A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is Continued

This study has been completed.
Sponsor:
Information provided by:
AstraZeneca
ClinicalTrials.gov Identifier:
NCT00633672
First received: February 27, 2008
Last updated: January 24, 2011
Last verified: January 2011
  Purpose

Nonsteroidal anti-inflammatory drugs (NSAIDS) are often associated with gastric ulcers. This study looks at the treatment of these gastric ulcers with one of the three following treatment groups: esomeprazole 40 mg once daily; esomeprazole 20 mg once daily; or ranitidine 150 mg twice daily.


Condition Intervention Phase
NSAID Associated Gastric Ulcers
Drug: Esomeprazole
Drug: Ranitidine
Phase 3

Study Type: Interventional
Study Design: Endpoint Classification: Safety/Efficacy Study
Intervention Model: Parallel Assignment
Masking: Double-Blind
Primary Purpose: Treatment
Official Title: A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is Continued

Resource links provided by NLM:


Further study details as provided by AstraZeneca:

Primary Outcome Measures:
  • To assess the safety and efficacy of esomeprazole 40 mg qd versus ranitidine 150 mg bid through 8 weeks of treatment for the healing of gastric ulcers in patients receiving daily NSAID therapy. Healing is defined as the absence of gastric ulcers.

Secondary Outcome Measures:
  • Patient and investigator assessed GI symptoms for up to 8 weeks of treatment. [ Time Frame: Assessments at week 0, week 4 and week 8 ]
  • Safety and tolerability of the treatments for 8 weeks of treatment. [ Time Frame: Assessments at week 0, week 4 and week 8 ]

Estimated Enrollment: 400
Study Start Date: February 2001
Study Completion Date: October 2003
Primary Completion Date: October 2003 (Final data collection date for primary outcome measure)
Arms Assigned Interventions
Experimental: 1
20mg Oral tablet daily
Drug: Esomeprazole
20mg Oral tablet once daily
Other Name: Nexium
Experimental: 2
40mg oral tablet daily
Drug: Esomeprazole
40mg oral tablet once daily
Other Name: Nexium
Active Comparator: 3
150mg oral twice daily
Drug: Ranitidine
150mg oral twice daily
Other Name: Zantac

  Eligibility

Ages Eligible for Study:   18 Years and older
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  1. A clinical diagnosis of a chronic condition (eg osteoarthritis or rheumatoid arthritis) that requires daily NSAID treatment for at least 2 months.
  2. Other key inclusion criteria, as specified in the protocol.

Exclusion Criteria:

  1. History of esophageal, gastric or duodenal surgery, except for simple closure of an ulcer.
  2. History of severe liver disease, including (but not limited to) cirrhosis and acute or chronic hepatitis.
  3. Other conditions and criteria, as specified in the protocol.
  Contacts and Locations
Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the Contacts provided below. For general information, see Learn About Clinical Studies.

Please refer to this study by its ClinicalTrials.gov identifier: NCT00633672

Sponsors and Collaborators
AstraZeneca
Investigators
Study Director: Paula Fernstrom Nexium Global Product Director, AstraZeneca
  More Information

No publications provided

ClinicalTrials.gov Identifier: NCT00633672     History of Changes
Other Study ID Numbers: SH-NEN-0006
Study First Received: February 27, 2008
Last Updated: January 24, 2011
Health Authority: United States: Food and Drug Administration

Keywords provided by AstraZeneca:
NSAID
Nexium
esomeprazole
Gastric Ulcers

Additional relevant MeSH terms:
Stomach Ulcer
Ulcer
Peptic Ulcer
Gastrointestinal Diseases
Digestive System Diseases
Stomach Diseases
Pathologic Processes
Anti-Inflammatory Agents, Non-Steroidal
Ranitidine
Ranitidine bismuth citrate
Esomeprazole
Analgesics, Non-Narcotic
Analgesics
Sensory System Agents
Peripheral Nervous System Agents
Physiological Effects of Drugs
Pharmacologic Actions
Anti-Inflammatory Agents
Therapeutic Uses
Antirheumatic Agents
Anti-Ulcer Agents
Gastrointestinal Agents
Histamine H2 Antagonists
Histamine Antagonists
Histamine Agents
Neurotransmitter Agents
Molecular Mechanisms of Pharmacological Action
Proton Pump Inhibitors
Enzyme Inhibitors

ClinicalTrials.gov processed this record on September 11, 2014