A double-blind, placebo-controlled study of the efficacy and safety of non-prescription ranitidine 75 mg in the prevention of meal-induced heartburn

Background: Ranitidine 75 mg (Zantac 75) has been shown to be effective for the treatment of pre-existing heartburn symptoms. Aim: To compare the efficacy of dosing ranitidine 75 mg or placebo 30 min p rior to a proven heartburn-provoking meal in completely preventing or reduc ing subsequent heartburn symptoms. Methods: A randomized, double-blind, parallel methodology was used at nine investigative centres, Following a screening visit, patients ate a standard test meal consisting of chilli, chips and a soft drink on two occasions, O n the first occasion, patients received single-blind placebo 30 min before the meal. This meal was used to qualify patients and to ensure the onset of a minimum level of heartburn. Patients who qualified were randomized (n = 284) to receive double-blind ranitidine 75 mg or placebo 30 min before a se cond test meal administered 4-14 days later at the treatment visit, Patient s recorded whether heartburn was present and rated heartburn severity by co mpleting visual analogue scales at 15-min intervals over the 4.5 h meal eva luation periods. Results: Statistically significant differences favouring ranitidine 75 mg w ere determined for complete prevention of heartburn (P < 0.006), heartburn severity area under the curve (P < 0.001), a clinical success endpoint (P < 0.001), and all other end-points (P < 0.001). Conclusions: These data clearly demonstrate that ranitidine 75 mg is effect ive in completely preventing or decreasing heartburn when administered 30 m in prior to a provocative meal.