Chronic Insomnia, Gastroesophageal Reflux Disease
Conditions
Keywords
GERD, Insomnia, Acid Reflux, Heartburn
Brief summary
To determine if administration of Rozerem in comparison to a placebo reduces or eliminates gastroesophageal reflux disease(GERD) symptoms in individuals with both GERD and chronic insomnia.
Detailed description
This is a prospective, randomized, double-blind parallel group study comparing the effect of Rozerem vs. placebo on gastroesophageal reflux disease(GERD) symptomatology as the primary outcome, and sleep quality and quality of life as secondary outcomes.
Interventions
dosage= take 1 tablet(8 MG) 20 min. before bedtime
Comparing the effect of Rozerem vs. placebo on GERD symptomatology.
Sponsors
Study design
Eligibility
Inclusion criteria
* Stop H2 blockers 72 hrs prior to starting study * Stop PPI - 3 weeks prior to staring study * Heartburn 3+ times a week * Insomnia 3+ times a week for 3 months * Erosive esophagitis or Abnormal pH test
Exclusion criteria
* On PPI or H2 blocker & not willing to get off * Normal EGD (upper endoscopy) w/ normal pH test * Upper Endoscopy(EGD)with erosive esophagitis(EE)- (LA C&D) LA=Los Angeles criteria. Grades include A-D * Previous gastrointestinal Surgery * HX of Diabetes/neuropathy * HX of seizures * Known psychological abnormalities(depression,anxiety...) * Clinically Significant Underlying co morbidity * Narcotic medications(pain meds) * Regularly taking sleeping medications (2 week wash-out allowed) * Taking medications that alter sleep-Psychotropic's, antihistamines, Narcotics and Benzodiazepines Sleep Apnea or other sleep disorders-PLM, RLS etc.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| The effect of Rozerem vs. placebo on gastroesophageal reflux disease(GERD) symptomatology. | 4 week trial | The effect of Rozerem vs. placebo on GERD symptomatology as the primary outcome, and sleep quality and quality of life as secondary outcomes. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Improving quality of sleep and quality of life. | 4 week trial period | It is believed that poor quality of sleep can cause more esophageal acid exposure. Thus, it is possible that treatment of insomnia may have a beneficial effect on GERD symptomatology as well as actually reduce esophageal acid reflux. |
Countries
United States