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Symptomatic Gastroesophageal Reflux Disease: Double Blind Randomized Controlled Study of on-Demand Therapy Versus Maintenance Therapy

This study is ongoing, but not recruiting participants.
Study NCT00164840.   Last updated on March 25, 2008.   Information provided by Chinese University of Hong Kong

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Descriptive Information Fields
Brief Title  Symptomatic Gastroesophageal Reflux Disease: Double Blind Randomized Controlled Study of on-Demand Therapy Versus Maintenance Therapy
Official Title  Symptomatic Gastroesophageal Reflux Disease: Double Blind Randomized Controlled Study of on-Demand Therapy Versus Maintenance Therapy
Brief Summary

Maintenance treatment with proton pump inhibitor (PPI) is the most widely recommended modality of treatment for long-term management of gastroesophageal reflux disease (GERD). Yet in clinical practice treatment is commonly given in short courses on as required basis during symptom flare up, particularly for patients with mild to moderate GERD.

On-demand therapy also has the potential advantage that patient does not need to take regular medications, thereby improving the quality of life. However, whether on-demand PPI therapy achieves similar efficacy of symptom control is uncertain.

The aim of this study is to compare the efficacy and quality of life of on-demand and maintenance PPI regimens in long-term management of non-erosive GERD patients. WE hypothesize that on-demand PPI treatment is as effective as maintenance PPI.

Detailed Description
Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Double-Blind, Placebo Control, Parallel Assignment
Primary Outcome Measure  Treatment failure at 26 weeks
Secondary Outcome Measure  Symptom score at 26 weeks, QoL at 1 year, number of days off treatment
Condition  Gastroesophageal Reflux Disease
Intervention  Drug: Esomeprazole
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment  244
Start Date  May 2003
Completion Date November 2008
Eligibility Criteria 

Inclusion Criteria:

  • Weekly symptoms of heartburn or acid regurgitation of moderate severity as predominant complaint for at least 6 months

Exclusion Criteria:

  • Erosive esophagitis
  • Concomitant peptic ulcer disease
  • Use of NSAID in recent 4 weeks (Low dose aspirin < 300 mg is allowed)
  • Pregnant or lactating female
  • Illiterate patient (who cannot administer questionnaire)
  • Known hypersensitivity to PPI
Gender Both
Ages 18 Years to 80 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  China
Administrative Information Fields
NCT ID  NCT00164840
Organization ID OG Study
Secondary IDs ††
Study Sponsor  Chinese University of Hong Kong
Collaborators ††
Investigators 
Principal Investigator:     Justin CY WU, MD     Chinese University of Hong Kong    
Information Provided By Chinese University of Hong Kong
Verification Date March 2008
First Received Date  September 9, 2005
Last Updated Date March 25, 2008

 †    Required WHO trial registration data element.
††   WHO trial registration data element that is required only if it exists.




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