Dose–response relationship of lansoprazole to gastric acid antisecretory effects

Background: Proton pump inhibitors have been found to be effective in numerous studies in patients with peptic ulcer disease, particularly associated with Helicobacter pylori and gastro‐oesophogeal reflux disorders. Optimal healing rates of antisecretory therapy for peptic acid disease is dependent...

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Veröffentlicht in:Alimentary pharmacology & therapeutics 1998-04, Vol.12 (4), p.321-327
Hauptverfasser: BLUM, R. A, HUNT, R. H, KIDD, S. L, SHI, H, JENNINGS, D. E, GRESKI-ROSE, P. A
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container_title Alimentary pharmacology & therapeutics
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HUNT, R. H
KIDD, S. L
SHI, H
JENNINGS, D. E
GRESKI-ROSE, P. A
description Background: Proton pump inhibitors have been found to be effective in numerous studies in patients with peptic ulcer disease, particularly associated with Helicobacter pylori and gastro‐oesophogeal reflux disorders. Optimal healing rates of antisecretory therapy for peptic acid disease is dependent upon the degree and duration of acid suppression and the length of treatment. Objective: To evaluate the extent and duration of gastric acid suppression of several lansoprazole regimens, administered for 5 consecutive days in 32 healthy adult male subjects. Methods: Intragastric 24‐h pH monitoring was performed in 32 healthy subjects in a randomized, double‐blind, four‐way crossover study. Sixteen subjects (Group 1) received lansoprazole 30 mg o.d. (once daily), 15 mg b.d. (twice daily), 30 mg b.d. and 30 mg t.d.s. (three times a day) for 5 days; and 16 subjects (Group 2) received lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. for 5 days. Results: Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 15 mg b.d., 30 mg b.d. and 30 mg t.d.s. were 4.47, 4.57, 5.07 and 5.63, respectively. Multiple‐dose regimens of lansoprazole 30 mg b.d. and t.d.s. produced greater acid suppression compared to lansoprazole 30 mg o.d. and 15 mg b.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 15 mg b.d. Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. were 4.13, 4.45, 5.19 and 5.13, respectively. Multiple‐dose regimens of lansoprazole 60 mg b.d. and t.d.s. produced significantly greater acid suppression compared to lansoprazole 30 mg o.d. and 60 mg o.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 60 mg o.d. Lansoprazole 30 mg t.d.s., 60 mg b.d. and 60 mg t.d.s. produced significantly greater percentage time above pH 3, 4, 5 and 6 than did lansoprazole 30 mg o.d. Post‐regimen serum gastrin values increased by 50–130% from pre‐study mean values but remained within normal range and returned to pre‐study values 7–14 days post‐dosing. Conclusions: Multiple‐dose regimens of lansoprazole (≥30 mg b.d. for 5 days) produce significantly increased intragastric pH and significantly longer duration of increased intragastric pH than does lansoprazole 30 mg administered once daily.
doi_str_mv 10.1046/j.1365-2036.1998.00306.x
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A ; HUNT, R. H ; KIDD, S. L ; SHI, H ; JENNINGS, D. E ; GRESKI-ROSE, P. A</creator><creatorcontrib>BLUM, R. A ; HUNT, R. H ; KIDD, S. L ; SHI, H ; JENNINGS, D. E ; GRESKI-ROSE, P. A</creatorcontrib><description>Background: Proton pump inhibitors have been found to be effective in numerous studies in patients with peptic ulcer disease, particularly associated with Helicobacter pylori and gastro‐oesophogeal reflux disorders. Optimal healing rates of antisecretory therapy for peptic acid disease is dependent upon the degree and duration of acid suppression and the length of treatment. Objective: To evaluate the extent and duration of gastric acid suppression of several lansoprazole regimens, administered for 5 consecutive days in 32 healthy adult male subjects. Methods: Intragastric 24‐h pH monitoring was performed in 32 healthy subjects in a randomized, double‐blind, four‐way crossover study. Sixteen subjects (Group 1) received lansoprazole 30 mg o.d. (once daily), 15 mg b.d. (twice daily), 30 mg b.d. and 30 mg t.d.s. (three times a day) for 5 days; and 16 subjects (Group 2) received lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. for 5 days. Results: Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 15 mg b.d., 30 mg b.d. and 30 mg t.d.s. were 4.47, 4.57, 5.07 and 5.63, respectively. Multiple‐dose regimens of lansoprazole 30 mg b.d. and t.d.s. produced greater acid suppression compared to lansoprazole 30 mg o.d. and 15 mg b.