Comparison of the Effect of Rabeprazole 50 mg DDR Capsules and 20 mg Enteric-coated Tablets
Comparison of the Effect of Rabeprazole 50 mg DDR Capsules and 20 mg Enteric-coated Tablets on Intragastric and Intraesophageal Acidity
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Study Type
Study Type
Enrollment (Actual)
Enrollment
Phase
Phase
- Phase 4
Contacts and Locations
Study Locations
-
-
-
Izmir, Turkey, 35100
- Ege University Facult of Medicine Gastroenterology Department
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Diagnosis of GERD with symptoms (i.e. regurgitation, pyrosis) at least 1 or more episodes a week.
- Age ≥ 18 years and <65 years
- Helicobacter pylori (an infection) negative
- Have a body mass index (BMI) between 18 and 33 kg/m²
- pH>4 gastric exposure <25% on a 24-hour dual pH channel monitoring study performed prior to screening (normal intragastric pH +2SD)
- Pathologic intraesophageal acidity exposure (DeMeester score >14.75 and/or >4% of pH<4 (at least 21 hours measured)
Exclusion Criteria:
- Patiets with Barrett's stricture, gastric outlet obstruction, malignancy, gastrointestinal system bleeding or any other upper gastrointestinal system pathology.
- Patients whose Hiatus hernia is > 3 cm.
- Patients with uncontrolled or insulin dependent diabetes mellitus, symptomatic gallbladder stone, active or unhealed stomach or duodenum ulcer, Zollinger-Ellison syndrome, primary esophagus motility disorder, pancreatitis, inflammatory bowel disease, severe lung disease, chronic liver disease, uncontrolled kidney impairment, cancer (except skin cancer except melanoma), cerebrovascular disease, epilepsy.
- Patients with history of heart failure, ventricular tachycardia, ventricular fibrillation, cardiac arrest, Torsades de pointes, bradycardia, sinus node dysfunction, heart attack, long QTc (>450 ms for male, >470 ms for female patients).
- Patients taken PPIs or H2-blockers within 7 days and prokinetic drugs within 3 days before entering the study.
- Patients with major psychiatric disease.
- Alcoholism and drug use.
- Patients with pathologic laboratory tests; hemogram, sedimentation, CRP, thyroid functions tests, liver enzymes.
- Malabsorbtion.
- Immunosuppressive patients.
- Patients taken cortisone.
- Patients taken other drugs that prolong QT interval.
- Patients taken drugs that need gastric acid for optimal absorption; ketoconazole, iron salts, digoxin, ampicillin esters, anticoagulants, antineoplastic agents, prostaglandin analogues, sukralfat.
- Pregnancy or breast-feeding.
- Patients taken drugs that may affect gastrointestinal system motility or acid release.
- History of abdominal surgery (hysterectomy, abdominal hernia repair, caesarean cases may be included; cholecystectomy have to be excluded).
- Patients taken NSAII drugs (paracetemol may be used up to 2 gr/day).
- Patients taken antidepressants.
- Hypersensitivty to study drugs.
- Known allergy to peanut and soy.
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: Double
Number of Arms
Arms and Interventions
Participant Group / ArmParticipant Group / Arm |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Experimental: Rabelis DDR 50 mg Capsules and 1 placebo tablet
Placebo as comparator group is not used.
Since study is double-blind, one placebo capsule and tablet is added to treatment groups in order to remove the discrepancy between investigational products.
|
Rabelis DDR 50 mg Capsules once daily for seven days.
|
|
Active Comparator: Pariet 20 mg Enteric Coated Tablets and 1 placebo capsule
Placebo as comparator group is not used.
Since study is double-blind, one placebo capsule and tablet is added to treatment groups in order to remove the discrepancy between investigational products.
|
Pariet 20 mg Enteric Coated Tablets once daily for seven days.
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Time Frame |
|---|---|
|
Percentage time of 24-hour intragastric pH >4 compared to baseline
Time Frame: 7 days
|
7 days
|
|
AUC of 24-hour intragastric pH >4 compared to baseline
Time Frame: 7 days
|
7 days
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Significant increase in total measurements of median pH
Time Frame: 7 days
|
7 days
|
|
|
Significant increase in nocturnal measurements of median pH
Time Frame: 7 days
|
7 days
|
|
|
Decrease in reflux symptom index calculated by weekly regurgitation numbers
Time Frame: 7 days
|
7 days
|
|
|
Decrease in reflux symptom index calculated by weekly pyrosis numbers
Time Frame: 7 days
|
7 days
|
|
|
Percentage time of 24-hour intragastric pH >2 compared to baseline
Time Frame: 7 days
|
7 days
|
|
|
Percentage time of 24-hour intragastric pH >6 compared to baseline
Time Frame: 7 days
|
7 days
|
|
|
AUC of 24-hour intragastric pH >2 compared to baseline
Time Frame: 7 days
|
7 days
|
|
|
AUC of 24-hour intragastric pH >6 compared to baseline
Time Frame: 7 days
|
7 days
|
|
|
Percentage time of 24-hour total intragastric pH >4 compared to baseline
Time Frame: 7 days
|
7 days
|
|
|
AUC of 24-hour total intragastric pH >4 compared to baseline
Time Frame: 7 days
|
7 days
|
|
|
Percentage time of 24-hour total intragastric pH >4 between 11 pm and 7 am compared to baseline baseline
Time Frame: 7 days
|
rate of night reflux
|
7 days
|
|
AUC of of 24-hour total intragastric pH >4 between 11 pm and 7 am compared to baseline
Time Frame: 7 days
|
rate of night reflux
|
7 days
|
|
The evaluation of safety of study drug (Number of Participants with Abnormal Laboratory Values and/or Adverse Events That Are Related to Treatments)
Time Frame: 7 days
|
7 days
|
|
|
Change in QT interval obtained by ECG compared to baseline
Time Frame: 21 days
|
21 days
|
Collaborators and Investigators
Sponsor
Sponsor
Study record dates
Study Major Dates
Study Start (Actual)
Study Start
Primary Completion (Actual)
Primary Completion
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 (Actual)
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
- NEU-03.16
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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