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A Study of E3810 With Pre- and Post-Treatment pH Monitoring in Patients With Non-Erosive Gastroesophageal Reflux Disease

Primary Purpose

Non-erosive Gastroesophageal Reflux Disease

Status
Completed
Phase
Phase 3
Locations
Japan
Study Type
Interventional
Intervention
RABEPRAZOLE SODIUM
RABEPRAZOLE SODIUM
Sponsored by
Eisai Inc.
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Non-erosive Gastroesophageal Reflux Disease focused on measuring 24-hour esophageal pH monitoring, non-erosive gastroesophageal reflux disease, NERD, proton pump inhibitor, rabeprazole

Eligibility Criteria

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

Inclusion Criteria: The patients to be included will be outpatients who meet all of the following criteria. No specific gender is asked. <For the observation period> Patients who have "heartburn" 2 days a week or more during consecutive 3 weeks* prior to pre-observation screening. *If a day of screening and a day of starting observation (date of registration) are different, heartburn must continuously be present during the in-between period. Patients who meet both 1) and 2) below; 1) The symptom is a burning sensation arising from the stomach or the lower chest. 2) The symptom tends to appear frequently or is aggravated after eating, when bending a body forward, and/or when pressing on the abdomen. 3. Patients categorized in "grade M" (discoloring type: minimal change) according to the Los Angeles System (2nd Modification) for Classification of Reflux Esophagitis. 4. Patients who are 20 years old or older at the time of obtaining consent. 5. Patients who are informed of the objective and details of this study and give written consent for study entry. <For the treatment period> Patients who have "heartburn" 2 days a week or more during 7 days until the treatment period (during the observation period). Patients with "heartburn diary" that is completely filled out during 7 days until the treatment period (during the observation period). If the observation period is 8 days or longer, those with a heartburn diary of which entries are fulfilled 80% or more during the observation period. Patients with 80% or better drug compliance for antacids during the observation period. Patients whose percentage of time showing pH<4.0 (% time pH<4.0) is not 0%* during the 24-hour esophageal pH monitoring at the end of observation period (at the beginning of treatment period). *If parameters calculated from analytical program show 0.0% after round-off, this patient cannot be entered into the treatment period. Exclusion Criteria: Patients who meet any of the following criteria will be excluded from the study. Patients who cannot keep adequate entries of a heartburn diary by themselves. Patients who strongly complain "feeling of heavy stomach" and/or "abdominal bloating." Patients who have a complication or history of psychiatric or psychosomatic disease (e.g., manic-depressive psychosis, obsessive-compulsive neurosis, or others) or those who are on an antidepressant or anti-anxiety agent (accepted if only for a hypnotic treatment). Patients who have undergone Helicobacter pylori eradication therapy, and less than 6 months* have elapsed from the end of H. pylori eradication therapy to the beginning of the observation period. *: The same day 6 months earlier, and the day at the end of 6 months earlier if it is at the end of month. Patients with open gastric or duodenal ulcer. Patients with acute gastritis. Patients with a history of any surgical intervention that affect peptic secretion (e.g., upper gastrointestinal tract resection and/or vagotomy). Patients with Barrett's esophagus, esophageal stenosis, or pyloric stenosis. Patients with scleroderma. Patients with a history or complication of angina pectoris. Patients who work at night (working for a night-shift). Patients who received proton pump inhibitors (PPIs) within 3 weeks prior to pre-observation screening. Patients who need non steroidal anti-inflammatory drugs (NSAIDs) (except topical preparations), steroids (except topical preparations), and/or aspirin treatment every day. Patients receiving dialysis therapy. Patients with a serious complication such as cardiovascular disease (myocardial infarction, etc.), hematological disorder (e.g, aplastic anemia), renal disease (e.g., acute or chronic renal failure), hepatic disease (e.g., cirrhosis), or malignant tumor. Patients with known hypersensitivity to antacids or PPIs. Patients who are pregnant or those with childbearing potential, or those who wish to become pregnant or are lactating during the study period. Patients receiving another investigational drug or those who received another investigational drug within 6 months prior to pre-observation screening* *: Registration is allowed on the same day of 6 months earlier, and the day at the end of 6 months earlier if it is at the end of month. Patients who are judged to be ineligible for the study entry by the investigator or subinvestigator.