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 15 mg b.d. Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. were 4.13, 4.45, 5.19 and 5.13, respectively. Multiple‐dose regimens of lansoprazole 60 mg b.d. and t.d.s. produced significantly greater acid suppression compared to lansoprazole 30 mg o.d. and 60 mg o.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 60 mg o.d. Lansoprazole 30 mg t.d.s., 60 mg b.d. and 60 mg t.d.s. produced significantly greater percentage time above pH 3, 4, 5 and 6 than did lansoprazole 30 mg o.d. Post‐regimen serum gastrin values increased by 50–130% from pre‐study mean values but remained within normal range and returned to pre‐study values 7–14 days post‐dosing. Conclusions: Multiple‐dose regimens of lansoprazole (≥30 mg b.d. for 5 days) produce significantly increased intragastric pH and significantly longer duration of increased intragastric pH than does lansoprazole 30 mg administered once daily.</description><identifier>ISSN: 0269-2813</identifier><identifier>EISSN: 1365-2036</identifier><identifier>DOI: 10.1046/j.1365-2036.1998.00306.x</identifier><identifier>PMID: 9690720</identifier><language>eng</language><publisher>Oxford UK: Blackwell Science Ltd</publisher><subject>2-Pyridinylmethylsulfinylbenzimidazoles ; Administration, Oral ; Adult ; Anti-Ulcer Agents - administration &amp; dosage ; Anti-Ulcer Agents - pharmacology ; Anti-Ulcer Agents - therapeutic use ; Biological and medical sciences ; Cross-Over Studies ; Digestive system ; Dose-Response Relationship, Drug ; Double-Blind Method ; Gastric Acid - metabolism ; Gastroesophageal Reflux - drug therapy ; Humans ; Lansoprazole ; Male ; Medical sciences ; Omeprazole - administration &amp; dosage ; Omeprazole - analogs &amp; derivatives ; Omeprazole - pharmacology ; Omeprazole - therapeutic use ; Peptic Ulcer - drug therapy ; Pharmacology. 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A</creatorcontrib><creatorcontrib>HUNT, R. H</creatorcontrib><creatorcontrib>KIDD, S. L</creatorcontrib><creatorcontrib>SHI, H</creatorcontrib><creatorcontrib>JENNINGS, D. E</creatorcontrib><creatorcontrib>GRESKI-ROSE, P. A</creatorcontrib><title>Dose–response relationship of lansoprazole to gastric acid antisecretory effects</title><title>Alimentary pharmacology &amp; therapeutics</title><addtitle>Aliment Pharmacol Ther</addtitle><description>Background: Proton pump inhibitors have been found to be effective in numerous studies in patients with peptic ulcer disease, particularly associated with Helicobacter pylori and gastro‐oesophogeal reflux disorders. Optimal healing rates of antisecretory therapy for peptic acid disease is dependent upon the degree and duration of acid suppression and the length of treatment. Objective: To evaluate the extent and duration of gastric acid suppression of several lansoprazole regimens, administered for 5 consecutive days in 32 healthy adult male subjects. Methods: Intragastric 24‐h pH monitoring was performed in 32 healthy subjects in a randomized, double‐blind, four‐way crossover study. Sixteen subjects (Group 1) received lansoprazole 30 mg o.d. (once daily), 15 mg b.d. (twice daily), 30 mg b.d. and 30 mg t.d.s. (three times a day) for 5 days; and 16 subjects (Group 2) received lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. for 5 days. Results: Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 15 mg b.d., 30 mg b.d. and 30 mg t.d.s. were 4.47, 4.57, 5.07 and 5.63, respectively. Multiple‐dose regimens of lansoprazole 30 mg b.d. and t.d.s. produced greater acid suppression compared to lansoprazole 30 mg o.d. and 15 mg b.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 15 mg b.d. Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. were 4.13, 4.45, 5.19 and 5.13, respectively. Multiple‐dose regimens of lansoprazole 60 mg b.d. and t.d.s. produced significantly greater acid suppression compared to lansoprazole 30 mg o.d. and 60 mg o.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 60 mg o.d. Lansoprazole 30 mg t.d.s., 60 mg b.d. and 60 mg t.d.s. produced significantly greater percentage time above pH 3, 4, 5 and 6 than did lansoprazole 30 mg o.d. Post‐regimen serum gastrin values increased by 50–130% from pre‐study mean values but remained within normal range and returned to pre‐study values 7–14 days post‐dosing. Conclusions: Multiple‐dose regimens of lansoprazole (≥30 mg b.d. for 5 days) produce significantly increased intragastric pH and significantly longer duration of increased intragastric pH than does lansoprazole 30 mg administered once daily.</description><subject>2-Pyridinylmethylsulfinylbenzimidazoles</subject><subject>Administration, Oral</subject><subject>Adult</subject><subject>Anti-Ulcer Agents - administration &amp; dosage</subject><subject>Anti-Ulcer Agents - pharmacology</subject><subject>Anti-Ulcer Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>Cross-Over Studies</subject><subject>Digestive system</subject><subject>Dose-Response Relationship, Drug</subject><subject>Double-Blind Method</subject><subject>Gastric Acid - metabolism</subject><subject>Gastroesophageal Reflux - drug therapy</subject><subject>Humans</subject><subject>Lansoprazole</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Omeprazole - administration &amp; dosage</subject><subject>Omeprazole - analogs &amp; derivatives</subject><subject>Omeprazole - pharmacology</subject><subject>Omeprazole - therapeutic use</subject><subject>Peptic Ulcer - drug therapy</subject><subject>Pharmacology. Drug treatments</subject><issn>0269-2813</issn><issn>1365-2036</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1998</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkM9u1DAQhy0EKtvCIyD5gLgljO3YsSUuVYGCVAmEytlynQl4lV0HT1btcuIdeEOehIRd7ZnTjPT75o8-xriAWkBjXq9roYyuJChTC-dsDaDA1A-P2OoUPGYrkMZV0gr1lJ0TrQHAtCDP2JkzDloJK_blbSb88-t3QRrzlpAXHMKU5vZ7Gnnu-RC2lMcSfuYB-ZT5t0BTSZGHmDoetlMijAWnXPYc-x7jRM_Ykz4MhM-P9YJ9ff_u9upDdfPp-uPV5U0Vm0aayoRGKu10IzsQ1oG6iyKgjkJrFEpbYYSNYDrnjDJdtK1qOyMdosDGWm3UBXt12DuW_GOHNPlNoojD_DHmHXkL0LTaNTNoD2Asmahg78eSNqHsvQC_6PRrv1jzizW_6PT_dPqHefTF8cbuboPdafDob85fHvNAMQx9CduY6IRJKU3rFuzNAbtPA-7_-7y__Hw7N-ovSOuQmA</recordid><startdate>199804</startdate><enddate>199804</enddate><creator>BLUM, R. A</creator><creator>HUNT, R. H</creator><creator>KIDD, S. L</creator><creator>SHI, H</creator><creator>JENNINGS, D. E</creator><creator>GRESKI-ROSE, P. A</creator><general>Blackwell Science Ltd</general><general>Blackwell</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>199804</creationdate><title>Dose–response relationship of lansoprazole to gastric acid antisecretory effects</title><author>BLUM, R. A ; HUNT, R. H ; KIDD, S. L ; SHI, H ; JENNINGS, D. E ; GRESKI-ROSE, P. A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4426-6a42359542d018903bc1ae5c155e13581618c06d99636dc8737d629ee1e488563</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1998</creationdate><topic>2-Pyridinylmethylsulfinylbenzimidazoles</topic><topic>Administration, Oral</topic><topic>Adult</topic><topic>Anti-Ulcer Agents - administration &amp; dosage</topic><topic>Anti-Ulcer Agents - pharmacology</topic><topic>Anti-Ulcer Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>Cross-Over Studies</topic><topic>Digestive system</topic><topic>Dose-Response Relationship, Drug</topic><topic>Double-Blind Method</topic><topic>Gastric Acid - metabolism</topic><topic>Gastroesophageal Reflux - drug therapy</topic><topic>Humans</topic><topic>Lansoprazole</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Omeprazole - administration &amp; dosage</topic><topic>Omeprazole - analogs &amp; derivatives</topic><topic>Omeprazole - pharmacology</topic><topic>Omeprazole - therapeutic use</topic><topic>Peptic Ulcer - drug therapy</topic><topic>Pharmacology. Drug