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The purpose of this study is to compare the efficacy, safety and tolerability of rabeprazole extended release (ER) 50 mg with placebo in subjects with symptomatic gastroesophageal reflux disease (sGERD).
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| 1 | Experimental |
| |
| 2 | Placebo Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| rabeprazole sodium | Drug | One rabeprazole extended release (ER) 50 mg capsule daily; rescue medication will be provided to subjects to take as needed. |
|
| Measure | Description | Time Frame |
|---|---|---|
| Mean Percentage of Diary-Recorded Heartburn-Free Days at Week 4 | Participants completed a daily symptom diary. A heartburn-free day was defined as participant report of 'No Heartburn' from nighttime and daytime of the diary for the same day. | Week 4 |
| Measure | Description | Time Frame |
|---|---|---|
| Change From Baseline in Average Daily Severity Score of Gastroesophageal Reflux Disease (GERD)-Related Symptoms at Week 4 | Participants collected GERD-associated symptoms of daytime heartburn, nighttime heartburn and regurgitation in daily symptom diary. Daytime episodes were defined as those that occurred after arising in the morning until retiring in the evening, and nighttime episodes were defined as those that occurred during the night while sleeping or trying to sleep. The severity score was calculated was based on a 5-point Likert scale ranging from 0 (no symptom) to 4 (very severe symptom); higher scores indicated greater disease activity. |
| Measure | Description | Time Frame |
|---|---|---|
| Percentage of Participants With Complete Heartburn Relief | Participants completed a daily symptom diary. | Week 2 and Week 4 |
| Time to Achieve First 24-Hour Period Without Heartburn | Participants completed a daily symptom diary. |
KEY INCLUSION CRITERIA:
Male or female, ages 18 through 75 years will be included in the study. Females should be either of nonchildbearing potential or of childbearing potential. Females of childbearing potential must have negative serum and urine pregnancy tests prior to randomization. Female subjects of childbearing potential must agree to use medically acceptable methods of contraception starting at Visit 1 and throughout the entire study period and for 1 month after the last dose of study drug. Women using hormonal contraceptives must also be using an additional approved method of contraception starting at Visit 1 and throughout the entire study period and for 1 month after the last dose of study drug. Pregnant or lactating females are excluded. Subjects must have a history of heartburn, identified as their main complaint, for 6 months or longer.Subjects must have documentation of a minimum of 5 moderate to severe heartburn episodes, 3 of which occur during the daytime and 1 of which occurs during the nighttime, during the last 7 days before randomization. Subjects must be able to read, write, and understand the language of the symptom dairy.
KEY EXCLUSION CRITERIA:
Subjects will be excluded from the study if they are found to have erosive esophagitis during esophagogastroduodenoscopy (EGD) at Screening, current or a history of esophageal motility disorders, current or a history of Barrett's esophagus, current esophageal strictures or esophagitis (known or suspected to be due to etiology other than GERD such as infection or medications), current or a history of Zollinger-Ellison syndrome and acid hypersecretory conditions, or current gastric or duodenal ulcer. Subjects will be excluded if they are found to have current or a history of cancer, with the exception of fully excised skin basal cell carcinoma, inflammatory bowel disease, a history of esophageal, gastric and duodenal surgery, except simple closure of a perforated ulcer. Subjects will be excluded who require daily use of nonsteroidal anti-inflammatory drugs (NSAIDs), oral steroids (>=20 mg/day prednisone or equivalent), or aspirin (>325 mg/day). Female subjects will be excluded who are pregnant, lactating, or have a positive B-human gonadotropin test at Screening/Baseline. Subjects will be excluded who are known to be human immunodeficiency virus (HIV) positive, have participated in another investigational drug study within 30 days prior to screening or are expected to receive an investigational drug during this trial. Subjects who are unwilling to provide informed consent will be excluded.
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| Name | Affiliation | Role |
|---|---|---|
| Guillermo Rossiter, MD | Eisai Inc. | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Athens | Alabama | 35611 | United States | |||
Out of the 305 participants who were enrolled into the study, 300 participants received the study treatment.
