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Efficacy and Safety of Lansoprazole on Gastric and Duodenal Ulcers in Patients Taking Nonsteroidal Anti-Inflammatory Drugs

A Study to Investigate the Preventive Effect of AG-1749 Against the Recurrence of Gastric and Duodenal Ulcers During Long-term Treatment With Nonsteroid Anti-inflammatory Drug

Status
Completed
Phases
Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00787254
Enrollment
366
Registered
2008-11-07
Start date
2007-04-30
Completion date
2009-05-31
Last updated
2012-02-03

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Duodenal Ulcer, Stomach Ulcer

Keywords

Curling Ulcer, Gastric Ulcer, Nonsteroid anti-inflammatory drug, Drug Therapy

Brief summary

The purpose of this study is to determine whether AG-1749 (lansoprazole), once daily (QD), is effective in preventing the recurrence of gastric and duodenal ulcers in patients receiving long term treatment with nonsteroid anti-inflammatory drug, compared to gefarnate, twice daily (BID).

Detailed description

In Japan, nonsteroid anti-inflammatory drug is one of common prescribed drugs for patients as an analgesic antipyretic, treating symptoms of cold, antiphlogistic and management of pain with rheumatoid arthritis, osteoarthrosis, lumbago. On the other hand, this nonsteroid anti-inflammatory drug sometimes causes gastric and duodenal ulcers and this ulcer leads to the gastrointestinal bleeding which may be cause of death. The purpose of this study is to assess the efficacy of lansoprazole versus gefarnate in patients with a history of gastric or duodenal ulcers receiving daily nonsteroid anti-inflammatory medication.

Interventions

DRUGLansoprazole

Lansoprazole 15 mg, capsules, orally, once daily and gefarnate placebo-matching capsules, orally, twice daily for up to 6 to 24 months.

Gefarnate 50 mg, capsules, orally, twice daily and lansoprazole placebo-matching capsules, orally, once daily for up to 6 to 24 months.

Sponsors

Takeda
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
QUADRUPLE (Subject, Caregiver, Investigator, Outcomes Assessor)

Eligibility

Sex/Gender
ALL
Age
20 Years to No maximum
Healthy volunteers
No

Inclusion criteria

* The patient was on nonsteroid anti-inflammatory drug (NSAID) treatment on the day when consent was obtained, and requires the long-term continuous treatment even after treatment with the investigational drug is started. * The patient was confirmed to have a history of gastric ulcer or duodenal ulcer.

Exclusion criteria

* Endoscopically confirmed gastric and/or duodenal ulcers on Day 1. * Endoscopically confirmed active upper gastrointestinal hemorrhage on Day 1. * Current or past history of aspirin-induced asthma or hypersensitivity to NSAIDs. * Past or planned surgery affecting gastric acid secretion. * Clinically significant hepatic or renal disorder. * Serious cardiac dysfunction, hypertension, or hematological disorder.

Design outcomes

Primary

MeasureTime frameDescription
Number of Participants With Gastric Ulcer and/or Duodenal Ulcer24 MonthsThe number of participants that developed gastric ulcer and/or duodenal ulcer at month 24 or final visit. Ulcers are defined as mucosal defect with white coating 3 mm or greater.

