pantoprazole has been researched along with Body Weight in 6 studies
Pantoprazole: 2-pyridinylmethylsulfinylbenzimidazole proton pump inhibitor that is used in the treatment of GASTROESOPHAGEAL REFLUX and PEPTIC ULCER.
pantoprazole : A member of the class of benzimidazoles that is 1H-benzimidazole substituted by a difluoromethoxy group at position 5 and a [(3,4-dimethoxypyridin-2-yl)methyl]sulfinyl group at position 2.
Body Weight: The mass or quantity of heaviness of an individual. It is expressed by units of pounds or kilograms.
Excerpt | Relevance | Reference |
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"Adjusted for milligram-per-kilogram total body weight (TBW) pantoprazole received, apparent drug clearance (CL/F) was reduced 50% in children with vs." | 5.30 | Lean body weight dosing avoids excessive systemic exposure to proton pump inhibitors for children with obesity. ( Abdel-Rahman, S; Friesen, CA; Gaedigk, A; Kearns, GL; Leeder, JS; Pearce, RE; Shakhnovich, V; Weigel, J, 2019) |
"Independent of genotype, when normalized to dose per kg total body weight, pantoprazole apparent clearance and apparent volume of distribution were significantly lower (P < ." | 5.27 | Obese Children Require Lower Doses of Pantoprazole Than Nonobese Peers to Achieve Equal Systemic Drug Exposures. ( Collier, DN; Guptill, JT; James, LP; Kearns, GL; Livingston, CE; Shakhnovich, V; Smith, PB; Wu, H; Zhao, J, 2018) |
" In a recent multi-center investigation, we demonstrated decreased, total body weight adjusted, apparent clearance (CL/F) of the PPI pantoprazole for obese children compared with their non-obese peers." | 3.88 | A Population-Based Pharmacokinetic Model Approach to Pantoprazole Dosing for Obese Children and Adolescents. ( Brian Smith, P; Cohen-Wolkowiez, M; Collier, DN; Guptill, JT; James, LP; Kearns, GL; Livingston, CE; Shakhnovich, V; Wu, H; Zhao, J, 2018) |
Timeframe | Studies, this research(%) | All Research% |
---|---|---|
pre-1990 | 0 (0.00) | 18.7374 |
1990's | 0 (0.00) | 18.2507 |
2000's | 0 (0.00) | 29.6817 |
2010's | 6 (100.00) | 24.3611 |
2020's | 0 (0.00) | 2.80 |
Authors | Studies |
---|---|
Shakhnovich, V | 4 |
Smith, PB | 2 |
Guptill, JT | 2 |
James, LP | 2 |
Collier, DN | 2 |
Wu, H | 3 |
Livingston, CE | 2 |
Zhao, J | 2 |
Kearns, GL | 4 |
Cohen-Wolkowiez, M | 2 |
Friesen, JHP | 1 |
Brian Smith, P | 1 |
Abdel-Rahman, S | 1 |
Friesen, CA | 1 |
Weigel, J | 1 |
Pearce, RE | 1 |
Gaedigk, A | 1 |
Leeder, JS | 1 |
Byun, SJ | 1 |
Lim, TJ | 1 |
Lim, YJ | 1 |
Seo, JG | 1 |
Chung, MJ | 1 |
Trial | Phase | Enrollment | Study Type | Start Date | Status | ||
---|---|---|---|---|---|---|---|
The Effect of Obesity on the Pharmacokinetics of Pantoprazole in Children and Adolescents[NCT02186652] | Phase 1 | 41 participants (Actual) | Interventional | 2014-06-04 | Completed | ||
The Effect of Obesity on the Pharmacokinetics of Pantoprazole and CYP2C19 Activity in Children and Adolescents With GERD[NCT01887743] | Phase 1 | 71 participants (Actual) | Interventional | 2013-06-30 | Completed | ||
[information is prepared from clinicaltrials.gov, extracted Sep-2024] |
The pharmacokinetic blood samples will be 1.0 ml each and collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours after receiving one dose of Pantoprazole study drug. For those subjects with the poor metabolizer CYP2C19 genotype, an additional PK sample will be obtained at 12 hours after dosing. Here we report AUC LBW. (NCT02186652)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours
Intervention | mcg*h/mL (Mean) |
---|---|
Pantoprazole 6-11 Year Old | 5.73 |
Pantoprazole 12-17 Year Old | 6.82 |
The pharmacokinetic blood samples will be 1.0 ml each and collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours after receiving one dose of Pantoprazole study drug. For those subjects with the poor metabolizer CYP2C19 genotype, an additional PK sample will be obtained at 12 hours after dosing. Here we report AUC TBW. (NCT02186652)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours
Intervention | mcg*h/mL (Mean) |
---|---|
Pantoprazole 6-11 Year Old | 8.87 |
Pantoprazole 12-17 Year Old | 11.56 |
The pharmacokinetic blood samples will be 1.0 ml each and collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours after receiving one dose of Pantoprazole study drug. For those subjects with the poor metabolizer CYP2C19 genotype, an additional PK sample will be obtained at 12 hours after dosing. Here we report CL/F TBW. (NCT02186652)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours
Intervention | l/h/kg TBW (Mean) |
---|---|
Pantoprazole 6-11 Year Old | 0.14 |
Pantoprazole 12-17 Year Old | 0.10 |
