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Clinical results from a randomized, double-blind, dose-ranging study of pantoprazole in children aged 1 through 5 years with symptomatic histologic or erosive esophagitis.

Abstract
In an 8-week, multicenter, randomized, double-blind study, we evaluated the efficacy and tolerability of pantoprazole (0.3mg/kg [low dose (LD)], 0.6 mg/kg [medium dose (MD)], and 1.2 mg/kg [high dose (HD)]) for delayed-release oral suspension (granules) in patients 1 to 5 years with documented symptoms of gastroesophageal reflux disease (GERD) and endoscopic evidence of reflux-related erosive esophagitis (EE) or histologic esophagitis (HE) consistent with GERD. Patients with HE were randomly assigned to LD, MD, or HD, and patients with EE, to MD or HD. A daily eDiary captured 5 individual GERD symptoms. A total of 60 patients (56 HE, 4 EE) were randomized. Mean weekly GERD symptom score (WGSS, sum of weekly mean frequency scores for 5 individual GERD symptoms) for the modified intention-to-treat HE population at the final week was improved with LD ( P < .001), MD (P = .063), and HD (P < 0.001) (paired t-tests). Patients with EE were healed at week 8. Adverse event incidences did not increase with dose.
AuthorsRobert Baker, V Marc Tsou, John Tung, Susan Sestini Baker, Huihua Li, Wenjin Wang, Natalie Rath, Mary K Maguire, Gail M Comer
JournalClinical pediatrics (Clin Pediatr (Phila)) Vol. 49 Issue 9 Pg. 852-65 (Sep 2010) ISSN: 1938-2707 [Electronic] United States
PMID20522615 (Publication Type: Journal Article, Multicenter Study, Randomized Controlled Trial, Research Support, Non-U.S. Gov't)
Chemical References
  • 2-Pyridinylmethylsulfinylbenzimidazoles
  • Delayed-Action Preparations
  • Proton Pump Inhibitors
  • Pantoprazole
Topics
  • 2-Pyridinylmethylsulfinylbenzimidazoles (administration & dosage, adverse effects, therapeutic use)
  • Biopsy
  • Canada
  • Child
  • Child, Preschool
  • Delayed-Action Preparations (administration & dosage, adverse effects, therapeutic use)
  • Dose-Response Relationship, Drug
  • Double-Blind Method
  • Esophagitis, Peptic (drug therapy, pathology)
  • Esophagoscopy
  • Female
  • Gastroesophageal Reflux (drug therapy)
  • Humans
  • Infant
  • Male
  • Medical Records
  • Pantoprazole
  • Proton Pump Inhibitors (administration & dosage, adverse effects, therapeutic use)
  • Surveys and Questionnaires
  • Treatment Outcome
  • United States

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