Open, Randomized, Two Way Crossover 40mg, Orally and Intravenously
- Registration Number
- NCT00635414
- Lead Sponsor
- AstraZeneca
- Brief Summary
This study looks at the effect on basal and pentagastrin-stimulated acid output of 40 mg Esomeprazole (Nexium) administered orally and intravenously as a 15-minute infusion to people with symptoms of Gastroesophageal Reflux Disease (GERD)
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 60
Inclusion Criteria
- Heartburn on at least 2 days of the past 7 days prior to screening, with or without a history of EE or a documented diagnosis of GERD within 6 months prior to screening, with or without a history of EE.
- Body mass index (BMI) of ≥18.5 and ≤35 kg/m2. [BMI will be calculated using the following formula: weight (kg)/height (m)2.]
- Able to communicate with the investigator and to understand and comply with the requirements of the study.
Exclusion Criteria
- History of esophageal, gastric, or duodenal surgery, except for simple closure of an ulcer.
- History of severe liver disease, including (but not limited to) cirrhosis and acute or chronic hepatitis.
- Any significant "alarm symptoms", within the past 6 months, such as, unintentional weight loss, gastrointestinal bleeding, jaundice or any other sign indicating serious or malignant disease.
- Abnormal lab test results, as indicated in the protocol.
- Other diseases, as indicated in the protocol.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- CROSSOVER
- Arm && Interventions
Group Intervention Description 2 Esomeprazole 15 minute intravenous infusion 1 Esomeprazole 40mg administered orally
- Primary Outcome Measures
Name Time Method The maximal acid output (MAO) during pentagastrin stimulation after 10 days administration of 40 mg esomeprazole for both study periods. MAO will be assessed after 10 days of treatment (Day 11 or Day 20)
- Secondary Outcome Measures
Name Time Method Basal acid output (BAO) after 10 days administration of 40 mg esomeprazole for both study periods. (Day 11 or Day 20) BAO will be assessed after 10 days of treatment To compare MAO when switching (after Day 2 in the second study period versus after Day 10 in the first study period) from oral to intravenous dosing and from intravenous to oral dosing. Assessments at Day 2 and after Day 10 (Day 11 or Day 20) To evaluate the safety of intravenous esomeprazole in subjects with symptoms of GERD. Safety assessments throughout the study
Related Research Topics
Explore scientific publications, clinical data analysis, treatment approaches, and expert-compiled information related to the mechanisms and outcomes of this trial. Click any topic for comprehensive research insights.
What are the molecular mechanisms by which esomeprazole inhibits gastric acid secretion in GERD patients?
How does intravenous esomeprazole compare to oral administration in terms of bioavailability and efficacy for GERD treatment?
What biomarkers are associated with response to PPI therapy like esomeprazole in GERD subtypes such as erosive esophagitis or non-erosive reflux disease?
What are the potential adverse events of intravenous esomeprazole and how do they compare to other proton pump inhibitors in GERD management?
How does the pharmacokinetic profile of esomeprazole in NCT00635414 compare to other PPIs like omeprazole or pantoprazole in GERD treatment?