Effect of Esomeprazole 40 mg.Daily for 7 Days on Acid Reflux and Related Arousals During Sleep in Patients With GERD (ISS)
Recruitment status was Recruiting
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Purpose
The purpose of this study is to determine if esomeprazole 40 mg. once daily improves not only nighttime symptoms but also significantly reduces conscious awakenings associated with gastroesophageal reflux and consequently improves sleep quality.
| Condition | Intervention | Phase |
|---|---|---|
|
Gastroesophageal Reflux Disease |
Drug: Esomeprazole Drug: esomeprazole |
Phase 2 Phase 3 |
| Study Type: | Interventional |
| Study Design: | Endpoint Classification: Safety/Efficacy Study Intervention Model: Single Group Assignment Masking: Open Label Primary Purpose: Treatment |
| Official Title: | The Effect of Esomeprazole 40 mg. Daily for 7 Days on Acid Reflux and Related Arousals During Sleep in Patients With Gastroesophageal Reflux Disease (GERD). |
- The Effect of Esomeprazole 40 mg. Daily for 7 Days on Acid Reflux and Related Arousals During Sleep in Patients w/ GERD. [ Time Frame: 2 years ] [ Designated as safety issue: No ]
This is the first study to evaluate the impact of antireflux treatment, not only on heartburn during sleep, but also on reflux-related conscious awakenings.
This has not been done previously and will thus provide an opportunity to assess the impact of esomeprazole on nighttime symptoms and awakenings.
| Estimated Enrollment: | 20 |
| Study Start Date: | March 2010 |
| Estimated Study Completion Date: | March 2012 |
| Estimated Primary Completion Date: | March 2012 (Final data collection date for primary outcome measure) |
| Arms | Assigned Interventions |
|---|---|
|
Esomeprazole
Effect of PPI esomeprazole on acid reflux & related arousals during sleep in patients with GERD.
|
Drug: Esomeprazole
40 mg daily for 7 days
Other Name: Nexium
Drug: esomeprazole
40 mg. daily, oral medication, once daily for 7 days.
Other Name: Nexium
|
Detailed Description:
Twenty GERD patients with nighttime heartburn and/or regurgitation at least 3 times a week will be invited to participate in the study. All patients will undergo upper endoscopy to determine presence or absence of esophageal inflammation(using Los Angeles criteria). All patients will be evaluated by the Demographic,Berlin,Epworth Sleepiness Scale Questionnaires, and GERD Symptom Checklist. Thereafter,patients will undergo pH testing w/ an actigraph.The morning of pH probe removal,a Sleep Quality Questionaire will be administered.
Subjects will then receive esomeprazole 40 mg. once daily(30 minutes before breakfast) for 1 week. On day 7,subjects will again undergo pH testing w/ actigraphy, and the results will be analyzed again w/ new integrative software. On the morning of pH probe removal, the sleep Quality Questionnaire will be re-administered.
Eligibility| Ages Eligible for Study: | 18 Years to 80 Years |
| Genders Eligible for Study: | Both |
| Accepts Healthy Volunteers: | No |
Inclusion Criteria:
- Nocturnal symptoms at least twice a week.
- Ages 18-80
- Erosive esophagitis and/or abnormal pH test -
- Able to read, understand, and complete study questionnaires
Exclusion Criteria:
- Subjects with Barrett's esophagus or peptic stricture on endoscopy
- Subjects with normal endoscopy and pH test
- Subjects with previous upper gastrointestinal surgery
Contacts and Locations| Contact: RONNIE FASS, MD | 520-792-1450 ext 5139 | ronniefass@va.gov |
| Contact: MARCIA R WILLIS, CCRC | 520-792-1450 ext 2032 | marcia.willis@va.gov |
| United States, Arizona | |
| Southern Arizona VA Health Care System | Recruiting |
| Tucson, Arizona, United States, 85723 | |
| Contact: Ronnie Fass, MD 520-792-1450 ext 5139 ronniefass@va.gov | |
| Principal Investigator: RONNIE FASS, MD | |
| Principal Investigator: | Ronnie Fass, MD | SAVAHCS |
More Information
No publications provided
| Responsible Party: | RONNIE FASS M.D., SOUTHERN AZ. VA HEALTH CARE SYSTEM |
| ClinicalTrials.gov Identifier: | NCT01089959 History of Changes |
| Other Study ID Numbers: | ISS Astra Zeneca 7 day Nexium |
| Study First Received: | March 18, 2010 |
| Last Updated: | August 18, 2010 |
| Health Authority: | United States: Federal Government |
Keywords provided by Southern Arizona VA Health Care System:
|
Acid re-flux,GERD sleep related arousals due to GERD Treatment of acid reflux during sleep in patients with GERD. |
Additional relevant MeSH terms:
|
Gastroesophageal Reflux Esophageal Motility Disorders Deglutition Disorders Esophageal Diseases Gastrointestinal Diseases Digestive System Diseases Omeprazole |
Anti-Ulcer Agents Gastrointestinal Agents Therapeutic Uses Pharmacologic Actions Enzyme Inhibitors Molecular Mechanisms of Pharmacological Action |
ClinicalTrials.gov processed this record on June 18, 2013