Gastroesophageal reflux diseases and insomia
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: 1.205 in Pittsburgh sleep quality index (PSQI) and total score >=8 in GerdQ questionnaire.
Exclusion criteria
Exclusion criteria: 1.Endoscopic esophagitis Los Angeles Classification grades C or D 2.3 cm or more hiatus hernia 3.Scleroderma 4.Taking hypnotics, antidepressants, antipsychotics, anticholinergics, prokinetics, histamine H2 channel blockers, proton pump inhibitors, vonoprazan within 4 weeks prior to the study 5.Active psychological disorders 6.Shift worker 7.History of Upper gastrointestinal surgeries 8.Diabetes 9.Sleep apnea syndrome 10.Pregnant women, women planning on becoming pregnant during the study, lactating 11.Heart diseases and cancers 12.Significant liver/kidney diseases 13.Central nervous system disease, cognitive impairment 14.Allergies to xylocaine or lemborexant 15.narcolepsy. catalepsy 16.respiratory disorders 17.alcoholic 18.achalasia on high resolution manometry
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Changes in GerdQ score after the intervention. The question of GerdQ about sleep disturbance due to nighttime heartburn or regurgitation is excluded in the analysis for the primary outcome. | — |
Secondary
| Measure | Time frame |
|---|---|
| -parameters on 24h reflux study: Esophageal acid exposure time%, number of reflux episodes, number of acid reflux episodes, number of non-acid reflux episodes, bolus exposure time, acid clearance time, number of symptoms, symptom index, symptom association probability. -Total score in PSQI -Score of each question in GerdQ and changes in GerdQ score during taking lemborexant. -Correlation between GerdQ scores and PSQI scores -Predictive markers for effectiveness of lemborexant in patients with reflux symptoms - Changes in F-scale total score after the intervention | — |
Contacts
Nippon Medical School Hospital