Randomised clinical trial: a novel rabeprazole extended release 50 mg formulation vs. esomeprazole 40 mg in healing of moderate-to-severe erosive oesophagitis - the results of two double-blind studies. Aliment Pharmacol Ther. 2011 Jan;33(2):203-12. doi: 10.1111/j.1365-2036.2010.04516.x. Epub 2010 Nov 30.
Results Reference
derived

Learn more about this trial

Rabeprazole Extended-Release 50 mg Versus Esomeprazole 40 mg for Healing and Symptomatic Relief of Moderate to Severe Erosive Gastroesophageal Reflux Disease (GERD)

We'll reach out to this number within 24 hrs