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PREA, PK And Safety PASS Study Of IV Pantoprazole In Pediatric Subjects

AN OPEN-LABEL, MULTICENTER STUDY TO EVALUATE THE PHARMACOKINETICS OF SINGLE AND MULTIPLE INTRAVENOUS DOSES OF PANTOPRAZOLE IN TWO AGE COHORTS OF HOSPITALIZED PEDIATRIC SUBJECTS 1 TO 16 YEARS OF AGE WHO ARE CANDIDATES FOR ACID SUPPRESSION THERAPY

Status
Terminated
Phases
Phase 4
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT02401035
Enrollment
19
Registered
2015-03-27
Start date
2017-05-09
Completion date
2021-06-18
Last updated
2024-04-09

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Gastroesophageal Reflux Disease

Keywords

candidate for acid suppression therapy, presumptive diagnosis of GERD, clinical diagnosis of suspected GERD, symptomatic GERD, endoscopically proven GERD

Brief summary

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.

Detailed description

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.

Interventions

DRUGIV pantoprazole

Patients will receive 10 mg, 20 mg, or 40 mg IV pantoprazole determined by weight

Sponsors

Pfizer
Lead SponsorINDUSTRY

Study design

Allocation
NA
Intervention model
SINGLE_GROUP
Primary purpose
TREATMENT
Masking
NONE

Eligibility

Sex/Gender
ALL
Age
1 Years to 16 Years
Healthy volunteers
No

Inclusion criteria

* Subjects aged 1 to 16 years who in the judgment of the investigator are candidates for gastric acid suppression therapy (ie, those with a presumptive diagnosis of GERD, a clinical diagnosis of suspected GERD, symptomatic GERD, or endoscopically proven GERD) and whom the investigator judges would need to receive IV PPI therapy for at least 4 days. * Body weight \> 5th percentile for age. * Y-site or dedicated IV line for administration of pantoprazole sodium. * Expected survival for at least 30 days. * Fertile male and female subjects of childbearing potential at risk for pregnancy must agree to use a highly effective method of contraception throughout the study and for at least 28 days after the last dose of assigned treatment. Female subjects of non-childbearing potential must be premenarchal, have undergone hysterectomy with bilateral oophorectomy, have medically confirmed ovarian failure, or achieved post-menopausal status.

Exclusion criteria

* Participation in other studies involving investigational drug(s) or treatment with an investigational drug within 30 days or 5 half lives prior to study entry and/or during study participation. * Other severe acute or chronic medical or psychiatric condition or laboratory abnormality that may increase the risk associated with study participation or investigational product administration or may interfere with the interpretation of study results and, in the judgment of the investigator, would make the subject inappropriate for entry into this study. * Pregnant females; breastfeeding females; fertile male subjects, and female subjects of childbearing potential who are unwilling or unable to use a highly effective method of contraception for the duration of the study and for at least 28 days after last dose of investigational product. * Serum CK levels \>3x ULN. * Known history of HIV or clinical manifestations of AIDS. * Known hypersensitivity to PPIs or to any substituted benzimidazole or to any of the excipients. * History of treatment with any PPI within 2 days (48 hours) before investigational product dosing on Day 1. * Use of H2RAs, sucralfate, misoprostol, or prokinetic agents, and bismuth preparations within 1 day (24 hours) before investigational product dosing on Day 1. * Any disorder requiring chronic (every day) use of warfarin, carbamazepine, or phenytoin, methotrexate, atazanavir or nelfinavir, clopidogrel, and potent inhibitors and inducers of CYP2C19. * Chronic (daily) use of glucocorticoids. Steroid inhalers and topical steroids may be used. * Active malignancy of any type, or history of a malignancy (Subject with a history of malignancies that have been surgically removed or eradicated by irradiation or chemotherapy and who have no evidence of recurrence for at least 5 years before Screening are acceptable). * ALT or BUN \>2.0 ULN or estimated creatinine \>1.5 X ULN for age or any other laboratory abnormality considered by the Investigator to be clinically significant within 14 days before Screening. * In the Investigator's opinion, a chronic condition (eg, diabetes, epilepsy), which is either not stable or well controlled and may interfere with the conduct of the study. * History of sensitivity to heparin or heparin induced thrombocytopenia.

Design outcomes

Primary

MeasureTime frameDescription
Clearance (CL) of Pantoprazole0.25, 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 7Data reported below is combined for Days 1, 2 and 7.
Volume of Distribution (Vd) of Pantoprazole0.25, 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 7Data reported below is combined for Days 1, 2 and 7.

