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. Author manuscript; available in PMC: 2019 Oct 1.
Published in final edited form as: Paediatr Drugs. 2018 Oct;20(5):483–495. doi: 10.1007/s40272-018-0305-1

Table 2.

Parameter estimates for the final population pharmacokinetic model for pantoprazole and pantoprazole-sulfone.

Parameter Estimate RSE (%) 2.5th
%ile
Bootstrap*
median
97.5th
%ile
Structural model
 Ka# (1/h) 7.49 32 4.66 7.97 17.4
CL/F=θCL0+θ2c19*n10.5 (L/h, 70 kg)
 θCL0# 1.45 12 1.15 1.47 1.75
 θ2C19CL# 4.64 6 4.09 4.65 5.16
 Vc/F# (L, 70 kg) 6.06 10 5.23 5.94 6.61
 Q/F# (L/h, 70 kg) 1.86 29 1.20 1.97 3.09
 Vp/F# (L, 70 kg) 1.61 20 1.17 1.68 2.25
 N# 63.2 24 42.2 60.2 82.9
 MTT# (h) 1.82 5 1.65 1.82 2.01
 Fm 1 FIX NA NA NA NA
 CLm/F (L/h, 70 kg) 44.5 12 38.1 44.1 49.5
 Vcm/F (L, 70 kg) 32.7 32 18.0 33.1 56.0
 Qm/F (L/h, 70 kg) 274 8 237 271 328
 Vpm/F (L, 70 kg) 310 7 275 309 358
Inter-individual variability (% CV)
 CL/F 26.9 21 21.9 26.4 32.1
 MTT 28.5 21 22.3 28.3 34.7
 CLm/F 60.7 59 50.5 59.8 69.8
 Vcm/F 140.7 49 95.6 134 181
 Qm/F 23.6 47 10.9 22.8 37.3
 Vpm/F 34.4 37 23.2 33.8 48.4
Residual error
 Proportional error, 26.7 22 21.9 26.8 30.4
 pantoprazole (%)
 Proportional error, 9.2 28 7.3 9.1 10.9
 pantoprazole-sulfone (%)
*

1000 bootstrap runs were performed for pantoprazole pharmacokinetic parameters (Ka, θCL0, θ2C19, Vc/F, Q/F, Vp/F, N, MTT); 500 bootstrap runs were performed for pantoprazole-sulfone pharmacokinetic parameters (CLm/F, Vcm/F, Qm/F, Vpm/F), inter-individual variability, and residual error parameters.

#

PK parameters, RSE and bootstrap results of pantoprazole were fixed to values of the final PK model for pantoprazole. CL/F, apparent clearance for pantoprazole; CLm/F, apparent clearance for pantoprazole-sulfone; CV, coefficient of variation; Fm, bioavailability for pantoprazole-sulfone; Ka, absorption rate constant; MTT, mean transit time; N, number of transit compartments; NA, not available; Q/F, apparent distributional clearance for pantoprazole; Qm/F, apparent distribution clearance for pantoprazole-sulfone; RSE, relative standard error; Vc/F, apparent volume for central compartment for pantoprazole; Vcm/F, apparent volume for central compartment for pantoprazole-sulfone; Vp/F, apparent volume for peripheral compartment for pantoprazole; Vpm/F, apparent volume for peripheral compartment for pantoprazole-sulfone.

The population mean estimate of CL/F (L/h) for an individual should be calculated as CL/F=(θCL0+θ2C19*(n1)0.5)*(TBW70kg)0.75, where θCL0 = 1.45; θ2C19 = 4.64; n1 is the CYP2C19 number of functional alleles for the individual; TBW is the weight of the individual.