PMID- 19166433 OWN - NLM STAT- MEDLINE DCOM- 20090417 LR - 20211020 IS - 1742-1241 (Electronic) IS - 1368-5031 (Print) IS - 1368-5031 (Linking) VI - 62 IP - 12 DP - 2008 Dec TI - The effectiveness of esomeprazole 40 mg in patients with persistent symptoms of gastro-oesophageal reflux disease following treatment with a full dose proton pump inhibitor. PG - 1844-50 LID - 10.1111/j.1742-1241.2008.01923.x [doi] AB - BACKGROUND: Some patients with gastro-oesophageal reflux disease (GORD) remain symptomatic despite proton pump inhibitor (PPI) treatment. There is a need to determine the most appropriate management of these patients. AIMS: To assess the effectiveness of esomeprazole 40 mg in GORD symptoms persisting in patients receiving a full daily dose PPI. METHODS: In this multi-centre open label study patients who had received full daily dose PPI for 8 weeks, but were still experiencing persistent GORD symptoms, were treated with esomeprazole 40 mg for 8 weeks (n = 99). The primary outcome variable was the change in the frequency of heartburn. Patient-reported outcomes were also assessed using the Reflux Disease Questionnaire (RDQ) and the GORD Impact Scale (GIS). RESULTS: The mean frequency of heartburn was reduced by 78% from 4.4 days a week to 1 day a week at the end of the 8-week treatment period (p < 0.0001). Other GORD symptoms were also significantly reduced following of treatment with esomeprazole (all p < 0.0001). All RDQ dimensions and the level of symptom control as measured by the GIS also showed significant improvement at 8 weeks. CONCLUSIONS: In patients with persistent GORD symptoms despite full dose daily PPI therapy, esomeprazole 40 mg significantly improved the frequency and severity of all GORD symptoms. FAU - Jones, R AU - Jones R AD - Department of General Practice & Primary Care, King's College London, London, UK. roger.jones@kcl.ac.uk FAU - Patrikios, T AU - Patrikios T LA - eng PT - Clinical Trial PT - Journal Article PT - Multicenter Study PT - Research Support, Non-U.S. Gov't PL - India TA - Int J Clin Pract JT - International journal of clinical practice JID - 9712381 RN - 0 (Anti-Ulcer Agents) RN - 0 (Proton Pump Inhibitors) RN - N3PA6559FT (Esomeprazole) SB - IM EIN - Int J Clin Pract. 2009 Jun;63(6):977 MH - Anti-Ulcer Agents/*administration & dosage MH - Chronic Disease MH - Esomeprazole/*administration & dosage MH - Female MH - Gastroesophageal Reflux/*drug therapy MH - Heartburn/prevention & control MH - Humans MH - Male MH - Middle Aged MH - Proton Pump Inhibitors/*administration & dosage MH - Secondary Prevention MH - Treatment Outcome PMC - PMC2680259 EDAT- 2009/01/27 09:00 MHDA- 2009/04/18 09:00 PMCR- 2009/05/11 CRDT- 2009/01/27 09:00 PHST- 2009/01/27 09:00 [entrez] PHST- 2009/01/27 09:00 [pubmed] PHST- 2009/04/18 09:00 [medline] PHST- 2009/05/11 00:00 [pmc-release] AID - IJCP1923 [pii] AID - 10.1111/j.1742-1241.2008.01923.x [doi] PST - ppublish SO - Int J Clin Pract. 2008 Dec;62(12):1844-50. doi: 10.1111/j.1742-1241.2008.01923.x.