Efficacy of Pantoprazole in Patients Older Than 12 Years With Reflux Associated Sleep Disorders (PULS)

This study has been completed.
Sponsor:
Information provided by:
Nycomed: A Takeda Company
ClinicalTrials.gov Identifier:
NCT00562094
First received: November 12, 2007
Last updated: May 4, 2012
Last verified: May 2012
Results First Received: September 1, 2010  
Study Type: Observational
Study Design: Observational Model: Cohort;   Time Perspective: Prospective
Conditions: Erosive Gastroesophageal Reflux Disease
Non-Erosive Reflux Disease
Intervention: Drug: Pantoprazole

  Participant Flow
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Recruitment Details
Key information relevant to the recruitment process for the overall study, such as dates of the recruitment period and locations
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Pre-Assignment Details
Significant events and approaches for the overall study following participant enrollment, but prior to group assignment
No text entered.

Reporting Groups
  Description
Pantoprazole All patients enrolled

Participant Flow:   Overall Study
    Pantoprazole  
STARTED     8616  
COMPLETED     8554  
NOT COMPLETED     62  
Lost to Follow-up                 62  



  Baseline Characteristics
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Reporting Groups
  Description
Pantoprazole All patients enrolled

Baseline Measures
    Pantoprazole  
Number of Participants  
[units: participants]
  8616  
Age [1]
[units: years]
Mean ± Standard Deviation
  55.7  ± 14.51  
Gender, Customized  
[units: percentage of participants]
 
Female     47.8  
Male     51.7  
Missing data     0.5  
Nicotine use  
[units: percentage of participants]
 
Smoker     35.2  
Non-smoker     64.1  
Missing data     0.7  
Alcohol use  
[units: percentage of participants]
 
Daily     22.1  
Not daily     77.2  
Missing data     0.8  
Drug abuse  
[units: percentage of participants]
 
Drug abuse     2.9  
No drug abuse     96.0  
Missing data     1.1  
Indication for prescription of pantoprazole  
[units: percentage of participants]
 
long-term therapy and/or relapse prophylaxis     50.5  
Acute reflux oesophagitis     49.1  
Missing data     0.4  
[1] The measured value is related to the number of 8502 subjects (= valid cases). This number differs from the overall number of baseline participants due to missing data for 114 subjects.



  Outcome Measures
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1.  Primary:   Assessment of the Severity of Sleep Disturbances   [ Time Frame: first and last visit (after a median of 18 days) ]

Measure Type Primary
Measure Title Assessment of the Severity of Sleep Disturbances
Measure Description Physician's assessment on a scale with 1=none, 2=mild, 3=moderate, 4=severe
Time Frame first and last visit (after a median of 18 days)  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
All patients included and treated, intention to treat, missing values not imputed

Reporting Groups
  Description
Pantoprazole / Start of Therapy All patients with valid values ('as observed')
Pantoprazole / End of Therapy All patients with valid values ('as observed')

Measured Values
    Pantoprazole / Start of Therapy     Pantoprazole / End of Therapy  
Number of Participants Analyzed  
[units: participants]
  8616     8616  
Assessment of the Severity of Sleep Disturbances  
[units: percentage of participants]
   
None     13.8     77.4  
Mild     38.2     20.0  
Moderate     35.9     1.1  
Severe     8.0     0.07  
Missing data     4.1     1.4  

No statistical analysis provided for Assessment of the Severity of Sleep Disturbances



2.  Primary:   Assessment of Change of Quality of Sleep During Therapy With Pantoprazole   [ Time Frame: last visit (after a median of 18 days) ]

Measure Type Primary
Measure Title Assessment of Change of Quality of Sleep During Therapy With Pantoprazole
Measure Description

Physician's assessment on a scale with

  • considerably improved
  • improved
  • unchanged
Time Frame last visit (after a median of 18 days)  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
All patients included and treated, intention to treat, missing values not imputed

Reporting Groups
  Description
Pantoprazole All patients with valid values ('as observed')

Measured Values
    Pantoprazole  
Number of Participants Analyzed  
[units: participants]
  8616  
Assessment of Change of Quality of Sleep During Therapy With Pantoprazole  
[units: percentage of participants]
 
Considerably improved     56.2  
Improved     25.7  
Unchanged     13.5  
Missing data     4.6  

No statistical analysis provided for Assessment of Change of Quality of Sleep During Therapy With Pantoprazole



3.  Secondary:   Assessment of the Severity of Heartburn   [ Time Frame: first and last visit (after a median of 18 days) ]

Measure Type Secondary
Measure Title Assessment of the Severity of Heartburn
Measure Description Physician's assessment on a scale with 1=none, 2=mild, 3=moderate, 4=severe
Time Frame first and last visit (after a median of 18 days)  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

Reporting Groups
  Description
Pantoprazole All patients with valid values at first and last visit

Measured Values
    Pantoprazole  
Number of Participants Analyzed  
[units: participants]
  8540  
Assessment of the Severity of Heartburn  
[units: units on a scale]
Mean ± Standard Deviation
 
Start of therapy     3.04  ± 0.79  
End of study     1.34  ± 0.51  

No statistical analysis provided for Assessment of the Severity of Heartburn



4.  Secondary:   Assessment of the Severity of Eructation/Acid Eructation   [ Time Frame: first and last visit (after a median of 18 days) ]

Measure Type Secondary
Measure Title Assessment of the Severity of Eructation/Acid Eructation
Measure Description Physician's assessment on a scale with 1=none, 2=mild, 3=moderate, 4=severe
Time Frame first and last visit (after a median of 18 days)  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

Reporting Groups
  Description
Pantoprazole All patients with valid values at first and last visit

