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The purpose of this study is to determine whether or not consistent drug levels can be achieved in infants with presumed Gastroesophageal Reflux Disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Low dose | Active Comparator |
| |
| High dose | Active Comparator |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| pantoprazole | Drug |
|
| Measure | Description | Time Frame |
|---|---|---|
| Variance of Oral Bioavailability | Samples were divided between 2 groups for each dose: Group A at baseline, 2, 8, 18 hours; Group B at baseline, 1, 4, 12 hours to reduce the number of blood draws per infant. The variance of oral bioavailability was assessed to determine if further PK assessment was appropriate. It would be considered highly variable if the square root of the sum of the standard deviation squares of the area under the concentration-time curves from time zero to the time of the last quantifiable concentration (AUCT) for group A and Group B divided by the sum of the mean AUCT for group A and Group B was >1.2. | 1 day |
| Measure | Description | Time Frame |
|---|---|---|
| Area Under the Concentration-time Curve (AUC) | AUC is a measure of the plasma concentration of the drug over time. It is used to characterize drug absorption. AUC was estimated from population pharmacokinetic (PK) modeling. | Baseline to 24 hours post dose on Day 1 |
| Apparent Oral Clearance (Cl/F) |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Medical Monitor | Wyeth is now a wholly owned subsidiary of Pfizer | Study Director |
| Trial Manager | For Belgium, trials-BEL@wyeth.com | Principal Investigator |
| Trial Manager | For Germany, medinfoDEU@wyeth.com | Principal Investigator |
| Trial Manager | For Netherlands, trials-NL@wyeth.com | Principal Investigator |
| Trial Manager | For Poland, WPWZMED@wyeth.com | Principal Investigator |
| Trial Manager | For South Africa, ZAFinfo@wyeth.com | Principal Investigator |
| Trial Manager | For Australia, medinfo@wyeth.com | Principal Investigator |
| Trial Manager | For France, infomedfrance@wyeth.com | Principal Investigator |
| Trial Manager | For Italy, descresg@wyeth.com | Principal Investigator |
| Trial Manager |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Phoenix | Arizona | 85006 | United States | |||
Patients were screened for up to 5 days.
Patients were recruited in multiple countries worldwide from July 2006 to December 2007.
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| ID | Title | Description |
|---|---|---|
| FG000 | 1.25 mg Pantoprazole | 1.25 mg of pantoprazole granules daily for at least 5 days. This dosing corresponds to approximately 0.6 mg/kg |
| FG001 | 2.5 mg Pantoprazole | 2.5 mg of pantoprazole granules daily for at least 5 days. This dose corresponds to approximately 1.2 mg/kg |
| Title | Milestones | Reasons Not Completed | |||||
|---|---|---|---|---|---|---|---|
| Overall Study |
|
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Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. |
| 1 day |
| Half Life | Half life is the time required for half the quantity of absorbed drug to be metabolized or eliminated by normal biological processes. Half life was estimated from population pharmacokinetic (PK) modeling. | 1 day |
| For Switzerland, med@wyeth.com |
| Principal Investigator |
| Loma Linda |
| California |
| 92354 |
| United States |
| Oakland | California | 94609-1809 | United States |
| Orange | California | 92868 | United States |
| Sacramento | California | 95817 | United States |
| San Diego | California | 92103 | United States |
| New Haven | Connecticut | 06520-8064 | United States |
| Washington D.C. | District of Columbia | 20010 | United States |
| Gainesville | Florida | 32610-0296 | United States |
| Miami | Florida | 33101 | United States |
| Sunrise | Florida | 33323 | United States |
| Atlanta | Georgia | 30322 | United States |
| Honolulu | Hawaii | 96826 | United States |
| Boise | Idaho | 83704 | United States |
| Chicago | Illinois | 60614 | United States |
| Park Ridge | Illinois | 60068 | United States |
| Lexington | Kentucky | 40536-0284 | United States |
| Louisville | Kentucky | 40202 | United States |
| New Orleans | Louisiana | 70121 | United States |
| Baltimore | Maryland | 21201 | United States |
| Boston | Massachusetts | 02114 | United States |
| Flint | Michigan | 48503 | United States |
| Omaha | Nebraska | 68105 | United States |
| Camden | New Jersey | 08103 | United States |
| New Brunswick | New Jersey | 08901 | United States |
| Newark | New Jersey | 07103 | United States |
| Albany | New York | 12208 | United States |
| Brooklyn | New York | 11219 | United States |
| New York | New York | 10032 | United States |
