NCT00441727

Brief Summary

The purpose of this study is to compare the effect of esomeprazole 20 or 40 mg once daily versus placebo on the occurrence of peptic ulcers during 26 weeks in subjects on continuous low-dose acetylsalicylic acid.

Trial Health

98
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Strong global presence with extensive site network
Enrollment
2,426

participants targeted

Target at P75+ for phase_3

Timeline
Completed

Started Feb 2007

Geographic Reach
20 countries

189 active sites

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

February 1, 2007

Completed
26 days until next milestone

First Submitted

Initial submission to the registry

February 27, 2007

Completed
2 days until next milestone

First Posted

Study publicly available on registry

March 1, 2007

Completed
1.4 years until next milestone

Primary Completion

Last participant's last visit for primary outcome

August 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

August 1, 2008

Completed
3.5 years until next milestone

Results Posted

Study results publicly available

February 13, 2012

Completed
Last Updated

July 16, 2012

Status Verified

July 1, 2012

Enrollment Period

1.5 years

First QC Date

February 27, 2007

Results QC Date

August 28, 2009

Last Update Submit

July 12, 2012

Conditions

Keywords

Peptic ulcerlow-dose ASA

Outcome Measures

Primary Outcomes (1)

  • Percentage of Participants Who Experienced the Occurence of Peptic Ulcer(s).

    The occurrence of ulcer (mucosal break measuring \>= 3 mm over its largest diameter with a sharply demarcated margin) was determined by endoscopy performed at baseline, 8 weeks and 26 weeks or upon withdrawal.

    During 26 weeks

Secondary Outcomes (5)

  • Percentage of Participants Who Experienced the Occurence of Gastric Ulcer.

    During 26 weeks

  • Percentage of Participants Who Experienced the Occurrence of Duodenal Ulcer.

    During 26 weeks

  • Number of Participants Reporting 0 in the Dichotomized RDQ (Reflux and Disease Questionnaire) Score (0 Versus >0) for the Dyspepsia Dimension During the 26-week Visit or the Week Prior to the Last Visit.

    RDQ was assessed at baseline, 8 weeks, 16 week, 26 weeks or upon withdrawal.

  • Number of Participants Reporting 0 in the Dichotomized RDQ (Reflux and Disease Questionnaire) Score (0 Versus >0) for the Gastroesophageal Reflux Disease Dimension During the 26-week Visit or the Week Prior to the Last Visit.

    RDQ was assessed at baseline, 8 weeks, 16 week, 26 weeks or upon withdrawal.

  • Number of Participants With Gastric and/or Duodenal Erosions.

    The number of erosions was determined by endoscopy performed at baseline, 8 weeks and 26 weeks or upon withdrawal.

Study Arms (3)

Esomeprazole 40 mg

EXPERIMENTAL

Esomeprazole 40 mg

Drug: Esomeprazole 40 mg

Esomeprazole 20 mg

EXPERIMENTAL

Esomeprazole 20 mg

Drug: Esomeprazole 20 mg

Placebo

PLACEBO COMPARATOR

Placebo

Drug: Placebo

Interventions

Esomeprazole 40 mg once daily

Esomeprazole 40 mg

Esomeprazole 20 mg once daily

Esomeprazole 20 mg

Placebo once daily

Placebo

Eligibility Criteria

Age18 Years+
Sexall
Healthy VolunteersNo
Age GroupsAdult (18-64), Older Adult (65+)

You may qualify if:

  • Daily intake of low-dose Aspirin (ASA) - The subject must fulfill at least one of the following (a-e):
  • Aged ≥65 years.
  • Aged ≥18 years and with a documented history of uncomplicated peptic ulcer(s).
  • Aged ≥60 years and naïve to low-dose ASA (ie, treatment started within 1 month prior to randomization).
  • Aged ≥60 years and with stable coronary artery disease.
  • Aged ≥60 years and with complaints of upper gastrointestinal (GI) symptoms that, as judged by the investigator, requires an Esophagogastroduodenoscopy (EGD) and with the finding of ≥5 gastric and/or duodenal erosions at the baseline endoscopy.

You may not qualify if:

  • Peptic ulcer(s) at baseline esophagogastroduodenoscopy (EGD).
  • Reflux esophagitis Los Angeles (LA) classification grade C or D at baseline
  • History of peptic ulcer complications such as clinically significant bleeding and/or perforation.

