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December 4, 2023Open Access

Population Pharmacokinetics of Pantoprazole in Patients on Dual Antiplatelet Therapy following Acute Coronary Syndrome

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Key result

Pantoprazole clearance in ACS is associated with CRP levels and concurrent statin use.

  • P<0.01
  • n=93

Why the study?

Pantoprazole pharmacokinetic properties are not fully characterized in patients with acute coronary syndrome on dual antiplatelet therapy.

What factors influence the variability in pantoprazole pharmacokinetics in patients with acute coronary syndrome on dual antiplatelet therapy?

Population

93 adult males and females with acute coronary syndrome on dual antiplatelet therapy

Comparison

None; analysis of pantoprazole pharmacokinetics with covariates

Design

Nonlinear mixed-effects modeling observational study

Authors

VNValentina NikolićUniversity of NisDSDragana StokanovićUniversity of NisSЈSlobodan ЈаnkovicUniversity of Kragujevac

Discussion

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Implication

May alter pantoprazole exposure in ACS; hypothesis-generating for individualized dosing, requires prospective validation.

Study Design

Type

Observational (n=93)

Multicenter

No

Structured PICO

What factors influence the variability in pantoprazole pharmacokinetics in patients with acute coronary syndrome on dual antiplatelet therapy?

P
Population
93 adult patients with acute coronary syndrome on dual antiplatelet therapy and pantoprazole, evaluated to determine factors influencing pantoprazole population pharmacokinetics.
E
Exposure
Oral pantoprazole
O
Outcome
Pantoprazole concentration and elimination (pharmacokinetics)surrogate

Main Result

p-value: p=<0.01

Pantoprazole clearance in ACS patients on DAPT is influenced by CRP levels and statin use, suggesting a need for individualized dosing.

Limitations

  • Absence of prior studies measuring pantoprazole clearance in ACS patients to contextualize results.
  • Potential phenoconversion may have obscured the genetic importance of CYP2C19 in the pharmacokinetic study.

Cite This Study

Nikolić et al. (2023) conducted an observational in Acute coronary syndrome (n=93). Pantoprazole was evaluated on Pantoprazole clearance (p=<0.01). Pantoprazole clearance in patients with acute coronary syndrome is significantly influenced by C-reactive protein levels and concurrent use of statins.

synapsesocial.com/papers/6ab0a4eff3197398f485376ehttps://doi.org/10.21203/rs.3.rs-3678587/v1
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Also Consider

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  1. 1The Safety of Long-Term Proton Pump Inhibitor Use on Cardiovascular Health: A Meta-Analysis2022 · 22 citations
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  4. 4A comparison of the acid‐inhibitory effects of esomeprazole and pantoprazole in relation to pharmacokinetics and CYP2C19 polymorphism2009 · 47 citations
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