Trial Outcomes & Findings for Efficacy of Esomeprazole in Patients With Frequent Heartburn (NCT NCT01370538)

NCT ID: NCT01370538

Last Updated: 2013-04-11

Results Overview

Recruitment status

COMPLETED

Study phase

PHASE3

Target enrollment

341 participants

Primary outcome timeframe

From randomisation to day 14

Results posted on

2013-04-11

Participant Flow

From total of 526 screened subjects, 341 subjects were randomised. From 341 subjects 170 and 171 were allocated to Esomeprazole and Placebo respectively.

Participant milestones

Participant milestones
Measure
Esomeprazole
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
Placebo for Esomeprazole
Overall Study
STARTED
170
171
Overall Study
Patients Who Received Treatment
165
161
Overall Study
Patients Who Completed Treatment
151
152
Overall Study
COMPLETED
151
152
Overall Study
NOT COMPLETED
19
19

Reasons for withdrawal

Reasons for withdrawal
Measure
Esomeprazole
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
Placebo for Esomeprazole
Overall Study
Voluntary Discontinuation by Subject
3
2
Overall Study
Eligibility criteria not fulfilled
0
1
Overall Study
Adverse Event
1
0
Overall Study
Protocol Violation
8
5
Overall Study
Development of study specific withdrawal
1
1
Overall Study
Lost to follow up
6
10

Baseline Characteristics

Efficacy of Esomeprazole in Patients With Frequent Heartburn

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
Esomeprazole
n=170 Participants
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
n=171 Participants
Placebo for Esomeprazole
Total
n=341 Participants
Total of all reporting groups
Age Continuous
All
41.6 Years
STANDARD_DEVIATION 14.0 • n=5 Participants
42.8 Years
STANDARD_DEVIATION 13.2 • n=7 Participants
42.2 Years
STANDARD_DEVIATION 13.6 • n=5 Participants
Sex: Female, Male
Female
91 Participants
n=5 Participants
87 Participants
n=7 Participants
178 Participants
n=5 Participants
Sex: Female, Male
Male
79 Participants
n=5 Participants
84 Participants
n=7 Participants
163 Participants
n=5 Participants
Race/Ethnicity, Customized
WHITE
111 Participants
n=5 Participants
120 Participants
n=7 Participants
231 Participants
n=5 Participants
Race/Ethnicity, Customized
BLACK OR AFRICAN AMERICAN
52 Participants
n=5 Participants
50 Participants
n=7 Participants
102 Participants
n=5 Participants
Race/Ethnicity, Customized
NATIVE HAWAIIAN/PACIFIC ISLANDER
1 Participants
n=5 Participants
0 Participants
n=7 Participants
1 Participants
n=5 Participants
Race/Ethnicity, Customized
AMERICAN INDIAN/ALASKA NATIVE
3 Participants
n=5 Participants
0 Participants
n=7 Participants
3 Participants
n=5 Participants
Race/Ethnicity, Customized
OTHER
3 Participants
n=5 Participants
1 Participants
n=7 Participants
4 Participants
n=5 Participants
Race/Ethnicity, Customized
HISPANIC OR LATINO
24 Participants
n=5 Participants
25 Participants
n=7 Participants
49 Participants
n=5 Participants
Race/Ethnicity, Customized
NOT HISPANIC OR LATINO
55 Participants
n=5 Participants
46 Participants
n=7 Participants
101 Participants
n=5 Participants
Race/Ethnicity, Customized
NOT REPORTED
91 Participants
n=5 Participants
100 Participants
n=7 Participants
191 Participants
n=5 Participants

PRIMARY outcome

Timeframe: From randomisation to day 14

Population: Full analysis set

Outcome measures

Outcome measures
Measure
Esomeprazole
n=162 Participants
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
n=158 Participants
Placebo for Esomeprazole
Percentage of Heartburn Free 24 Hour Days During 14 Days of Randomized Treatment
46.79 Percentage of heartburn free days
Standard Deviation 33.32
30.93 Percentage of heartburn free days
Standard Deviation 28.86

PRIMARY outcome

Timeframe: From randomisation to day 14

Population: Per-protocol analysis set

Outcome measures

Outcome measures
Measure
Esomeprazole
n=142 Participants
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
n=140 Participants
Placebo for Esomeprazole
Percentage of Heartburn Free 24 Hour Days During 14 Days of Randomized Treatment
47.82 Percentage of heartburn free days
Standard Deviation 33.23
28.83 Percentage of heartburn free days
Standard Deviation 31.22

SECONDARY outcome

Timeframe: From randomisation to the day 14

Population: Full Analysis Set

Treatment period is considered to be both weeks 1 and 2 between V3 and V4.

Outcome measures

Outcome measures
Measure
Esomeprazole
n=162 Participants
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
n=158 Participants
Placebo for Esomeprazole
Number of Subjects Reporting Heartburn 2 Days or Less During the 14 Days Randomized Treatment Period
27 Participants
2 Participants

SECONDARY outcome

Timeframe: From randomisation to day 14

Population: Full Analysis Set

The first 4 consecutive days subjects were on randomized treatment, between V3 and V4.