Secondary

MeasureTime frameDescription
Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)Baseline and Month 6.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.
Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)Baseline and Month 12.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.
Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)Baseline and Month 18.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.
Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)Baseline and Month 24.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.
Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)Baseline and Month 3.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.
Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)Baseline and Month 6.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.
Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)Baseline and Month 12.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.
Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)Baseline and Month 18.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.
Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)Baseline and Month 24.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.
Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 6)Baseline and Month 6.The number of participants that develop postprandial pain at month 6, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Number of Participants With Gastric or Duodenal Ulcer or Gastric or Duodenal Hemorrhagic Lesion (Upper Gastrointestinal Hemorrhage)On occurrence (up to month 24).Number of participants with gastric or duodenal ulcer or gastric or duodenal hemorrhagic lesion (upper gastrointestinal hemorrhage) from baseline through month 24 or final visit. Ulcers are defined as mucosal defect with white coating 3 mm or greater.
Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 3)Baseline and Month 3.The number of participants that develop postprandial pain at month 3, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 12)Baseline and Month 12.The number of participants that develop postprandial pain at month 12, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 18)Baseline and Month 18.The number of participants that develop postprandial pain at month 18, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 24)Baseline and Month 24.The number of participants that develop postprandial pain at month 24, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 3)Baseline and Month 3.The number of participants that develop hunger and nighttime pain at month 3, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 6)Baseline and Month 6.The number of participants that develop hunger and nighttime pain at month 6, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 12)Baseline and Month 12.The number of participants that develop hunger and nighttime pain at month 12, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 18)Baseline and Month 18.The number of participants that develop hunger and nighttime pain at month 18, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 24)Baseline and Month 24.The number of participants that develop hunger and nighttime pain at month 24, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 3)Baseline and Month 3.The number of participants that develop the feeling of an enlarged abdomen at month 3, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 6)Baseline and Month 6.The number of participants that develop the feeling of an enlarged abdomen at month 6, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 12)Baseline and Month 12.The number of participants that develop the feeling of an enlarged abdomen at month 12, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 18)Baseline and Month 18.The number of participants that develop the feeling of an enlarged abdomen at month 18, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 24)Baseline and Month 24.The number of participants that develop the feeling of an enlarged abdomen at month 24, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 3)Baseline and Month 3.The number of participants that develop the feeling of nausea at month 3, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 6)Baseline and Month 6.The number of participants that develop the feeling of nausea at month 6, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 12)Baseline and Month 12.The number of participants that develop the feeling of nausea at month 12, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 18)Baseline and Month 18.The number of participants that develop the feeling of nausea at month 18, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 24)Baseline and Month 24.The number of participants that develop the feeling of nausea at month 24, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 3)Baseline and Month 3.The number of participants that develop the feeling of heartburn at month 3, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 6)Baseline and Month 6.The number of participants that develop the feeling of heartburn at month 6, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 12)Baseline and Month 12.The number of participants that develop the feeling of heartburn at month 12, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 18)Baseline and Month 18.The number of participants that develop the feeling of heartburn at month 18, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 24)Baseline and Month 24.The number of participants that develop the feeling of heartburn at month 24, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 3)Baseline and Month 3.The number of participants that develop anorexia at month 3, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 6)Baseline and Month 6.The number of participants that develop anorexia at month 6, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 12)Baseline and Month 12.The number of participants that develop anorexia at month 12, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 18)Baseline and Month 18.The number of participants that develop anorexia at month 18, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 24)Baseline and Month 24.The number of participants that develop anorexia at month 24, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)Baseline and Month 3.The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.
Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 6)Baseline and Month 6.The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 6, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 12)Baseline and Month 12.The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 12, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 18)Baseline and Month 18.The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 18, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 24)Baseline and Month 24.The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 24, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.
Number of Participants With Adverse EventsPer Incidence (up to 24 months).Treatment-emergent adverse events (TEAE) are adverse events with an onset that occurs after receiving study drug. A TEAE may also be a concurrent medical condition diagnosed prior to the date of first dose of study drug that increases in severity after the start of dosing. Please see Other Adverse Events table below for TEAE listings.
Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 3)Baseline and Month 3.The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 3, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Countries

Japan

Participant flow

Recruitment details

Participants were enrolled at sites in Japan from April 2007 to May 2009.

Pre-assignment details

Participants were enrolled in either lansoprazole, once daily (QD) or gefarnate, twice daily (BID) treatment groups. NSAID = Nonsteroidal anti-inflammatory drug.