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| ID | Title | Description |
|---|---|---|
| FG000 | Placebo | One placebo capsule, orally, each day for 4 weeks, identical in appearance to the RAB (Rabeprazole) ER (Extended Release) 50mg capsule |
| FG001 | RAB ER 50mg | One RAB ER 50mg capsule, orally, each day for 4 weeks |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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| Placebo | Drug | One rabeprazole placebo capsule daily; rescue medication will be provided to subjects to take as needed. |
|
| Baseline and Week 4 |
| Baseline to Week 4 |
| Huntsville |
| Alabama |
| 35801 |
| United States |
| Tucson | Arizona | 85712 | United States |
| Little Rock | Arkansas | 72205 | United States |
| Anaheim | California | 92801 | United States |
| Encinitas | California | 92024 | United States |
| Irvine | California | 92618 | United States |
| Lancaster | California | 93534 | United States |
| Los Angeles | California | 90301 | United States |
| Merced | California | 95340 | United States |
| Oceanside | California | 92056 | United States |
| Orange | California | 92869 | United States |
| Pasadena | California | 91105 | United States |
| Sacramento | California | 95823 | United States |
| San Diego | California | 92103 | United States |
| San Diego | California | 92117 | United States |
| San Diego | California | 92123 | United States |
| Wheat Ridge | Colorado | 80033 | United States |
| Bridgeport | Connecticut | 6606 | United States |
| Altamonte Springs | Florida | 32701 | United States |
| Boynton Beach | Florida | 33437 | United States |
| Cape Coral | Florida | 33904 | United States |
| Hialeah | Florida | 33012 | United States |
| Miami | Florida | 33133 | United States |
| Miami | Florida | 33143 | United States |
| Miami | Florida | 33144 | United States |
| New Smyrna Beach | Florida | 32168 | United States |
| Orlando | Florida | 32806 | United States |
| Tampa | Florida | 33613 | United States |
| Wellington | Florida | 33414 | United States |
| Zephyrhills | Florida | 33542 | United States |
| Decatur | Georgia | 30033 | United States |
| Newnam | Georgia | 30263 | United States |
| Chicago | Illinois | 60622 | United States |
| Evansville | Indiana | 47714 | United States |
| Wichita | Kansas | 67203 | United States |
| Wichita | Kansas | 67207 | United States |
| Lake Charles | Louisiana | 70601 | United States |
| Metairie | Louisiana | 70006 | United States |
| Shreveport | Louisiana | 71103 | United States |
| Hagerstown | Maryland | 21742 | United States |
| Hollywood | Maryland | 20636 | United States |
| Chesterfield | Michigan | 48047 | United States |
| Troy | Michigan | 48098 | United States |
| Chaska | Minnesota | 55318 | United States |
| Mexico | Missouri | 65265 | United States |
| Butte | Montana | 59701 | United States |
| Haddon Heights | New Jersey | 8035 | United States |
| Ocean City | New Jersey | 7712 | United States |
| Vineland | New Jersey | 8360 | United States |
| Voorhees Township | New Jersey | 8043 | United States |
| Great Neck | New York | 11021 | United States |
| Great Neck | New York | 11023 | United States |
| Lake Success | New York | 11042 | United States |
| Pittsford | New York | 14534 | United States |
| Rochester | New York | 14609 | United States |
| Asheville | North Carolina | 28801 | United States |
| Boone | North Carolina | 28607 | United States |
| Charlotte | North Carolina | 28209 | United States |
| Durham | North Carolina | 277'13 | United States |
| Fayetteville | North Carolina | 28304 | United States |
| Greesnboro | North Carolina | 27265 | United States |
| High Point | North Carolina | 27262 | United States |
| Jacksonville | North Carolina | 28546 | United States |
| Kinston | North Carolina | 28501 | United States |
| New Bern | North Carolina | 28562 | United States |
| Raleigh | North Carolina | 27612 | United States |
| Rutherford College | North Carolina | 28671 | United States |
| Cincinnati | Ohio | 45219 | United States |
| Gallipolis | Ohio | 45631 | United States |
| Mentor | Ohio | 44060 | United States |
| Perrysburg | Ohio | 43551 | United States |
| Norman | Oklahoma | 73071 | United States |
| Oklahoma City | Oklahoma | 73112 | United States |
| Charleston | South Carolina | 29414 | United States |
| Simpsonville | South Carolina | 29681 | United States |
| Franklin | Tennessee | 37067 | United States |
| Jackson | Tennessee | 38301 | United States |
| Johnson City | Tennessee | 37604 | United States |
| Joshson City | Tennessee | 37601 | United States |
| Nashville | Tennessee | 37203 | United States |
| Nashville | Tennessee | 37211 | United States |