Secondary

MeasureTime frameDescription
Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Single Dose0.25, 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)The results for AUC24 were presented separately for single dose and multiple doses.
Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Multiple Dose0.25, 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 7Data reported below is combined for Days 2 and 7.
Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Single Dose0.25, 1, 2, 3 to 4, and 5 to 6 hours post-dose on Day 1The results for AUCinf were presented separately for single dose and multiple doses.
Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Multiple Dose0.25, 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 7Data reported below is combined for Days 2 and 7.
Terminal Half-Life (t1/2) of Pantoprazole0.25, 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 7Data reported below is combined for Days 1, 2 and 7.
Maximum Plasma Concentration (Cmax) of Pantoprazole: Single Dose0.25, 1, 2, 3 to 4, and 5 to 6 hours post-dose on Day 1The results for Cmax were presented separately for single dose and multiple doses.
Number of Participants With Adverse Events (AEs)From Day 1 up to 34 days after the last dose (maximum up to 41 days)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.
Number of Participants With Laboratory Abnormalities of Potential Clinical ConcernUp to Day 9Number 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.
Number of Participants With Physical Examination Abnormalities of Potential Clinical ConcernAt screening (Day 0)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.
Number of Participants With Blood Pressure Abnormalities of Potential Clinical ConcernUp to Day 9Number 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.
Number of Participants With Pulse Rate Abnormalities of Potential Clinical ConcernUp to Day 9Number 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.
Number of Participants According to CYP2C19 GenotypingDay 1CYP2C19 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.
Cmax of Pantoprazole: Multiple Dose0.25, 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 7Data reported below is combined for Days 2 and 7.

Countries

Argentina, Bosnia and Herzegovina, Georgia, Germany, Italy, Serbia, Slovakia, Ukraine, United States

Participant flow

Pre-assignment details

A total of 19 participants were enrolled. Nineteen participants were randomized and assigned to a study treatment out of which, 1 participant was not randomized to any study treatment.

Participants by arm

ArmCount
Cohort 1 (>=1 to < 2 Years)
Participants aged \>= 1 year to \< 2 years received intravenous pantoprazole sodium as per body weight with maximum dose not exceeded 40 mg, once daily for 4 to 7 days, approximately every 24-hours, preferred in the morning.
3
Cohort 2 (>=2 to <16 Years)
Participants aged \>= 2 to \< 16 years received intravenous pantoprazole sodium as per body weight with maximum dose not exceeded 40 mg, once daily for 4 to 7 days, approximately every 24-hours, preferred in the morning.
16
Total19

Withdrawals & dropouts

PeriodReasonFG000FG001
Overall StudyWithdrawal by Subject10

Baseline characteristics

CharacteristicCohort 2 (>=2 to <16 Years)TotalCohort 1 (>=1 to < 2 Years)
Age, Continuous9.31 Years
STANDARD_DEVIATION 4.729
8.00 Years
STANDARD_DEVIATION 5.323
1.00 Years
STANDARD_DEVIATION 0
Ethnicity (NIH/OMB)
Hispanic or Latino
0 Participants0 Participants0 Participants
Ethnicity (NIH/OMB)
Not Hispanic or Latino
16 Participants19 Participants3 Participants
Ethnicity (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
American Indian or Alaska Native
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Asian
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Black or African American
0 Participants0 Participants0 Participants
Race (NIH/OMB)
More than one race
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Native Hawaiian or Other Pacific Islander
0 Participants0 Participants0 Participants
Race (NIH/OMB)
Unknown or Not Reported
0 Participants0 Participants0 Participants
Race (NIH/OMB)
White
16 Participants19 Participants3 Participants
Sex: Female, Male
Female
7 Participants7 Participants0 Participants
Sex: Female, Male
Male
9 Participants12 Participants3 Participants

Adverse events

Event typeEG000
affected / at risk
EG001
affected / at risk
deaths
Total, all-cause mortality
0 / 20 / 16
other
Total, other adverse events
0 / 28 / 16
serious
Total, serious adverse events
0 / 21 / 16

Outcome results

Primary

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

Population: The pharmacokinetic (PK) parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Clearance (CL) of Pantoprazole1.930 Liter per hourGeometric Coefficient of Variation 82
Cohort 2 (>=2 to <16 Years)Clearance (CL) of Pantoprazole4.739 Liter per hourGeometric Coefficient of Variation 71
Primary

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

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Volume of Distribution (Vd) of Pantoprazole1.622 LiterGeometric Coefficient of Variation 58
Cohort 2 (>=2 to <16 Years)Volume of Distribution (Vd) of Pantoprazole5.584 LiterGeometric Coefficient of Variation 74
Secondary

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

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest. Here, ''Overall Number of Participants Analyzed'' signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Multiple Dose5708 ng*hr/mLGeometric Coefficient of Variation 82
Cohort 2 (>=2 to <16 Years)Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Multiple Dose6707 ng*hr/mLGeometric Coefficient of Variation 61
Secondary

