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Trial details imported from ClinicalTrials.gov
For full trial details, please see the original record at
https://clinicaltrials.gov/study/NCT00464308
Registration number
NCT00464308
Ethics application status
Date submitted
20/04/2007
Date registered
23/04/2007
Date last updated
21/04/2014
Titles & IDs
Public title
A Study to Compare the Number of Patients With Gastro-Oesophageal Reflux Disease (GORD) Achieving Heartburn and Regurgitation Symptom Resolution After Treatment With Either Rabeprazole Sodium 20mg, Esomeprazole 20mg or Esomeprazole 40mg
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Scientific title
The Rabeprazole and Esomeprazole Reflux Assessment Trial (TREAT)
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Secondary ID [1]
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CR006397
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Gastro-oesophageal Reflux
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Condition category
Condition code
Oral and Gastrointestinal
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Treatment: Drugs - Esomeprazole
Treatment: Drugs - Rabeprazole
Treatment: Drugs - Esomeprazole
Active comparator: 001 - Esomeprazole 40mg once daily for 28days - 1 placebo tab/cap \& 1 active tab/cap daily
Active comparator: 002 - Esomeprazole 20mg once daily for 28days - 1 placebo tab/cap \& 1 active tab/cap daily
Active comparator: 003 - Rabeprazole 20mg once daily for 28days - 1 placebo tab/cap \& 1 active tab/cap daily
Treatment: Drugs: Esomeprazole
20mg once daily for 28days - 1 placebo tab/cap \& 1 active tab/cap daily
Treatment: Drugs: Rabeprazole
20mg once daily for 28days - 1 placebo tab/cap \& 1 active tab/cap daily
Treatment: Drugs: Esomeprazole
40mg once daily for 28days - 1 placebo tab/cap \& 1 active tab/cap daily
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Intervention code [1]
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Treatment: Drugs
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Comparator / control treatment
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Control group
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Outcomes
Primary outcome [1]
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The Number of Patients With Complete Resolution of Heartburn by Week 4
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Assessment method [1]
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Complete resolution is the absence of symptoms for any 7 consecutive days within the 4 week period assessed by the PAGI-SYM scale. This likert scale describes a series of symptoms as follows: 0-None, 1-Very Mild, 2-Mild, 3-Moderate, 4-Severe, 5 Very Severe.
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Timepoint [1]
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week 4 of treatment
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Primary outcome [2]
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The Number of Patients Achieving Complete Resolution of Regurgitation Symptoms at Week 4
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Assessment method [2]
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Complete resolution is the absence of symptoms for any 7 consecutive days within the 4 week period assessed by the PAGI-SYM scale. This likert scale describes various symptoms as follows: 0-none, 1-Very Mild, 2-Mild, 3-Moderate, 4-Severe, 5-Very Severe.
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Timepoint [2]
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4 weeks
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Primary outcome [3]
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The Number of Patients Achieving Satisfactory Resolution of Heartburn by Week 4
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Assessment method [3]
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Satisfactory resolution, which is achieved if, on any 7 consecutive days within the 4 week period, the severity of symptoms never exceeds 'mild' (symptoms must be absent, very mild, or mild) assessed by the PAGI-SYM scale. This likert scale describes various symptoms as follows: 0-none, 1-Very Mild, 2-Mild, 3-Moderate, 4-Severe, 5-Very Severe.
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Timepoint [3]
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4 weeks
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Primary outcome [4]
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The Number of Patients Achieving Satisfactory Resolution of Regurgitation Symptoms by Week 4
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Assessment method [4]
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Satisfactory resolution, which is achieved if, on any 7 consecutive days within the 4 week period, the severity of symptoms never exceeds 'mild' (symptoms must be absent, very mild, or mild)assessed by the PAGI-SYM scale. This likert scale describes a series of symptoms as follows: 0-None, 1-Very Mild, 2-Mild, 3-Moderate, 4-Severe, 5 Very Severe.
