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CompletedNCT04001400Updated Jun 28, 2019

Treatment Response of High-dose and Standard-dose Rabeprazole for Extra-esophageal Reflux.

A Phase 3 interventional study of Rabeprazole 20mg bid and Rabeprazole 20mg qd in Esophageal Disease, sponsored by Seoul National University Hospital. Completed at 1 site in Korea, Republic of. Open to participants aged 20 Years to 80 Years. Per ClinicalTrials.gov, last updated 2019-06-28.

Sponsored by Seoul National University Hospital · Phase 3, Interventional, and Treatment

From the registry’s dates

  • Registered 6 years 8 months after the study started (first participant enrolled Oct 2012, registered Jun 2019).
Phase
Phase 3
Study type
Interventional
Enrollment
73
Allocation
Randomized
Ages
20 Years to 80 Years
Sex
All
01

Study summary

This is a single-center, randomized, open-label clinical study to assess the treatment response of high-dose rabeprazole compared with standard-dose rabeprazole in patients with extra-esophageal manifestations of gastroesophageal reflux disease.

Read the detailed description

Gastroesophageal reflux disease is a condition in which reflux of stomach contents into the esophagus. This disease can be classified in to two subtypes according to the symptoms; Typical symptoms such as heartburn and regurgitation, and atypical symptoms (extra-esophageal symptoms) such as chronic cough, asthma, non-cardiac chest pain, globus sensation, etc.

Acid suppression with proton pump inhibitors is the mainstream of therapy for the extra-esophageal manifestation as well as the typical symptoms of gastroesophageal reflux disease.

However, there is controversy about the efficacy of proton pump inhibitors on extra-esophageal reflux.

Therefore, we aimed to assess the effect of proton pump inhibotor (rabeprazole) on the extra-esophageal manifestation of gastroesophageal reflux disease, through comparison of treatment response with high-dose and standard-dose rabeprazole.

02

Conditions studied

  • Esophageal Disease

Keywords

  • Gastroesophageal Reflux
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In context

Gastroesophageal Reflux

1,067 studies on the registry are indexed under Gastroesophageal Reflux; 188 are open to participants now.

This study's enrollment of 73 is close to the median of 72 across 712 interventional studies indexed under Gastroesophageal Reflux.

Browse Gastroesophageal Reflux studies →

Lead sponsor

Seoul National University Hospital is the lead sponsor of 1,860 studies on the registry; 275 are open to participants now.

Of its 12 completed or terminated interventional studies of FDA-regulated products, 2 (17%) have results posted.

Counted across the registry records on this site, refreshed daily.

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Who can participate

Ages eligible
20 Years to 80 Years
Sexes eligible
All
Accepts healthy volunteers
No

Inclusion criteria

  • Age is over 20 years old, under 80 years old, men or women
  • Patients who had experienced extra-esophageal symptoms of gastroesophageal reflux disease more than once a week within the last month prior to the start of the study

Exclusion criteria

Exclusion Criteria:

  • Patients administered with prokinetics, H2 receptor antagonists, proton pump inhibitors, anticholinergic drugs or non-steroid anti-inflammatory drugs prior to study in 4 weeks
  • Patients administered with anti-thrombotic drugs
  • Patients taking other investigational drugs or participating in other clinical studies in 4 weeks
  • Patients with esophageal stricture, esophageal varix, Barrett's esophagus, peptic ulcer or gastrointestinal bleeding
  • Patients with Zollinger-Ellison syndrome
  • Patients with any kind of malignant tumor
  • Patients with surgery related to gastroesophageal
  • Patients with significant cardiovascular, pulmonary, heptic, renal, hemopoietic or endocrine system primary disease
  • Patients with neuropsychiatric disorder, alcoholism, or drug abuse
  • Women either pregnant or breast feeding
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Study design

Phase
Phase 3
Primary purpose
Treatment
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
73 participants (actual)

Study arms

  • Experimental
    High-dose rabeprazole

    Rabeprazole 20mg twice daily by mouth before breakfast and dinner for 8 weeks

    Drug: Rabeprazole 20mg bid

  • Active comparator
    Standard-dose rabeprazole

    Rabeprazole 20mg once daily by mouth before breakfast for 8 weeks

    Drug: Rabeprazole 20mg qd

Interventions

  • DrugRabeprazole 20mg bid

    Rabeprazole 20mg tablet b.i.d.

    Also known as: Rabiet

  • DrugRabeprazole 20mg qd

    Rabeprazole 20mg tablet q.d.

    Also known as: Rabiet

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What researchers measure

Primary outcomes

  1. Effective improvement of symptoms

    A percentage of subjects showed effective improvement of extra-esophageal symptoms of gastroesophageal reflux disease by assessing the average sum of the questionnaire symptom scores. The definition of "effective improvement" is the subjects showed ≥50% reduction from the initial questionnaire score. The symptom questionnaire consists of a 5-graded Likert scale for each symptom to assess intensity of symptoms. \[score 0: no symptoms, score 1: mild symptoms that is not easily felt, score 2: moderate symptoms but not affect daily life, score 3: severe symptoms that hinder daily life or sleep, score 4: very severe symptoms that cannot lead to normal daily life or sleep\] In this trial, extra-esophageal symptoms consist of eight symptoms; non-cardiac chest pain, cough, globus, wheezing, laryngopharyngitis, hoarseness, belching and dysphagia.

    Time frame: 8 weeks

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Study locations

1 site
  • Seoul National University Bungdang Hospital
    Seongnam-si, Gyeonggi-do 13620, Korea, Republic of
08

References and documents

Publications

  • Cho JH, Shin CM, Yoon H, Park YS, Kim N, Lee DH. Efficacy of a high-dose proton pump inhibitor in patients with gastroesophageal reflux disease: a single center, randomized, open-label trial. BMC Gastroenterol. 2020 Aug 18;20(1):275. doi: 10.1186/s12876-020-01410-z. PubMed 32811427 ↗

Individual participant data

Plan to share: No

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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jun 28, 2019, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT04001400
Lead sponsor
Seoul National University Hospital
Collaborators
IlDong Pharmaceutical Co Ltd
Responsible party
Dong Ho Lee (Director, Clinical Research, Seoul National University Hospital) — Principal investigator
First posted
Jun 28, 2019
Start date
Oct 10, 2012
Primary completion
May 21, 2014
Completion
May 21, 2014
Last update
Jun 28, 2019

Study contacts

Dong Ho Lee, MD, PhD
principal investigator · Seoul National University Bundang Hospital

Oversight

FDA-regulated drug
No
FDA-regulated device
No
View the source record on ClinicalTrials.gov ↗

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This study is completed, as verified in Jun 2019. You cannot join it, but the record below documents what was studied.

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