The pharmacokinetic blood samples will be 1.0 ml each and collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours after receiving one dose of Pantoprazole study drug. For those subjects with the poor metabolizer CYP2C19 genotype, an additional PK sample will be obtained at 12 hours after dosing. Here we report Cmax. (NCT02186652)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours
Intervention | mcg/ml (Mean) |
---|---|
Pantoprazole 6-11 Year Old | 4.27 |
Pantoprazole 12-17 Year Old | 4.1 |
The pharmacokinetic blood samples will be 1.0 ml each and collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours after receiving one dose of Pantoprazole study drug. For those subjects with the poor metabolizer CYP2C19 genotype, an additional PK sample will be obtained at 12 hours after dosing. Here we report Tmax. (NCT02186652)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours
Intervention | hours (Median) |
---|---|
Pantoprazole 6-11 Year Old | 2.3 |
Pantoprazole 12-17 Year Old | 2.5 |
The pharmacokinetic blood samples will be 1.0 ml each and collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours after receiving one dose of Pantoprazole study drug. For those subjects with the poor metabolizer CYP2C19 genotype, an additional PK sample will be obtained at 12 hours after dosing. Here we report Vd/F LBW. (NCT02186652)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours
Intervention | L/kg LBW (Mean) |
---|---|
Pantoprazole 6-11 Year Old | 0.25 |
Pantoprazole 12-17 Year Old | 0.25 |
The pharmacokinetic blood samples will be 1.0 ml each and collected at pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours after receiving one dose of Pantoprazole study drug. For those subjects with the poor metabolizer CYP2C19 genotype, an additional PK sample will be obtained at 12 hours after dosing. Here we report Vd/F TBW. (NCT02186652)
Timeframe: pre-dose, 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, & 8 hours
Intervention | L/kg TBW (Mean) |
---|---|
Pantoprazole 6-11 Year Old | 0.16 |
Pantoprazole 12-17 Year Old | 0.14 |
Total number of fresh plasma samples (all participants) (NCT02186652)
Timeframe: Pre-dose (within 30 minutes), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, and 8 hours (±10 minutes) after dosing
Intervention | Plasma samples (Mean) |
---|---|
Pantoprazole 6-11 Year Old | 11 |
Pantoprazole 12-17 Year Old | 11 |
To examine the association of CYP2C19 genotype and its association with CYP2C19 phenotypes. To characterize the ability of the CYP2C19 genotype to predict pantoprazole plasma clearance, a correlation with CYP2C19 phenotype was explored using both standard linear and nonlinear regression techniques and their respective tests for significance and goodness of fit. In addition, the impact of all covariates on pantoprazole systemic exposure and apparent plasma clearance (e.g., demographic determinants of extent of obesity such as the waist:hip ratio, CYP2C19 genotype, BMI, and REE) was explored using validated population-based PK methods (NONMEM). (NCT02186652)
Timeframe: 0, 1, 2, 3, 4, 6, 8, 12 hours post-dose
Intervention | L/h (Median) |
---|---|
*2*2 Allele | 1.29 |
*1/*2 Allele | 6.00 |
*1/*1 Allele or *1/*17 Allele | 8.97 |
Concentration of panto in plasma and concentration of panto sulfone in plasma (NCT02186652)
Timeframe: Pre-dose (within 30 minutes), 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, and 8 hours (±10 minutes) after dosing
Intervention | ng/ml (Mean) | |
---|---|---|
Pantoprazole | Pantoprazole Sulfone | |
Pantoprazole 12-17 Year Old | 1626.1 | 88.7 |
Pantoprazole 6-11 Year Old | 1558 | 94.7 |
Pantoprazole apparent oral drug clearance (CL/F) adjusted for weight for children with the most common CYP2C19 genotypes (i.e., *1/1, *1/17, *1/2, *2/17). Only children with evaluable plasma samples (i.e., at least 85% of planned plasma samples collected) were included in this analysis (n=57). (NCT01887743)
Timeframe: 8 hours
Intervention | L/hr/kg (Mean) |
---|---|
Normal Weight | 0.42 |
Overweight | 0.29 |
Obese | 0.23 |
Pantoprazole apparent oral drug clearance (CL/F), not adjusted for weight, for children with the most common CYP2C19 genotypes (i.e., *1/1, *1/17, *1/2, *2/17). Only children with evaluable plasma samples (i.e., at least 85% of planned plasma samples collected) were included in this analysis (n=57). (NCT01887743)
Timeframe: 8 hours
Intervention | L/hr (Mean) |
---|---|
Normal Weight | 20.4 |
Overweight | 18.7 |
Obese | 16.8 |
