The purpose of this study is to characterize the pharmacokinetics (PK) and safety of intravenous (IV) pantoprazole in patients 1 to 16 years old who are candidates for acid suppression therapy.
In hospitalized pediatric subjects, age 1 to 16 years who in the judgment of the investigator are candidates for acid suppression therapy, the following are the objectives of this trial: Primary Objectives To characterize the PK of single and multiple IV doses of pantoprazole in pediatric subjects aged 1 to less than 2 years old. To characterize the PK of single and multiple IV doses of pantoprazole in pediatric subjects aged 2 to 16 years old. Secondary Objectives To determine the safety, tolerability, and PK of single and multiple IV doses of pantoprazole in each of the independent age cohorts. To assess the CYP2C19 genotype in pediatric subjects receiving IV pantoprazole, to determine the presence of the gene for the major enzyme responsible for metabolism of pantoprazole.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
TREATMENT
Masking
NONE
Enrollment
19
Patients will receive 10 mg, 20 mg, or 40 mg IV pantoprazole determined by weight
Children's Health Specialty Center Dallas Campus
Dallas, Texas, United States
Clearance (CL) of Pantoprazole
Data reported below is combined for Days 1, 2 and 7.
Time frame: 0.25, 1 to 2, 3 to 4, and 5 to 6 hours post-dose on Day 1; 0.25, 0.5, 1 to 2, 3 to 4, and 5 to 6, 8, and 12 hours post-dose on Day 2; 0.25, 0.5, 1, 2, 4, 8, and 12 hours post-dose on Day 7
Volume of Distribution (Vd) of Pantoprazole
Data reported below is combined for Days 1, 2 and 7.
Time frame: 0.25, 1 to 2, 3 to 4, and 5 to 6 hours post-dose on Day 1; 0.25, 0.5, 1 to 2, 3 to 4, and 5 to 6, 8, and 12 hours post-dose on Day 2; 0.25, 0.5, 1, 2, 4, 8, and 12 hours post-dose on Day 7
Maximum Plasma Concentration (Cmax) of Pantoprazole: Single Dose
The results for Cmax were presented separately for single dose and multiple doses.
Time frame: 0.25, 1, 2, 3 to 4, and 5 to 6 hours post-dose on Day 1
Cmax of Pantoprazole: Multiple Dose
Data reported below is combined for Days 2 and 7.
Time frame: 0.25, 0.5, 1 to 2, 3 to 4, and 5 to 6, 8, and 12 hours post-dose on Day 2; 0.25, 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 7
Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Single Dose
The results for AUC24 were presented separately for single dose and multiple doses.
Time frame: 0.25, 1, 2, 3 to 4, and 5 to 6 hours post-dose on Day 1; 24 hours post dose on Day 1 (pre dose on Day 2)
Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Multiple Dose
Data reported below is combined for Days 2 and 7.
Time frame: 0.25, 0.5, 1 to 2, 3 to 4, and 5 to 6, 8, and 12 hours post-dose on Day 2; 0.25, 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 7
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Children's Medical Center Dallas
Dallas, Texas, United States
Primary Children's Hospital
Salt Lake City, Utah, United States
Hospital Militar Central "Cirujano Mayor Dr. Cosme Argerich"
CABA, Buenos Aires, Argentina
University clinical center of the Republic of Srpska
Banja Luka, Bosnia and Herzegovina
JSC Evex Medical Corporation
Tbilisi, Georgia
LTD Imedi Clinic
Tbilisi, Georgia
Katholisches Klinikum Bochum
Bochum, Germany
Zentralapotheke St. Josef-Hospital
Bochum, Germany
Centro Trials - Dipartimento Pediatrico Universitario Ospedaliero Padiglione Salviati
Roma, Italy
...and 9 more locations
Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Single Dose
The results for AUCinf were presented separately for single dose and multiple doses.
Time frame: 0.25, 1, 2, 3 to 4, and 5 to 6 hours post-dose on Day 1
Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Multiple Dose
Data reported below is combined for Days 2 and 7.
Time frame: 0.25, 0.5, 1 to 2, 3 to 4, and 5 to 6, 8, and 12 hours post-dose on Day 2; 0.25, 0.5, 1, 2, 4, 8, and 12 hours post dose on Day 7
Terminal Half-Life (t1/2) of Pantoprazole
Data reported below is combined for Days 1, 2 and 7.
Time frame: 0.25, 1 to 2, 3 to 4, and 5 to 6 hours post-dose on Day 1; 0.25, 0.5, 1 to 2, 3 to 4, and 5 to 6, 8, and 12 hours post-dose on Day 2; 0.25, 0.5, 1, 2, 4, 8, and 12 hours post-dose on Day 7
Number of Participants According to CYP2C19 Genotyping
CYP2C19 genotype was assessed in pediatric participants who received intravenous pantoprazole sodium and determined the presence of the gene for the major enzyme responsible for metabolism of pantoprazole.
Time frame: Day 1
Number of Participants With Adverse Events (AEs)
An AE was defined as any untoward medical occurrence in a clinical investigation participant who was administered a product; the event need not necessarily had a causal relationship with the treatment or usage.
Time frame: From Day 1 up to 34 days after the last dose (maximum up to 41 days)
Number of Participants With Laboratory Abnormalities of Potential Clinical Concern
Number of participants with abnormalities in laboratory parameters of potential clinical concern were reported in this outcome measure. The criteria to determine the abnormalities was determined by the investigator.
Time frame: Up to Day 9
Number of Participants With Physical Examination Abnormalities of Potential Clinical Concern
Number of participants with abnormalities in physical examination of potential concern were reported in this outcome measure. The criteria to determine the abnormalities was determined by the investigator.
Time frame: At screening (Day 0)
Number of Participants With Blood Pressure Abnormalities of Potential Clinical Concern
Number of participants with abnormalities in blood pressure of potential clinical concern were reported in this outcome measure. The criteria to determine the abnormalities was determined by the investigator.
Time frame: Up to Day 9
Number of Participants With Pulse Rate Abnormalities of Potential Clinical Concern
Number of participants with abnormalities in pulse rate of potential clinical concern were reported in this outcome measure. The criteria to determine the abnormalities was determined by the investigator.
Time frame: Up to Day 9