Role of Pain Modulation in GERD Patients Who Failed Standard Dose Proton Pump Inhibitors (PPI)

NCT ID: NCT00251732

Last Updated: 2010-08-19

Study Results

Results pending

The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.

Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE4

Total Enrollment

150 participants

Study Classification

INTERVENTIONAL

Study Start Date

2005-03-31

Study Completion Date

2010-05-31

Brief Summary

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The main objective of this study is to evaluate the role of pain modulation in GERD patients who fail to obtain clinical relief with standard dose (once daily) PPI. The study will compare the efficacy of 1) standard dose PPI plus low-dose tricyclic antidepressant (TCA) to, 2) double dose PPI to, 3) standard dose PPI and placebo to determine the relative symptom resolution and health related quality of life in GERD patients who fail standard dose PPI and are randomly assigned to one of these three groups.

Detailed Description

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To evaluate the role of pain modulation in gastroesophageal reflux disease(GERD)patients who fail to obtain clinical relief with standard dose (once daily) proton pump inhibitor(PPI). The study will compare the efficacy; of 1)standard dose PPI plus low-dose tricyclic antidepressant (TCA) to, 2) double dose PPI to, 3) standard dose PPI and placebo to determine the relative symptom resolution and health related quality of life in GERD patients who fail standard dose PPI and are randomly assigned to one of these three groups.

Conditions

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Gastroesophageal Reflux Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

QUADRUPLE

Participants Caregivers Investigators Outcome Assessors

Study Groups

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Standard dose (PPI) plus low dose TCA

Standard dose Rabeprazole(PPI) plus low dose tricyclic antidepressant(TCA)

Group Type ACTIVE_COMPARATOR

Standard dose (once daily) PPI plus low-dose antidepressant

Intervention Type DRUG

20 mg. rabeprazole plus low dose tricyclic antidepressant(TCA)

Double dose PPI

Double dose proton pump inhibitor plus placebo

Group Type ACTIVE_COMPARATOR

Double dose PPI plus evening placebo

Intervention Type DRUG

20 mg. twice daily with a placebo

Standard dose PPI plus placebo x 2

Standard dose 20 mg. once daily plus Placebo before dinner and placebo before bedtime

Group Type PLACEBO_COMPARATOR

Rabeprazole , placebo, placebo

Intervention Type DRUG

20 mg rabeprazole(PPI) once daily -a.m. placebo -p.m. placebo -bedtime

Interventions

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Standard dose (once daily) PPI plus low-dose antidepressant

20 mg. rabeprazole plus low dose tricyclic antidepressant(TCA)

Intervention Type DRUG

Double dose PPI plus evening placebo

20 mg. twice daily with a placebo

Intervention Type DRUG

Rabeprazole , placebo, placebo

20 mg rabeprazole(PPI) once daily -a.m. placebo -p.m. placebo -bedtime

Intervention Type DRUG

Other Intervention Names

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Aciphex-PPI Nortriptyline-TCA Aciphex-PPI, rabeprazole Aciphex-rabeprazole (PPI) Nortriptyline-low-dose tricyclic antidepressant (TCA)

Eligibility Criteria

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Inclusion Criteria

* Male or female
* Ages 18 to 75
* At least two episodes of heartburn per week while on PPI once daily
* Able to communicate with the investigator and comply with the requirements of the study
* Subjects who give written informed consent after being given a full description of the study.

Exclusion Criteria

* Known allergy or intolerance to TCA
* Use of antidepressant or a diagnosis of depression
* History of serious arrhythmia or use of anti-arrhythmics
* History of seizures
* Subjects with significant co-morbidity, e.g., cardiovascular, respiratory, urogenital, renal, gastrointestinal, hepatic, hematologic, endocrine, neurologic or psychiatric.
* Evidence or history of drug abuse within the past 6 months
* Erosive esophagitis, esophageal ulceration, peptic stricture, Barret's esophagus, or adenocarcinoma of the esophagus on endoscopy.
* History of esophagogastric surgery
* Gastric or duodenal lesions (ulcer, tumor, etc)
* Women who are pregnant or of childbearing age who are not on contraception
* Patients who are unwilling or unable to provide informed consent
Minimum Eligible Age

18 Years

Maximum Eligible Age

75 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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Southern Arizona VA Health Care System

FED

Sponsor Role collaborator

Janssen Pharmaceutica N.V., Belgium

INDUSTRY

Sponsor Role collaborator

University of Arizona

OTHER

Sponsor Role lead

Responsible Party

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SArizonaVAHCS

Principal Investigators

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Ronnie Fass, MD

Role: PRINCIPAL_INVESTIGATOR

SAVAHCS

Locations

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Southern Arizona VA Health Care System

Tucson, Arizona, United States

Site Status

Countries

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United States

Other Identifiers

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Merit Review Study

Identifier Type: -

Identifier Source: org_study_id

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