PMID- 21118280 OWN - NLM STAT- MEDLINE DCOM- 20110603 LR - 20131121 IS - 1365-2036 (Electronic) IS - 0269-2813 (Linking) VI - 33 IP - 3 DP - 2011 Feb TI - The 12-month safety profile of dexlansoprazole, a proton pump inhibitor with a dual delayed release formulation, in patients with gastro-oesophageal reflux disease. PG - 366-77 LID - 10.1111/j.1365-2036.2010.04519.x [doi] AB - BACKGROUND: Dexlansoprazole MR is a Dual Delayed Release formulation of dexlansoprazole, an enantiomer of lansoprazole, designed to extend the duration of acid suppression. AIM: To assess the 12-month safety of dexlansoprazole MR in patients with symptomatic gastro-oesophageal reflux disease (GERD). METHODS: In this randomised open-label study, patients received dexlansoprazole MR 60 or 90 mg once-daily for 12 months. Safety was evaluated at months 1, 3, 6, 9 and 12/final visit through physical examinations, laboratory evaluations, endoscopies, gastric biopsies, fasting serum gastrin values and adverse events (AEs). RESULTS: Of 591 patients receiving dexlansoprazole MR 60 and 90 mg, 71% and 65%, respectively, experienced >/=1 treatment-emergent AE; the most frequent AE was upper respiratory infection (14% and 13% in the 60- and 90-mg groups). Thirty patients experienced >/=1 serious AE; a majority of serious AEs were unrelated to study drug. No clinically meaningful change in any clinical laboratory parameters was noted. As expected, serum gastrin values rose with dexlansoprazole therapy; increases were not dose related. No clinically concerning trends were identified in gastric pathology results; no endocrine cell hyperplasia, adenocarcinoma, or lymphoma were observed. CONCLUSIONS: Twelve-month treatment with dexlansoprazole MR 60 and 90 mg was well tolerated by GERD patients in this study (Clinicaltrials.gov identifier NCT00255190). CI - (c) 2010 Blackwell Publishing Ltd. FAU - Dabholkar, A H AU - Dabholkar AH AD - Takeda Global Research & Development Center, Inc., Deerfield, IL 60015, USA. aruna.dabholkar@tgrd.com FAU - Han, C AU - Han C FAU - Paris, M M AU - Paris MM FAU - Perez, M C AU - Perez MC FAU - Atkinson, S N AU - Atkinson SN FAU - Peura, D A AU - Peura DA LA - eng SI - ClinicalTrials.gov/NCT00255190 PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial PT - Research Support, Non-U.S. Gov't DEP - 20101130 PL - England TA - Aliment Pharmacol Ther JT - Alimentary pharmacology & therapeutics JID - 8707234 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Delayed-Action Preparations) RN - 0 (Proton Pump Inhibitors) RN - 0K5C5T2QPG (Lansoprazole) RN - UYE4T5I70X (Dexlansoprazole) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles/*adverse effects MH - Adolescent MH - Adult MH - Aged MH - Delayed-Action Preparations/administration & dosage MH - Dexlansoprazole MH - Dose-Response Relationship, Drug MH - Female MH - Gastroesophageal Reflux/*drug therapy MH - Humans MH - Lansoprazole MH - Male MH - Middle Aged MH - Proton Pump Inhibitors/*adverse effects MH - Statistics as Topic MH - Time Factors MH - Treatment Outcome MH - Young Adult EDAT- 2010/12/02 06:00 MHDA- 2011/06/04 06:00 CRDT- 2010/12/02 06:00 PHST- 2010/12/02 06:00 [entrez] PHST- 2010/12/02 06:00 [pubmed] PHST- 2011/06/04 06:00 [medline] AID - 10.1111/j.1365-2036.2010.04519.x [doi] PST - ppublish SO - Aliment Pharmacol Ther. 2011 Feb;33(3):366-77. doi: 10.1111/j.1365-2036.2010.04519.x. Epub 2010 Nov 30.