Heartburn
Conditions
Brief summary
This is a multi-center, double-blind, parallel-group, randomized, proof of concept trial to investigate the relationship between dose of esomeprazole magnesium and acid-associated heartburn symptoms during 4 weeks of treatment. The safety and tolerability of esomeprazole magnesium in doses up to 40 mg BID will also be assessed.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Males and non-lactating females, aged 18 to 75 years, inclusive, with the ability to understand English and provide written informed consent * A history of heartburn for at least 6 months * A history of prior positive relief of heartburn symptoms from antacids or acid suppressive therapy * A positive esophageal acid perfusion test * At least 3 days of 'moderate' severity heartburn over the previous 7 days * No use of any acid suppression therapy (PPI, H2RA, etc.) within 14 days of randomization
Exclusion criteria
* A history of gastric or esophageal surgery * H. pylori positive * A history of endoscopy -verified erosive esophagitis within the 16 weeks prior to randomization * Currently taking higher than the standard approved proton pump inhibitor doses * Historical evidence of a number of other GI, cardiovascular, pulmonary, liver, kidney, pancreatic, cerebral vascular diseases, organ transplant, or a condition requiring surgery.
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Sustained resolution of heartburn during the 4th week of treatment, defined as 7 consecutive days with a daily e-diary heartburn assessment of None. | — |
Secondary
| Measure | Time frame |
|---|---|
| Cumulative daily sustained resolution rate through 4 weeks of treatment | — |
| Time to first day of the first 7-day period of sustained resolution of heartburn | — |
| Time to the first day of the first 7-day period of relief of heartburn | — |
| Relief of heartburn during the 4th week of treatment | — |
| Percentage of subject-reported heartburn-free nights through the 4 weeks of treatment | — |
| Safety and tolerability: adverse events, clinical laboratory tests, vital signs, physical examination. | — |
| Percentage of subject-reported heartburn-free days through 4 weeks of treatment | — |
Countries
Puerto Rico, United States