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Gastroenterol Res Pract. 2010;2010:898193. doi: 10.1155/2010/898193. Epub 2010 Dec 08.

Efficacy and Safety of a New Formulation of Pancrelipase (Ultrase MT20) in the Treatment of Malabsorption in Exocrine Pancreatic Insufficiency in Cystic Fibrosis.

Gastroenterology research and practice

Michael W Konstan, Theodore G Liou, Steven D Strausbaugh, Richard Ahrens, Jamshed F Kanga, Gavin R Graff, Kathryn Moffett, Susan L Millard, Samya Z Nasr, Edith Siméon, Jean Spénard, Josée Grondin

Affiliations

  1. Cystic Fibrosis Center, Rainbow Babies & Children's Hospital and Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH 44106, USA.

PMID: 21197074 PMCID: PMC3004382 DOI: 10.1155/2010/898193

Abstract

Background. Pancreatic enzyme replacement therapy is the standard of care for treatment of malabsorption in patients with cystic fibrosis (CF) and exocrine pancreatic insufficiency (PI). Aim. To evaluate efficacy and safety of a new formulation of pancrelipase (Ultrase MT20) in patients with CF and PI. Coefficients of fat absorption (CFA%) and nitrogen absorption (CNA%) were the main efficacy parameters. Safety was evaluated by monitoring laboratory analyses, adverse events (AEs), and overall signs and symptoms. Methods. Patients (n = 31) were randomized in a crossover design comparing this pancrelipase with placebo during 2 inpatient evaluation periods (6-7 days each). Fat and protein/nitrogen ingestion and excretion were measured from food diaries and 72-hour stool collections. CFA% and CNA% were calculated for each period and compared. Results. Twenty-four patients provided analyzable data. This pancrelipase increased mean CFA% and CNA% (+34.7% and +25.7%, resp., P < .0001 for both), reduced stool frequency, and improved stool consistency compared with placebo. Placebo-treated patients reported more AEs, with gastrointestinal symptoms being the most frequently reported AE. Conclusions. This pancrelipase is a safe and effective treatment for malabsorption associated with exocrine PI in patients with CF.

References

  1. Paediatr Drugs. 2000 May-Jun;2(3):205-22 - PubMed
  2. J Clin Pharmacol. 1994 Feb;34(2):158-66 - PubMed
  3. Aust Paediatr J. 1982 Jun;18(2):114-7 - PubMed
  4. Aliment Pharmacol Ther. 2004 Dec;20(11-12):1365-71 - PubMed
  5. J Pediatr Gastroenterol Nutr. 2010 Jan;50(1):38-42 - PubMed
  6. J Pediatr Pharmacol Ther. 2007 Jan;12(1):47-52 - PubMed
  7. J Pediatr Pharmacol Ther. 2007 Apr;12(2):115-28 - PubMed
  8. Clin Chest Med. 2007 Jun;28(2):319-30 - PubMed
  9. J Pediatr. 1995 Nov;127(5):681-4 - PubMed
  10. J Pediatr Gastroenterol Nutr. 2002 Sep;35(3):246-59 - PubMed
  11. Curr Gastroenterol Rep. 2005 Jun;7(3):227-33 - PubMed
  12. Stat Med. 2002 May 30;21(10):1377-86 - PubMed
  13. Am J Clin Nutr. 1992 Jan;55(1):108-16 - PubMed
  14. Curr Opin Pulm Med. 2005 Nov;11(6):524-7 - PubMed
  15. Am J Respir Crit Care Med. 1996 Nov;154(5):1229-56 - PubMed
  16. Pancreas. 1994 Jan;9(1):1-12 - PubMed
  17. J Pediatr Gastroenterol Nutr. 1996 Feb;22(2):153-6 - PubMed
  18. J Pediatr. 2003 Jun;142(6):624-30 - PubMed
  19. Lancet. 1994 Jan 8;343(8889):109 - PubMed

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