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pantoprazole

Phase 3

Gastroesophageal Reflux | Small molecule | Gastrointestinal |Pfizer, Inc.|Last Updated: Feb 8, 2013

Success Probability

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Market & Valuation

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Trial Design

RandomizedDouble-BlindPLACEBO_CONTROLLED
Total Trials4
Total Enrollment266

FDA Designations

No designations recorded

Clinical trial landscape

pantoprazole · 7 trials · 3 indications

Phase 3 5Phase 2 1Phase 1 1
NCT00367614Study Evaluating Pantoprazole in Adolescents With GERDGastroesophageal Reflux
COMPLETED20 Analytics
NCT00365300Study Evaluating the Efficacy and Safety of Pantoprazole in Infants With Symptomatic Gastroesophageal Reflux Disease (GERD)Gastroesophageal Reflux
COMPLETED129 Analytics
NCT00362609Study Evaluating Pantoprazole in Neonates and Preterm Infants With GERDGastroesophageal Reflux
COMPLETED59 Analytics
NCT00868296Open Label Safety Study of Enteric-Coated Spheroid Suspension in Infants Aged Less Than 12 Months With Presumed Gastroesophageal Reflux Disease (GERD)Gastroesophageal Reflux
COMPLETED58 Analytics
NCT00040495Study Evaluating Pantoprazole in Peptic Ulcer HemorrhagePeptic Ulcer Hemorrhage
COMPLETED149 Analytics
PHASE3COMPLETED
Study Evaluating Pantoprazole in Adolescents With GERD
Gastroesophageal RefluxUnlock trial analytics
PHASE3COMPLETED
Study Evaluating the Efficacy and Safety of Pantoprazole in Infants With Symptomatic Gastroesophageal Reflux Disease (GERD)
Gastroesophageal RefluxUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Pantoprazole in Neonates and Preterm Infants With GERD
Gastroesophageal RefluxUnlock trial analytics
PHASE3COMPLETED
Open Label Safety Study of Enteric-Coated Spheroid Suspension in Infants Aged Less Than 12 Months With Presumed Gastroesophageal Reflux Disease (GERD)
Gastroesophageal RefluxUnlock trial analytics
PHASE3COMPLETED
Study Evaluating Pantoprazole in Peptic Ulcer Hemorrhage
Peptic Ulcer HemorrhageUnlock trial analytics

Study Endpoints

Primary Endpoints

Characterization of the PK profile of single and multiple doses of pantoprazole.
Number of Patients Withdrawn From Study Due to Lack of Efficacy.
4 weeks double-blind

Lack of efficacy defined as 1 or more of the following occurring during the double blind treatment-withdrawal phase: significant worsening of gastroesophageal reflux disease (GERD) symptoms frequency, a diagnostic test (e.g., endoscopy) demonstrating worsening of esophagitis, maximal antacid intake for ≥ 7 continuous days, or severe GERD symptoms based on physician's judgment.

Variance of Oral Bioavailability
1 day

Samples were divided between 2 groups for each dose: Group A at baseline, 2, 8, 18 hours; Group B at baseline, 1, 4, 12 hours to reduce the number of blood draws per infant. The variance of oral bioavailability was assessed to determine if further PK assessment was appropriate. It would be considered highly variable if the square root of the sum of the standard deviation squares of the area under the concentration-time curves from time zero to the time of the last quantifiable concentration (AUCT) for group A and Group B divided by the sum of the mean AUCT for group A and Group B was \>1.2.

Number of Patients With Laboratory Test Values of Potential Clinical Importance During Treatment Period
6 weeks

Pre-defined criteria were established for each laboratory test to define the values that would be identified as of potential clinical importance. Criteria are as follows: Potassium ≤ 3.0 mEq/L or ≥ 6.2 mEq/L; Carbon dioxide \< 12 mEq/L or \> 35 mEq/L; Total bilirubin \> 1.5xULN; CPK \> 3xULN; Gastrin ≥ 600 pg/mL; Neutrophils \< 10% or \> 80%; Platelet count \< 100 x10 to the third power/ul or \> 600 x10 to the third power/ul; Urine protein albumin \> 2+ (dipstick) 100mg/dL or positive; Urine leukocyte esterase \> 2+ (dipstick) moderate or positive.

Growth Parameters Z-scores
6 weeks

Z-Score is a statistical measure to evaluate how a single data point compares to a standard. A Z-Score describes whether a mean is above or below the standard and how unusual the measurement is. Z-scores primarily range from -3 to +3. A Z-score of 0 indicates the same mean, \>0 a greater mean, and \<0 a lesser mean than the standard. In this study, infant growth parameters were compared to a standard defined by Centers for Disease Control's growth charts.

To determine the bioequivalence of the Altana formulation of pantoprazole to the Wyeth formulation of pantoprazole delayed-release granules.

Secondary Endpoints

Assess the safety and tolerability of pantoprazole.
Area Under the Concentration-time Curve (AUC)
Baseline to 24 hours post dose on Day 1
Apparent Oral Clearance (Cl/F)
1 day
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Study Design & Arms

AllocationRANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT

Treatment Arms

ArmTypeDescription
PantoprazoleACTIVE_COMPARATOR -
PlaceboPLACEBO_COMPARATOR -
Low doseACTIVE_COMPARATOR -
High doseACTIVE_COMPARATOR -

Interventions

NameTypeDescription
pantoprazoleDRUG -
PlaceboDRUG -
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Eligibility Criteria

Age Range12 Years to 16 Years
SexALL
Healthy VolunteersNo

Inclusion Criteria: * 12-16 years old * clinical diagnosis of GERD * ability to swallow tablets Exclusion Criteria: * GI or malabsorption disorders * chronic use of warfarin * positive pregnancy test

Countries:United StatesAustraliaBelgiumCanadaFranceGermanyItalyNetherlandsPolandSouth AfricaSwitzerland
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