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The purpose of this study is to compare the efficacy of rabeprazole extended release (ER) 50 mg (once daily) versus ranitidine 150 mg (twice daily) in the maintenance of complete healing in subjects with healed erosive gastroesophageal reflux disease (eGERD).
This is a multicenter, randomized, double-blind, double-dummy, parallel-group study. Subjects who meet all eligibility criteria will be randomly assigned to 1 of 2 treatment groups, RAB ER 50 mg (once daily) or Ranitidine 150 mg (twice daily).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Active Comparator |
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Rabeprazole ER | Drug | 50 mg capsule, taken orally, once daily for 26 weeks. |
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| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Maintenance of Complete Healing of eGERD at Week 26 | eGERD (erosive gastroesophageal reflux disease) healing measured by the Time-to-Relapse of Oesophageal Erosions using an Esophagogastroduodenoscopy (EGD). Lesions were identified and graded using the following Los Angeles (LA) classification of Oesophagitis: Not Present: No breaks (erosions) in the esophageal mucosa (however, edema, erythema, or friability may be present). Grade A: One or more mucosal breaks not more than 5mm in maximum length. Grade B: One or more mucosal breaks more than 5mm in maximum length, but not continuous between the tops of 2 mucosal folds. Grade C: Mucosal breaks continuous between the tops of 2 or more mucosal folds, but involving less than 75% of the esophageal circumference. Grade D: Mucosal breaks involving at least 75% of the esophageal circumference. | Baseline to Week 26 |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Investigator-recorded Sustained Resolution of Heartburn at Week 26 | Heartburn or other GERD-associated symptoms (regurgitation, epigastric or chest pain, dysphagia, belching, bloating, early satiety, other) was based on a 4-point Likert scale that included the following: None (No symptoms); Mild (Awareness of symptoms but easily tolerated); Moderate (Discomforting symptom sufficient to cause interference with normal activities including sleep); Severe (Incapacitating symptom, inability to perform normal activities). |
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Inclusion Criteria:
1. Prior completion of Study E3810-G000-301 or -303. Subjects will need to have healed erosive esophagitis (absence of esophageal mucosal breaks or erosions) confirmed by EGD and sustained resolution of heartburn at Visit 4 or 5 of Study E3810-G000-301 or -303.
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Guillermo Rossiter, MD | Eisai Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Ltd. | Moline | Illinois | 61265 | United States | ||
| Midwest Clinical |
Out of the 240 participants who were randomized in this study, 235 participants received study treatment.
Participants were eligible for this study if they had completed one of the healing studies (E3810-G000-301 or E3810-G000-303), had no evidence of oesophageal erosions, had sustained heartburn resolution, and had no record of any serious adverse event (SAE) related to study medication during the healing study.
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| ID | Title | Description |
|---|---|---|
| FG000 | RAN 150mg BID | Morning dose included 1 x Placebo to match RAB (Rabeprazole) ER (Extended Release) 50mg capsule and 1 x RAN (Ranitidine) 150mg capsule. Evening dose included 1 x RAN 150mg capsule. Received study drug orally daily for 26 weeks. |
| FG001 | RAB ER 50mg QD |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
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| Ranitidine | Drug | 150 mg capsule, taken orally, twice daily for 26 weeks. |
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| Baseline to Week 26 |
| Percentage of Participants With Adverse Events by Category | An adverse event (AE) was any untoward medical occurrence in a participant administered an investigational product. A treatment emergent AE (TEAE) was any AE beginning on or after the confirmed date of first dose of study medication, up to and including 7 days after the last dose of study medication. A TEAE was considered related to study treatment if a causal relationship between the study treatment and the AE was a reasonable possibility. AEs were graded as severe if they were incapacitating, with inability to work or to perform normal daily activity. Serious AEs (SAEs) were events that resulted in death, were life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or were a congenital anomaly/birth defect. | From the time of administration of the first dose of study drug up to a maximum of approximately 30 weeks. |
| Moline |
| Illinois |
| 61265 |
| United States |
| Research Associates | Moline | Illinois | 61265 | United States |
| Moline | Illinois | 61265 | United States |
Morning dose included 1 x RAB ER 50mg capsule and 1 x Placebo to match RAN 150mg capsule. Evening dose included 1 x Placebo to match RAN 150mg capsule. Received study drug orally daily for 26 weeks. |
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| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | RAN 150mg BID | Morning dose included 1 x Placebo to match RAB (Rabeprazole) ER (Extended Release) 50mg capsule and 1 x RAN (Ranitidine) 150mg capsule. Evening dose included 1 x RAN 150mg capsule. Received study drug orally daily for 26 weeks. |
| BG001 | RAB ER 50mg QD | Morning dose included 1 x RAB ER 50mg capsule and 1 x Placebo to match RAN 150mg capsule. Evening dose included 1 x Placebo to match RAN 150mg capsule. Received study drug orally daily for 26 weeks. |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
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| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Customized | Mean | Standard Deviation | Years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
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| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | ||||||||||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Secondary | Percentage of Participants With Investigator-recorded Sustained Resolution of Heartburn at Week 26 | Heartburn or other GERD-associated symptoms (regurgitation, epigastric or chest pain, dysphagia, belching, bloating, early satiety, other) was based on a 4-point Likert scale that included the following: None (No symptoms); Mild (Awareness of symptoms but easily tolerated); Moderate (Discomforting symptom sufficient to cause interference with normal activities including sleep); Severe (Incapacitating symptom, inability to perform normal activities). | ITT | Posted | Number | Percentage of Participants | Baseline to Week 26 |
