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Ranitidine

Phase 3

Gastric Ulcer | Small molecule | Gastrointestinal |AstraZeneca PLC|Last Updated: Dec 28, 2012

Success Probability

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Trial Design

RandomizedDouble-BlindUNCONTROLLED
Total Trials1
Total Enrollment397

FDA Designations

No designations recorded

Clinical trial landscape

Ranitidine · 4 trials · 3 indications

Phase 3 3Phase 1 1
NCT00401752Efficacy and Safety Study of Esomeprazole 20mg qd vs Ranitidine 150mg Bid in Patients With an NSAID-induced Gastric UlcerGastric Ulcer
COMPLETED397 Analytics
NCT00633412A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is Continued in Subjects in the US OnlyNSAID Associated Gastric Ulcers
COMPLETED400 Analytics
NCT00633672A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is ContinuedNSAID Associated Gastric Ulcers
COMPLETED400 Analytics
PHASE3COMPLETED
Efficacy and Safety Study of Esomeprazole 20mg qd vs Ranitidine 150mg Bid in Patients With an NSAID-induced Gastric Ulcer
Gastric UlcerUnlock trial analytics
PHASE3COMPLETED
A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is Continued in Subjects in the US Only
NSAID Associated Gastric UlcersUnlock trial analytics
PHASE3COMPLETED
A Comparative Efficacy and Safety Study of Nexium Delayed-Release Capsules (40mg qd and 20mg qd) Versus Ranitidine 150mg Bid for the Healing of NSAID-Associated Gastric Ulcers When Daily NSAID Use is Continued
NSAID Associated Gastric UlcersUnlock trial analytics

Study Endpoints

Primary Endpoints

The Percentage of Subjects Whose Gastric Ulcer(s) (GUs) Was (Were) Healed at Week 4 After Treatment With Esomeprazole 20 mg qd and Ranitidine 150 mg Bid in Patients Receiving Daily Non-steroidal Anti-inflammatory Drug (NSAID)Therapy.
4 weeks

Healed was defined as the absence of gastric ulcers. It was calculated as the proportion of subjects whose gastric ulcer(s) healed after 4 weeks treatment. (Ulcers were on S stage, stage 1 = Nonblanchable erythema of intact skin, stage 2 = Partial thickness skin loss involving epidermis, dermis, or both, stage 3 = Full thickness skin loss involving damage to or necrosis of subcutaneous tissue, stage 4 = Full thickness skin loss with extensive destruction, tissue necrosis, or damage to muscle, bone, or supporting structures or absent).

The proportion of patients with no gastric ulcers after 8 weeks of treatment.
Esophagogastroduodenscopy (EGD) assessments at baseline, week 4, week 8, and efficacy evaluations at each visit including endoscopic evaluation for the presence of ulcers and erosions.
To assess the safety and efficacy of esomeprazole 40 mg qd versus ranitidine 150 mg bid through 8 weeks of treatment for the healing of gastric ulcers in patients receiving daily NSAID therapy. Healing is defined as the absence of gastric ulcers.
Pharmacokinetics profile of R406 in terms of maximum observed plasma concentration (Cmax) and area under the plasma concentration-time curve from time zero extrapolated to infinity (AUC).
Day 1 (predose) and at 0.5, 1, 1.5, 2, 3, 4, 6, 8, 12, 16, 24, 36, 48, 72, and 96 hours postdose

Secondary Endpoints

The Percentage of Subjects Whose Gastric Ulcer(s) Was (Were) Healed at Week 8 After Treatment With Esomeprazole 20 mg qd and Ranitidine 150 mg Bid in Patients Receiving Daily NSAID Therapy.
8 weeks
The Resolution of Heartburn Symptoms at Week 4 and Week 8 After Treatment With Esomeprazole 20 mg qd and Ranitidine 150 mg Bid in Patients Receiving Daily NSAID Therapy.
week 4 and week 8
Percentage of Participants With the Occurance of Any Adverse Event.
8 weeks
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Study Design & Arms

