Efficacy and Safety of Esomeprazole Once Daily for the Treatment of GERD in Neonatal Patients

December 2, 2010 updated by: AstraZeneca

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

The purpose of this study is to assess the difference between esomeprazole and placebo in the treatment of signs and symptoms as observed by 8-hour video and cardiorespiratory monitoring in neonatal patients.

Study Overview

Status

Completed

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Actual)

32

Phase

  • Phase 3

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

No older than 1 month (Child)

Accepts Healthy Volunteers

No

Genders Eligible for Study

All

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

This section provides details of the study plan, including how the study is designed and what the study is measuring.

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

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

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)
Number of reflux episodes based on 24-hour impedance monitoring data
Baseline and end of treatment (10-14 days)
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
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)
Number of reflux episodes based on 24-hour impedance monitoring data
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
Baseline and end of treatment (10-14 days)
Change From Baseline in Percentage Time With pH Within 4.0-6.9
Time Frame: Baseline and end of treatment (10-14 days)
Percentage time with pH 4.0-6.9 during 24-hour pH monitoring
Baseline and end of treatment (10-14 days)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

AstraZeneca

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

The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.

General Publications

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start

October 1, 2006

Study Completion (Actual)

April 1, 2009

Study Registration Dates

First Submitted

January 25, 2007

First Submitted That Met QC Criteria

January 25, 2007

First Posted (Estimate)

January 29, 2007

Study Record Updates

Last Update Posted (Estimate)

December 20, 2010

Last Update Submitted That Met QC Criteria

December 2, 2010

Last Verified

December 1, 2010

More Information

Terms related to this study

Keywords

Additional Relevant MeSH Terms

Other Study ID Numbers

  • D9614C00004

This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.

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