PMID- 21694835 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20231104 IS - 1178-7023 (Print) IS - 1178-7023 (Electronic) IS - 1178-7023 (Linking) VI - 2 DP - 2009 TI - Delayed release dexlansoprazole in the treatment of GERD and erosive esophagitis. PG - 117-28 AB - Although proton pump inhibitors (PPI) have a record of remarkable effectiveness and safety in the management of gastroesophageal reflux disease (GERD), several treatment challenges with PPI have emerged. Dexlansoprazole MR is the (R)-enantiomer of lansoprazole contained in a formulation that produces two distinct releases of drug and significantly extends the duration of active plasma concentrations and % time pH > 4 beyond that of conventional single-release PPI. Dexlansoprazole MR can be administered without regard to meals or the timing of meals in most patients. Dexlansoprazole MR 60 mg demonstrated similar efficacy for healing of erosive esophagitis at 8 weeks compared with lansoprazole 30 mg, and dexlansoprazole MR 30 mg was superior to placebo for maintenance of healed erosive esophagitis at 6 months with 99% of nights and 96% of days heartburn-free over 6 months in patients taking dexlansoprazole MR 30 mg. Superior relief of heartburn occurred in patients taking dexlansoprazole MR 30 mg (55% heartburn-free 24-hour periods) vs placebo (14%) for symptomatic nonerosive GERD. The safety profile of dexlansoprazole MR is similar to that of lansoprazole. The extended pharmacodynamic effects, added convenience, and efficacy and safety of dexlansoprazole MR offer a novel approach to gastric pH control in patients with acid-related disorders. FAU - Wittbrodt, Eric T AU - Wittbrodt ET AD - Takeda Pharmaceuticals North America, Inc. FAU - Baum, Charles AU - Baum C FAU - Peura, David A AU - Peura DA LA - eng PT - Journal Article DEP - 20091117 PL - New Zealand TA - Clin Exp Gastroenterol JT - Clinical and experimental gastroenterology JID - 101532800 PMC - PMC3108635 OTO - NOTNLM OT - GERD OT - TAK-390MR OT - dexlansoprazole MR OT - erosive esophagitis OT - gastroesophageal reflux disease EDAT- 2009/01/01 00:00 MHDA- 2009/01/01 00:01 PMCR- 2009/11/17 CRDT- 2011/06/23 06:00 PHST- 2009/11/16 00:00 [received] PHST- 2011/06/23 06:00 [entrez] PHST- 2009/01/01 00:00 [pubmed] PHST- 2009/01/01 00:01 [medline] PHST- 2009/11/17 00:00 [pmc-release] AID - ceg-2-117 [pii] AID - 10.2147/ceg.s5765 [doi] PST - ppublish SO - Clin Exp Gastroenterol. 2009;2:117-28. doi: 10.2147/ceg.s5765. Epub 2009 Nov 17.