Gastric Ulcers Duodenal Ulcers Caused by Low-dose Aspirin
Conditions
Keywords
Rabeprazole, proton pump inhibitor, Acetylsalicylic Acid, Aspirin, Gastric Ulcer, Duodenal Ulcer
Brief summary
The primary objective of this study to examine the long-term safety of rabeprazole 5 mg or 10 mg tablets administered once daily in participants who were confirmed to have no recurrence of gastric or duodenal ulcer by endoscopic examination at the end of 24 weeks of treatment in the E3810-J081-308 (NCI01397448) \[Double-Blind Phase\] study. From a total of 420 participants who completed the E3810-J081-308 study, 328 entered the E3810-J081-309 (NCT01398410) study.
Detailed description
The E3810-J081-309 consisted of two arms: the long-term rabeprazole groups (participants from the rabeprazole 5 or 10 mg arm of the E3810-J081-308 study who entered the rabeprazole 5 mg or 10 mg arm of the E3810-J081-309 study) and the newly-initiated rabeprazole groups (participants from the teprenone 150 mg arm of the E3810-J081-308 study who entered the rabeprazole 5 mg or 10 mg arm of the E3810-J081-309 study).
Interventions
Participants received rabeprazole 5 mg tablets and rabeprazole 10 mg matched placebo tablets orally, once daily
Sponsors
Study design
Eligibility
Inclusion criteria
* Confirmed to have no recurrence of gastric or duodenal ulcer by endoscopy at the end of 24 weeks of treatment in study E3810-J081-308. * Need to continue receiving low-dose aspirin (81 mg/day or 100 mg/day) during this study.
Exclusion criteria
-Confirmed to have a recurrence of gastric or duodenal ulcer at the end of 24 weeks of treatment in study E3810-J081-308 (at the start of this trial) and thus are withdrawn from the trial.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Percentage of Participants With Treatment Emergent Adverse Events (AEs) | For each participant, from administration of first dose of study drug (rabeprazole) up to 30 days from administration of last dose of study drug (rabeprazole) or up to 76 weeks (including data from the Double-Blind Phase) | An AE was defined as any untoward medical occurrence in a participant administered with the study drug. A serious adverse event (SAE) was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening (ie, the participant was at immediate risk of death from the AE as it occurred; this did not include an event that, had it occurred in a more severe form or was allowed to continue, might have caused death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or was as a congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug). In this study, treatment emergent AEs (defined as an AE (serious/non-serious) that started/increased in severity on/after the first dose of study drug up to 30 days after the final dose of study drug) were assessed. The data is presented as percentage of participants with treatment emergent AEs. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Baseline, Week 12, Week 24, Week 52, and Week 76 (including data from the Double-Blind Phase) | Mucosal injuries with a white coat measuring greater than or equal to 3 mm in diameter was diagnosed as ulcers. When ulcer was confirmed by endoscopic examination during the trial, it was regarded as recurrence of ulcer and the trial was discontinued for the participant involved. The presence or absence of ulcer recurrence was determined by the endoscopy central review panel that were blinded to the investigators' assessments. Cumulative recurrent rate was estimated by the Kaplan-Meier method. The data is presented as percentage of participants with cumulative recurrent rate of gastric or duodenal ulcers. |
Countries
Japan
Participant flow
Pre-assignment details
From a total of 420 participants who completed the E3810-J081-308 (NCT01397448) study, 405 entered the E3810-J081-309 (NCT01398410) study.