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| Primary | Percentage of Participants With Maintenance of Complete Healing of eGERD at Week 26 | eGERD (erosive gastroesophageal reflux disease) healing measured by the Time-to-Relapse of Oesophageal Erosions using an Esophagogastroduodenoscopy (EGD). Lesions were identified and graded using the following Los Angeles (LA) classification of Oesophagitis: Not Present: No breaks (erosions) in the esophageal mucosa (however, edema, erythema, or friability may be present). Grade A: One or more mucosal breaks not more than 5mm in maximum length. Grade B: One or more mucosal breaks more than 5mm in maximum length, but not continuous between the tops of 2 mucosal folds. Grade C: Mucosal breaks continuous between the tops of 2 or more mucosal folds, but involving less than 75% of the esophageal circumference. Grade D: Mucosal breaks involving at least 75% of the esophageal circumference. | Intent-to-Treat (ITT) Population - all randomized subjects who received at least 1 dose of study drug. | Posted | Number | Percentage of Participants | Baseline to Week 26 |
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| Secondary | Percentage of Participants With Adverse Events by Category | An adverse event (AE) was any untoward medical occurrence in a participant administered an investigational product. A treatment emergent AE (TEAE) was any AE beginning on or after the confirmed date of first dose of study medication, up to and including 7 days after the last dose of study medication. A TEAE was considered related to study treatment if a causal relationship between the study treatment and the AE was a reasonable possibility. AEs were graded as severe if they were incapacitating, with inability to work or to perform normal daily activity. Serious AEs (SAEs) were events that resulted in death, were life-threatening, required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or were a congenital anomaly/birth defect. | The safety population included all randomized participants who received at least one dose of study drug and had at least one post-baseline safety assessment. Analyses of the safety population was based on the actual treatment participants received. | Posted | Number | Percentage of participants | From the time of administration of the first dose of study drug up to a maximum of approximately 30 weeks. |
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From the time of administration of the first dose of study drug up to a maximum of approximately 30 weeks.
Data are presented as number of participants with treatment emergent AEs (serious and non-serious). The analysis was performed using the safety population, defined as all participants who received at least 1 dose of study drug and had a postbaseline safety assessment. All-cause mortality was reported for all participants randomized.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | RAN 150mg BID | Morning dose included 1 x Placebo to match RAB (Rabeprazole) ER (Extended Release) 50mg capsule and 1 x RAN (Ranitidine) 150mg capsule. Evening dose included 1 x RAN 150mg capsule. Received study drug orally daily for 26 weeks. | 0 | 59 | 1 | 59 | 8 | 59 |
| EG001 | RAB ER 50mg QD | Morning dose included 1 x RAB ER 50mg capsule and 1 x Placebo to match RAN 150mg capsule. Evening dose included 1 x Placebo to match RAN 150mg capsule. Received study drug orally daily for 26 weeks. | 0 | 176 | 10 | 173 | 43 | 173 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Angina pectoris | Cardiac disorders | MedDRA version 11.1 | Systematic Assessment |
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| Intracardiac thrombus | Cardiac disorders | MedDRA version 11.1 | Systematic Assessment |
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| Abdominal hernia | Gastrointestinal disorders | MedDRA version 11.1 | Systematic Assessment |
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| Abdominal mass | Gastrointestinal disorders | MedDRA version 11.1 | Systematic Assessment |
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| Impaired gastric emptying | Gastrointestinal disorders | MedDRA version 11.1 | Systematic Assessment |
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| Abdominal pain | Gastrointestinal disorders | MedDRA version 11.1 | Systematic Assessment |
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| Fatigue | General disorders | MedDRA version 11.1 | Systematic Assessment |
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| Cholecystitis acute | Hepatobiliary disorders | MedDRA version 11.1 | Systematic Assessment |
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| Cholelithiasis | Hepatobiliary disorders | MedDRA version 11.1 | Systematic Assessment |
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| Tendon rupture | Injury, poisoning and procedural complications | MedDRA version 11.1 | Systematic Assessment |
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| Blood glucose decreased | Investigations | MedDRA version 11.1 | Systematic Assessment |
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| Presyncope | Nervous system disorders | MedDRA version 11.1 | Systematic Assessment |
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| Thrombotic stroke | Nervous system disorders | MedDRA version 11.1 | Systematic Assessment |
| |
| Renal mass | Renal and urinary disorders | MedDRA version 11.1 | Systematic Assessment |
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| Pulmonary embolism | Respiratory, thoracic and mediastinal disorders | MedDRA version 11.1 | Systematic Assessment |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Gastritis | Gastrointestinal disorders | MedDRA version 11.1 | Systematic Assessment |
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| Sinusitis | Infections and infestations | MedDRA version 11.1 | Systematic Assessment |
| |
| Hiatus hernia | Gastrointestinal disorders | MedDRA version 11.1 | Systematic Assessment |
| |
| Nausea | Gastrointestinal disorders | MedDRA version 11.1 | Systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eisai Medical Information, Eisai | Eisai Inc. | +1 888 274 2378 | esi_medinfo@eisai.com |
| ID | Term |
|---|---|
| D005764 | Gastroesophageal Reflux |
| D004194 | Disease |
| ID | Term |
|---|---|
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
| D010335 | Pathologic Processes |
| D013568 | Pathological Conditions, Signs and Symptoms |
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| ID | Term |
|---|---|
| D064750 | Rabeprazole |
| D011899 | Ranitidine |
| ID | Term |
|---|---|
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
| D005663 | Furans |
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| Male |
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| Missing |
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Morning dose included 1 x RAB ER 50mg capsule and 1 x Placebo to match RAN 150mg capsule. Evening dose included 1 x Placebo to match RAN 150mg capsule. Received study drug orally daily for 26 weeks. |
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