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

Information source: Eisai Medical Research Inc.
Information obtained from ClinicalTrials.gov on June 20, 2008
Link to the current ClinicalTrials.gov record.

Condition(s) targeted: Non-Erosive Gastroesophageal Reflux Disease

Intervention: RABEPRAZOLE SODIUM (Drug)

Phase: Phase 3

Status: Completed

Sponsored by: Eisai Inc.

Official(s) and/or principal investigator(s):
Nobuyuk Sugisaki, Study Director, Affiliation: Eisai Co., Ltd - Development Clinical Research Department. Clinical Research Center

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.

Clinical Details

Official title: A Clinical Pharmacology Study of E3810 With Pre- and Post-Treatment pH Monitoring in Patients With Non-Erosive Gastroesophageal Reflux Disease

Study design: Treatment, Randomized, Double-Blind, Active Control, Parallel Assignment, Pharmacodynamics Study

Primary outcome: 24-hour esophageal pH monitoring is performed twice at the end of observation period and treatment period.

Secondary outcome: 1) Changes in percentage of time showing pH < 4.0 (% pH < 4.0) during 24-hour esophageal pH monitoring performed. 2) Complete relief rate and satisfactory relief rate at the end of evaluation, percentage of heartburn-free days, heartburn severity score.

Eligibility

Minimum age: 20 Years. Maximum age: N/A. Gender(s): Both.

Criteria:

Inclusion Criteria:

The patients to be included will be outpatients who meet all of the following criteria. No specific gender is asked.

1. 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.

2. 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.

1. Patients who have "heartburn" 2 days a week or more during 7 days until the treatment period (during the observation period).

2. 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 heartburn diary of which entries are fulfilled 80% or more during the observation period.

3. Patients with 80% or better drug compliance for antacids during the observation period.

4. 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.

1. Patients who cannot keep adequate entries of heartburn diary by themselves.

2. Patients who strongly complain "feeling of heavy stomach" and/or "abdominal bloating."

3. 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).

4. 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.

5. Patients with open gastric or duodenal ulcer.

6. Patients with acute gastritis.

7. Patients with a history of any surgical intervention that affect peptic secretion (e. g., upper gastrointestinal tract resection and/or vagotomy).

8. Patients with Barrett's esophagus, esophageal stenosis, or pyloric stenosis.

9. Patients with scleroderma.

10. Patients with a history or complication of angina pectoris.

11. Patients who work at night (working for a night-shift).

12. Patients who received proton pump inhibitors (PPIs) within 3 weeks prior to pre-observation screening.

13. Patients who need NSAIDs (except topical preparations), steroids (except topical preparations), and/or aspirin treatment every day.

14. Patients receiving dialysis therapy.

15. 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.

16. Patients with known hypersensitivity to antacids or PPIs.

17. Patients who are pregnant or those with childbearing potential, or those who wish to become pregnant or are lactating during the study period.

18. 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.

19. Patients who are judged to be ineligible for the study entry by the investigator or subinvestigator.

Locations and Contacts

Nagoya, Aichi-Prefecture 467-0001, Japan

Yukuhashi, Fukuoka-Prefecture 824-0026, Japan

Fukuoka, Fukuoka-Prefecture 811-0213, Japan

Fukuoka, Fukuoka-Prefecture 810-0001, Japan

Hiroshima, Hiroshima-Prefecture 734-0037, Japan

Osaka, Osaka-Prefecture 530-0012, Japan

Osaka, Osaka-Prefecture 545-0051, Japan

Saga, Saga-Prefecture 849-0937, Japan

Otsu, Shiga-Prefecture 520-2121, Japan

Izumo, Shimane-Prefecture 693-0021, Japan

Shinjuku-ku, Tokyo 162-0052, Japan

Bunkyo-ku, Tokyo 113-0022, Japan

Ube, Yamaguchi-Prefecture 755-0046, Japan

Additional Information

Starting date: May 2005
Last updated: July 31, 2007

Page last updated: June 20, 2008

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