Clinical Drug Investigation

, Volume 34, Issue 2, pp 83–93 | Cite as

Efficacy, Safety, and Tolerability of Pantoprazole Magnesium in the Treatment of Reflux Symptoms in Patients with Gastroesophageal Reflux Disease (GERD): A Prospective, Multicenter, Post-Marketing Observational Study

  • José María Remes-TrocheEmail author
  • Sergio Sobrino-Cossío
  • Julio César Soto-Pérez
  • Oscar Teramoto-Matsubara
  • Miguel Morales-Arámbula
  • Antonio Orozco-Gamiz
  • José Luis Tamayo de la Cuesta
  • Gualberto Mateos
Original Research Article



To improve proton pump inhibitor effects, pharmacological modifications have been developed such as the use of enantiomer molecules (e.g., S-omeprazole, S-pantoprazole, or dexlansoprazole), or addition of NaHCO3 (for an immediate release) or magnesium (with a lower absorption for a more sustained effect).


The objective of this study was to assess the efficacy, safety, and tolerability of pantoprazole magnesium 40 mg once daily for 4 weeks, on the relief of reflux symptoms in gastroesophageal reflux disease (GERD) patients.


A phase IV, open-label, prospective, multicenter study was designed. Patients included were prescribed pantoprazole magnesium 40 mg orally once daily for 28 ± 2 days. All patients had a history of persistent or recurrent heartburn and/or acid regurgitation for at least 3 months. Effectiveness and tolerability data obtained from patients who completed a minimum of 4 weeks of pantoprazole magnesium treatment were considered for analysis.


The account of baseline characteristics and demographics of GERD symptom intensity was made by analyzing the group of 4,343 patients that fulfilled all inclusion criteria; 54 % were females (n = 2,345) and 46 % (n = 1,998) males, with a mean age of 36.2 ± 7.5 years. Severity of symptoms, assessed by the physician using the 4-point Likert scale, reduced by at least 80 % from baseline intensity after treatment in the per protocol population. In the case of the intention-to-treat population, the improvement in symptom intensity was 73 %. The number of patients that experienced any adverse events was 175/5,027 (3.48 %).


Pantoprazole magnesium is a safe, effective, and well-tolerated drug that significantly improves GERD symptoms.


Omeprazole Clostridium Difficile Infection Pantoprazole Rabeprazole Reflux Symptom 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.



The current study was sponsored by Nykomed, Mexico. Nykomed did not participate in the writing of this article or in the decision to submit the article for publication. José M. Remes-Troche has received consultancy honoraria from Takeda, Janssen, and AstraZeneca. Antonio Orozco-Gamiz has worked as a speaker for Takeda, GlaxoSmithKline, and Bristol-Myers Squibb. Julio César Soto-Pérez, Oscar Teramoto-Matsubara, Gualberto Mateos, Sergio Sobrino-Cossío, Miguel Morales-Arámbula, and José Luis Tamayo de la Cuesta have no conflicts of interest that are directly relevant to the content of this study.


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Copyright information

© Springer International Publishing Switzerland 2013

Authors and Affiliations

  • José María Remes-Troche
    • 1
    Email author
  • Sergio Sobrino-Cossío
    • 2
  • Julio César Soto-Pérez
    • 3
  • Oscar Teramoto-Matsubara
    • 4
  • Miguel Morales-Arámbula
    • 5
  • Antonio Orozco-Gamiz
    • 6
  • José Luis Tamayo de la Cuesta
    • 7
  • Gualberto Mateos
    • 8
  1. 1.Digestive Physiology and Motility Lab, Instituto de Investigaciones Médico BiológicasUniversidad VeracruzanaVeracruzMexico
  2. 2.Hospital Ángeles del Pedregal, Servicio de Endoscopia, Instituto Nacional de CancerologíaMexico CityMexico
  3. 3.Clínica de Fisiología Digestiva del Hospital Metropolitano, Servicio de Gastroenterología y Endoscopia del Hospital Central Sur de Alta Especialidad PEMEXMexico CityMexico
  4. 4.Unidad de Gastroenterología y Motilidad PalmasMexico CityMexico
  5. 5.Unidad de Gastroenterología Hospital PrivadoGuadalajaraMexico
  6. 6.GastroLabGuadalajaraMexico
  7. 7.Hospital Civil de Culiacán CIDOCSHospital Ángeles CuliacánCuliacánMexico
  8. 8.Hospital Angeles del PedregalMexico CityMexico

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