Document Detail


Results of the United States ranitidine maintenance trials.
MedLine Citation:
PMID:  6095659     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
In two long-term studies, efficacy and safety of maintenance therapy with ranitidine (150 mg at bedtime) versus a placebo or cimetidine (400 mg at bedtime) were assessed. Fourteen centers enrolled 125 patients in the ranitidine-cimetidine study, and 26 centers enrolled 277 patients in the ranitidine-placebo study. Both studies were conducted for 12 months. Using life-table analysis, 15 percent of the ranitidine-treated patients and 44 percent of the cimetidine patients relapsed by the 12th month of treatment (p less than 0.007). Ulcer recurrence rates were in 19, 24, and 35 percent for the ranitidine-treated patients and 44, 54, and 60 percent for patients taking placebo at four, eight, and 12 months, respectively (p less than 0.001). Possible reasons for the increased effectiveness of ranitidine over cimetidine are the increased potency of ranitidine and longer acid suppression during the middle and later periods of sleep. No significant changes were observed in multiple laboratory parameters, ophthalmoscopic examinations, electrocardiographic results, or vital signs. All therapies appeared to be safe during this 12-month trial.
Authors:
S E Silvis
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Publication Detail:
Type:  Clinical Trial; Comparative Study; Journal Article; Randomized Controlled Trial; Research Support, Non-U.S. Gov't    
Journal Detail:
Title:  The American journal of medicine     Volume:  77     ISSN:  0002-9343     ISO Abbreviation:  Am. J. Med.     Publication Date:  1984 Nov 
Date Detail:
Created Date:  1985-01-03     Completed Date:  1985-01-03     Revised Date:  2007-11-15    
Medline Journal Info:
Nlm Unique ID:  0267200     Medline TA:  Am J Med     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  33-8     Citation Subset:  AIM; IM    
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MeSH Terms
Descriptor/Qualifier:
Adult
Aged
Cimetidine / administration & dosage,  adverse effects
Clinical Trials as Topic
Duodenal Ulcer / drug therapy
Female
Humans
Male
Middle Aged
Placebos
Ranitidine / administration & dosage*,  adverse effects
Recurrence
United States
Chemical
Reg. No./Substance:
0/Placebos; 51481-61-9/Cimetidine; 66357-35-5/Ranitidine

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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