Healthy
Conditions
Keywords
rabeprazole, esomeprazole, h. pylori-negative, nocturnal acid breakthrough, intragastric pH, PK/PD, effect on gastric pH in healthy, H. pylori-Negative subjects
Brief summary
This will be a randomized, open-label, single-center, 3-way crossover study in healthy subjects who are confirmed to be Helicobacter pylori (H. pylori)-negative. The study will consist of 3 study periods separated by a washout period of at least 7 days. Subjects will receive study drugs once daily for 5 days. Barring any safety concerns, subjects will be discharged from the study on Day 6 of Period 3 after completion of discharge procedures.
Interventions
RAB ER 50 mg capsule once per day on Days 1-5
Aciphex (rabeprazole) 20 mg tablet once per day on Days 1-5
Nexium (esomeprazole) 40 mg capsule once per day on Days 1-5
Sponsors
Study design
Eligibility
Inclusion criteria
Key inclusion: * Healthy male and female subjects, including women of child-bearing potential, aged 18 to 55 years, inclusive * Subjects who are able to tolerate the insertion and placement of a pH probe on 2 occasions per study period (Day -1 and Day 5) Key Exclusion: * Subjects who are H. pylori-positive * Subjects who have a history of any gastrointestinal disorder or surgery likely to influence drug absorption (e.g., history of gastric resection) * Known hypersensitivity to rabeprazole, esomeprazole, or related compounds or any ingredient in the formulations * Other standard clinical pharmacology
Exclusion criteria
for healthy volunteers
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Percentage of time that intragastric pH remains >4 | 24-hr period post-dose on Day 5 |
Secondary
| Measure | Time frame |
|---|---|
| Percentage of day- and night-time periods with intragastric pH >4 | Days 1 and 5 |
| Number and duration of nocturnal acid breakthrough (NAB) episodes | Days 1 and 5 |
| Proportion of subjects with nocturnal acid breakthrough (NAB) episodes | Days 1 and 5 |
Countries
United States