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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 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.
  3. Current esophageal strictures or esophagitis (known or suspected to be due to etiology other than GERD such as infection or medications).
  4. Current or a history of Zollinger-Ellison syndrome and other acid hypersecretory conditions, or current gastric or duodenal ulcer.
  5. Current or a history of cancer, with the exception of fully excised skin basal cell carcinoma.
  6. Inflammatory bowel disease.
  7. Unstable diabetes mellitus.
  8. History of esophageal, gastric and duodenal surgery except simple suturing of an ulcer.
  9. 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 5mm in maximum length. Grade B: One or more mucosal breaks more than 5mm 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.
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 5mm in maximum length. Grade B: One or more mucosal breaks more than 5mm 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 heartburn 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.
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1. Study Identification

Unique Protocol Identification Number
NCT00658775
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 investigate the efficacy (ie, healing and symptom relief) and safety of Rabeprazole Extended-Release (RAB ER) 50 mg versus Esomeprazole (ESO) 40 mg for the treatment of moderate to severe erosive Gastroesophageal Reflux Disease (eGERD).
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 Extended-Release (RAB ER) 50 mg or Esomeprazole (ESO) 40 mg for the treatment of moderate to severe erosive Gastroesophageal Reflux Disease (eGERD).

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
1069 (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, once daily for 4-8 weeks.
Intervention Type
Drug
Intervention Name(s)
Esomeprazole
Intervention Description
Esomeprazole 40 mg capsule, 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 5mm in maximum length. Grade B: One or more mucosal breaks more than 5mm 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 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 5mm in maximum length. Grade B: One or more mucosal breaks more than 5mm 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 heartburn 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 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
Organizational Affiliation
Eisai Inc.
Official's Role
Study Director
Facility Information:
City
Moline
State/Province
Illinois
ZIP/Postal Code
61265
Country
United States
City
Buenos Aires
State/Province
BUE
ZIP/Postal Code
B1832BQS
Country
Argentina
City
Buenos Aires
State/Province
BUE
ZIP/Postal Code
C1117ABK
Country
Argentina
City
Ciudad Autonoma de Bs. As.
State/Province
CBA
ZIP/Postal Code
1431
Country
Argentina
City
Ciudad Autonoma de Bs. As.
State/Province
CBA
ZIP/Postal Code
C1120AAT
Country
Argentina
City
Ciudad Autonoma de Bs. As.
State/Province
CBA
ZIP/Postal Code
C1181ACH
Country
Argentina
City
Rosario
State/Province
SFE
ZIP/Postal Code
2000
Country
Argentina
City
San Miguel de Tucuman
State/Province
TUC
ZIP/Postal Code
4000
Country
Argentina
City
La Plata
ZIP/Postal Code
1900
Country
Argentina
City
Penrith
State/Province
New South Wales
ZIP/Postal Code
2751
Country
Australia
City
Caboolture
State/Province
Queensland
ZIP/Postal Code
4510
Country
Australia
City
Adelaide
State/Province
South Australia
ZIP/Postal Code
5001
Country
Australia
City
Woodville
State/Province
South Australia
ZIP/Postal Code
5011
Country
Australia
City
Launceston
State/Province
Tasmania
ZIP/Postal Code
7250
Country
Australia
City
Ballarat
State/Province
Victoria
ZIP/Postal Code
3353
Country
Australia
City
Fitzroy
State/Province
Victoria
ZIP/Postal Code
3065
Country
Australia
City
Haskovo
ZIP/Postal Code
6300
Country
Bulgaria
City
Plovdiv
ZIP/Postal Code
4000
Country
Bulgaria
City
Rousse
ZIP/Postal Code
7002
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1527
Country
Bulgaria