| The Bronx | New York | 10467 | United States |
| Valhalla | New York | 10595-1689 | United States |
| Durham | North Carolina | 27710 | United States |
| Winston-Salem | North Carolina | 27157 | United States |
| Oklahoma City | Oklahoma | 73104 | United States |
| Portland | Oregon | 97239-3042 | United States |
| Danville | Pennsylvania | 17822-1320 | United States |
| Memphis | Tennessee | 38163 | United States |
| Nashville | Tennessee | 37232-9550 | United States |
| Dallas | Texas | 75390-9063 | United States |
| San Antonio | Texas | 78229 | United States |
| Salt Lake City | Utah | 84113 | United States |
| Burlington | Vermont | 05401 | United States |
| Richmond | Virginia | 23298 | United States |
| Morgantown | West Virginia | 26506 | United States |
| Milwaukee | Wisconsin | 53226 | United States |
| Brisbane | Australia |
| Edegem | 2650 | Belgium |
| Leuven | 3000 | Belgium |
| Vancouver | British Columbia | V6H 3V4 | Canada |
| Ottawa | Ontario | K1Y 4E9 | Canada |
| Toronto | Ontario | M5G 1X8 | Canada |
| Montreal | Quebec | H3H 1P3 | Canada |
| Sainte-Foy | Quebec | G1V 4G2 | Canada |
| Paris | 75674 | France |
| Paris | 75935 | France |
| Bochum | 44797 | Germany |
| Osnabrück | 49074 | Germany |
| Potsdam | 14467 | Germany |
| Brescia | 25123 | Italy |
| Naples | 80121 | Italy |
| Roma | 00161 | Italy |
| Rotterdam | 3015 GJ | Netherlands |
| Bydgoszcz | 85-165 | Poland |
| Krakow | 33-663 | Poland |
| Lublin | 20-093 | Poland |
| Panorama | CPT | 7500 | South Africa |
| Pietermaritzburg | KwaZulu-Natal | 3235 | South Africa |
| Durban | 3630 | South Africa |
| Overport | 4067 | South Africa |
| Pretoria | 0083 | South Africa |
| Zurich | 8032 | Switzerland |
| COMPLETED |
|
| NOT COMPLETED |
|
|
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| ID | Title | Description |
|---|---|---|
| BG000 | 1.25 mg Pantoprazole | 1.25 mg of pantoprazole granules daily for at least 5 days. This dosing corresponds to approximately 0.6 mg/kg |
| BG001 | 2.5 mg Pantoprazole | 2.5 mg of pantoprazole granules daily for at least 5 days. This dose corresponds to approximately 1.2 mg/kg |
| BG002 | Total | Total of all reporting groups |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes | ||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Age Continuous | Mean | Standard Deviation | weeks (postnatal age) |
| |||||||||||||||
| Sex: Female, Male | Count of Participants | Participants |
|
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Variance of Oral Bioavailability | Samples were divided between 2 groups for each dose: Group A at baseline, 2, 8, 18 hours; Group B at baseline, 1, 4, 12 hours to reduce the number of blood draws per infant. The variance of oral bioavailability was assessed to determine if further PK assessment was appropriate. It would be considered highly variable if the square root of the sum of the standard deviation squares of the area under the concentration-time curves from time zero to the time of the last quantifiable concentration (AUCT) for group A and Group B divided by the sum of the mean AUCT for group A and Group B was >1.2. | Single dose PK Valid-For Efficacy patients (defined as those without any major protocol violations who completed the single-dose PK determinations and taken the test article on the date the PK samples were taken). 2 poor metabolizers were excluded from this analysis. | Posted | Nov 2009 | Number | ratio | 1 day |
|
|
| ||||||||||||||||||||||||||||
| Secondary | Area Under the Concentration-time Curve (AUC) | AUC is a measure of the plasma concentration of the drug over time. It is used to characterize drug absorption. AUC was estimated from population pharmacokinetic (PK) modeling. | Single dose PK Valid-For-Efficacy patients (defined as those without any major protocol violations who completed the single-dose PK determinations and took the test article on the date the PK samples were taken) who also had measurable concentrations over the period of observation. 2 poor metabolizers were excluded from this analysis. | Posted | Nov 2009 | Mean | Standard Deviation | ng*hr/mL | Baseline to 24 hours post dose on Day 1 |
|
| ||||||||||||||||||||||||||||
| Secondary | Apparent Oral Clearance (Cl/F) | Clearance of a drug is a measure of the rate at which a drug is metabolized or eliminated by normal biological processes. Clearance obtained after oral dose (apparent oral clearance) is influenced by the fraction of the dose absorbed. Clearance was estimated from population pharmacokinetic (PK) modeling. | Single dose PK Valid-For-Efficacy patients (defined as those without any major protocol violations who completed the single-dose PK determinations and took the test article on the date the PK samples were taken) who also had measurable concentrations over the period of observation. 2 poor metabolizers were excluded from this analysis. | Posted | Nov 2009 | Mean | Standard Deviation | L/hr/kg | 1 day |