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (189)

Research Site

Birmingham, Alabama, United States

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Tucson, Arizona, United States

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Anaheim, California, United States

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Lancaster, California, United States

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Los Angeles, California, United States

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Orange, California, United States

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San Carlos, California, United States

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San Diego, California, United States

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Torrington, Connecticut, United States

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Boynton Beach, Florida, United States

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Hollywood, Florida, United States

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Jacksonville, Florida, United States

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Jupiter, Florida, United States

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Miami, Florida, United States

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New Smyrna Beach, Florida, United States

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Pembroke Pines, Florida, United States

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Plantation, Florida, United States

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South Miami, Florida, United States

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Tampa, Florida, United States

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Zephyrhills, Florida, United States

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Fulton, Illinois, United States

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Wichita, Kansas, United States

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Shreveport, Louisiana, United States

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Baltimore, Maryland, United States

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Hollywood, Maryland, United States

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Prince Frederick, Maryland, United States

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Brockton, Massachusetts, United States

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Jackson, Mississippi, United States

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Las Vegas, Nevada, United States

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Egg Harbor, New Jersey, United States

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Albuquerque, New Mexico, United States

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Great Neck, New York, United States

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Fayetteville, North Carolina, United States

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Greensboro, North Carolina, United States

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Jacksonville, North Carolina, United States

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Winston-Salem, North Carolina, United States

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Centerville, Ohio, United States

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Cincinnati, Ohio, United States

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Dayton, Ohio, United States

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Guthrie, Oklahoma, United States

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Oklahoma City, Oklahoma, United States

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Harrisburg, Pennsylvania, United States

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Cranston, Rhode Island, United States

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Johnston, Rhode Island, United States

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Anderson, South Carolina, United States

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Simpsonville, South Carolina, United States

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Knoxville, Tennessee, United States

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Houston, Texas, United States

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Ogden, Utah, United States

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Burke, Virginia, United States

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Chesapeake, Virginia, United States

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Christiansburg, Virginia, United States

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Norfolk, Virginia, United States

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Richmond, Virginia, United States

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Milwaukee, Wisconsin, United States

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Capital Federal, Buenos Aires, Argentina

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Loma Hermosa, Buenos Aires, Argentina

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Lomas de Zamora, Buenos Aires, Argentina

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Buenos Aires, Buenos Aires- Argentina, Argentina

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Rosario, Santa Fe Province, Argentina

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Mendoza, Argentina

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Rosario, Argentina

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Caboolture, Queensland, Australia

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Carina Heights, Queensland, Australia

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Adelaide, South Australia, Australia

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Ballarat, Victoria, Australia

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Box Hill, Victoria, Australia

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Geelong, Victoria, Australia

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NSW, Australia

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Chirpan, Bulgaria

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Pleven, Bulgaria

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Rousse, Bulgaria

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Sofia, Bulgaria

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Varna, Bulgaria

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Calgary, Alberta, Canada

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Edmonton, Alberta, Canada

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Bay Roberts, Newfoundland and Labrador, Canada

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Carbonear, Newfoundland and Labrador, Canada

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Mount Pearl, Newfoundland and Labrador, Canada

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St. John's, Newfoundland and Labrador, Canada

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Brampton, Ontario, Canada

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Cambridge, Ontario, Canada

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Hamilton, Ontario, Canada

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Niagara Falls, Ontario, Canada

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North York, Ontario, Canada

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Tillsonburg, Ontario, Canada

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Toronto, Ontario, Canada

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Pointe-Claire, Quebec, Canada

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Laval, Canada

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Longueuil, Canada

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Québec, Canada

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Beroun, Czechia

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Brno, Czechia

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Liberec, Czechia

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Litoměřice, Czechia

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Ostrava - Trebovice, Czechia

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Podbořany, Czechia

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Poobram, Czechia

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Prague, Czechia

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Praha 4 - Sporilov, Czechia

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Tábor, Czechia

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Jakobstad, Finland

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Joensuu, Finland

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Mikkeli, Finland

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Tampere, Finland

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Turku, Finland

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Vantaa, Finland

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Bochum, Germany

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Dresden, Germany

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Ludwigshafen, Germany

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Lüdenscheid, Germany

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Magdeburg, Germany

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München, Germany

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Oelde, Germany

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Potsdam, Germany

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Rodgau-dudenhofen, Germany

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Siegen, Germany

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Wangen, Germany

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Wolmirstedt, Germany

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Jakarta, Indonesia

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Semarang, Indonesia

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Surabaya, Indonesia

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Yogyakarta, Indonesia

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México, D.f., Mexico

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Guadalajara, Jalisco, Mexico

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Zapopan, Jalisco, Mexico

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D.F, Mexico

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Mexico City, Mexico

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Asker, Norway

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Bergen, Norway

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Elverum, Norway

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Gjøvik, Norway

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Hamar, Norway

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Levanger, Norway

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Lysaker, Norway

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Oslo, Norway

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Osteros, Norway

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Paradis, Norway

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Stavanger, Norway

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Tromsø, Norway

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Ølesund, Norway

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Manila, Philippines

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Quezon City, Philippines

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Bydgoszcz, Poland

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Chojnice, Poland

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Chrzanów, Poland

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Czechowice-Dziedzice, Poland

