Phase 4
N=1,392
A Study to Compare the Number of Patients With Gastro-Oesophageal Reflux Disease (GORD) Achieving Heartburn and Regurgitation Symptom Resolution After Treatment With Either Rabeprazole Sodium 20mg, Esomeprazole 20mg or Esomeprazole 40mg
Gastro-oesophageal Reflux
Bottom Line
View on ClinicalTrials.gov: NCT00464308 ↗Enrolled (actual)
1,392
Serious AEs
1.1%
Results posted
Aug 2010
Primary outcome: Primary: The Number of Patients With Complete Resolution of Heartburn by Week 4 — 272; 302; 278 participants — p=<0.05
Study Design & Population
- Study type
- Interventional
- Phase
- Phase 4
- Interventions
- Esomeprazole (Drug); Rabeprazole (Drug)
- Age
- Adult, Older Adult · 18+ yrs
- Sex
- All
- Sponsor
- Janssen-Cilag Pty Ltd
- Primary completion
- May 2008
Outcome Measures
| Outcome | Result | p-value |
|---|---|---|
| PRIMARY The Number of Patients With Complete Resolution of Heartburn by Week 4 |
272; 302; 278 | <0.05 sig |
| PRIMARY The Number of Patients Achieving Complete Resolution of Regurgitation Symptoms at Week 4 |
281; 283; 276 | <0.05 sig |
| PRIMARY The Number of Patients Achieving Satisfactory Resolution of Heartburn by Week 4 |
405; 418; 414 | <0.05 sig |
| PRIMARY The Number of Patients Achieving Satisfactory Resolution of Regurgitation Symptoms by Week 4 |
397; 413; 402 | <0.05 sig |
| SECONDARY The Median Time to Complete Resolution of Heartburn Symptoms. |
11; 9; 12 | — |
| SECONDARY The Median Time to Complete Relief of Regurgitation Symptoms |
9; 11; 13 | — |
| SECONDARY The Mean Percentage of Participants With 24-hour Heartburn Symptom Free Periods |
56.3; 63.4; 56.1 | — |
Summary
The primary objective of this study is to compare, the number of patients with heartburn and regurgitation symptom resolution after treatment with either rabeprazole 20 mg, esomeprazole 20 mg or esomeprazole 40 mg.
Eligibility Criteria
Inclusion Criteria
- Heartburn (defined as a feeling of burning or pain, rising from the epigastrium or lower part of the chest up towards the neck) with or without regurgitation
- Patients must have had episodes of heartburn with or without regurgitation for 3 months or longer, and for >= 3 days in the 7 days prior to randomisation
- Able to understand and complete questionnaires, able to give written informed consent, and have access to a telephone
Exclusion Criteria
- Patients requiring endoscopy within 4 weeks of randomisation or with gastrointestinal symptoms that, in the opinion of the investigator, require further investigation prior to or coincident with initiation of PPI therapy which would include, but are not limited to, alarm symptoms such as unintentional weight loss, progressive difficulty swallowing (dysphagia), iron deficiency anaemia and epigastric mass
- Significant gastrointestinal obstruction, major gastric or oesophageal surgery (excluding appendectomy or cholecystectomy), oesophageal stricture or pyloric stenosis, extra-oesophageal manifestations of reflux disease
- Patients with Barrett's oesophagus (>3cm), Zollinger-Ellison Syndrome, scleroderma, malignancy (other than non-melanoma skin cancers) present within the last 5 years, hypersensitivity to rabeprazole or esomeprazole or any PPI, or any other significant condition that, in the opinion of the investigator, could interfere with the patients participation or compliance in the study such as past or current history of alcohol or drug abuse, hepatic, renal, pulmonary, respiratory abnormalities, or who have participated in an investigational drug or investigational device study within 30 days prior to the baseline visit or who are expected to do so during the 4 week study period
- Female patients who are currently pregnant or breast feeding, or who, in the opinion of the investigator, may become pregnant throughout the study
- Use of histamine-2 receptor antagonists (H2RAs) within 7 days of randomisation, anticholinergics, cholinergics, spasmolytics, opiates, sucralfate, proton pump inhibitors (PPIs), prokinetics, antibiotics (in relation to H. pylori treatment) or bismuth compounds within 14 days of randomisation
Data sourced from ClinicalTrials.gov (NCT00464308). Outcome figures and adverse-event rates are extracted automatically from the registry's posted results and are provided for clinician reference, not as a substitute for the primary publication.