|
| ||||||||||||||||||||||||||||
| Secondary | Half Life | Half life is the time required for half the quantity of absorbed drug to be metabolized or eliminated by normal biological processes. Half life was estimated from population pharmacokinetic (PK) modeling. | Single dose PK Valid-For-Efficacy patients (defined as those without any major protocol violations who completed the single-dose PK determinations and took the test article on the date the PK samples were taken) who also had measurable concentrations over the period of observation. 2 poor metabolizers were excluded from this analysis. | Posted | Nov 2009 | Mean | Standard Deviation | hours | 1 day |
|
|
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | 1.25 mg Pantoprazole | 1.25 mg of pantoprazole granules daily for at least 5 days. This dosing corresponds to approximately 0.6 mg/kg | 0 | 5 | ||||
| EG001 | 2.5 mg Pantoprazole | 2.5 mg of pantoprazole granules daily for at least 5 days. This dose corresponds to approximately 1.2 mg/kg | 2 | 18 |
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Urinary Tract Infection | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Gastrointestinal hemorrhage | Gastrointestinal disorders | Non-systematic Assessment |
|
| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Fever | General disorders | Non-systematic Assessment |
| ||
| Hernia | General disorders | Non-systematic Assessment |
| ||
| Bradycardia | Cardiac disorders | Non-systematic Assessment |
| ||
| Cardiovascular physical finding | Cardiac disorders | Non-systematic Assessment |
| ||
| Tachycardia | Cardiac disorders | Non-systematic Assessment |
| ||
| Ventricular extrasystoles | Cardiac disorders | Non-systematic Assessment |
| ||
| Constipation | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Flatulence | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Liver function tests abnormal | Gastrointestinal disorders | Non-systematic Assessment |
| ||
| Anemia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Iron deficiency anemia | Blood and lymphatic system disorders | Non-systematic Assessment |
| ||
| Peripheral edema | Metabolism and nutrition disorders | Non-systematic Assessment |
| ||
| Musculoskeletal anomaly | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Osteopenia | Musculoskeletal and connective tissue disorders | Non-systematic Assessment |
| ||
| Apnea | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Hypoxia | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Lung disorder | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Pulmonary physical finding | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Rhinitis | Respiratory, thoracic and mediastinal disorders | Non-systematic Assessment |
| ||
| Application site reaction | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Contact dermatitis | Skin and subcutaneous tissue disorders | Non-systematic Assessment |
| ||
| Conjunctivitis | Eye disorders | Non-systematic Assessment |
| ||
| Retinal disorder | Eye disorders | Non-systematic Assessment |
| ||
| Urinary tract infection | Renal and urinary disorders | Non-systematic Assessment |
| ||
| Urine abnormality | Renal and urinary disorders | Non-systematic Assessment |
|
The PIs agreed to allow the sponsor 60 days to review and require changes to presentations or publications but only to protect confidential information and intellectual property, and for the sponsor to file a patent application, as applicable. The PIs also agreed for data to be presented first as a joint, multi-center publication.
| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| U. S. Contact Center | Wyeth | clintrialresults@wyeth.com |
| ID | Term |
|---|---|
| D005764 | Gastroesophageal Reflux |
| ID | Term |
|---|---|
| D015154 | Esophageal Motility Disorders |
| D003680 | Deglutition Disorders |
| D004935 | Esophageal Diseases |
| D005767 | Gastrointestinal Diseases |
| D004066 | Digestive System Diseases |
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| ID | Term |
|---|---|
| D000077402 | Pantoprazole |
| ID | Term |
|---|---|
| D053799 | 2-Pyridinylmethylsulfinylbenzimidazoles |
| D013454 | Sulfoxides |
| D013457 | Sulfur Compounds |
| D009930 | Organic Chemicals |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D001562 | Benzimidazoles |
| D006574 | Heterocyclic Compounds, 2-Ring |
| D000072471 | Heterocyclic Compounds, Fused-Ring |
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| Male |
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