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A Safety and Efficacy Study of Lansoprazole in Preventing Aspirin-Induced Gastric and Duodenal Ulcers

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Takeda

Status and phase

Terminated
Phase 3

Conditions

Duodenal Ulcer
Stomach Ulcer

Treatments

Drug: Lansoprazole
Drug: Gefarnate

Study type

Interventional

Funder types

Industry

Identifiers

NCT00762359
U1111-1113-9929 (Registry Identifier)
AG-1749-CCT-351
070494 (Registry Identifier)
R100125 (Registry Identifier)

Details and patient eligibility

About

The purpose of this study is to determine whether lansoprazole, once daily (QD), compared to gefarnate, twice daily (BID), is effective in preventing the recurrence of gastric and duodenal ulcers in patients receiving long term treatment with low dosage aspirin.

Full description

In Japan, low-dose aspirin is one of the commonly prescribed drugs for inhibiting thrombosis and thrombus formation after angina, myocardial infarction, ischemic cerebrovascular disease, coronary artery by-pass surgery and percutaneous transluminal coronary angioplasty in patients. While low-dose aspirin is effective in these cases, its use sometimes causes gastric and duodenal ulcers which can lead to gastrointestinal bleeding, and in worse cases may lead to death.

The purpose of this study is to assess the efficacy of lansoprazole versus gefarnate in patients with a history of gastric or duodenal ulcers receiving daily low dose aspirin therapy.

Enrollment

461 patients

Sex

All

Ages

20+ years old

Volunteers

No Healthy Volunteers

Inclusion criteria

  • The patient was on low-dose aspirin treatment on the day when consent was obtained, and requires the long-term continuous treatment even after treatment with the investigational drug is started.
  • The patient was confirmed to have a history of gastric ulcer or duodenal ulcer.

Exclusion criteria

  • Endoscopically confirmed gastric and/or duodenal ulcers on Day 1.
  • Endoscopically confirmed active upper gastrointestinal hemorrhage on Day 1.
  • Current or past history of aspirin-induced asthma or hypersensitivity to nonsteroidal anti-inflammatory drugs.
  • Past or planned surgery affecting gastric acid secretion.
  • Clinically significant hepatic or renal disorder.

Trial design

Primary purpose

Treatment

Allocation

Randomized

Interventional model

Parallel Assignment

Masking

Quadruple Blind

461 participants in 2 patient groups

Lansoprazole 15 mg QD
Experimental group
Treatment:
Drug: Lansoprazole
Gefarnate 50 mg BID
Active Comparator group
Treatment:
Drug: Gefarnate

Trial contacts and locations

65

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Data sourced from clinicaltrials.gov

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