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Efficacy and Safety of Esomeprazole Once Daily for the Treatment of GERD in Neonatal Patients

Phase 3
Completed
Conditions
GERD
Registration Number
NCT00427635
Lead Sponsor
AstraZeneca
Brief Summary

The purpose of this study is to assess the difference between esomeprazole and placebo in the treatment of signs and symptoms as observed by 8-hour video and cardiorespiratory monitoring in neonatal patients.

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
All
Target Recruitment
32
Inclusion Criteria
  • Full-term or gestational age >/= 28 to 44 weeks
  • In-patient in Neonatal Intensive Care Unit, special care nursery, or equivalent
  • Patient must be on a stable mode of feeding or with minimal variations for at least 2 days prior to randomization
Exclusion Criteria
  • Patients with a need for resectional or reconstructive surgery of the gastrointestinal tract
  • Patients with any condition that may require surgery during the course of the study
  • Patients with acute respiratory distress within 72 hours prior to enrollment

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Primary Outcome Measures
NameTimeMethod
Change From Baseline in Normalized Number of GERD Events Observed From Video and Cardiorespiratory MonitoringBaseline and end of treatment (10-14 days)

The number of events are normalized prior to summary to correspond to a complete 8-hour monitoring period. Only patients with data at both baseline and final assessment are included.

Secondary Outcome Measures
NameTimeMethod
Change From Baseline in Number of Acidic Reflux EpisodesBaseline and end of treatment (10-14 days)

Number of reflux episodes (pH\<4.0) based on 24-hour impedance monitoring data

Change From Baseline in Number of Weakly Acidic Reflux EpisodesBaseline and end of treatment (10-14 days)

Number of reflux episodes (pH 4.0-6.9) based on 24-hour impedance monitoring data

Change From Baseline in Number of Non Acidic Reflux EpisodesBaseline and end of treatment (10-14 days)

Number of reflux episodes (pH\>=7.0) based on 24-hour impedance monitoring data

Change From Baseline in Number of Liquid Acidic Reflux EpisodesBaseline and end of treatment (10-14 days)

Number of reflux episodes based on 24-hour impedance monitoring data

Change From Baseline in Number of Mixed Gas/Liquid Acidic Reflux EpisodesBaseline and end of treatment (10-14 days)

Number of reflux episodes based on 24-hour impedance monitoring data

Change From Baseline in Number of Reflux Episodes (Acid or Non-acid)Baseline and end of treatment (10-14 days)

Number of reflux episodes based on 24-hour impedance monitoring data

Change From Baseline in Mean Bolus Clearance TimeBaseline and end of treatment (10-14 days)

Based on 24-hour impedance monitoring data

Change From Baseline in Percentage Time With pH<4.0Baseline and end of treatment (10-14 days)

Percentage time with pH\<4 during 24-hour pH monitoring

Change From Baseline in Percentage Time With pH Within 4.0-6.9Baseline and end of treatment (10-14 days)

Percentage time with pH 4.0-6.9 during 24-hour pH monitoring

Change From Baseline in Normalized Number of GERD Events During Video and Cardiorespiratory Monitoring Associated With Acid RefluxBaseline and end of treatment (10-14 days)

Event considered associated with reflux if start time of GERD sign/symptom is within 2 minutes of start time of acid reflux. The number of events are normalized prior to summary to correspond to a complete 8-hour monitoring period. Only patients with data at both baseline and final assessment are included.

Change From Baseline in Mean Acid Clearance TimeBaseline and end of treatment (10-14 days)

Based on 24-hour impedance monitoring data

Trial Locations

Locations (1)

Research Site

🇬🇧

Sheffield, United Kingdom

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