Participants by arm

ArmCount
Lansoprazole 15 mg QD
Lansoprazole 15 mg, capsules, orally, once daily and gefarnate placebo-matching capsules, orally, twice daily for up to 6 to 24 months.
185
Gefarnate 50 mg BID
Gefarnate 50 mg, capsules, orally, twice daily and lansoprazole placebo-matching capsules, orally, once daily for up to 6 to 24 months.
181
Total366

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event2423
Overall StudyInstitution closed10
Overall StudyLack of Efficacy415
Overall StudyNSAIDs discontinuation12
Overall StudyPhysician Decision48
Overall StudyProtocol Violation2623
Overall StudyWithdrawal by Subject1611

Baseline characteristics

CharacteristicTotalGefarnate 50 mg BIDLansoprazole 15 mg QD
Age, Customized
≤39 years
13 participants
3.6
6 participants
3.3
7 participants
3.8
Age, Customized
≤80 years
25 participants
6.8
12 participants
6.6
13 participants
7
Age, Customized
Between 40 and 49 years
31 participants
8.5
13 participants
7.2
18 participants
9.7
Age, Customized
Between 50 and 59 years
81 participants
22.1
43 participants
23.8
38 participants
20.5
Age, Customized
Between 60 and 64 years
62 participants
16.9
29 participants
16
33 participants
17.8
Age, Customized
Between 65 and 69 years
63 participants
17.2
30 participants
16.6
33 participants
17.8
Age, Customized
Between 70 and 79 years
91 participants
24.9
48 participants
26.5
43 participants
23.2
Region of Enrollment
Japan
366 participants181 participants185 participants
Sex: Female, Male
Female
219 Participants107 Participants112 Participants
Sex: Female, Male
Male
147 Participants74 Participants73 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
83 / 18364 / 181
serious
Total, serious adverse events
29 / 18317 / 181

Outcome results

Primary

Number of Participants With Gastric Ulcer and/or Duodenal Ulcer

The number of participants that developed gastric ulcer and/or duodenal ulcer at month 24 or final visit. Ulcers are defined as mucosal defect with white coating 3 mm or greater.

Time frame: 24 Months

Population: Participants not taking investigational drug were not included.

ArmMeasureValue (NUMBER)
Lansoprazole 15 mg QDNumber of Participants With Gastric Ulcer and/or Duodenal Ulcer15 participants
Gefarnate 50 mg BIDNumber of Participants With Gastric Ulcer and/or Duodenal Ulcer46 participants
p-value: <0.000195% CI: [0.14, 0.4499]Log Rank
Secondary

Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)-0.177 scores on a scaleStandard Deviation 0.675
Gefarnate 50 mg BIDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)0.048 scores on a scaleStandard Deviation 0.381
p-value: 0.0068Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)-0.297 scores on a scaleStandard Deviation 0.812
Gefarnate 50 mg BIDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)-0.056 scores on a scaleStandard Deviation 0.539
p-value: 0.2363Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)-0.200 scores on a scaleStandard Deviation 0.447
Gefarnate 50 mg BIDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)NA scores on a scale
Secondary

Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)-0.102 scores on a scaleStandard Deviation 0.499
Gefarnate 50 mg BIDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)0.142 scores on a scaleStandard Deviation 0.649
p-value: 0.0001Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the duodenum, graded on a 4 point scale (0=normal; 1= erosion and hemorrhage are localized in one area of the duodenum and \< 1 lesion; 2= 2 to 5 lesions ; 3= \> 6 lesions). Erosions are defined as mucosal defect \< 3 mm. Ulcers are defined as mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of duodenal mucosal injury.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)-0.095 scores on a scaleStandard Deviation 0.527
Gefarnate 50 mg BIDChange From Baseline in Duodenal Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)0.047 scores on a scaleStandard Deviation 0.373
p-value: 0.0161Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)-0.231 scores on a scaleStandard Deviation 1.299
Gefarnate 50 mg BIDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 12)0.048 scores on a scaleStandard Deviation 1.137
p-value: 0.0652Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)-0.162 scores on a scaleStandard Deviation 1.28
Gefarnate 50 mg BIDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 18)-0.278 scores on a scaleStandard Deviation 1.227
p-value: 0.9836Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)-0.800 scores on a scaleStandard Deviation 1.304
Gefarnate 50 mg BIDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 24)NA scores on a scale
Secondary

Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)-0.114 scores on a scaleStandard Deviation 1.02
Gefarnate 50 mg BIDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 3)0.429 scores on a scaleStandard Deviation 1.318
p-value: 0.0002Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)