Children with common CYP2C19 genotypes (*1/*1, *1*17, *1/*2, *2/*17) who had evaluable breath test data (n=59) were included to evaluate the breath test's precision in discriminating the CYP2C19 Extensive Metabolizer (EM; *1/*1, *1*17) from the Intermediate Metabolizer (IM; *1/*2, *2/*17) phenotype in the first 3 hrs after study drug administration. A 3-hour window was chosen for convenience. A predictive model using breath test features (change in ratio of C12-to-C13 in exhaled CO2) was build and validated to predictphenotype for each child. We drew bootstrap samples, each stratified to preserve the observed prevalence of EM/IMs in the original cohort (n=59). Sampling with replacement left out 38% of the original sample to use as a test dataset to validate model performance. For each bootstrap sample, a 500-tree Extremely randomized Extra-Tree Forest was constructed after seeding. Using phenotypes predicted by the forest, predictive accuracy was assessed by computing the F1. (NCT01887743)
Timeframe: 3 hours
Intervention | percent mean predictive performance (Mean) | ||||
---|---|---|---|---|---|
30 minutes | 60 minutes | 90 minutes | 120 minutes | 180 minutes | |
Breath Test | 81.9 | 84.7 | 83.8 | 84.3 | 82.8 |
Children with common CYP2C19 genotypes (*1/*1, *1*17, *1/*2, *2/*17) who had evaluable breath test data (n=59) were included to evaluate the breath test's precision in discriminating the CYP2C19 Extensive Metabolizer (EM; *1/*1, *1*17) from the Intermediate Metabolizer (IM; *1/*2, *2/*17) phenotype in the first 3 hrs after study drug administration. A 3-hour window was chosen for convenience. A predictive model using breath test features (change in ratio of C12-to-C13 in exhaled CO2) was build and validated to predictphenotype for each child. We drew bootstrap samples, each stratified to preserve the observed prevalence of EM/IMs in the original cohort (n=59). Sampling with replacement left out 38% of the original sample to use as a test dataset to validate model performance. For each bootstrap sample, a 500-tree Extremely randomized Extra-Tree Forest was constructed after seeding. Using phenotypes predicted by the forest, predictive accuracy was assessed by computing precision. (NCT01887743)
Timeframe: 3 hours
Intervention | percent true EM in total EM predicted (Mean) | ||||
---|---|---|---|---|---|
30 minutes | 60 minutes | 90 minutes | 120 minutes | 180 minutes | |
Breath Test | 77.3 | 77.7 | 77.3 | 77.8 | 76.9 |
Children with common CYP2C19 genotypes (*1/*1, *1*17, *1/*2, *2/*17) who had evaluable breath test data (n=59) were included to evaluate the breath test's precision in discriminating the CYP2C19 Extensive Metabolizer (EM; *1/*1, *1*17) from the Intermediate Metabolizer (IM; *1/*2, *2/*17) phenotype in the first 3 hrs after study drug administration. A 3-hour window was chosen for convenience. A predictive model using breath test features (change in ratio of C12-to-C13 in exhaled CO2) was build and validated to predictphenotype for each child. We drew bootstrap samples, each stratified to preserve the observed prevalence of EM/IMs in the original cohort (n=59). Sampling with replacement left out 38% of the original sample to use as a test dataset to validate model performance. For each bootstrap sample, a 500-tree Extremely randomized Extra-Tree Forest was constructed after seeding. Using phenotypes predicted by the forest, predictive accuracy was assessed by computing recall. (NCT01887743)
Timeframe: 3 hours
Intervention | percent identified EM out of total EM (Mean) | ||||
---|---|---|---|---|---|
30 minutes | 60 minutes | 90 minutes | 120 minutes | 180 minutes | |
Breath Test | 87.8 | 93.6 | 92.3 | 92.4 | 90.2 |
2 trials available for pantoprazole and Body Weight
Article | Year |
---|---|
Obese Children Require Lower Doses of Pantoprazole Than Nonobese Peers to Achieve Equal Systemic Drug Exposures.
Topics: Administration, Oral; Adolescent; Area Under Curve; Body Weight; Child; Cytochrome P-450 CYP2C19; Dr | 2018 |
Lean body weight dosing avoids excessive systemic exposure to proton pump inhibitors for children with obesity.
Topics: Adolescent; Body Weight; Child; Cytochrome P-450 CYP2C19; Drug Dosage Calculations; Female; Follow-U | 2019 |
4 other studies available for pantoprazole and Body Weight
Article | Year |
---|---|
Reply.
Topics: Body Weight; Child; Humans; Obesity; Pantoprazole | 2018 |
Pantoprazole pharmacokinetics in obese children: normalized to lean or ideal weight?
Topics: Body Weight; Child; Humans; Obesity; Pantoprazole | 2018 |
A Population-Based Pharmacokinetic Model Approach to Pantoprazole Dosing for Obese Children and Adolescents.
Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Administration, Oral; Adolescent; Area Under Curve; Body We | 2018 |
In vivo effects of s-pantoprazole, polaprenzinc, and probiotic blend on chronic small intestinal injury induced by indomethacin.
Topics: 2-Pyridinylmethylsulfinylbenzimidazoles; Animals; Anti-Inflammatory Agents, Non-Steroidal; Anti-Ulce | 2016 |