Trial Outcomes & Findings for A Clinical Pharmacological Study of Rabeprazole Sodium in Japanese Healthy Adult Male Volunteers (Study E3810) (NCT NCT01202071)

NCT ID: NCT01202071

Last Updated: 2012-11-30

Results Overview

The 24-hour intragastric pH monitoring was performed on Day 5 of administration in each study period (Period I-IV). Data was displayed based on the participant's CYP2C19 genotype: CYP2C19-EM are extensive metabolizers who have normal metabolizing capacity. CYP2C19-PM are poor metabolizers with a metabolizing capacity deficiency or remarkably decreased metabolizing capacity.

Recruitment status

COMPLETED

Study phase

PHASE2

Target enrollment

24 participants

Primary outcome timeframe

Day 5 of administration during Period I-IV

Results posted on

2012-11-30

Participant Flow

This study was recruited at 1 center in Japan during the period of 14-Sep-2010 to 2-Dec-2010.

Participant milestones

Participant milestones
Measure
Group A: Rapeprazole 5 mg, Then 10 mg, Then 20 mg, Then 40 mg
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Period I (9 days total): 5 mg; Period II (8 days total): 10 mg; Period III (8 days total): 20 mg; Period IV (8 days total): 40 mg Each Period was separated by a \>= 6 day washout period. Lastly, a follow-up exam, 7 days after Period IV discharge, up to 14 days allowed after discharge.
Group B: Rapeprazole 10 mg, Then 20 mg, Then 40 mg, Then 5 mg
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Period I (9 days total): 10 mg; Period II (8 days total): 20 mg; Period III (8 days total): 40 mg; Period IV (8 days total): 5 mg Each Period was separated by a \>= 6 day washout period. Lastly, a follow-up exam, 7 days after Period IV discharge, up to 14 days allowed after discharge.
Group C: Rapeprazole 20 mg, Then 40 mg, Then 5 mg, Then 10 mg
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Period I (9 days total): 20 mg; Period II (8 days total): 40 mg; Period III (8 days total): 5 mg; Period IV (8 days total): 10 mg Each Period was separated by a \>= 6 day washout period. Lastly, a follow-up exam, 7 days after Period IV discharge, up to 14 days allowed after discharge.
Group D: Rapeprazole 40 mg, Then 5 mg, Then 10 mg, Then 20 mg
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Period I (9 days total): 40 mg; Period II (8 days total): 5 mg; Period III (8 days total): 10 mg; Period IV (8 days total): 20 mg Each Period was separated by a \>= 6 day washout period. Lastly, a follow-up exam, 7 days after Period IV discharge, up to 14 days allowed after discharge.
Overall Study
STARTED
6
6
6
6
Overall Study
COMPLETED
6
6
6
6
Overall Study
NOT COMPLETED
0
0
0
0

Reasons for withdrawal

Withdrawal data not reported

Baseline Characteristics

A Clinical Pharmacological Study of Rabeprazole Sodium in Japanese Healthy Adult Male Volunteers (Study E3810)

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Entire Study Population: Group A, Group B, Group C, Group D
n=24 Participants
Includes Group A, Group B, Group C, and Group D. Participants received Rabeprazole sodium Tablets for 5 days in each period. Group A Period I: 5 mg, Period II: 10 mg, Period III: 20 mg, Period IV: 40 mg Group B Period I: 10 mg, Period II: 20 mg, Period III: 40 mg, Period IV: 5 mg Group C Period I: 20 mg, Period II: 40 mg, Period III: 5 mg, Period IV: 10 mg Group D Period I: 40 mg, Period II: 5 mg, Period III: 10 mg, Period IV: 20 mg Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV, a washout period consisted of 6 days or longer between each period.
Age Continuous
27.7 years
STANDARD_DEVIATION 4.5 • n=5 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
Sex: Female, Male
Male
24 Participants
n=5 Participants
Baseline Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours on Day 1
CYP2C19 Extensive Metabolizers 'EM'
12.57 Percentage of Time in a 24 Hour Period
STANDARD_DEVIATION 7.55 • n=5 Participants
Baseline Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours on Day 1
CYP2C19 Poor Metabolizers 'PM'
9.91 Percentage of Time in a 24 Hour Period
STANDARD_DEVIATION 8.50 • n=5 Participants

PRIMARY outcome

Timeframe: Day 5 of administration during Period I-IV

The 24-hour intragastric pH monitoring was performed on Day 5 of administration in each study period (Period I-IV). Data was displayed based on the participant's CYP2C19 genotype: CYP2C19-EM are extensive metabolizers who have normal metabolizing capacity. CYP2C19-PM are poor metabolizers with a metabolizing capacity deficiency or remarkably decreased metabolizing capacity.