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

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Single Dose6022 ng*hr/mLGeometric Coefficient of Variation 84
Cohort 2 (>=2 to <16 Years)Area Under the Plasma Concentration-time Profile From Time Zero Extrapolated to Infinite Time (AUCinf) of Pantoprazole: Single Dose6542 ng*hr/mLGeometric Coefficient of Variation 62
Secondary

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

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest. Since dosing interval between 2 doses are 24 hours, individual post-hoc estimated AUC from population PK analysis is AUC24. Here, ''Overall Number of Participants Analyzed'' signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Multiple Dose5705 ng*hr/mLGeometric Coefficient of Variation 82
Cohort 2 (>=2 to <16 Years)Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Multiple Dose6690 ng*hr/mLGeometric Coefficient of Variation 60
Secondary

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)

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Single Dose6022 Nanogram* hour per milliliter (ng*hr/mL)Geometric Coefficient of Variation 84
Cohort 2 (>=2 to <16 Years)Area Under the Plasma Concentration-time Profile From Time Zero to 24 Hour (AUC24) of Pantoprazole: Single Dose6533 Nanogram* hour per milliliter (ng*hr/mL)Geometric Coefficient of Variation 62
Secondary

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

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest. Here, ''Overall Number of Participants Analyzed'' signifies participants evaluable for this outcome measure.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Cmax of Pantoprazole: Multiple Dose5259 ng/mLGeometric Coefficient of Variation 60
Cohort 2 (>=2 to <16 Years)Cmax of Pantoprazole: Multiple Dose4423 ng/mLGeometric Coefficient of Variation 47
Secondary

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

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest.

ArmMeasureValue (GEOMETRIC_MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Maximum Plasma Concentration (Cmax) of Pantoprazole: Single Dose5259 Nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 60
Cohort 2 (>=2 to <16 Years)Maximum Plasma Concentration (Cmax) of Pantoprazole: Single Dose4280 Nanogram per milliliter (ng/mL)Geometric Coefficient of Variation 48
Secondary

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

Population: Safety analysis set included all participants who received at least 1 dose of study medication.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 (>=1 to < 2 Years)Number of Participants According to CYP2C19 Genotyping0 Participants
Cohort 2 (>=2 to <16 Years)Number of Participants According to CYP2C19 Genotyping0 Participants
Secondary

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)

Population: Safety analysis set included all participants who received at least 1 dose of study medication.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 (>=1 to < 2 Years)Number of Participants With Adverse Events (AEs)0 Participants
Cohort 2 (>=2 to <16 Years)Number of Participants With Adverse Events (AEs)8 Participants
Secondary

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

Population: Safety analysis set included all participants who received at least 1 dose of study medication.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 (>=1 to < 2 Years)Number of Participants With Blood Pressure Abnormalities of Potential Clinical Concern0 Participants
Cohort 2 (>=2 to <16 Years)Number of Participants With Blood Pressure Abnormalities of Potential Clinical Concern0 Participants
Secondary

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

Population: Safety analysis set included all participants who received at least 1 dose of study medication.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 (>=1 to < 2 Years)Number of Participants With Laboratory Abnormalities of Potential Clinical Concern0 Participants
Cohort 2 (>=2 to <16 Years)Number of Participants With Laboratory Abnormalities of Potential Clinical Concern0 Participants
Secondary

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)

Population: Safety analysis set included all participants who received at least 1 dose of study medication.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 (>=1 to < 2 Years)Number of Participants With Physical Examination Abnormalities of Potential Clinical Concern0 Participants
Cohort 2 (>=2 to <16 Years)Number of Participants With Physical Examination Abnormalities of Potential Clinical Concern0 Participants
Secondary

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

Population: Safety analysis set included all the participants who received at least 1 dose of study medication.

ArmMeasureValue (COUNT_OF_PARTICIPANTS)
Cohort 1 (>=1 to < 2 Years)Number of Participants With Pulse Rate Abnormalities of Potential Clinical Concern0 Participants
Cohort 2 (>=2 to <16 Years)Number of Participants With Pulse Rate Abnormalities of Potential Clinical Concern0 Participants
Secondary

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

Population: The PK parameter analysis population included all participants treated with pantoprazole who had at least 1 of the PK parameters of primary interest.

ArmMeasureValue (MEAN)Dispersion
Cohort 1 (>=1 to < 2 Years)Terminal Half-Life (t1/2) of Pantoprazole2.805 HoursStandard Deviation 0.1909
Cohort 2 (>=2 to <16 Years)Terminal Half-Life (t1/2) of Pantoprazole3.767 HoursStandard Deviation 0.6802

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026