AllocationRANDOMIZED
MaskingDOUBLE
ModelPARALLEL
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
1EXPERIMENTAL20mg Oral tablet daily
2EXPERIMENTAL40mg Oral tablet daily
3ACTIVE_COMPARATOR150mg oral twice daily
Part A1ACTIVE_COMPARATOR1 x 150mg mannitol-based 38% drug-loaded tablet(orange reference), fed 3 x 50mg microcrystalline cellulose-based 13% drug loaded tablets,(blue) fed
Part A2ACTIVE_COMPARATOR1 x 150mg mannitol-based 38% drug-loaded tablet(orange reference) 3 x 50mg microcrystalline cellulose-based 13% drug loaded tablets,(blue) fed 150 mg ranitidine
Part B1ACTIVE_COMPARATOR1 x 150mg mannitol based 38% drug-loaded tablet (batch variant A)
Part B2ACTIVE_COMPARATOR1 x 150mg mannitol based 38% drug loaded tablet (batch variant B)
Part B3ACTIVE_COMPARATOR1 x 150mg mannitol-based 38% drug-loaded tablet(orange reference)

Interventions

NameTypeDescription
EsomeprazoleDRUG -
RanitidineDRUG -
Fostamatinib - 1 x 150mg mannitol-based 38% drug-loaded tablet(orange reference)DRUG1 x 150mg mannitol-based 38% drug-loaded tablet(orange reference)
Fostamatinib - 3 x 50mg microcrystalline cellulose-based 13% drug loaded tablets,(blue) fedDRUG3 x 50mg microcrystalline cellulose-based 13% drug loaded tablets,(blue) fed
Fostamatinib - 1 x 150mg mannitol based 38% drug-loaded tablet (batch variant A)DRUG1 x 150mg mannitol based 38% drug-loaded tablet (batch variant A)
Fostamatinib - 1 x 150mg mannitol based 38% drug loaded tablet (batch variant B)DRUG1 x 150mg mannitol based 38% drug loaded tablet(batch variant B)
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Eligibility Criteria

Age Range18 Years to 70 Years
SexALL
Healthy VolunteersNo
Study Sites9

Inclusion Criteria: * Signed informed consent. * A clinical diagnosis of a chronic condition that requires daily NSAID treatment for at least 2 months. * Daily NSAID dose and type must have been stable for at least 2 weeks prior to the baseline endoscopy;orally; Exclusion Criteria: * History of e...

Countries:ChinaHong KongUnited States
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Frequently asked questions about Ranitidine

What is Ranitidine used for?

Ranitidine is a small molecule gastrointestinal drug studied for the treatment of gastric ulcers and NSAID-associated gastric ulcers. It has been evaluated in Phase 3 clinical trials as an active comparator against esomeprazole for healing these conditions. It has also been used in a pharmacokinetic study to assess drug interactions.

Who makes Ranitidine?

Ranitidine is developed by AstraZeneca PLC, which trades under the ticker AZN. AstraZeneca has sponsored Phase 3 clinical trials comparing ranitidine with its own product esomeprazole for the healing of gastric ulcers and NSAID-associated gastric ulcers.

What phase is Ranitidine in?

Ranitidine has been studied in Phase 3 clinical trials for gastric ulcer and NSAID-associated gastric ulcer indications. These trials are completed. It is also used in a Phase 1 pharmacokinetic study. Ranitidine is an investigational drug in these contexts and is not stated to be FDA approved.

What clinical trials is Ranitidine in?

Ranitidine has been studied in completed Phase 3 trials: NCT00401752 compared esomeprazole 20mg qd vs ranitidine 150mg bid in patients with NSAID-induced gastric ulcer, and NCT00633412 and NCT00633672 compared Nexium (esomeprazole) 40mg qd and 20mg qd vs ranitidine 150mg bid for healing NSAID-associated gastric ulcers. A Phase 1 trial, NCT01682408, assessed pharmacokinetics of fostamatinib with ranitidine.

How does Ranitidine work?

Ranitidine is a histamine H2-receptor antagonist that reduces stomach acid production. It works by blocking histamine from binding to H2 receptors on gastric parietal cells, thereby decreasing acid secretion. This mechanism helps heal gastric ulcers and NSAID-associated gastric ulcers.