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Timepoint [4]
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4 weeks
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Secondary outcome [1]
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The Median Time to Complete Resolution of Heartburn Symptoms.
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Assessment method [1]
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Timepoint [1]
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week 4 of treatment
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Secondary outcome [2]
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The Median Time to Complete Relief of Regurgitation Symptoms
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Assessment method [2]
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Timepoint [2]
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4 weeks
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Secondary outcome [3]
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The Mean Percentage of Participants With 24-hour Heartburn Symptom Free Periods
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Assessment method [3]
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Timepoint [3]
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4 weeks
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Eligibility
Key inclusion criteria
* Heartburn (defined as a feeling of burning or pain, rising from the epigastrium or lower part of the chest up towards the neck) with or without regurgitation
* Patients must have had episodes of heartburn with or without regurgitation for 3 months or longer, and for >= 3 days in the 7 days prior to randomisation
* Able to understand and complete questionnaires, able to give written informed consent, and have access to a telephone
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Minimum age
18
Years
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Maximum age
No limit
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
* Patients requiring endoscopy within 4 weeks of randomisation or with gastrointestinal symptoms that, in the opinion of the investigator, require further investigation prior to or coincident with initiation of PPI therapy which would include, but are not limited to, alarm symptoms such as unintentional weight loss, progressive difficulty swallowing (dysphagia), iron deficiency anaemia and epigastric mass
* Significant gastrointestinal obstruction, major gastric or oesophageal surgery (excluding appendectomy or cholecystectomy), oesophageal stricture or pyloric stenosis, extra-oesophageal manifestations of reflux disease
* Patients with Barrett's oesophagus (>3cm), Zollinger-Ellison Syndrome, scleroderma, malignancy (other than non-melanoma skin cancers) present within the last 5 years, hypersensitivity to rabeprazole or esomeprazole or any PPI, or any other significant condition that, in the opinion of the investigator, could interfere with the patients participation or compliance in the study such as past or current history of alcohol or drug abuse, hepatic, renal, pulmonary, respiratory abnormalities, or who have participated in an investigational drug or investigational device study within 30 days prior to the baseline visit or who are expected to do so during the 4 week study period
* Female patients who are currently pregnant or breast feeding, or who, in the opinion of the investigator, may become pregnant throughout the study
* Use of histamine-2 receptor antagonists (H2RAs) within 7 days of randomisation, anticholinergics, cholinergics, spasmolytics, opiates, sucralfate, proton pump inhibitors (PPIs), prokinetics, antibiotics (in relation to H. pylori treatment) or bismuth compounds within 14 days of randomisation
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
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Masking / blinding
Blinded (masking used)
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Who is / are masked / blinded?
The people receiving the treatment/s
The people administering the treatment/s
The people analysing the results/data
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Intervention assignment
Parallel
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Other design features
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Phase
Phase 4
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Type of endpoint/s
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Statistical methods / analysis
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Recruitment
Recruitment status
Completed
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Data analysis
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Reason for early stopping/withdrawal
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Other reasons
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Date of first participant enrolment
Anticipated
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Actual
1/11/2006
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
1/05/2008
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Sample size
Target
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Accrual to date
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Final
1392
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Recruitment in Australia
Recruitment state(s)
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Recruitment hospital [1]
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- Belconnen
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Recruitment hospital [2]
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- Bondi Junction
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Recruitment hospital [3]
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- Brookvale
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Recruitment hospital [4]
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- Browns Plains
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Recruitment hospital [5]
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- Campbelltown
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Recruitment hospital [6]
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- Campsie
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Recruitment hospital [7]
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- Caringbah
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Recruitment hospital [8]
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- Castle Hill
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Recruitment hospital [9]
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- Charlestown
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Recruitment hospital [10]
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- Dapto
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Recruitment hospital [11]
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- Darlinghurst
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Recruitment hospital [12]
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- Dubbo
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Recruitment hospital [13]
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- Elizabeth
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Recruitment hospital [14]
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- Fairfield
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Recruitment hospital [15]
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- Hoppers Crossing
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Recruitment hospital [16]
