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.
COMPLETED
PHASE2
24 participants
Day 5 of administration during Period I-IV
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
| 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.
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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.
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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.
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Overall Study
STARTED
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6
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6
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6
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6
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Overall Study
COMPLETED
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6
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6
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6
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6
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Overall Study
NOT COMPLETED
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0
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0
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0
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0
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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
| 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.
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Age Continuous
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27.7 years
STANDARD_DEVIATION 4.5 • n=5 Participants
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Sex: Female, Male
Female
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0 Participants
n=5 Participants
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Sex: Female, Male
Male
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24 Participants
n=5 Participants
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Baseline Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours on Day 1
CYP2C19 Extensive Metabolizers 'EM'
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12.57 Percentage of Time in a 24 Hour Period
STANDARD_DEVIATION 7.55 • n=5 Participants
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Baseline Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours on Day 1
CYP2C19 Poor Metabolizers 'PM'
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9.91 Percentage of Time in a 24 Hour Period
STANDARD_DEVIATION 8.50 • n=5 Participants
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PRIMARY outcome
Timeframe: Day 5 of administration during Period I-IVThe 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
| 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
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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
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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
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|---|---|---|---|---|
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Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours Of Day 5 Administration
CYP2C19 Extensive Metabolizers 'EM' (n=16)
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45.63 Percentage of Time in a 24 Hour Period
Standard Deviation 19.17
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57.81 Percentage of Time in a 24 Hour Period
Standard Deviation 12.93
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61.36 Percentage of Time in a 24 Hour Period
Standard Deviation 9.72
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71.52 Percentage of Time in a 24 Hour Period
Standard Deviation 12.20
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Percentage Duration With An Intragastric pH >= 4 During The Entire 24 Hours Of Day 5 Administration
CYP2C19 Poor Metabolizers 'PM' (n=8)
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62.51 Percentage of Time in a 24 Hour Period
Standard Deviation 14.79
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71.83 Percentage of Time in a 24 Hour Period
Standard Deviation 14.64
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75.74 Percentage of Time in a 24 Hour Period
Standard Deviation 20.62
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83.08 Percentage of Time in a 24 Hour Period
Standard Deviation 11.13
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SECONDARY outcome
Timeframe: Day 1 and Day 5 of administration during Period I-IVPharmacokinetic 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
| 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
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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
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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
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Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 1: CYP2C19 Extensive Metabolizers 'EM' (n=16)
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137.7 ng/mL
Standard Deviation 55.7
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253.6 ng/mL
Standard Deviation 120.2
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520.0 ng/mL
Standard Deviation 267.7
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1007.6 ng/mL
Standard Deviation 513.1
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Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 5: CYP2C19 Extensive Metabolizers 'EM' (n=16)
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146.0 ng/mL
Standard Deviation 56.4
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382.8 ng/mL
Standard Deviation 82.9
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654.1 ng/mL
Standard Deviation 348.4
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1018.5 ng/mL
Standard Deviation 516.9
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Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 1: CYP2C19 Poor Metabolizers 'PM' (n=8)
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185.1 ng/mL
Standard Deviation 79.0
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434.7 ng/mL
Standard Deviation 98.5
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891.9 ng/mL
Standard Deviation 210.8
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1574.2 ng/mL
Standard Deviation 596.6
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Pharmacokinetic Parameter: Maximal Drug Concentration (Cmax)
Day 5: CYP2C19 Poor Metabolizers 'PM' (n=8)
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251.9 ng/mL
Standard Deviation 55.1
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508.5 ng/mL
Standard Deviation 63.8
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821.9 ng/mL
Standard Deviation 231.7
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1986.5 ng/mL
Standard Deviation 439.1
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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
| 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
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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
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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)
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215.5 ng*h/mL
Standard Deviation 88.4
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429.7 ng*h/mL
Standard Deviation 209.4
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866.9 ng*h/mL
Standard Deviation 385.6
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1807.2 ng*h/mL
Standard Deviation 949.2
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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)
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235.7 ng*h/mL
Standard Deviation 97.1
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539.1 ng*h/mL
Standard Deviation 199.6
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993.7 ng*h/mL
Standard Deviation 476.9
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1929.6 ng*h/mL
Standard Deviation 884.1
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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)
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455.0 ng*h/mL
Standard Deviation 137.7
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1029.6 ng*h/mL
Standard Deviation 293.9
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2112.9 ng*h/mL
Standard Deviation 628.8
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4002.3 ng*h/mL
Standard Deviation 1216.0
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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)
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584.6 ng*h/mL
Standard Deviation 137.1
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1230.4 ng*h/mL
Standard Deviation 200.0
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2330.6 ng*h/mL
Standard Deviation 662.9
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4627.9 ng*h/mL
Standard Deviation 1296.0
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Adverse Events
Rabeprazole Sodium 5 mg Tablet
Rabeprazole Sodium 10 mg Tablet
Rabeprazole Sodium 20 mg Tablet
Rabeprazole Sodium 40 mg Tablet
Serious adverse events
Adverse event data not reported
Other adverse events
Adverse event data not reported
Additional Information
Results disclosure agreements
- Principal investigator is a sponsor employee
- Publication restrictions are in place