Esomeprazole (NEXIUM) vs. Surgery

NCT ID: NCT00251927

Last Updated: 2012-08-08

Study Results

Results available

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Basic Information

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Recruitment Status

COMPLETED

Clinical Phase

PHASE3

Total Enrollment

626 participants

Study Classification

INTERVENTIONAL

Study Start Date

2001-10-31

Study Completion Date

2009-04-30

Brief Summary

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The study investigates the efficacy of long-term treatment of esomeprazole compared to anti-reflux surgery in the control of gastroesophageal reflux disease by assessing time to treatment failure.

Detailed Description

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Conditions

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Gastroesophageal Reflux

Keywords

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Acid reflux disease Gastroesophageal Reflux Disease

Study Design

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Allocation Method

RANDOMIZED

Intervention Model

PARALLEL

Primary Study Purpose

TREATMENT

Blinding Strategy

NONE

Study Groups

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1

Surgery

Group Type ACTIVE_COMPARATOR

Laparoscopic fundoplication (surgery)

Intervention Type PROCEDURE

Surgery

2

Esomeprazole (NEXIUM) therapy

Group Type EXPERIMENTAL

esomeprazole

Intervention Type DRUG

40 mg oral tablet administered daily

Interventions

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esomeprazole

40 mg oral tablet administered daily

Intervention Type DRUG

Laparoscopic fundoplication (surgery)

Surgery

Intervention Type PROCEDURE

Other Intervention Names

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Nexium®

Eligibility Criteria

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Inclusion Criteria

* Subjects considered suitable for surgical treatment and long-term management of esomeprazole.
* History of chronic reflux esophagitis or symptomatic GERD

Exclusion Criteria

* History of esophageal, gastric, or duodenal surgery predicted to influence negatively on subsequent treatment within the study.
* Contraindication to the study drug.
* Pregnancy, lactating or of child-bearing potential.
Minimum Eligible Age

18 Years

Maximum Eligible Age

70 Years

Eligible Sex

ALL

Accepts Healthy Volunteers

No

Sponsors

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AstraZeneca

INDUSTRY

Sponsor Role lead

Responsible Party

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Responsibility Role SPONSOR

Principal Investigators

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AstraZeneca Nexium Medical Sciences Director, MD

Role: STUDY_DIRECTOR

AstraZeneca

Lars Lundell, MD, PhD

Role: PRINCIPAL_INVESTIGATOR

Karolinska University Hospital

Locations

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Research Site

Linz, , Austria

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Vienna, , Austria

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Zell am See, , Austria

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Brussels, , Belgium

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Brussels (Anderlecht), , Belgium

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Brussels (Woluwé-St-Lambert), , Belgium

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Ghent, , Belgium

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Haine-Saint-Paul, , Belgium

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Leuven, , Belgium

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Liège, , Belgium

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Rimavska Sobota, , Belgium

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Århus C, , Denmark

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Glostrup Municipality, , Denmark

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Herning, , Denmark

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Hillerød, , Denmark

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Hvidovre, , Denmark

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Kolding, , Denmark

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Odense C, , Denmark

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Viborg, , Denmark

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Kuopio, , Finland

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Tampere, , Finland

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Bordeaux, , France

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Créteil, , France

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Grenoble, , France

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Nantes, , France

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Nice, , France

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Nîmes, , France

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Rouen, , France

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Cologne, , Germany

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Dresden, , Germany

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Frankfurt, , Germany

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Hamburg, , Germany

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Heidelberg, , Germany

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Herne, , Germany

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München, , Germany

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Tübingen, , Germany

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Wiesbaden, , Germany

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Würzburg, , Germany

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Reykjavik, , Iceland

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Brescia, , Italy

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Florence, , Italy

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Modena, , Italy

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Monfalcone, , Italy

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Padua, , Italy

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Perugia, , Italy

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Pisa, , Italy

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Rozzano, , Italy

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San Donato Milanese, , Italy

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Torino, , Italy

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Utrecht, , Netherlands

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Bergen, , Norway

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Bodø, , Norway

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Kristiansand, , Norway

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Oslo, , Norway

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Tromsø, , Norway

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Trondheim, , Norway

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Gothenburg, , Sweden

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Lund, , Sweden

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Salford, , United Kingdom

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Countries

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Austria Belgium Denmark Finland France Germany Iceland Italy Netherlands Norway Sweden United Kingdom

References

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Hatlebakk JG, Zerbib F, Bruley des Varannes S, Attwood SE, Ell C, Fiocca R, Galmiche JP, Eklund S, Langstrom G, Lind T, Lundell LR; LOTUS Study Group. Gastroesophageal Acid Reflux Control 5 Years After Antireflux Surgery, Compared With Long-term Esomeprazole Therapy. Clin Gastroenterol Hepatol. 2016 May;14(5):678-85.e3. doi: 10.1016/j.cgh.2015.07.025. Epub 2015 Jul 27.

Reference Type DERIVED
PMID: 26226096 (View on PubMed)

Attwood SE, Ell C, Galmiche JP, Fiocca R, Hatlebakk JG, Hasselgren B, Langstrom G, Jahreskog M, Eklund S, Lind T, Lundell L. Long-term safety of proton pump inhibitor therapy assessed under controlled, randomised clinical trial conditions: data from the SOPRAN and LOTUS studies. Aliment Pharmacol Ther. 2015 Jun;41(11):1162-74. doi: 10.1111/apt.13194. Epub 2015 Apr 10.

Reference Type DERIVED
PMID: 25858519 (View on PubMed)

Lundell L, Hatlebakk J, Galmiche JP, Attwood SE, Ell C, Fiocca R, Persson T, Nagy P, Eklund S, Lind T. Long-term effect on symptoms and quality of life of maintenance therapy with esomeprazole 20 mg daily: a post hoc analysis of the LOTUS trial. Curr Med Res Opin. 2015 Jan;31(1):65-73. doi: 10.1185/03007995.2014.980500. Epub 2014 Oct 31.

Reference Type DERIVED
PMID: 25350223 (View on PubMed)

Fiocca R, Mastracci L, Attwood SE, Ell C, Galmiche JP, Hatlebakk J, Barthel A, Langstrom G, Lind T, Lundell L; LOTUS trial collaborators. Gastric exocrine and endocrine cell morphology under prolonged acid inhibition therapy: results of a 5-year follow-up in the LOTUS trial. Aliment Pharmacol Ther. 2012 Nov;36(10):959-71. doi: 10.1111/apt.12052. Epub 2012 Sep 23.

Reference Type DERIVED
PMID: 22998687 (View on PubMed)

Galmiche JP, Hatlebakk J, Attwood S, Ell C, Fiocca R, Eklund S, Langstrom G, Lind T, Lundell L; LOTUS Trial Collaborators. Laparoscopic antireflux surgery vs esomeprazole treatment for chronic GERD: the LOTUS randomized clinical trial. JAMA. 2011 May 18;305(19):1969-77. doi: 10.1001/jama.2011.626.

Reference Type DERIVED
PMID: 21586712 (View on PubMed)

Other Identifiers

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SH-NEG-0003

Identifier Type: -

Identifier Source: secondary_id

D9612C00003

Identifier Type: -

Identifier Source: org_study_id