The Lanza score (partially revised) attributes the severity of induced erosive mucosal injury in the stomach, graded on a 5 point scale (0=normal; 1= erosion/hemorrhage in one area of the stomach and \<1 lesion; 2= erosion/hemorrhage in one area of the stomach with 2-5 lesions; 3= erosion/hemorrhage in two areas in the stomach/one area involves \>6 lesions; 4= erosion/hemorrhage appear in three or more areas in the stomach). Erosions are mucosal defect \< 3 mm. Ulcers are mucosal defect with white coating ≥ 3 mm. Higher scores indicate greater severity of gastric mucosal injury.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)-0.319 scores on a scaleStandard Deviation 1.06
Gefarnate 50 mg BIDChange From Baseline in Gastric Mucosal Injury Assessed by Lanza Score (Partially Revised) (Month 6)0.188 scores on a scaleStandard Deviation 1.268
p-value: 0.0041Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 12)

The number of participants that develop anorexia at month 12, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 12)0.014 scores on a scaleStandard Deviation 0.208
Gefarnate 50 mg BIDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 12)-0.020 scores on a scaleStandard Deviation 0.143
p-value: 0.3117Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 18)

The number of participants that develop anorexia at month 18, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 18)0.056 scores on a scaleStandard Deviation 0.236
Gefarnate 50 mg BIDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0
p-value: 0.4344t-test, 2 sided
Secondary

Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 24)

The number of participants that develop anorexia at month 24, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)
Lansoprazole 15 mg QDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 24)NA scores on a scale
Secondary

Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 3)

The number of participants that develop anorexia at month 3, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 3)0.006 scores on a scaleStandard Deviation 0.138
Gefarnate 50 mg BIDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 3)0.022 scores on a scaleStandard Deviation 0.283
p-value: 0.5328Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 6)

The number of participants that develop anorexia at month 6, and number of participants that develop anorexia at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 6)0.036 scores on a scaleStandard Deviation 0.187
Gefarnate 50 mg BIDChange From Baseline in Severity of Anorexia Gastrointestinal Symptom (Month 6)0.024 scores on a scaleStandard Deviation 0.268
p-value: 0.7223Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 12)

The number of participants that develop the feeling of an enlarged abdomen at month 12, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 12)-0.057 scores on a scaleStandard Deviation 0.336
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 12)-0.204 scores on a scaleStandard Deviation 0.407
p-value: 0.0355Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 18)

The number of participants that develop the feeling of an enlarged abdomen at month 18, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 18)-0.056 scores on a scaleStandard Deviation 0.416
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0.447
p-value: 0.7325Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 24)

The number of participants that develop the feeling of an enlarged abdomen at month 24, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 24)NA scores on a scale
Secondary

Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 3)

The number of participants that develop the feeling of an enlarged abdomen at month 3, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 3)-0.025 scores on a scaleStandard Deviation 0.318
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 3)-0.014 scores on a scaleStandard Deviation 0.452
p-value: 0.698Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 6)

The number of participants that develop the feeling of an enlarged abdomen at month 6, and number of participants that develop the feeling of an enlarged abdomen at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 6)0.000 scores on a scaleStandard Deviation 0.381
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Enlarged Abdomen Gastrointestinal Symptom (Month 6)-0.048 scores on a scaleStandard Deviation 0.408
p-value: 0.4599Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 12)

The number of participants that develop the feeling of heartburn at month 12, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 12)-0.114 scores on a scaleStandard Deviation 0.363
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 12)-0.102 scores on a scaleStandard Deviation 0.51
p-value: 0.7121Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 18)

The number of participants that develop the feeling of heartburn at month 18, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 18)-0.056 scores on a scaleStandard Deviation 0.236
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 18)0.091 scores on a scaleStandard Deviation 0.302
p-value: 0.1522Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 24)

The number of participants that develop the feeling of heartburn at month 24, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 24)-1.000 scores on a scale
Secondary

Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 3)

The number of participants that develop the feeling of heartburn at month 3, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 3)-0.057 scores on a scaleStandard Deviation 0.378
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 3)0.058 scores on a scaleStandard Deviation 0.625
p-value: 0.0703Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 6)

