Pharmacodynamics and Pharmacokinetics of the Potassium-Competitive Acid Blocker Vonoprazan and the Proton Pump Inhibitor Lansoprazole in US Subjects.

Autor: Laine L; Yale School of Medicine, New Haven, Connecticut, USA.; VA Connecticut Healthcare System, West Haven, Connecticut, USA., Sharma P; Veterans Affairs Medical Center and University of Kansas School of Medicine, Kansas City, Kansas, USA., Mulford DJ; Phathom Pharmaceuticals, Buffalo Grove, Illinois, USA., Hunt B; Phathom Pharmaceuticals, Buffalo Grove, Illinois, USA., Leifke E; Phathom Pharmaceuticals, Buffalo Grove, Illinois, USA., Smith N; Phathom Pharmaceuticals, Buffalo Grove, Illinois, USA., Howden CW; University of Tennessee College of Medicine, Memphis, Tennessee, USA.
Jazyk: angličtina
Zdroj: The American journal of gastroenterology [Am J Gastroenterol] 2022 Jul 01; Vol. 117 (7), pp. 1158-1161. Date of Electronic Publication: 2022 Mar 16.
DOI: 10.14309/ajg.0000000000001735
Abstrakt: Introduction: We assessed pharmacodynamics and pharmacokinetics of a potassium-competitive acid blocker and proton pump inhibitor in US subjects.
Methods: Healthy adults were randomized to 7-day periods of vonoprazan 20 mg once daily followed by lansoprazole 30 mg once daily or the reverse order, separated by ≥ 7 days of washout.
Results: Vonoprazan (N = 40) had higher proportions of 24-hour periods with intragastric pH > 4 than lansoprazole (N = 41,38) on day 1 (62.4% vs 22.6%, P < 0.0001) and day 7 (87.8% vs 42.3%, P < 0.0001). Separation in pH started ∼2.5 hours after the first dose.
Discussion: Vonoprazan provided more rapid and potent inhibition of intragastric acidity than lansoprazole in US subjects.
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Databáze: MEDLINE