PMID- 21197074 OWN - NLM STAT- PubMed-not-MEDLINE DCOM- 20110714 LR - 20211020 IS - 1687-630X (Electronic) IS - 1687-6121 (Print) IS - 1687-6121 (Linking) VI - 2010 DP - 2010 TI - Efficacy and Safety of a New Formulation of Pancrelipase (Ultrase MT20) in the Treatment of Malabsorption in Exocrine Pancreatic Insufficiency in Cystic Fibrosis. PG - 898193 LID - 10.1155/2010/898193 [doi] LID - 898193 AB - 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. FAU - Konstan, Michael W AU - Konstan MW AD - Cystic Fibrosis Center, Rainbow Babies & Children's Hospital and Case Western Reserve University School of Medicine, 11100 Euclid Avenue, Cleveland, OH 44106, USA. FAU - Liou, Theodore G AU - Liou TG FAU - Strausbaugh, Steven D AU - Strausbaugh SD FAU - Ahrens, Richard AU - Ahrens R FAU - Kanga, Jamshed F AU - Kanga JF FAU - Graff, Gavin R AU - Graff GR FAU - Moffett, Kathryn AU - Moffett K FAU - Millard, Susan L AU - Millard SL FAU - Nasr, Samya Z AU - Nasr SZ FAU - Simeon, Edith AU - Simeon E FAU - Spenard, Jean AU - Spenard J FAU - Grondin, Josee AU - Grondin J LA - eng GR - M01 RR010732/RR/NCRR NIH HHS/United States GR - P30 DK027651/DK/NIDDK NIH HHS/United States GR - M01 RR000059/RR/NCRR NIH HHS/United States GR - M01 RR000042/RR/NCRR NIH HHS/United States GR - M01 RR000064/RR/NCRR NIH HHS/United States GR - M01 RR000080/RR/NCRR NIH HHS/United States PT - Journal Article DEP - 20101208 PL - Egypt TA - Gastroenterol Res Pract JT - Gastroenterology research and practice JID - 101475557 PMC - PMC3004382 EDAT- 2011/01/05 06:00 MHDA- 2011/01/05 06:01 PMCR- 2010/12/08 CRDT- 2011/01/04 06:00 PHST- 2010/09/14 00:00 [received] PHST- 2010/10/31 00:00 [accepted] PHST- 2011/01/04 06:00 [entrez] PHST- 2011/01/05 06:00 [pubmed] PHST- 2011/01/05 06:01 [medline] PHST- 2010/12/08 00:00 [pmc-release] AID - 10.1155/2010/898193 [doi] PST - ppublish SO - Gastroenterol Res Pract. 2010;2010:898193. doi: 10.1155/2010/898193. Epub 2010 Dec 8.