Measured Values
    Pantoprazole  
Number of Participants Analyzed  
[units: participants]
  8540  
Assessment of the Severity of Eructation/Acid Eructation  
[units: units on a scale]
Mean ± Standard Deviation
 
Start of therapy     2.66  ± 0.88  
End of study     1.29  ± 0.49  

No statistical analysis provided for Assessment of the Severity of Eructation/Acid Eructation



5.  Secondary:   Assessment of the Severity of Epigastric Complaints/Epigastric Pain   [ Time Frame: first and last visit (after a median of 18 days) ]

Measure Type Secondary
Measure Title Assessment of the Severity of Epigastric Complaints/Epigastric Pain
Measure Description Physician's assessment on a scale with 1=none, 2=mild, 3=moderate, 4=severe
Time Frame first and last visit (after a median of 18 days)  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

Reporting Groups
  Description
Pantoprazole All patients with valid values at first and last visit

Measured Values
    Pantoprazole  
Number of Participants Analyzed  
[units: participants]
  8528  
Assessment of the Severity of Epigastric Complaints/Epigastric Pain  
[units: units on a scale]
Mean ± Standard Deviation
 
Start of therapy     2.25  ± 0.91  
End of study     1.18  ± 0.42  

No statistical analysis provided for Assessment of the Severity of Epigastric Complaints/Epigastric Pain



6.  Secondary:   Assessment of the Severity of Sensation of Fullness/Abdominal Distension   [ Time Frame: first and last visit (after a median of 18 days) ]

Measure Type Secondary
Measure Title Assessment of the Severity of Sensation of Fullness/Abdominal Distension
Measure Description Physician's assessment on a scale with 1=none, 2=mild, 3=moderate, 4=severe
Time Frame first and last visit (after a median of 18 days)  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Patients included and treated with valid data at first and last visit (without imputation of missing values), intention to treat

Reporting Groups
  Description
Pantoprazole All patients with valid values at first and last visit

Measured Values
    Pantoprazole  
Number of Participants Analyzed  
[units: participants]
  8516  
Assessment of the Severity of Sensation of Fullness/Abdominal Distension  
[units: units on a scale]
Mean ± Standard Deviation
 
Start of therapy     2.35  ± 0.95  
End of study     1.28  ± 0.50  

No statistical analysis provided for Assessment of the Severity of Sensation of Fullness/Abdominal Distension



7.  Secondary:   Assessment of the Efficacy of Pantoprazole at Final Visit   [ Time Frame: last visit (after a median of 18 days) ]

Measure Type Secondary
Measure Title Assessment of the Efficacy of Pantoprazole at Final Visit
Measure Description Physician's assessment on a scale with 1=excellent, 2=good, 3=satisfactory, 4=not satisfactory
Time Frame last visit (after a median of 18 days)  
Safety Issue No  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Patients included and treated with at least one application of pantoprazole (without imputation of missing values), intention to treat

Reporting Groups
  Description
Pantoprazole Patients included and treated with at least one application of pantoprazole

Measured Values
    Pantoprazole  
Number of Participants Analyzed  
[units: participants]
  8616  
Assessment of the Efficacy of Pantoprazole at Final Visit  
[units: percentage of participants]
 
Excellent     78.1  
Good     19.6  
Satisfactory     1.3  
Not satisfactory     0.2  
Missing data     0.8  

No statistical analysis provided for Assessment of the Efficacy of Pantoprazole at Final Visit



8.  Secondary:   Assessment of the Tolerability of Pantoprazole at Final Visit   [ Time Frame: last visit (after a median of 18 days) ]

Measure Type Secondary
Measure Title Assessment of the Tolerability of Pantoprazole at Final Visit
Measure Description Physician's assessment on a scale with 1=excellent, 2=good, 3=satisfactory, 4=not satisfactory
Time Frame last visit (after a median of 18 days)  
Safety Issue Yes  

Population Description
Explanation of how the number of participants for analysis was determined. Includes whether analysis was per protocol, intention to treat, or another method. Also provides relevant details such as imputation technique, as appropriate.
Patients included and treated with at least one application of pantoprazole (without imputation of missing values), intention to treat

Reporting Groups
  Description
Pantoprazole Patients included and treated with at least one application of pantoprazole

Measured Values
    Pantoprazole  
Number of Participants Analyzed  
[units: participants]
  8616  
Assessment of the Tolerability of Pantoprazole at Final Visit  
[units: percentage of participants]
 
Excellent     81.6  
Good     14.8  
Satisfactory     0.4  
Not satisfactory     0.06  
Missing data     3.1  

No statistical analysis provided for Assessment of the Tolerability of Pantoprazole at Final Visit




  Serious Adverse Events


  Other Adverse Events


  More Information
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Certain Agreements:  
Principal Investigators are NOT employed by the organization sponsoring the study.
There is NOT an agreement between Principal Investigators and the Sponsor (or its agents) that restricts the PI's rights to discuss or publish trial results after the trial is completed.


Limitations and Caveats
Limitations of the study, such as early termination leading to small numbers of participants analyzed and technical problems with measurement leading to unreliable or uninterpretable data
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Results Point of Contact:  
Name/Title: Medical Responsible
Organization: Nycomed Deutschland GmbH
phone: +49 7531 3666 0
e-mail: clinicaltrials@nycomed.com


No publications provided


Responsible Party: Medical Responsible, Nycomed Deutschland GmbH
ClinicalTrials.gov Identifier: NCT00562094     History of Changes
Other Study ID Numbers: PAN 20/40 PULS 07/10
Study First Received: November 12, 2007
Results First Received: September 1, 2010
Last Updated: May 4, 2012
Health Authority: Germany: Federal Institute for Drugs and Medical Devices