Prospective Study Assessing Patient Satisfaction of Symptom Control With Proton Pump Inhibitor Dosing Regimen
Study Details
Study Description
Brief Summary
The overall aim of this study is to assess if patients with persistent GERD symptoms receiving sub-optimal omeprazole dosing experience improvement in GERD symptoms when prescribed an optimal dosing regimen. The optimal dosing regimen is defined as taking omeprazole 30 minutes prior to the first meal of the day.
Condition or Disease | Intervention/Treatment | Phase |
---|---|---|
|
Phase 4 |
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Experimental: Sub-optimal/optimal dosing Patients will not change sub-optimal dosing regimen of omeprazole 20 mg for 6 weeks after which they will receive optimal dosing of omeprazole for 4 weeks. Rescue antacid use is permitted. Total duration of 10 weeks. |
Drug: Optimal Dosing of Omeprazole
Omeprazole 20 mg
Other Names:
|
No Intervention: Sub-optimal dosing No change will be made to the sub-optimal dosing regimen of omeprazole 20 mg. Rescue antacid use is permitted. Total duration of 10 weeks. |
|
Experimental: Optimal dosing Patients will be administered optimal dosing of Omeprazole 20 mg for 4 weeks starting at week 2. Rescue antacid use is permitted. Total duration of 6 weeks. |
Drug: Optimal Dosing of Omeprazole
Omeprazole 20 mg
Other Names:
|
Outcome Measures
Primary Outcome Measures
- Symptom frequency and severity/distress scores from GSAS (overall) [6 weeks]
- Symptom frequency and severity/distress scores from GSAS (overall) [10 weeks]
Secondary Outcome Measures
- Symptom frequency and severity/distress scores from GSAS (Gastrointestinal distress) [6 weeks, 10 weeks]
- Symptom frequency and severity/distress scores from GSAS (Heartburn) [6 weeks, 10 weeks]
- Symptom frequency and severity/distress scores from GSAS (Upper respiratory symptoms) [6 weeks, 10 weeks]
Eligibility Criteria
Criteria
Inclusion Criteria:
-
≥ 18 years old
-
taking omeprazole 20 mg
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episodic heartburn at least 3 times per week
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provides consent and be willing to complete study questionnaires
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read, speak and write English
Exclusion Criteria:
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weight loss (alarm symptom)
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normal esophagogastroduodenoscopy (EGD) in last one year
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pregnant or women planning on becoming pregnant at any time during the study
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history of Barrett's esophagus
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prior esophageal strictures
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intolerance/allergy to study medications
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patients on plavix or a history of upper gastrointestinal surgery
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investigators or their immediate family (spouse, children, sibling)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | MetroHealth Medical System | Cleveland | Ohio | United States | 44109 |
Sponsors and Collaborators
- MetroHealth Medical Center
Investigators
- Principal Investigator: M. Michael Wolfe, MD, MetroHealth Medical System
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- 13-00089