Skip to content

Long-term Prevention of Recurrent Gastric or Duodenal Ulcers Caused by Low-dose Aspirin With Rabeprazole (E3810) Treatment (Planetarium Study)

Long-term Prevention of Recurrent Gastric or Duodenal Ulcers Caused by Low-dose Aspirin With Rabeprazole (E3810) Treatment. - A Multicenter, Randomized, Parallel-group, Open-label Trial-

Status
Completed
Phases
Phase 2Phase 3
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT01398410
Enrollment
405
Registered
2011-07-20
Start date
2011-12-31
Completion date
2014-02-28
Last updated
2015-12-21

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

Conditions

Gastric Ulcers Duodenal Ulcers Caused by Low-dose Aspirin

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

DRUGRabeprazole

Participants received rabeprazole 5 mg tablets and rabeprazole 10 mg matched placebo tablets orally, once daily

Sponsors

Eisai Co., Ltd.
Lead SponsorINDUSTRY

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
PREVENTION
Masking
NONE

Eligibility

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

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

MeasureTime frameDescription
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

MeasureTime frameDescription
Cumulative Recurrent Rate of Gastric or Duodenal UlcersBaseline, 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

ArmCount
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
Total405

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyAdverse Event1216
Overall StudyInadequate Therapeutic Effect20
Overall StudyOther3629
Overall StudyParticipants Choice811

Baseline characteristics

CharacteristicRabeprazole 5 mgRabeprazole 10 mgTotal
Age, Continuous69.4 Years
STANDARD_DEVIATION 8.5
70.1 Years
STANDARD_DEVIATION 9.3
69.8 Years
STANDARD_DEVIATION 8.9
Sex: Female, Male
Female
48 Participants52 Participants100 Participants
Sex: Female, Male
Male
153 Participants152 Participants305 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
— / —— / —
other
Total, other adverse events
89 / 20199 / 204
serious
Total, serious adverse events
33 / 20130 / 204

Outcome results

Primary

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.

ArmMeasureValue (NUMBER)
Rabeprazole 5 mgPercentage of Participants With Treatment Emergent Adverse Events (AEs)77.1 Percentage of participants
Rabeprazole 10 mgPercentage of Participants With Treatment Emergent Adverse Events (AEs)83.8 Percentage of participants
Secondary

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.

ArmMeasureGroupValue (NUMBER)
Rabeprazole 5 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 12 (N=150, 151)1.3 Percentage of participants
Rabeprazole 5 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 52 (N=107, 121)3.7 Percentage of participants
Rabeprazole 5 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 24 (N=139, 142)2.8 Percentage of participants
Rabeprazole 5 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 76 (N=93, 96)3.7 Percentage of participants
Rabeprazole 5 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersBaseline (N=150, 151)0 Percentage of participants
Rabeprazole 10 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 76 (N=93, 96)2.2 Percentage of participants
Rabeprazole 10 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersBaseline (N=150, 151)0 Percentage of participants
Rabeprazole 10 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 12 (N=150, 151)0 Percentage of participants
Rabeprazole 10 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 24 (N=139, 142)1.4 Percentage of participants
Rabeprazole 10 mgCumulative Recurrent Rate of Gastric or Duodenal UlcersWeek 52 (N=107, 121)2.2 Percentage of participants

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