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Częstochowa, Poland

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Elblog, Poland

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Gdansk, Poland

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Gdynia, Poland

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Iława, Poland

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Kościerzyna, Poland

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Krakow, Poland

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Sopot, Poland

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Tczew, Poland

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Warsaw, Poland

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Angra Do Herosmo, Portugal

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Braga, Portugal

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Castelo Branco, Portugal

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Coimbra, Portugal

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Covilha, Portugal

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Lisbon, Portugal

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Setúbal, Portugal

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Vila Real, Portugal

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Brasov, Brașov County, Romania

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Iași, Iaşi, Romania

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Bucharest, Romania

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Satu Mare, Romania

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Tg. Mures, Romania

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Moscow, Russia

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Saint Petersburg, Russia

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Banska Bysterica, Slovakia

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Bánovce nad Bebravou, Slovakia

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Brastislava, Slovakia

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Liptovský Mikuláš, Slovakia

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Martin, Slovakia

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Nitra, Slovakia

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Nové Mesto nad Váhom, Slovakia

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Piešťany, Slovakia

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Považská Bystrica, Slovakia

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Trnava, Slovakia

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Cape Town, South Africa

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Durban, South Africa

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Johannesburg, South Africa

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Seongnam-si, Kyeonggi-do, South Korea

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Seoul, South Korea

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Bangkok, Thailand

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Chiang Mai, Thailand

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Related Publications (2)

  • Scheiman JM, Herlitz J, Veldhuyzen van Zanten SJ, Lanas A, Agewall S, Naucler EC, Svedberg LE, Nagy P. Esomeprazole for prevention and resolution of upper gastrointestinal symptoms in patients treated with low-dose acetylsalicylic acid for cardiovascular protection: the OBERON trial. J Cardiovasc Pharmacol. 2013 Mar;61(3):250-7. doi: 10.1097/FJC.0b013e31827cb626.

  • Scheiman JM, Devereaux PJ, Herlitz J, Katelaris PH, Lanas A, Veldhuyzen van Zanten S, Naucler E, Svedberg LE. Prevention of peptic ulcers with esomeprazole in patients at risk of ulcer development treated with low-dose acetylsalicylic acid: a randomised, controlled trial (OBERON). Heart. 2011 May;97(10):797-802. doi: 10.1136/hrt.2010.217547. Epub 2011 Mar 17.

MeSH Terms

Conditions

Stomach UlcerDuodenal UlcerPeptic Ulcer

Interventions

Esomeprazole

Condition Hierarchy (Ancestors)

Duodenal DiseasesIntestinal DiseasesGastrointestinal DiseasesDigestive System DiseasesStomach Diseases

Intervention Hierarchy (Ancestors)

Omeprazole2-PyridinylmethylsulfinylbenzimidazolesSulfoxidesSulfur CompoundsOrganic ChemicalsPyridinesHeterocyclic Compounds, 1-RingHeterocyclic CompoundsBenzimidazolesHeterocyclic Compounds, 2-RingHeterocyclic Compounds, Fused-Ring

Limitations and Caveats

Not enough patients had peptic ulcer, gastric ulcer, or duodenal ulcer to report the intended primary endpoint of time to peptic ulcer and two secondary endpoints, time to gastric ulcer and time to duodenal ulcer. Percentage used instead.

Results Point of Contact

Title
Gerard Lynch
Organization
AstraZeneca

Study Officials

  • Tore Lind, MD, PhD

    AstraZeneca

    STUDY DIRECTOR
  • James Scheiman, MD

    University of Michigan

    PRINCIPAL INVESTIGATOR

Publication Agreements

PI is Sponsor Employee
No
Restriction Type
OTHER
Restrictive Agreement
Yes

Study Design

Study Type
interventional
Phase
phase 3
Allocation
RANDOMIZED
Masking
QUADRUPLE
Who Masked
PARTICIPANT, CARE PROVIDER, INVESTIGATOR, OUTCOMES ASSESSOR
Purpose
PREVENTION
Intervention Model
PARALLEL
Sponsor Type
INDUSTRY
Responsible Party
SPONSOR

Study Record Dates

First Submitted

February 27, 2007

First Posted

March 1, 2007

Study Start

February 1, 2007

Primary Completion

August 1, 2008

Study Completion

August 1, 2008

Last Updated

July 16, 2012

Results First Posted

February 13, 2012

Record last verified: 2012-07

Locations