Trial Outcomes & Findings for Maintenance Intermittent Therapy for Symptomatic GERD Patients (NCT NCT00165841)

NCT ID: NCT00165841

Last Updated: 2013-05-20

Results Overview

The percentage of heartburn-free days during the 6-month Maintenance Treatment Phase in patients treated with rabeprazole 20 mg compared to patients who received placebo in the ITT Population. Heartburn-free day was defined as no heartburn in both the daytime and nighttime period on a given day. Note a total 388 subjects were enrolled at the beginning of Acute Phase and 200 subjects were enrolled into the double-blind 6-month maintenance treatment phase.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

200 participants

Primary outcome timeframe

6 months double-blind maintenance phase

Results posted on

2013-05-20

Participant Flow

This study was recruited at 47 centers in the US during the period of 7-Oct-2004 and 12-Dec-2005.

After enrollment and before randomization (treatment assignment), there was a 2-week placebo run-in phase followed by a 4-week open-label Acute Phase during which subjects were treated with rabeprazole 20 mg once daily for the treatment of heartburn. Note the below participant flow is based on Safety Population (total 200 subjects).

Participant milestones

Participant milestones
Measure
Rabeprazole 20 mg
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Placebo
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Overall Study
STARTED
103
97
Overall Study
COMPLETED
73
35
Overall Study
NOT COMPLETED
30
62

Reasons for withdrawal

Reasons for withdrawal
Measure
Rabeprazole 20 mg
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Placebo
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Overall Study
Adverse Event
2
3
Overall Study
Lack of Efficacy
6
33
Overall Study
Lost to Follow-up
4
4
Overall Study
Withdrawal by Subject
7
8
Overall Study
Physician Decision
1
0
Overall Study
Protocol Violation
6
8
Overall Study
Other
3
5
Overall Study
Medication Noncompliance
1
1

Baseline Characteristics

Maintenance Intermittent Therapy for Symptomatic GERD Patients

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Rabeprazole 20 mg
n=96 Participants
Orally, once daily for 7 to 14-day courses intermittently during the 6-month Maintenance Treatment Phase (ITT population).
Placebo
n=91 Participants
Orally, once daily for 7 to 14-day courses intermittently during the 6-month Maintenance Treatment Phase (ITT population).
Total
n=187 Participants
Total of all reporting groups
Age Continuous
46.0 years
STANDARD_DEVIATION 11.67 • n=5 Participants
46.6 years
STANDARD_DEVIATION 11.69 • n=7 Participants
46.3 years
STANDARD_DEVIATION 11.66 • n=5 Participants
Sex: Female, Male
Female
64 Participants
n=5 Participants
59 Participants
n=7 Participants
123 Participants
n=5 Participants
Sex: Female, Male
Male
32 Participants
n=5 Participants
32 Participants
n=7 Participants
64 Participants
n=5 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants
n=5 Participants
1 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Asian
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Black or African American
9 Participants
n=5 Participants
10 Participants
n=7 Participants
19 Participants
n=5 Participants
Race (NIH/OMB)
White
74 Participants
n=5 Participants
64 Participants
n=7 Participants
138 Participants
n=5 Participants
Race (NIH/OMB)
More than one race
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
Race (NIH/OMB)
Unknown or Not Reported
12 Participants
n=5 Participants
16 Participants
n=7 Participants
28 Participants
n=5 Participants

PRIMARY outcome

Timeframe: 6 months double-blind maintenance phase

Population: Intent-to-treat (ITT) population, total 187 subjects, was used for efficacy analyses. Safety population (total 200 subjects) was used for safety analysis and participant flow.

The percentage of heartburn-free days during the 6-month Maintenance Treatment Phase in patients treated with rabeprazole 20 mg compared to patients who received placebo in the ITT Population. Heartburn-free day was defined as no heartburn in both the daytime and nighttime period on a given day. Note a total 388 subjects were enrolled at the beginning of Acute Phase and 200 subjects were enrolled into the double-blind 6-month maintenance treatment phase.

Outcome measures

Outcome measures
Measure
Rabeprazole 20 mg
n=96 Participants
Orally, once daily for 7 to 14-day courses intermittently during the 6-month Maintenance Treatment Phase (ITT population).
Placebo
n=91 Participants
Orally, once daily for 7 to 14-day courses intermittently during the 6-month Maintenance Treatment Phase (ITT population).
The Percentage of Heartburn-free Days (24-hour Periods) During the 6-month Maintenance Treatment Phase (ITT Population).
82.58 Percentage of Days
Standard Deviation 14.39
62.17 Percentage of Days
Standard Deviation 29.93

SECONDARY outcome

Timeframe: 6-month maintenance phase

The percentage of heartburn-free daytime period is presented cumulatively including all data collected during the 6-month Maintenance Phase

Outcome measures

Outcome data not reported

SECONDARY outcome

Timeframe: 6-month maintenance phase

The percentage of heartburn-free nighttime period is presented cumulatively including all data collected during the 6-month

Outcome measures

Outcome data not reported

Adverse Events

Rabeprazole 20 mg

Serious events: 2 serious events
Other events: 38 other events
Deaths: 0 deaths

Placebo

Serious events: 2 serious events
Other events: 36 other events
Deaths: 0 deaths

Serious adverse events

Serious adverse events
Measure
Rabeprazole 20 mg
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Placebo
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Gastrointestinal disorders
Gallstone pancreatitis
0.00%
0/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
1.0%
1/97 • Number of events 1 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Infections and infestations
Pneumonia
0.00%
0/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
1.0%
1/97 • Number of events 1 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
General disorders
Chest pain
0.97%
1/103 • Number of events 1 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
0.00%
0/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Nervous system disorders
Schizoaffective disorder/depression
0.97%
1/103 • Number of events 1 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
0.00%
0/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.

Other adverse events

Other adverse events
Measure
Rabeprazole 20 mg
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Placebo
Orally, once daily for 7- to 14-day courses intermittently during the 6-month Double-blind Maintenance Treatment Phase.
Gastrointestinal disorders
Diarrhea
6.8%
7/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
1.0%
1/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Gastrointestinal disorders
Erosive gastritis
1.9%
2/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
4.1%
4/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Gastrointestinal disorders
Hiatus hernia
5.8%
6/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
4.1%
4/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Gastrointestinal disorders
Nausea
4.9%
5/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
3.1%
3/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Gastrointestinal disorders
Esophageal erosion
1.9%
2/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
6.2%
6/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Gastrointestinal disorders
Esophagitis
3.9%
4/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
5.2%
5/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Infections and infestations
Viral gastroenteritis
0.00%
0/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
4.1%
4/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Infections and infestations
Sinusitis
1.9%
2/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
4.1%
4/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Nervous system disorders
Headache
4.9%
5/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
3.1%
3/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
Respiratory, thoracic and mediastinal disorders
Cough
4.9%
5/103 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.
2.1%
2/97 • 6 month maintenance phase
Safety population (total 200 subjects) was used for safety analysis and participant flow.

Additional Information

Yufang Lu, Study Director

Eisai Medical Research Inc.

Phone: 201-403-2500

Results disclosure agreements

  • Principal investigator is a sponsor employee
  • Publication restrictions are in place

Restriction type: OTHER