Table 3.
Pharmacokinetic parameters of lansoprazole sulphone during placebo or clarithromycin treatment in homozygous EMs, heterozygous EMs and PMs for CYP2C19
| Homozygous EMs (n = 6) | Heterozygous EMs (n = 6) | PMs (n = 6) | ||
|---|---|---|---|---|
| Cmax (ng ml–1) | With placebo | 161 (9, 313)## | 238 (92, 384)## | 743 (300, 1185) |
| With clarithromycin | 18 (5, 31)### | 28 (8, 48)###·* | 160 (99, 220)* | |
| tmax (h)1 | With placebo | 1.5 (1.0–1.5)## | 2.5 (1.0–3.0)# | 3.5 (3.0–4.0) |
| With clarithromycin | 1.5 (1.5–2.0) | 1.5 (1.25–3) | 8.0 (2.0–12)* | |
| AUC (0, ∞) (ng ml–1 h) | With placebo | 266 (51, 481)### | 557 (26, 1088)## | 7789 (3372, 12207) |
| With clarithromycin | 47 (13, 82)### | 80 (25, 136)### | 2471 (1239, 3703)* | |
| AUC ratio to lansoprazole | With placebo | 0.068 (0.013, 0.12)### | 0.066 (0.019, 0.11)### | 0.28 (0.18, 0.39) |
| With clarithromycin | 0.0083 (0.0003, 0.017)###* | 0.0061 (0.002, 0.010)###* | 0.051 (0.038, 0.063)*** |
Data are shown as mean and 95% confidence interval.
tmax is given as median (range).
P < 0.05,
P < 0.001, compared with placebo;
P < 0.05,
P < 0.01,
P < 0.001, compared with PMs.