Pharmacokinetics of Enteral Omeprazole Suspension in Patients With Cerebral Palsy and Mental Retardation
Study Details
Study Description
Brief Summary
Gastroesophageal reflux disease and reflux-esophagitis are a major chronic problem in most children with cerebral palsy and mental retardation. Oral administration of enteric-coated formulations of the acid-labile proton pump inhibitor omeprazole is often problematic in these patients who may be suffering from swallowing disorders. A suspension of omeprazole in a sodium bicarbonate solution is often used for administration via the gastrostomy tube. This trial aims to compare the pharmacokinetics of omeprazole administered through the gastrostomy tube as a suspension in pediatric patients with cerebral palsy and mental retardation versus the pharmacokinetics of omeprazole administered as a multi-unit-pellet system (MUPSĀ®). The crossover study will consist of 2 consecutive treatment periods of 14 days.
Condition or Disease | Intervention/Treatment | Phase |
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|
Phase 2 |
Study Design
Outcome Measures
Primary Outcome Measures
- Pharmacokinetics (at the end of the treatment period of 14 days) []
Secondary Outcome Measures
- Gastric pH (at the end of the treatment period of 14 days) []
Eligibility Criteria
Criteria
Inclusion Criteria:
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Children > 15 kg
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Cerebral palsy and mental retardation with swallowing disorders
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Presence of gastrostomy tube
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GERD and/or reflux-esophagitis treated with omeprazole at the same dose since at least 2 weeks
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Informed consent
Exclusion Criteria:
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Treatment with ciclosporine, tacrolimus, mycofenolate
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Treatment with anticoagulants
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Infection
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Recent start of treatment with known inhibitors of the omeprazole-metabolism
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Moderate to severe hepatic impairment (SGPT and/or AST > 3 times upper limit)
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | University Hospital Ghent | Ghent | Belgium | 9000 |
Sponsors and Collaborators
- University Hospital, Ghent
Investigators
- Principal Investigator: Myriam Van Winckel, MD, PhD, University Hospital, Ghent
Study Documents (Full-Text)
None provided.More Information
Additional Information:
Publications
None provided.- 2007/013