The number of participants that develop the feeling of heartburn at month 6, and number of participants that develop the feeling of heartburn at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 6)-0.027 scores on a scaleStandard Deviation 0.476
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Heartburn Gastrointestinal Symptom (Month 6)-0.095 scores on a scaleStandard Deviation 0.428
p-value: 0.3046Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 12)

The number of participants that develop the feeling of nausea at month 12, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 12)-0.043 scores on a scaleStandard Deviation 0.204
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 12)-0.041 scores on a scaleStandard Deviation 0.2
p-value: 0.9566Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 18)

The number of participants that develop the feeling of nausea at month 18, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 18)-0.091 scores on a scaleStandard Deviation 0.302
p-value: 0.2008Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 24)

The number of participants that develop the feeling of nausea at month 24, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 24)NA scores on a scale
Secondary

Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 3)

The number of participants that develop the feeling of nausea at month 3, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 3)-0.006 scores on a scaleStandard Deviation 0.239
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 3)0.007 scores on a scaleStandard Deviation 0.308
p-value: 0.8262Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 6)

The number of participants that develop the feeling of nausea at month 6, and number of participants that develop the feeling of nausea at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 6)0.009 scores on a scaleStandard Deviation 0.286
Gefarnate 50 mg BIDChange From Baseline in Severity of Feeling of Nausea Gastrointestinal Symptom (Month 6)-0.012 scores on a scaleStandard Deviation 0.245
p-value: 0.7244Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 12)

The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 12, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 12)0.043 scores on a scaleStandard Deviation 0.359
Gefarnate 50 mg BIDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 12)0.000 scores on a scaleStandard Deviation 0
p-value: 0.4028Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 18)

The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 18, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0
Gefarnate 50 mg BIDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0
p-value: 1Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 24)

The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 24, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)
Lansoprazole 15 mg QDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 24)NA scores on a scale
Secondary

Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 3)

The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 3, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 3)0.006 scores on a scaleStandard Deviation 0.08
Gefarnate 50 mg BIDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 3)-0.007 scores on a scaleStandard Deviation 0.085
p-value: 0.1571Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 6)

The number of participants that experience hematemesis and melena (blood stool, black stool, tarry stool) at month 6, and number of participants that experience hematemesis and melena at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 6)0.000 scores on a scaleStandard Deviation 0
Gefarnate 50 mg BIDChange From Baseline in Severity of Hematemesis and Melena Gastrointestinal Symptom (Month 6)0.012 scores on a scaleStandard Deviation 0.109
p-value: 0.2503Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 12)

The number of participants that develop hunger and nighttime pain at month 12, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 12)-0.029 scores on a scaleStandard Deviation 0.416
Gefarnate 50 mg BIDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 12)-0.061 scores on a scaleStandard Deviation 0.317
p-value: 0.7794Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 18)

The number of participants that develop hunger and nighttime pain at month 18, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0
Gefarnate 50 mg BIDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0.447
p-value: 1Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 24)

The number of participants that develop hunger and nighttime pain at month 24, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)
Lansoprazole 15 mg QDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 24)NA scores on a scale
Secondary

Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 3)

The number of participants that develop hunger and nighttime pain at month 3, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 3)-0.044 scores on a scaleStandard Deviation 0.326
Gefarnate 50 mg BIDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 3)0.014 scores on a scaleStandard Deviation 0.4
p-value: 0.206Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 6)

The number of participants that develop hunger and nighttime pain at month 6, and number of participants that develop hunger and nighttime pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 6)0.009 scores on a scaleStandard Deviation 0.393
Gefarnate 50 mg BIDChange From Baseline in Severity of Hunger and Nighttime Pain Gastrointestinal Symptom (Month 6)-0.036 scores on a scaleStandard Deviation 0.424
p-value: 0.5099Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 12)

The number of participants that develop postprandial pain at month 12, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 12.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 12)-0.014 scores on a scaleStandard Deviation 0.208
Gefarnate 50 mg BIDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 12)-0.020 scores on a scaleStandard Deviation 0.249
p-value: 0.8811Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 18)

The number of participants that develop postprandial pain at month 18, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 18.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0
Gefarnate 50 mg BIDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 18)0.000 scores on a scaleStandard Deviation 0
p-value: 1Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 24)

The number of participants that develop postprandial pain at month 24, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 24.

