PMID- 14606102 OWN - NLM STAT- MEDLINE DCOM- 20031219 LR - 20190430 IS - 1007-9327 (Print) IS - 2219-2840 (Electronic) IS - 1007-9327 (Linking) VI - 9 IP - 11 DP - 2003 Nov TI - Effect of a single oral dose of rabeprazole on nocturnal acid breakthrough and nocturnal alkaline amplitude. PG - 2583-6 AB - AIM: To study the effect of rabeprazole (RAB) on nocturnal acid breakthrough (NAB) and nocturnal alkaline amplitude (NAKA) and to compare it with omeprazole (OME) and pantoprazole (PAN). METHODS: By an open comparative study, forty patients with active peptic ulcer were randomly assigned to receive one of the three PPIs (proton pump inhibitor) with a single oral dose. They were divided into RAB group (10 mg), OME group (20 mg) and PAN group (40 mg). Twenty healthy volunteers were enrolled to the control group (without taking any drug). Intragastric pH monitoring was then performed 1 hour before and 24 hours after the dose was given. RESULTS: No clinically undesirable signs and symptoms possibly attributed to the administration of RAB or OME and PAN were recognizable throughout the study period. All subjects completed the study according to the protocol. All data were processed by a computer using the Student t test or t' test followed by an analysis of covariance. P<0.05 was considered to have statistical significance. The intragastric pH of NAB was significantly higher in RAB group (1.84+/-0.55) than in either OME group (1.15+/-0.31) or PAN group (1.10+/-0.30) (both P<0.01). RAB produced a longer sustaining time (4.65+/-1.22 h) on NAKA than OME (3.22+/-1.89 h) (P<0.05), PAN (3.15+/-1.92 h) (P<0.05), and the sustaining time of NAKA in RAB group was longer than that in the healthy control group (P<0.01) too. In addition, RAB produced a much higher pH on NAKA (6.41+/-0.45) in comparison with PAN (6.01+/-0.92) (P<0.05). CONCLUSION: A single oral dose of 10 mg RAB may increase the pH of NAB and shorten the sustaining time of NAB, and it may increase the pH of NAKA as well as prolong the sustaining time of NAKA. FAU - Luo, Jin-Yan AU - Luo JY AD - Department of Gastroenterology, The Second Hospital of Xi'an Jiaotong University, Xi'an 710004, Shanxi Province, China. ljy18272@163.com FAU - Niu, Chun-Yan AU - Niu CY FAU - Wang, Xue-Qin AU - Wang XQ FAU - Zhu, You-Ling AU - Zhu YL FAU - Gong, Jun AU - Gong J LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PL - United States TA - World J Gastroenterol JT - World journal of gastroenterology JID - 100883448 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Alkalies) RN - 0 (Anti-Ulcer Agents) RN - 0 (Benzimidazoles) RN - 0 (Sulfoxides) RN - 32828355LL (Rabeprazole) RN - D8TST4O562 (Pantoprazole) RN - KG60484QX9 (Omeprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles MH - Administration, Oral MH - Adult MH - *Alkalies MH - Anti-Ulcer Agents/*administration & dosage MH - Benzimidazoles/*administration & dosage MH - Circadian Rhythm MH - Female MH - *Gastric Acid MH - Humans MH - Hydrogen-Ion Concentration/drug effects MH - Male MH - Middle Aged MH - Omeprazole/administration & dosage MH - Pantoprazole MH - Peptic Ulcer/*drug therapy MH - Rabeprazole MH - Sulfoxides/administration & dosage PMC - PMC4656546 EDAT- 2003/11/08 05:00 MHDA- 2003/12/20 05:00 PMCR- 2003/11/15 CRDT- 2003/11/08 05:00 PHST- 2003/11/08 05:00 [pubmed] PHST- 2003/12/20 05:00 [medline] PHST- 2003/11/08 05:00 [entrez] PHST- 2003/11/15 00:00 [pmc-release] AID - 10.3748/wjg.v9.i11.2583 [doi] PST - ppublish SO - World J Gastroenterol. 2003 Nov;9(11):2583-6. doi: 10.3748/wjg.v9.i11.2583.