| Corsicana | Texas | 75110 | United States |
| Houston | Texas | 77030 | United States |
| Houston | Texas | 77090 | United States |
| Laredo | Texas | 78041 | United States |
| Odessa | Texas | 79761 | United States |
| Overland Park | Texas | 66215 | United States |
| San Antonio | Texas | 78229 | United States |
| Sugar Land | Texas | 77479 | United States |
| Bountiful | Utah | 84010 | United States |
| Ogden | Utah | 84405 | United States |
| West Valley City | Utah | 84120 | United States |
| Charlottesville | Virginia | 22911 | United States |
| Christiansburg | Virginia | 24073 | United States |
| Madison | Wisconsin | 53715 | United States |
| Milwaukee | Wisconsin | 53209 | United States |
| Monroe | Wisconsin | 53566 | United States |
| COMPLETED |
|
| NOT COMPLETED |
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| ID | Title | Description |
|---|---|---|
| BG000 | Placebo | One placebo capsule, orally, each day for 4 weeks, identical in appearance to the RAB (Rabeprazole) ER (Extended Release) 50mg capsule |
| BG001 | RAB ER 50mg | One RAB ER 50mg capsule, orally, each day for 4 weeks |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age, Continuous | Mean | Standard Deviation | Years |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| 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 | Change From Baseline in Average Daily Severity Score of Gastroesophageal Reflux Disease (GERD)-Related Symptoms at Week 4 | Participants collected GERD-associated symptoms of daytime heartburn, nighttime heartburn and regurgitation in daily symptom diary. Daytime episodes were defined as those that occurred after arising in the morning until retiring in the evening, and nighttime episodes were defined as those that occurred during the night while sleeping or trying to sleep. The severity score was calculated was based on a 5-point Likert scale ranging from 0 (no symptom) to 4 (very severe symptom); higher scores indicated greater disease activity. | ITT | Posted | Mean | Standard Deviation | Scores on a Scale | Baseline and Week 4 |
|
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| |||||||||||||||||||||||||||||||||||
| Primary | Mean Percentage of Diary-Recorded Heartburn-Free Days at Week 4 | Participants completed a daily symptom diary. A heartburn-free day was defined as participant report of 'No Heartburn' from nighttime and daytime of the diary for the same day. | Intent-to-Treat (ITT) Population - all randomized participants who received at least 1 dose of study drug (n=number of participants with evaluable data) | Posted | Mean | Standard Deviation | Percentage of Days | Week 4 |
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| Other Pre-specified | Percentage of Participants With Complete Heartburn Relief | Participants completed a daily symptom diary. | ITT (n=number of participants with evaluable data) | Posted | Number | Percentage of Participants | Week 2 and Week 4 |
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| Other Pre-specified | Time to Achieve First 24-Hour Period Without Heartburn | Participants completed a daily symptom diary. | ITT | Posted | Mean | Standard Error | Days | Baseline to Week 4 |
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For each participant, from the time participant signed the study consent form until resolution or for up to 30 days after study drug discontinuation, whichever came first.
The analysis was performed using the Safety Analysis Set (SAS) defined as all subjects who received at least 1 dose of study drug and had a postbaseline safety assessment.
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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 | Placebo | One placebo capsule, orally, each day for 4 weeks, identical in appearance to the RAB (Rabeprazole) ER (Extended Release) 50mg capsule | 1 | 147 | 0 | 147 | ||
| EG001 | RAB ER 50mg | One RAB ER 50mg capsule, orally, each day for 4 weeks | 0 | 152 | 0 | 152 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Cholecystitis, acute | Hepatobiliary disorders | MedDRA version 12 | Systematic Assessment |
|
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Eisai Inc. | Eisai Call Center | 888-422-4743 |
| ID | Term |
|---|---|
| D005764 | Gastroesophageal Reflux |
| ID | Term |
|---|---|
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D064750 | Rabeprazole |
| 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 |
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| Male |
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| Regurgitation |
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