treatments</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BLUM, R. A</creatorcontrib><creatorcontrib>HUNT, R. H</creatorcontrib><creatorcontrib>KIDD, S. L</creatorcontrib><creatorcontrib>SHI, H</creatorcontrib><creatorcontrib>JENNINGS, D. E</creatorcontrib><creatorcontrib>GRESKI-ROSE, P. A</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BLUM, R. A</au><au>HUNT, R. H</au><au>KIDD, S. L</au><au>SHI, H</au><au>JENNINGS, D. E</au><au>GRESKI-ROSE, P. A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Dose–response relationship of lansoprazole to gastric acid antisecretory effects</atitle><jtitle>Alimentary pharmacology &amp; therapeutics</jtitle><addtitle>Aliment Pharmacol Ther</addtitle><date>1998-04</date><risdate>1998</risdate><volume>12</volume><issue>4</issue><spage>321</spage><epage>327</epage><pages>321-327</pages><issn>0269-2813</issn><eissn>1365-2036</eissn><abstract>Background: Proton pump inhibitors have been found to be effective in numerous studies in patients with peptic ulcer disease, particularly associated with Helicobacter pylori and gastro‐oesophogeal reflux disorders. Optimal healing rates of antisecretory therapy for peptic acid disease is dependent upon the degree and duration of acid suppression and the length of treatment. Objective: To evaluate the extent and duration of gastric acid suppression of several lansoprazole regimens, administered for 5 consecutive days in 32 healthy adult male subjects. Methods: Intragastric 24‐h pH monitoring was performed in 32 healthy subjects in a randomized, double‐blind, four‐way crossover study. Sixteen subjects (Group 1) received lansoprazole 30 mg o.d. (once daily), 15 mg b.d. (twice daily), 30 mg b.d. and 30 mg t.d.s. (three times a day) for 5 days; and 16 subjects (Group 2) received lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. for 5 days. Results: Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 15 mg b.d., 30 mg b.d. and 30 mg t.d.s. were 4.47, 4.57, 5.07 and 5.63, respectively. Multiple‐dose regimens of lansoprazole 30 mg b.d. and t.d.s. produced greater acid suppression compared to lansoprazole 30 mg o.d. and 15 mg b.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 15 mg b.d. Mean 24‐h intragastric pH values for lansoprazole 30 mg o.d., 60 mg o.d., 60 mg b.d. and 60 mg t.d.s. were 4.13, 4.45, 5.19 and 5.13, respectively. Multiple‐dose regimens of lansoprazole 60 mg b.d. and t.d.s. produced significantly greater acid suppression compared to lansoprazole 30 mg o.d. and 60 mg o.d. There was no significant difference in acid suppression between lansoprazole 30 mg o.d. and 60 mg o.d. Lansoprazole 30 mg t.d.s., 60 mg b.d. and 60 mg t.d.s. produced significantly greater percentage time above pH 3, 4, 5 and 6 than did lansoprazole 30 mg o.d. Post‐regimen serum gastrin values increased by 50–130% from pre‐study mean values but remained within normal range and returned to pre‐study values 7–14 days post‐dosing. Conclusions: Multiple‐dose regimens of lansoprazole (≥30 mg b.d. for 5 days) produce significantly increased intragastric pH and significantly longer duration of increased intragastric pH than does lansoprazole 30 mg administered once daily.</abstract><cop>Oxford UK</cop><pub>Blackwell Science Ltd</pub><pmid>9690720</pmid><doi>10.1046/j.1365-2036.1998.00306.x</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record>
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subjects 2-Pyridinylmethylsulfinylbenzimidazoles
Administration, Oral
Adult
Anti-Ulcer Agents - administration & dosage
Anti-Ulcer Agents - pharmacology
Anti-Ulcer Agents - therapeutic use
Biological and medical sciences
Cross-Over Studies
Digestive system
Dose-Response Relationship, Drug
Double-Blind Method
Gastric Acid - metabolism
Gastroesophageal Reflux - drug therapy
Humans
Lansoprazole
Male
Medical sciences
Omeprazole - administration & dosage
Omeprazole - analogs & derivatives
Omeprazole - pharmacology
Omeprazole - therapeutic use
Peptic Ulcer - drug therapy
Pharmacology. Drug treatments
title Dose–response relationship of lansoprazole to gastric acid antisecretory effects
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