City
Sofia
ZIP/Postal Code
1606
Country
Bulgaria
City
Barrie
State/Province
Ontario
ZIP/Postal Code
L4M 7G1
Country
Canada
City
Chatham
State/Province
Ontario
ZIP/Postal Code
N7L 1B9
Country
Canada
City
Hamilton
State/Province
Ontario
ZIP/Postal Code
L8V 1C3
Country
Canada
City
Richmond Hill
State/Province
Ontario
ZIP/Postal Code
L4B 3P8
Country
Canada
City
Sarnia
State/Province
Ontario
ZIP/Postal Code
N7T 4X3
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M3J 1N2
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M3N 2V7
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M4P 1P2
Country
Canada
City
Toronto
State/Province
Ontario
ZIP/Postal Code
M9W 4L6
Country
Canada
City
Sherbrooke
State/Province
Quebec
ZIP/Postal Code
J1G 2E8
Country
Canada
City
Saskatoon
State/Province
Saskatchewan
ZIP/Postal Code
S7K 1N4
Country
Canada
City
Providencia
Country
Chile
City
Santiago
Country
Chile
City
Temuco
Country
Chile
City
Osijek
ZIP/Postal Code
31 000
Country
Croatia
City
Split
ZIP/Postal Code
21 000
Country
Croatia
City
Zagreb
ZIP/Postal Code
10 000
Country
Croatia
City
Tallinn
ZIP/Postal Code
10138
Country
Estonia
City
Tallinn
ZIP/Postal Code
10617
Country
Estonia
City
Lyon Cedex 3
State/Province
Lyonnais
ZIP/Postal Code
69437
Country
France
City
Marseille
State/Province
Provence
ZIP/Postal Code
13015
Country
France
City
Saint-Quentin 2
ZIP/Postal Code
2100
Country
France
City
Potsdam
State/Province
BR
ZIP/Postal Code
14482
Country
Germany
City
Freising
State/Province
BY
ZIP/Postal Code
85356
Country
Germany
City
Herne
State/Province
NW
ZIP/Postal Code
44623
Country
Germany
City
Muenster
State/Province
NW
ZIP/Postal Code
48167
Country
Germany
City
Ludwigshafen
State/Province
RP
ZIP/Postal Code
67067
Country
Germany
City
Mainz
State/Province
RP
ZIP/Postal Code
55131
Country
Germany
City
Dresden
State/Province
SN
ZIP/Postal Code
1307
Country
Germany
City
Wolmirstedt
State/Province
ST
ZIP/Postal Code
39326
Country
Germany
City
Balatonfured
ZIP/Postal Code
8230
Country
Hungary
City
Budapest
ZIP/Postal Code
1088
Country
Hungary
City
Budapest
ZIP/Postal Code
1201
Country
Hungary
City
Debrecen
ZIP/Postal Code
4032
Country
Hungary
City
Eger
ZIP/Postal Code
3300
Country
Hungary
City
Gyor
ZIP/Postal Code
9024
Country
Hungary
City
Gyula
ZIP/Postal Code
5700
Country
Hungary
City
Kaposvar
ZIP/Postal Code
7400
Country
Hungary
City
Pecs
ZIP/Postal Code
7624
Country
Hungary
City
Siofok
ZIP/Postal Code
8601
Country
Hungary
City
Szekszard
ZIP/Postal Code
7100
Country
Hungary
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500 082
Country
India
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500001
Country
India
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500004
Country
India
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500012
Country
India
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500063
Country
India
City
Hyderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500082
Country
India
City
Secunderabad
State/Province
Andhra Pradesh
ZIP/Postal Code
500003
Country
India
City
Vishakapatnam
State/Province
Andhra Pradesh
ZIP/Postal Code
53002
Country
India
City
New Delhi
State/Province
Delhi
ZIP/Postal Code
110029
Country
India
City
Bangalore
State/Province
Karnataka
ZIP/Postal Code
560054
Country
India
City
Mangalore
State/Province
Karnataka
ZIP/Postal Code
575001
Country
India
City
Cochin
State/Province
Kerala
ZIP/Postal Code
682304
Country
India
City
Ludhiana
State/Province
Punjab
ZIP/Postal Code
141001
Country
India
City
Chennai
State/Province
Tamilnadu
ZIP/Postal Code
600096
Country
India
City
Madurai
State/Province
Tamilnadu
ZIP/Postal Code
625002
Country
India
City
Balvi
ZIP/Postal Code
LV-4501
Country
Latvia
City
Daugavpils
ZIP/Postal Code
LV-5417
Country
Latvia
City
Riga
ZIP/Postal Code
LV-1006
Country
Latvia
City
Siauliai
ZIP/Postal Code
LT-76231
Country
Lithuania
City
Vilnius
ZIP/Postal Code
3215
Country
Lithuania
City
Vilnius
ZIP/Postal Code
LT-08661
Country
Lithuania

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)

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