Sites / Locations

Arms of the Study

Arm 1

Arm 2

Arm Type

Experimental

Experimental

Arm Label

1

2

Arm Description

Outcomes

Primary Outcome Measures

The Percent Time With pH <4.0 During 24 Hour Esophageal pH Monitoring at the End of the Observation Period (Predose Monitoring) and at the End of the Treatment Period (Postdose Monitoring).
Mean and standard deviation of percent time pH<4.0 on 24 hour esophageal pH monitoring.

Secondary Outcome Measures

Full Information

First Posted
September 12, 2005
Last Updated
September 6, 2011
Sponsor
Eisai Inc.
Collaborators
Eisai Limited
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1. Study Identification

Unique Protocol Identification Number
NCT00165672
Brief Title
A Study of E3810 With Pre- and Post-Treatment pH Monitoring in Patients With Non-Erosive Gastroesophageal Reflux Disease
Official Title
A Clinical Pharmacology Study of E3810 With Pre- and Post-Treatment pH Monitoring in Patients With Non-Erosive Gastroesophageal Reflux Disease
Study Type
Interventional

2. Study Status

Record Verification Date
August 2010
Overall Recruitment Status
Completed
Study Start Date
May 2005 (undefined)
Primary Completion Date
October 2005 (Actual)
Study Completion Date
October 2005 (Actual)

3. Sponsor/Collaborators

Name of the Sponsor
Eisai Inc.
Collaborators
Eisai Limited

4. Oversight

5. Study Description

Brief Summary
To investigate esophageal reflux condition in patients with non-erosive gastroesophageal reflux disease by assessing with a 24-hour esophageal pH monitoring or effects of a 4-week treatment with 5 mg/day or 10 mg/day of E3810 (Pariet (Rabeprazole Sodium)).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Non-erosive Gastroesophageal Reflux Disease
Keywords
24-hour esophageal pH monitoring, non-erosive gastroesophageal reflux disease, NERD, proton pump inhibitor, rabeprazole

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 3
Interventional Study Model
Parallel Assignment
Masking
ParticipantCare ProviderInvestigatorOutcomes Assessor
Allocation
Randomized
Enrollment
26 (Actual)

8. Arms, Groups, and Interventions

Arm Title
1
Arm Type
Experimental
Arm Title
2
Arm Type
Experimental
Intervention Type
Drug
Intervention Name(s)
RABEPRAZOLE SODIUM
Intervention Description
rabeprazole sodium 5 mg: once daily orally for 4 weeks
Intervention Type
Drug
Intervention Name(s)
RABEPRAZOLE SODIUM
Intervention Description
rabeprazole sodium 10 mg: once daily orally for 4 weeks
Primary Outcome Measure Information:
Title
The Percent Time With pH <4.0 During 24 Hour Esophageal pH Monitoring at the End of the Observation Period (Predose Monitoring) and at the End of the Treatment Period (Postdose Monitoring).
Description
Mean and standard deviation of percent time pH<4.0 on 24 hour esophageal pH monitoring.
Time Frame
Baseline and 4 weeks