Outcome measures

Outcome measures
Measure
Rabeprazole Sodium 5 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 5 mg was received by: Group A in Period I; Group B in Period IV; Group C in Period III; Group D in Period II
Rabeprazole Sodium 10 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 10 mg was received by: Group A in Period II; Group B in Period I; Group C in Period IV; Group D in Period III
Rabeprazole Sodium 20 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 20 mg was received by: Group A in Period III; Group B in Period II; Group C in Period I; Group D in Period IV
Rabeprazole Sodium 40 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 40 mg was received by: Group A in Period IV; Group B in Period III; Group C in Period II; Group D in Period I
Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours Of Day 5 Administration
CYP2C19 Extensive Metabolizers 'EM' (n=16)
45.63 Percentage of Time in a 24 Hour Period
Standard Deviation 19.17
57.81 Percentage of Time in a 24 Hour Period
Standard Deviation 12.93
61.36 Percentage of Time in a 24 Hour Period
Standard Deviation 9.72
71.52 Percentage of Time in a 24 Hour Period
Standard Deviation 12.20
Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours Of Day 5 Administration
CYP2C19 Poor Metabolizers 'PM' (n=8)
62.51 Percentage of Time in a 24 Hour Period
Standard Deviation 14.79
71.83 Percentage of Time in a 24 Hour Period
Standard Deviation 14.64
75.74 Percentage of Time in a 24 Hour Period
Standard Deviation 20.62
83.08 Percentage of Time in a 24 Hour Period
Standard Deviation 11.13

SECONDARY outcome

Timeframe: Day 1 and Day 5 of administration during Period I-IV

Pharmacokinetic parameter: maximal drug concentration (Cmax) measured in nanograms per milliliter (ng/mL) was calculated on Day 1 and Day 5 of administration during each Period (I-IV). Data was displayed based on the participant's CYP2C19 genotype: CYP2C19-EM are extensive metabolizers who have normal metabolizing capacity. CYP2C19-PM are poor metabolizers with a metabolizing capacity deficiency or remarkably decreased metabolizing capacity.

Outcome measures

Outcome measures
Measure
Rabeprazole Sodium 5 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 5 mg was received by: Group A in Period I; Group B in Period IV; Group C in Period III; Group D in Period II
Rabeprazole Sodium 10 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 10 mg was received by: Group A in Period II; Group B in Period I; Group C in Period IV; Group D in Period III
Rabeprazole Sodium 20 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 20 mg was received by: Group A in Period III; Group B in Period II; Group C in Period I; Group D in Period IV
Rabeprazole Sodium 40 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 40 mg was received by: Group A in Period IV; Group B in Period III; Group C in Period II; Group D in Period I
Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 1: CYP2C19 Extensive Metabolizers 'EM' (n=16)
137.7 ng/mL
Standard Deviation 55.7
253.6 ng/mL
Standard Deviation 120.2
520.0 ng/mL
Standard Deviation 267.7
1007.6 ng/mL
Standard Deviation 513.1
Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 5: CYP2C19 Extensive Metabolizers 'EM' (n=16)
146.0 ng/mL
Standard Deviation 56.4
382.8 ng/mL
Standard Deviation 82.9
654.1 ng/mL
Standard Deviation 348.4
1018.5 ng/mL
Standard Deviation 516.9
Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 1: CYP2C19 Poor Metabolizers 'PM' (n=8)
185.1 ng/mL
Standard Deviation 79.0
434.7 ng/mL
Standard Deviation 98.5
891.9 ng/mL
Standard Deviation 210.8
1574.2 ng/mL
Standard Deviation 596.6
Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 5: CYP2C19 Poor Metabolizers 'PM' (n=8)
251.9 ng/mL
Standard Deviation 55.1
508.5 ng/mL
Standard Deviation 63.8
821.9 ng/mL
Standard Deviation 231.7
1986.5 ng/mL
Standard Deviation 439.1

