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Nexium vs. Surgery (LOTUS)

This study is ongoing, but not recruiting participants.
Study NCT00251927.   Last updated on January 11, 2008.   Information provided by AstraZeneca

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Descriptive Information Fields
Brief Title  Nexium vs. Surgery
Official Title  An Open, Randomized, Multicenter, Phase IIIB Study During 5 Years to Assess Long-Term Efficacy and Tolerability of Esomeprazole Compared to Laparoscopic Anti-Reflux Surgery in Adult Subjects With Gastroesophageal Reflux Disease - LOTUS.
Brief Summary

The study investigates the efficacy of long-term treatment of esomeprazole compared to anti-reflux surgery in the control of gastroesophageal reflux disease by assessing time to treatment failure.

Detailed Description
Study Phase Phase III
Study Type  Interventional
Study Design  Treatment, Randomized, Open Label, Active Control, Parallel Assignment, Efficacy Study
Primary Outcome Measure  Time to treatment failure defined as need for medical treatment other than esomeprazole for control of reflux disease symptom [ Time Frame: Enrollment to treatment failure assessed at each visit ] [ Designated as safety issue: No ]
Secondary Outcome Measure  Efficacy endpoints including histopathological changes, scores of symptom variables, endoscopic assessments, assessment of 24h pH & Safety variables including lab tests, & all serious adverse events [ Time Frame: Assessed at each visit ] [ Designated as safety issue: No ]
Quality of life including patient reported outcomes assessed by GSRS & QOLRAD [ Time Frame: Assessed at each visit ] [ Designated as safety issue: No ]
Condition  Gastroesophageal Reflux
Intervention  Drug: esomeprazole
Procedure: Laparoscopic fundoplication (surgery)
MEDLINE PMIDs
Links
Recruitment Information Fields
Recruitment Status  Active, not recruiting
Enrollment  557
Start Date  October 2001
Completion Date December 2013
Eligibility Criteria 

Inclusion Criteria:

  • Subjects considered suitable for surgical treatment and long-term management of esomeprazole.
  • History of chronic reflux esophagitis or symptomatic GERD

Exclusion Criteria:

  • History of esophageal, gastric, or duodenal surgery predicted to influence negatively on subsequent treatment within the study.
  • Contraindication to the study drug.
  • Pregnancy, lactating or of child-bearing potential.
Gender Both
Ages 18 Years to 70 Years
Accepts Healthy Volunteers No
Contacts ††
Location Countries  Austria,   Belgium,   Denmark,   Finland,   France,   Germany,   Iceland,   Italy,   Netherlands,   Norway,   Sweden,   United Kingdom
Administrative Information Fields
NCT ID  NCT00251927
Organization ID D9612C00003
Secondary IDs †† SH-NEG-0003
Study Sponsor  AstraZeneca
Collaborators ††
Investigators 
Study Director:     AstraZeneca Nexium Medical Sciences Director, MD     AstraZeneca    
Principal Investigator:     Lars Lundell, MD, PhD     Karolinska University Hospital    
Information Provided By AstraZeneca
Verification Date January 2008
First Received Date  November 9, 2005
Last Updated Date January 11, 2008

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




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