The effects of increasing body mass index on heartburn severity, frequency and response to treatment with dexlansoprazole or lansoprazole.

Abstract

BACKGROUND:

Higher body mass index (BMI) is a recognised risk factor for gastro-oesophageal reflux disease (GERD). Data regarding the impact of BMI on proton pump inhibitor (PPI) therapy are conflicting.

AIM:

To assess the impact of BMI on baseline heartburn symptom severity and frequency and response to PPI therapy in patients with non-erosive GERD (NERD) or erosive oesophagitis (EO).

METHODS:

In post hoc analyses of phase 3 trial data, 621 NERD and 2692 EO patients were stratified by BMI (<25, 25 to <30 and ≥30 kg/m(2) ). NERD patients received either dexlansoprazole MR 30 mg or placebo daily for 4 weeks. EO patients received either dexlansoprazole MR 60 mg or lansoprazole 30 mg for 8 weeks. Symptom frequency and severity were assessed at baseline and subsequently by daily diary.

RESULTS:

In both the NERD and EO cohorts, baseline heartburn severity increased with increasing BMI. The impact of PPI therapy on the reduction in heartburn symptom frequency and severity in both NERD and EO patients was similar across BMI categories. EO healing rates in patients treated with dexlansoprazole but not lansoprazole were higher in obese patients compared with those with a BMI <30 kg/m(2) . Differences between the PPIs were small.

CONCLUSIONS:

The PPIs evaluated in this study reduced the frequency and severity of 24-h heartburn regardless of baseline BMI. In addition, because patients with higher BMI have more severe symptoms at baseline, they may experience greater therapeutic gain with dexlansoprazole (NERD and erosive oesophagitis) and possibly lansoprazole (erosive oesophagitis) treatment.

• Authors: D A Peura, B Pilmer, B Hunt, R Mody, M C Perez
• Journal: Alimentary pharmacology & therapeutics (Aliment Pharmacol Ther) Vol. 37 Issue 8 Pg. 810-8 (Apr 2013) ISSN: 1365-2036 [Electronic] England
• PMID: 23451835 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
• Copyright: © 2013 Blackwell Publishing Ltd.

Chemical References

• 2-Pyridinylmethylsulfinylbenzimidazoles
• Proton Pump Inhibitors
• Lansoprazole
• Dexlansoprazole

Topics

• 2-Pyridinylmethylsulfinylbenzimidazoles (therapeutic use)
• Adolescent
• Adult
• Aged
• Aged, 80 and over
• Body Mass Index
• Clinical Trials as Topic
• Dexlansoprazole
• Dose-Response Relationship, Drug
• Esophagitis (drug therapy, physiopathology)
• Female
• Gastroesophageal Reflux (drug therapy, physiopathology)
• Heartburn (drug therapy, physiopathology)
• Humans
• Lansoprazole
• Male
• Middle Aged
• Proton Pump Inhibitors (therapeutic use)
• Risk Factors
• Severity of Illness Index
• Treatment Outcome
• Young Adult