Population: No test was performed when the number of cases was 5 or less. Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)
Lansoprazole 15 mg QDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 24)NA scores on a scale
Secondary

Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 3)

The number of participants that develop postprandial pain at month 3, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 3.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 3)-0.006 scores on a scaleStandard Deviation 0.178
Gefarnate 50 mg BIDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 3)0.014 scores on a scaleStandard Deviation 0.319
p-value: 0.4788Wilcoxon (Mann-Whitney)
Secondary

Change From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 6)

The number of participants that develop postprandial pain at month 6, and number of participants that develop postprandial pain at baseline. It is graded on a 4 point scale (0=none; 1=mild; 2=moderate; 3=severe). Higher scores indicate greater severity of gastrointestinal symptom.

Time frame: Baseline and Month 6.

Population: Values are from the Full Analysis Set.

ArmMeasureValue (MEAN)Dispersion
Lansoprazole 15 mg QDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 6)0.027 scores on a scaleStandard Deviation 0.285
Gefarnate 50 mg BIDChange From Baseline in Severity of Postprandial Pain Gastrointestinal Symptom (Month 6)0.000 scores on a scaleStandard Deviation 0.347
p-value: 0.6607Wilcoxon (Mann-Whitney)
Secondary

Number of Participants With Adverse Events

Treatment-emergent adverse events (TEAE) are adverse events with an onset that occurs after receiving study drug. A TEAE may also be a concurrent medical condition diagnosed prior to the date of first dose of study drug that increases in severity after the start of dosing. Please see Other Adverse Events table below for TEAE listings.

Time frame: Per Incidence (up to 24 months).

ArmMeasureGroupValue (NUMBER)
Lansoprazole 15 mg QDNumber of Participants With Adverse EventsAdverse event (Frequency ≥5%)83 participants
Lansoprazole 15 mg QDNumber of Participants With Adverse EventsSerious adverse event29 participants
Lansoprazole 15 mg QDNumber of Participants With Adverse EventsAdverse event related to the study drug28 participants
Lansoprazole 15 mg QDNumber of Participants With Adverse EventsSerious adverse event related to the study drug2 participants
Lansoprazole 15 mg QDNumber of Participants With Adverse EventsAdverse Event154 participants
Gefarnate 50 mg BIDNumber of Participants With Adverse EventsSerious adverse event related to the study drug1 participants
Gefarnate 50 mg BIDNumber of Participants With Adverse EventsAdverse Event125 participants
Gefarnate 50 mg BIDNumber of Participants With Adverse EventsAdverse event (Frequency ≥5%)64 participants
Gefarnate 50 mg BIDNumber of Participants With Adverse EventsAdverse event related to the study drug28 participants
Gefarnate 50 mg BIDNumber of Participants With Adverse EventsSerious adverse event17 participants
Secondary

Number of Participants With Gastric or Duodenal Ulcer or Gastric or Duodenal Hemorrhagic Lesion (Upper Gastrointestinal Hemorrhage)

Number of participants with gastric or duodenal ulcer or gastric or duodenal hemorrhagic lesion (upper gastrointestinal hemorrhage) from baseline through month 24 or final visit. Ulcers are defined as mucosal defect with white coating 3 mm or greater.

Time frame: On occurrence (up to month 24).

Population: On days where participants did not have an occurrence of gastric or duodenal ulcer or gastric or duodenal hemorrhagic lesion (upper gastrointestinal hemorrhage) and who also underwent endoscopic examination were considered censored dates. Values are from the Full Analysis Set.

ArmMeasureValue (NUMBER)
Lansoprazole 15 mg QDNumber of Participants With Gastric or Duodenal Ulcer or Gastric or Duodenal Hemorrhagic Lesion (Upper Gastrointestinal Hemorrhage)15 participants
Gefarnate 50 mg BIDNumber of Participants With Gastric or Duodenal Ulcer or Gastric or Duodenal Hemorrhagic Lesion (Upper Gastrointestinal Hemorrhage)52 participants
p-value: <0.0001Log Rank

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026