10. Eligibility

Sex
All
Minimum Age & Unit of Time
20 Years
Accepts Healthy Volunteers
No
Eligibility Criteria
Inclusion Criteria: The patients to be included will be outpatients who meet all of the following criteria. No specific gender is asked. <For the observation period> Patients who have "heartburn" 2 days a week or more during consecutive 3 weeks* prior to pre-observation screening. *If a day of screening and a day of starting observation (date of registration) are different, heartburn must continuously be present during the in-between period. Patients who meet both 1) and 2) below; 1) The symptom is a burning sensation arising from the stomach or the lower chest. 2) The symptom tends to appear frequently or is aggravated after eating, when bending a body forward, and/or when pressing on the abdomen. 3. Patients categorized in "grade M" (discoloring type: minimal change) according to the Los Angeles System (2nd Modification) for Classification of Reflux Esophagitis. 4. Patients who are 20 years old or older at the time of obtaining consent. 5. Patients who are informed of the objective and details of this study and give written consent for study entry. <For the treatment period> Patients who have "heartburn" 2 days a week or more during 7 days until the treatment period (during the observation period). Patients with "heartburn diary" that is completely filled out during 7 days until the treatment period (during the observation period). If the observation period is 8 days or longer, those with a heartburn diary of which entries are fulfilled 80% or more during the observation period. Patients with 80% or better drug compliance for antacids during the observation period. Patients whose percentage of time showing pH<4.0 (% time pH<4.0) is not 0%* during the 24-hour esophageal pH monitoring at the end of observation period (at the beginning of treatment period). *If parameters calculated from analytical program show 0.0% after round-off, this patient cannot be entered into the treatment period. Exclusion Criteria: Patients who meet any of the following criteria will be excluded from the study. Patients who cannot keep adequate entries of a heartburn diary by themselves. Patients who strongly complain "feeling of heavy stomach" and/or "abdominal bloating." Patients who have a complication or history of psychiatric or psychosomatic disease (e.g., manic-depressive psychosis, obsessive-compulsive neurosis, or others) or those who are on an antidepressant or anti-anxiety agent (accepted if only for a hypnotic treatment). Patients who have undergone Helicobacter pylori eradication therapy, and less than 6 months* have elapsed from the end of H. pylori eradication therapy to the beginning of the observation period. *: The same day 6 months earlier, and the day at the end of 6 months earlier if it is at the end of month. Patients with open gastric or duodenal ulcer. Patients with acute gastritis. Patients with a history of any surgical intervention that affect peptic secretion (e.g., upper gastrointestinal tract resection and/or vagotomy). Patients with Barrett's esophagus, esophageal stenosis, or pyloric stenosis. Patients with scleroderma. Patients with a history or complication of angina pectoris. Patients who work at night (working for a night-shift). Patients who received proton pump inhibitors (PPIs) within 3 weeks prior to pre-observation screening. Patients who need non steroidal anti-inflammatory drugs (NSAIDs) (except topical preparations), steroids (except topical preparations), and/or aspirin treatment every day. Patients receiving dialysis therapy. Patients with a serious complication such as cardiovascular disease (myocardial infarction, etc.), hematological disorder (e.g, aplastic anemia), renal disease (e.g., acute or chronic renal failure), hepatic disease (e.g., cirrhosis), or malignant tumor. Patients with known hypersensitivity to antacids or PPIs. Patients who are pregnant or those with childbearing potential, or those who wish to become pregnant or are lactating during the study period. Patients receiving another investigational drug or those who received another investigational drug within 6 months prior to pre-observation screening* *: Registration is allowed on the same day of 6 months earlier, and the day at the end of 6 months earlier if it is at the end of month. Patients who are judged to be ineligible for the study entry by the investigator or subinvestigator.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Nobuyuki Sugisaki
Organizational Affiliation
Eisai Co., Ltd - Development Clinical Research Department. Clinical Research Center
Official's Role
Study Director
Facility Information:
City
Nagoya
State/Province
Aichi-Prefecture
ZIP/Postal Code
467-0001
Country
Japan
City
Fukuoka
State/Province
Fukuoka-Prefecture
ZIP/Postal Code
810-0001
Country
Japan
City
Fukuoka
State/Province
Fukuoka-Prefecture
ZIP/Postal Code
811-0213
Country
Japan
City
Yukuhashi
State/Province
Fukuoka-Prefecture
ZIP/Postal Code
824-0026
Country
Japan
City
Hiroshima
State/Province
Hiroshima-Prefecture
ZIP/Postal Code
734-0037
Country
Japan
City
Osaka
State/Province
Osaka-Prefecture
ZIP/Postal Code
530-0012
Country
Japan
City
Osaka
State/Province
Osaka-Prefecture
ZIP/Postal Code
545-0051
Country
Japan
City
Saga
State/Province
Saga-Prefecture
ZIP/Postal Code
849-0937
Country
Japan
City
Otsu
State/Province
Shiga-Prefecture
ZIP/Postal Code
520-2121
Country
Japan
City
Izumo
State/Province
Shimane-Prefecture
ZIP/Postal Code
693-0021
Country
Japan
City
Bunkyo-ku
State/Province
Tokyo
ZIP/Postal Code
113-0022
Country
Japan
City
Shinjuku-ku
State/Province
Tokyo
ZIP/Postal Code
162-0052
Country
Japan
City
Ube
State/Province
Yamaguchi-Prefecture
ZIP/Postal Code
755-0046
Country
Japan

12. IPD Sharing Statement

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A Study of E3810 With Pre- and Post-Treatment pH Monitoring in Patients With Non-Erosive Gastroesophageal Reflux Disease

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