Therapeutic study of the proton- pump inhibitors resistant patients with Non-Erosive Reflux Disease

ISRCTN ISRCTN82345975
DOI https://doi.org/10.1186/ISRCTN82345975
Secondary identifying numbers N/A
Submission date
28/06/2007
Registration date
11/10/2007
Last edited
19/07/2021
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Digestive System
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data

Plain English Summary

Not provided at time of registration

Contact information

Dr Kyoichi Adachi
Scientific

Enya-cho 89-1
Izumo-shi
693-8501
Japan

Study information

Study designDouble-blind, randomized, placebo-controlled study.
Primary study designInterventional
Secondary study designRandomised controlled trial
Study setting(s)Not specified
Study typeTreatment
Scientific titleTherapeutic study of the proton- pump inhibitors resistant patients with Non-Erosive Reflux Disease
Study acronymRebamipide for NERD
Study hypothesisAlthough half of the NERD patients who received Proton-Pump Inhibitors (PPI) for 4 weeks do not show their symptoms reduced, there is no standard therapy for these PPI-resistant patients. The esophageal mucosa of PPI-resistant NERD patients is hypersensitive to acid and histological damage may have occurred. Meanwhile, rebamipide is a gastro-protective agent and its antiinflammatory effect may improve histological damage of PPI-resistant NERD patients.
Ethics approval(s)Approval received from the ethics board of the Shimane University on the 29th April 2007.
ConditionNon-Erosive Reflux Disease (NERD)
InterventionAfter being treated with lansoprazole 15 mg/day for 4 weeks, the NERD patients who do not show reduction in their symptoms (more than 6 points diagnosed by the QUEST questionnaire or below 50% improvement diagnosed by the Gastroesophageal Reflux Symptoms [GERS] score) will then be randomly allocated to the intervention or control group:

Intervention group: 100 mg rebamipide orally three times a day (t.i.d) for 4 weeks
Control group: Placebo tablet (t.i.d) for 4 weeks
Intervention typeDrug
Pharmaceutical study type(s)
PhaseNot Specified
Drug / device / biological / vaccine name(s)Rebamipide
Primary outcome measureThe subjective symptoms are assessed by the Japanese version QUEST and Gastrointestinal Symptom Rating Scale (GSRS). The assessment by GSRS is limited to upper gastrointestinal tract questions. These will be measured at baseline, 1 month after PPI therapy and 1 month after repamipide or placebo.
Secondary outcome measuresNumber of patients who complete the study protocol.
Overall study start date01/06/2007
Overall study end date31/12/2007

Eligibility

Participant type(s)Patient
Age groupAdult
SexBoth
Target number of participants80
Total final enrolment149
Participant inclusion criteria1. Aged 20 and over
2. Heartburn (more than 6 points diagnosed by the Japanese version of questionnaire for the diagnosis of reflux disease [QUEST])
3. Signed a study-specific informed consent form
Participant exclusion criteria1. Endoscopic esophagitis
2. Gastric and duodenal ulcers, stomach cancer, or acute gastritis
3. Known hypersensitivity to rebamipide
4. Catastrophic complications
5. Pregnancy or desire to become pregnant
6. Judged inappropriate for this study by the physicians
Recruitment start date01/06/2007
Recruitment end date31/12/2007

Locations

Countries of recruitment

  • Japan

Study participating centre

Enya-cho 89-1
Izumo-shi
693-8501
Japan

Sponsor information

Shimane University, Second Department of Internal Medicine (Japan)
University/education

Enya-cho 89-1
Izumo-shi
693-8501
Japan

ROR logo "ROR" https://ror.org/01jaaym28

Funders

Funder type

University/education

Shimane University Hospital (Japan)

No information available

Results and Publications

Intention to publish date
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryNot provided at time of registration
Publication and dissemination planNot provided at time of registration
IPD sharing plan

Study outputs

Output type Details Date created Date added Peer reviewed? Patient-facing?
Results article 19/07/2021 Yes No

Editorial Notes

19/07/2021: Publication reference and total final enrolment added.