Gastroesophageal Reflux Clinical Trial
Official title:
Rectal and Oral Omeprazole Treatment of Gastroesophageal Reflux in Infants With Esophageal Atresia or Congenital Diaphragmatic Hernia; A Pharmacodynamic and Pharmacokinetic Study.
The purpose of this study is to compare the efficacy of oral and rectal omeprazole treatment in infants with gastroesophageal reflux due to esophageal atresia or congenital diaphragmatic hernia.
Omeprazole is a highly effective drug for the treatment of gastroesophageal reflux disease
(GERD) in infants. Infants, aged 0-12 months, require a non-standard dose of omeprazole. Due
to this fact extemporaneous formulations of omeprazole are administered to these infants. The
oral bioavailability of omeprazole in nonproprietary formulations may be unpredictable and
produce variable degrees of drug exposure. The dose range for GERD management in pediatric
studies using omeprazole is 0.3 - 3.5 mg/kg/day.
Dosing information, aged-specific pharmacodynamic and pharmacokinetic data are not available
in infants, aged 0-12 months. Two adult studies at healthy volunteers suggest that an
omeprazole suppository is an effective dosage form.This study is designed to evaluate and to
compare the efficacy, the pharmacodynamics and the pharmacokinetics of oral and rectal
omeprazole treatment in infants with gastroesophageal reflux disease.
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