SECONDARY outcome

Timeframe: Day 1 and Day 5 of administration during Period I-IV (0, 1, 1.5, 2, 2.5, 3, 3.5, 4, 4.5, 5, 5.5, 6, 8, 10, 12, 24 hours post-dose)

Pharmacokinetic parameter: Area under the plasma concentration-time curve from time 0 (administration of the drug) to time t (the last quantifiable concentration time point). AUC measured in nanogram hours per milliliter (ng\*h/mL) was calculated on Day 1 and Day 5 of administration during each Period (I-IV). Data was displayed based on the participant's CYP2C19 genotype: CYP2C19-EM are extensive metabolizers who have normal metabolizing capacity. CYP2C19-PM are poor metabolizers with a metabolizing capacity deficiency or remarkably decreased metabolizing capacity.

Outcome measures

Outcome measures
Measure
Rabeprazole Sodium 5 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 5 mg was received by: Group A in Period I; Group B in Period IV; Group C in Period III; Group D in Period II
Rabeprazole Sodium 10 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 10 mg was received by: Group A in Period II; Group B in Period I; Group C in Period IV; Group D in Period III
Rabeprazole Sodium 20 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 20 mg was received by: Group A in Period III; Group B in Period II; Group C in Period I; Group D in Period IV
Rabeprazole Sodium 40 mg Tablet
n=24 Participants
Participants started with a screening period 4 weeks prior to start of administration, followed by study periods I-IV where participants received 5 days of drug administration in each period. Rabeprazole sodium 40 mg was received by: Group A in Period IV; Group B in Period III; Group C in Period II; Group D in Period I
Pharmacokinetic Parameter: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t (AUC[0-t])
Day 1: CYP2C19 Extensive Metabolizers 'EM' (n=16)
215.5 ng*h/mL
Standard Deviation 88.4
429.7 ng*h/mL
Standard Deviation 209.4
866.9 ng*h/mL
Standard Deviation 385.6
1807.2 ng*h/mL
Standard Deviation 949.2
Pharmacokinetic Parameter: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t (AUC[0-t])
Day 5: CYP2C19 Extensive Metabolizers 'EM' (n=16)
235.7 ng*h/mL
Standard Deviation 97.1
539.1 ng*h/mL
Standard Deviation 199.6
993.7 ng*h/mL
Standard Deviation 476.9
1929.6 ng*h/mL
Standard Deviation 884.1
Pharmacokinetic Parameter: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t (AUC[0-t])
Day 1: CYP2C19 Poor Metabolizers 'PM' (n=8)
455.0 ng*h/mL
Standard Deviation 137.7
1029.6 ng*h/mL
Standard Deviation 293.9
2112.9 ng*h/mL
Standard Deviation 628.8
4002.3 ng*h/mL
Standard Deviation 1216.0
Pharmacokinetic Parameter: Area Under the Plasma Concentration-Time Curve From Time 0 to Time t (AUC[0-t])
Day 5: CYP2C19 Poor Metabolizers 'PM' (n=8)
584.6 ng*h/mL
Standard Deviation 137.1
1230.4 ng*h/mL
Standard Deviation 200.0
2330.6 ng*h/mL
Standard Deviation 662.9
4627.9 ng*h/mL
Standard Deviation 1296.0

Adverse Events

Rabeprazole Sodium 5 mg Tablet

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

Rabeprazole Sodium 10 mg Tablet

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

Rabeprazole Sodium 20 mg Tablet

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

Rabeprazole Sodium 40 mg Tablet

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

Serious adverse events

Adverse event data not reported

Other adverse events

Adverse event data not reported

Additional Information

Masaharu Yokoyama, Director

Eisai Co., Ltd.

Phone: +81-3-3817-3908

Results disclosure agreements

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