Outcome measures

Outcome measures
Measure
Esomeprazole
n=162 Participants
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
n=158 Participants
Placebo for Esomeprazole
Comparison of Number of Subjects With 0, 1, 2, 3 or 4 Days With no Heartburn Over Days 1 to 4 Between Esomeprazole 20 mg and Placebo
Zero days
55 Participants
77 Participants
Comparison of Number of Subjects With 0, 1, 2, 3 or 4 Days With no Heartburn Over Days 1 to 4 Between Esomeprazole 20 mg and Placebo
One day
32 Participants
34 Participants
Comparison of Number of Subjects With 0, 1, 2, 3 or 4 Days With no Heartburn Over Days 1 to 4 Between Esomeprazole 20 mg and Placebo
Two days
22 Participants
29 Participants
Comparison of Number of Subjects With 0, 1, 2, 3 or 4 Days With no Heartburn Over Days 1 to 4 Between Esomeprazole 20 mg and Placebo
Three days
37 Participants
16 Participants
Comparison of Number of Subjects With 0, 1, 2, 3 or 4 Days With no Heartburn Over Days 1 to 4 Between Esomeprazole 20 mg and Placebo
Four days
16 Participants
2 Participants

SECONDARY outcome

Timeframe: From randomisation to day 14

Population: Full Analysis Set

There were three separate 7 day time periods during the treatment period; The first week (days 1-7), the second week (days 8-14), and the last 7 consecutive days (last day subject reported and the prior 6). For a given subject, the second week and last 7 consecutive days are the same if the subject has recorded measurements for the entire 14 day treatment period. However, for subjects reporting anything less than 14 days the two will not be identical. For all three 7 day time periods, days when a subject did not call in (i.e., missing values) were imputed as a day with heartburn.

Outcome measures

Outcome measures
Measure
Esomeprazole
n=162 Participants
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
n=158 Participants
Placebo for Esomeprazole
Number of Subjects With Heartburn 1 Day or Less During the Final Week, Second Week, First Week of Treatment
Last 7 consecutive days
40 Participants
17 Participants
Number of Subjects With Heartburn 1 Day or Less During the Final Week, Second Week, First Week of Treatment
Second 7 calendar days
38 Participants
13 Participants
Number of Subjects With Heartburn 1 Day or Less During the Final Week, Second Week, First Week of Treatment
First 7 calendar days
32 Participants
7 Participants

Adverse Events

Esomeprazole

Serious events: 0 serious events
Other events: 18 other events
Deaths: 0 deaths

Placebo

Serious events: 0 serious events
Other events: 15 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
Esomeprazole
n=162 participants at risk
Esomeprazole magnesium trihydrate 22.3 mg
Placebo
n=158 participants at risk
Placebo for Esomeprazole
Gastrointestinal disorders
Nausea
3.1%
5/162
Full analysis set (FAS) population was analyzed.
2.5%
4/158
Full analysis set (FAS) population was analyzed.
Gastrointestinal disorders
Constipation
2.5%
4/162
Full analysis set (FAS) population was analyzed.
0.00%
0/158
Full analysis set (FAS) population was analyzed.
Gastrointestinal disorders
Diarrhoea
2.5%
4/162
Full analysis set (FAS) population was analyzed.
1.9%
3/158
Full analysis set (FAS) population was analyzed.
Gastrointestinal disorders
Dry mouth
0.62%
1/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
Gastrointestinal disorders
Vomiting
0.00%
0/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
General disorders
Pain
0.00%
0/162
Full analysis set (FAS) population was analyzed.
1.9%
3/158
Full analysis set (FAS) population was analyzed.
General disorders
Pyrexia
0.00%
0/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
Infections and infestations
Nasopharyngitis
1.2%
2/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
Infections and infestations
Upper respiratory tract infection
1.2%
2/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
Infections and infestations
Urinary tract infection
1.2%
2/162
Full analysis set (FAS) population was analyzed.
0.63%
1/158
Full analysis set (FAS) population was analyzed.
Injury, poisoning and procedural complications
Procedural pain
0.62%
1/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
Investigations
Blood glucose decreased
1.2%
2/162
Full analysis set (FAS) population was analyzed.
0.63%
1/158
Full analysis set (FAS) population was analyzed.
Investigations
Blood glucose increased
0.62%
1/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
Investigations
Haemoglobin decreased
1.2%
2/162
Full analysis set (FAS) population was analyzed.
0.63%
1/158
Full analysis set (FAS) population was analyzed.
Investigations
Hepatic enzyme increased
0.00%
0/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.
Musculoskeletal and connective tissue disorders
Myalgia
1.9%
3/162
Full analysis set (FAS) population was analyzed.
0.00%
0/158
Full analysis set (FAS) population was analyzed.
Respiratory, thoracic and mediastinal disorders
Nasal congestion
1.9%
3/162
Full analysis set (FAS) population was analyzed.
0.63%
1/158
Full analysis set (FAS) population was analyzed.
Nervous system disorders
Headache
1.2%
2/162
Full analysis set (FAS) population was analyzed.
1.3%
2/158
Full analysis set (FAS) population was analyzed.

Additional Information

Gerard Lynch

AstraZeneca

Phone: 1625 518062

Results disclosure agreements

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

Restriction type: GT60