Efficacy and Safety of Esomeprazole Once Daily for the Treatment of GERD in Neonatal Patients
A Randomized, Double-blind, Placebo Controlled, Study to Evaluate the Efficacy and Safety of Esomeprazole Once Daily for the Treatment of Gastroesophageal Reflux Disease (GERD) in Neonatal Patients, Including Premature and up to 1 Month Corrected Age
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 3
Contacts and Locations
Study Locations
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North Adelaide, Australia
- Research Site
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Aachen, Germany
- Research Site
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Sheffield, United Kingdom
- Research Site
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Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Full-term or gestational age >/= 28 to 44 weeks
- In-patient in Neonatal Intensive Care Unit, special care nursery, or equivalent
- Patient must be on a stable mode of feeding or with minimal variations for at least 2 days prior to randomization
Exclusion Criteria:
- Patients with a need for resectional or reconstructive surgery of the gastrointestinal tract
- Patients with any condition that may require surgery during the course of the study
- Patients with acute respiratory distress within 72 hours prior to enrollment
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Normalized Number of GERD Events Observed From Video and Cardiorespiratory Monitoring
Time Frame: Baseline and end of treatment (10-14 days)
|
The number of events are normalized prior to summary to correspond to a complete 8-hour monitoring period.
Only patients with data at both baseline and final assessment are included.
|
Baseline and end of treatment (10-14 days)
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change From Baseline in Normalized Number of GERD Events During Video and Cardiorespiratory Monitoring Associated With Acid Reflux
Time Frame: Baseline and end of treatment (10-14 days)
|
Event considered associated with reflux if start time of GERD sign/symptom is within 2 minutes of start time of acid reflux.
The number of events are normalized prior to summary to correspond to a complete 8-hour monitoring period.
Only patients with data at both baseline and final assessment are included.
|
Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Number of Reflux Episodes (Acid or Non-acid)
Time Frame: Baseline and end of treatment (10-14 days)
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Number of reflux episodes based on 24-hour impedance monitoring data
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Baseline and end of treatment (10-14 days)
|
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Change From Baseline in Number of Acidic Reflux Episodes
Time Frame: Baseline and end of treatment (10-14 days)
|
Number of reflux episodes (pH<4.0)
based on 24-hour impedance monitoring data
|
Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Number of Weakly Acidic Reflux Episodes
Time Frame: Baseline and end of treatment (10-14 days)
|
Number of reflux episodes (pH 4.0-6.9)
based on 24-hour impedance monitoring data
|
Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Number of Non Acidic Reflux Episodes
Time Frame: Baseline and end of treatment (10-14 days)
|
Number of reflux episodes (pH>=7.0)
based on 24-hour impedance monitoring data
|
Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Number of Liquid Acidic Reflux Episodes
Time Frame: Baseline and end of treatment (10-14 days)
|
Number of reflux episodes based on 24-hour impedance monitoring data
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Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Number of Mixed Gas/Liquid Acidic Reflux Episodes
Time Frame: Baseline and end of treatment (10-14 days)
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Number of reflux episodes based on 24-hour impedance monitoring data
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Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Mean Bolus Clearance Time
Time Frame: Baseline and end of treatment (10-14 days)
|
Based on 24-hour impedance monitoring data
|
Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Mean Acid Clearance Time
Time Frame: Baseline and end of treatment (10-14 days)
|
Based on 24-hour impedance monitoring data
|
Baseline and end of treatment (10-14 days)
|
|
Change From Baseline in Percentage Time With pH<4.0
Time Frame: Baseline and end of treatment (10-14 days)
|
Percentage time with pH<4 during 24-hour pH monitoring
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Baseline and end of treatment (10-14 days)
|
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Change From Baseline in Percentage Time With pH Within 4.0-6.9
Time Frame: Baseline and end of treatment (10-14 days)
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Percentage time with pH 4.0-6.9
during 24-hour pH monitoring
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Baseline and end of treatment (10-14 days)
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Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Per Lundborg, MD, AstraZeneca
- Study Director: Marta Illueca, MD, AstraZeneca
- Study Director: Kathryn Collison, MPH, MT(ASCP), AstraZeneca
Publications and helpful links
Study record dates
Study Major Dates
Study Start
Study Start
Study Completion (Actual)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Estimate)
First Posted
Study Record Updates
Last Update Posted (Estimate)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- D9614C00004
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