Participants by arm
| Arm | Count |
|---|---|
| Rabeprazole 5 mg Participants received rabeprazole 5 mg tablets and rabeprazole 10 mg matched placebo tablets orally, once daily | 201 |
| Rabeprazole 10 mg Participants received rabeprazole 10 mg tablets and rabeprazole 5 mg matched placebo tablets orally, once daily | 204 |
| Total | 405 |
Withdrawals & dropouts
| Period | Reason | FG000 | FG001 |
|---|---|---|---|
| Overall Study | Adverse Event | 12 | 16 |
| Overall Study | Inadequate Therapeutic Effect | 2 | 0 |
| Overall Study | Other | 36 | 29 |
| Overall Study | Participants Choice | 8 | 11 |
Baseline characteristics
| Characteristic | Rabeprazole 5 mg | Rabeprazole 10 mg | Total |
|---|---|---|---|
| Age, Continuous | 69.4 Years STANDARD_DEVIATION 8.5 | 70.1 Years STANDARD_DEVIATION 9.3 | 69.8 Years STANDARD_DEVIATION 8.9 |
| Sex: Female, Male Female | 48 Participants | 52 Participants | 100 Participants |
| Sex: Female, Male Male | 153 Participants | 152 Participants | 305 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk |
|---|---|---|
| deaths Total, all-cause mortality | — / — | — / — |
| other Total, other adverse events | 89 / 201 | 99 / 204 |
| serious Total, serious adverse events | 33 / 201 | 30 / 204 |
Outcome results
Percentage of Participants With Treatment Emergent Adverse Events (AEs)
An AE was defined as any untoward medical occurrence in a participant administered with the study drug. A serious adverse event (SAE) was defined as any untoward medical occurrence that at any dose resulted in death, was life-threatening (ie, the participant was at immediate risk of death from the AE as it occurred; this did not include an event that, had it occurred in a more severe form or was allowed to continue, might have caused death), required inpatient hospitalization or prolongation of existing hospitalization, resulted in persistent or significant disability/incapacity, or was as a congenital anomaly/birth defect (in the child of a participant who was exposed to the study drug). In this study, treatment emergent AEs (defined as an AE (serious/non-serious) that started/increased in severity on/after the first dose of study drug up to 30 days after the final dose of study drug) were assessed. The data is presented as percentage of participants with treatment emergent AEs.
Time frame: For each participant, from administration of first dose of study drug (rabeprazole) up to 30 days from administration of last dose of study drug (rabeprazole) or up to 76 weeks (including data from the Double-Blind Phase)
Population: The analysis was performed using Safety Analysis Set, defined as all participants who received at least one dose of rabeprazole.
| Arm | Measure | Value (NUMBER) |
|---|---|---|
| Rabeprazole 5 mg | Percentage of Participants With Treatment Emergent Adverse Events (AEs) | 77.1 Percentage of participants |
| Rabeprazole 10 mg | Percentage of Participants With Treatment Emergent Adverse Events (AEs) | 83.8 Percentage of participants |
Cumulative Recurrent Rate of Gastric or Duodenal Ulcers
Mucosal injuries with a white coat measuring greater than or equal to 3 mm in diameter was diagnosed as ulcers. When ulcer was confirmed by endoscopic examination during the trial, it was regarded as recurrence of ulcer and the trial was discontinued for the participant involved. The presence or absence of ulcer recurrence was determined by the endoscopy central review panel that were blinded to the investigators' assessments. Cumulative recurrent rate was estimated by the Kaplan-Meier method. The data is presented as percentage of participants with cumulative recurrent rate of gastric or duodenal ulcers.
Time frame: Baseline, Week 12, Week 24, Week 52, and Week 76 (including data from the Double-Blind Phase)
Population: The analysis was performed using Full Analysis Set, defined as all participants who received at least one dose of rabeprazole, with at least one post-initiation endoscopic assessment results, and showed no ulcers on baseline endoscopy; excluding participants from the newly-initiated rabeprazole groups of study E3810-J081-309.
| Arm | Measure | Group | Value (NUMBER) |
|---|---|---|---|
| Rabeprazole 5 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 12 (N=150, 151) | 1.3 Percentage of participants |
| Rabeprazole 5 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 52 (N=107, 121) | 3.7 Percentage of participants |
| Rabeprazole 5 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 24 (N=139, 142) | 2.8 Percentage of participants |
| Rabeprazole 5 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 76 (N=93, 96) | 3.7 Percentage of participants |
| Rabeprazole 5 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Baseline (N=150, 151) | 0 Percentage of participants |
| Rabeprazole 10 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 76 (N=93, 96) | 2.2 Percentage of participants |
| Rabeprazole 10 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Baseline (N=150, 151) | 0 Percentage of participants |
| Rabeprazole 10 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 12 (N=150, 151) | 0 Percentage of participants |
| Rabeprazole 10 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 24 (N=139, 142) | 1.4 Percentage of participants |
| Rabeprazole 10 mg | Cumulative Recurrent Rate of Gastric or Duodenal Ulcers | Week 52 (N=107, 121) | 2.2 Percentage of participants |