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- Ingleburn
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Recruitment hospital [17]
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- Leichhardt
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Recruitment hospital [18]
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- Maroubra
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Recruitment hospital [19]
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- Melton
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Recruitment hospital [20]
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- Mount Druitt
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Recruitment hospital [21]
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- Oaklands Park
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Recruitment hospital [22]
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- Royal Park
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Recruitment hospital [23]
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- Sydney
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Recruitment hospital [24]
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- Wentworthville
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Recruitment hospital [25]
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- Wyoming
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Recruitment postcode(s) [1]
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- Belconnen
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Recruitment postcode(s) [2]
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- Bondi Junction
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Recruitment postcode(s) [3]
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- Brookvale
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Recruitment postcode(s) [4]
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- Browns Plains
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Recruitment postcode(s) [5]
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- Campbelltown
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Recruitment postcode(s) [6]
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- Campsie
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Recruitment postcode(s) [7]
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- Caringbah
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Recruitment postcode(s) [8]
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- Castle Hill
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Recruitment postcode(s) [9]
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- Charlestown
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Recruitment postcode(s) [10]
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- Dapto
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Recruitment postcode(s) [11]
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- Darlinghurst
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Recruitment postcode(s) [12]
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- Dubbo
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Recruitment postcode(s) [13]
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- Elizabeth
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Recruitment postcode(s) [14]
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- Fairfield
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Recruitment postcode(s) [15]
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- Hoppers Crossing
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Recruitment postcode(s) [16]
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- Ingleburn
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Recruitment postcode(s) [17]
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- Leichhardt
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Recruitment postcode(s) [18]
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- Maroubra
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Recruitment postcode(s) [19]
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- Melton
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Recruitment postcode(s) [20]
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- Mount Druitt
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Recruitment postcode(s) [21]
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- Oaklands Park
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Recruitment postcode(s) [22]
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- Royal Park
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Recruitment postcode(s) [23]
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- Sydney
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Recruitment postcode(s) [24]
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- Wentworthville
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Recruitment postcode(s) [25]
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- Wyoming
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Funding & Sponsors
Primary sponsor type
Commercial sector/industry
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Name
Janssen-Cilag Pty Ltd
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Address
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Country
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Ethics approval
Ethics application status
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Summary
Brief summary
The primary objective of this study is to compare, the number of patients with heartburn and regurgitation symptom resolution after treatment with either rabeprazole 20 mg, esomeprazole 20 mg or esomeprazole 40 mg.
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Trial website
https://clinicaltrials.gov/study/NCT00464308
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Trial related presentations / publications
Biscola FT, Abe CM, Guth BE. Determination of adhesin gene sequences in, and biofilm formation by, O157 and non-O157 Shiga toxin-producing Escherichia coli strains isolated from different sources. Appl Environ Microbiol. 2011 Apr;77(7):2201-8. doi: 10.1128/AEM.01920-10. Epub 2011 Feb 11. Eggleston A, Katelaris PH, Nandurkar S, Thorpe P, Holtmann G; Treat Study Group. Clinical trial: the treatment of gastro-oesophageal reflux disease in primary care--prospective randomized comparison of rabeprazole 20 mg with esomeprazole 20 and 40 mg. Aliment Pharmacol Ther. 2009 May 1;29(9):967-78. doi: 10.1111/j.1365-2036.2009.03948.x. Epub 2009 Feb 3.
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Public notes
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Contacts
Principal investigator
Name
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Janssen-Cilag Pty Ltd Clinical Trial
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Address
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Janssen-Cilag Pty Ltd
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Country
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Phone
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Fax
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Email
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Contact person for public queries
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Contact person for scientific queries
No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
No documents have been uploaded by study researchers.
Results are available at
https://clinicaltrials.gov/study/NCT00464308
Download to PDF