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A Pharmacokinetic, Pharmacodynamic and Safety Study of Single and Multiple Doses of Rabreprazole in Pediatric Patients With Gastroesophageal Reflux Disease (GERD) 1 to 11 Months Old, Inclusive
This study is currently recruiting participants.
Verified by Johnson & Johnson Pharmaceutical Research & Development, L.L.C., January 2010
First Received: September 4, 2008   Last Updated: January 29, 2010   History of Changes
Sponsor: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Collaborator: Eisai Inc.
Information provided by: Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
ClinicalTrials.gov Identifier: NCT00747526
  Purpose

The purpose of the study is to evaluate the pharmacokinetics, pharmacodynamics and safety of rabeprazole after single and multiple daily administration in infants between the ages of 1 and 11 months, inclusive, with GERD.


Condition Intervention Phase
GERD
Drug: Rabeprazole sodium
Phase I

Study Type: Interventional
Study Design: Treatment, Randomized, Open Label, Single Group Assignment, Pharmacokinetics/Dynamics Study
Official Title: A Pharmacokinetic and Safety Study of Single and Multiple Doses of Rabreprazole in Pediatric Subjects With GERD 1 to 11 Months Old, Inclusive

Resource links provided by NLM:


Further study details as provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:

Primary Outcome Measures:
  • Pharmacokinetic, pharmacodynamic and safety parameters of rabeprazole will be listed and summarized.

Estimated Enrollment: 36
Study Start Date: December 2007
Estimated Study Completion Date: January 2011
Estimated Primary Completion Date: January 2011 (Final data collection date for primary outcome measure)
Detailed Description:

This is an open-label (both physician and patient know the name of the study medication), multicenter, Phase I study, consisting of 2 parts. The first part of the study will be nonrandomized, all patients will receive the same dose. In the second part of the study, patients will be randomized (study medication assigned by chance) into 2 dose groups. The purpose of the study is to evaluate the pharmacokinetics, pharmacodynamics (intraesophageal/intragastric pH, clinical global impression, formulation palatability and Gastroesophageal Reflux Disease (GERD) daily symptom diary) and safety of rabrepazole after single and multiple daily administration at 2 dose levels in infants between the ages of 1 and 11 months, inclusive (up to 11 months 29 days), with GERD. As this study is an exploratory assessment of the pharmacokinetics, pharmacodynamics and safety of rabeprazole in infants, no formal hypothesis testing is applied. Safety and tolerability, including monitoring of adverse events, clinical laboratory results, physical examination, vital signs and ECG measurements, will be evaluated throughout the study. Patients will receive rabeprazole sodium as single daily oral doses for 5 successive days as a bead formulation. Patients in the first part of the study will receive single and multiple daily every 24 hours doses of 0.14 mg/kg, using increments of 1 mg dose. Safety and pk data from part 1 of the study will determine the 2 dosages to be studied in part 2 of the study.

  Eligibility

Ages Eligible for Study:   1 Month to 11 Months
Genders Eligible for Study:   Both
Accepts Healthy Volunteers:   No
Criteria

Inclusion Criteria:

  • Patients who have been treated with, or are currently receiving a proton pump inhibitor (PPI), H2 blockers, or antacids are eligible (as long as they can go off antacids for 24 hours, and PPIs and H2 blockers 3 days prior to dosing, except for cimetidine, which must be discontinued for at least 7 days prior to dosing) and remain off these medications for the treatment period
  • Patients who are generally healthy, other than the presence of GERD, with the exception of the following: Patients with stable asthma/reactive airway disease or cystic fibrosis-dependent GERD symptoms on stable treatment regimens or subjects on stable doses of allergy medicines.

Exclusion Criteria:

  • Patients who have history of or current clinically significant medical illness including (but not limited to) cardiac arrhythmias or other cardiac disease, hematologic disease, coagulation disorders, lipid abnormalities, diabetes mellitus, renal or hepatic insufficiency, thyroid disease, neurologic or psychiatric disease, infection, or any other illness that the investigator considers should exclude the subject or that could interfere with the interpretation of the study results
  • Primary pulmonary or ENT symptoms
  • Presence of "warning signals", suggesting cause of vomiting/regurgitation other than GERD
  • History of primary esophageal motility disorders or systemic condition affecting the esophagus
  • History of eosinophilic esophagitis, persistent milk protein allergy, or allergic gastroenteropathy
  • History of or current presence of peptic ulcers
  • Current presence of Helicobacer pylori
  • Significant arrhythmias.
  Contacts and Locations
Please refer to this study by its ClinicalTrials.gov identifier: NCT00747526

Contacts
Contact: Use link at the bottom of the page to see if you qualify for an enrolling site (see list). If you still have questions: info1@veritasmedicine.com

Locations
United States, Arkansas
Recruiting
Little Rock, Arkansas, United States
United States, California
Active, not recruiting
Oakland, California, United States
United States, Colorado
Recruiting
Thornton, Colorado, United States
United States, District of Columbia
Active, not recruiting
Was, District of Columbia, United States
United States, Florida
Recruiting
Maitland, Florida, United States
United States, Louisiana
Active, not recruiting
Marrero, Louisiana, United States
United States, Mississippi
Recruiting
Jackson, Mississippi, United States
United States, Missouri
Recruiting
Bridgeton, Missouri, United States
United States, New Jersey
Active, not recruiting
Long Branch, New Jersey, United States
United States, New York
Not yet recruiting
Brooklyn, New York, United States
United States, Ohio
Recruiting
Youngstown, Ohio, United States
Recruiting
Cleveland, Ohio, United States
United States, Texas
Recruiting
Houston, Texas, United States
Belgium
Recruiting
Antwerpen, Belgium
Recruiting
Brussel, Belgium
Brazil
Recruiting
Sao Paulo, Brazil
Poland
Not yet recruiting
Warszawa, Poland
Sponsors and Collaborators
Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
Eisai Inc.
Investigators
Study Director: Johnson & Johnson Pharmaceutical Research & Development, L.L. C. Clinical Trial Johnson & Johnson Pharmaceutical Research & Development, L.L.C.
  More Information

Additional Information:
No publications provided

Study ID Numbers: CR013948
Study First Received: September 4, 2008
Last Updated: January 29, 2010
ClinicalTrials.gov Identifier: NCT00747526     History of Changes
Health Authority: United States: Food and Drug Administration

Keywords provided by Johnson & Johnson Pharmaceutical Research & Development, L.L.C.:
Pediatrics
Pharmacokinetics
Pharmacodynamics
Rabeprazole
GERD
Aciphex

Additional relevant MeSH terms:
Molecular Mechanisms of Pharmacological Action
Gastrointestinal Diseases
Gastrointestinal Agents
Enzyme Inhibitors
Gastroesophageal Reflux
Pharmacologic Actions
Esophageal Motility Disorders
Deglutition Disorders
Digestive System Diseases
Therapeutic Uses
Anti-Ulcer Agents
Esophageal Diseases
Rabeprazole

ClinicalTrials.gov processed this record on February 08, 2010