PMID- 9021436 OWN - NLM STAT- MEDLINE DCOM- 19970528 LR - 20131121 IS - 0946-1965 (Print) IS - 0946-1965 (Linking) VI - 35 IP - 1 DP - 1997 Jan TI - Urinary 6 beta-hydroxycortisol and D-glucaric acid excretion rates are not affected by lansoprazole treatment. PG - 14-8 AB - Lansoprazole has been shown to induce cytochrome P450 1A (CYP1A) and CYP3A enzymes in human hepatocytes in vitro. In this study, urinary excretion of 6 beta-hydroxycortisol (6 beta-OHF) and D-glucaric acid (D-GA) were used to investigate the potential enzyme-inducing property of lansoprazole in vivo. Twenty-four healthy female volunteers (aged 19-35 years), who were taking oral contraceptives containing 0.03 mg ethinylestradiol and 0.15 mg levonorgestrel, were randomized in a cross-over design for the treatment with either 60 mg lansoprazole or placebo once daily during 2 subsequent menstrual cycles. Urinary excretion rates of 6 beta-OHF and D-GA were measured at days 14 and 21 of the menstrual cycles. Median pretreatment urinary excretion of 6 beta-OHF (212 and 218 micrograms/d, n = 24) and D-GA (20.1 and 32.7 mumol/d) did not significantly differ. Upon treatment median excretion of 6 beta-OHF was 255 and 241 micrograms/d (n = 23), and that of D-GA was 25.5 and 33.8 mumol/d, respectively. Thus, the relatively high dose of 60 mg/d lansoprazole failed to statistically significantly alter urinary excretion of 6 beta-OHF and D-GA, indicating that therapeutic doses of lansoprazole might not exhibit a phenobarbital-like induction in vivo. FAU - Rost, K L AU - Rost KL AD - Institute of Clinical Pharmacology, Universitatsklinikum Benjamin Franklin, Free University of Berlin, Germany. FAU - Mansmann, U AU - Mansmann U FAU - Roots, I AU - Roots I LA - eng PT - Clinical Trial PT - Comparative Study PT - Journal Article PT - Randomized Controlled Trial PL - Germany TA - Int J Clin Pharmacol Ther JT - International journal of clinical pharmacology and therapeutics JID - 9423309 RN - 0 (2-Pyridinylmethylsulfinylbenzimidazoles) RN - 0 (Contraceptives, Oral, Combined) RN - 0 (Enzyme Inhibitors) RN - 0 (Estradiol Congeners) RN - 0 (Placebos) RN - 0 (Progesterone Congeners) RN - 0K5C5T2QPG (Lansoprazole) RN - 423D2T571U (Ethinyl Estradiol) RN - 53-35-0 (6 beta-hydroxycortisol) RN - 5W7SIA7YZW (Levonorgestrel) RN - 9035-51-2 (Cytochrome P-450 Enzyme System) RN - KG60484QX9 (Omeprazole) RN - QLZ991V4A2 (Glucaric Acid) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - 2-Pyridinylmethylsulfinylbenzimidazoles MH - Adult MH - Contraceptives, Oral, Combined/pharmacology MH - Cross-Over Studies MH - Cytochrome P-450 Enzyme System/biosynthesis MH - Drug Interactions MH - Enzyme Induction MH - Enzyme Inhibitors/*pharmacology MH - Estradiol Congeners/pharmacology MH - Ethinyl Estradiol/pharmacology MH - Female MH - Glucaric Acid/*urine MH - Humans MH - Hydrocortisone/*analogs & derivatives/urine MH - Lansoprazole MH - Levonorgestrel/pharmacology MH - Omeprazole/*analogs & derivatives/pharmacology MH - Placebos MH - Progesterone Congeners/pharmacology EDAT- 1997/01/01 00:00 MHDA- 1997/01/01 00:01 CRDT- 1997/01/01 00:00 PHST- 1997/01/01 00:00 [pubmed] PHST- 1997/01/01 00:01 [medline] PHST- 1997/01/01 00:00 [entrez] PST - ppublish SO - Int J Clin Pharmacol Ther. 1997 Jan;35(1):14-8.