Objective: In a crossover study 12, healthy volunteers received lansop
razole 15 mg or 30 mg orally, or 15 mg intravenously in randomized ord
er as a single dose. Blood samples were taken and plasma levels of lan
soprazole were determined using an HPLC method. The volunteers were ph
enotyped for the debrisoquine/sparteine and mephenytoin polymorphisms.
Results: The total clearance was 517 ml . min(-1), and the absolute b
ioavailability was 91% for the 30-mg and 81% for the 15-mg enteric-coa
ted formulation. The elimination half-life was about 1 h. No correlati
on of the plasma levels to the sparteine metabolic ratio was found, an
d no correlation to the mephenytoin type could be established, since a
ll volunteers of the mephenytoin type were extensive metabolizers. Alt
hough considerable variation, inter- and intraindividually, was observ
ed, the increase in c(max) and AUC did not deviate from dose proportio
nality. The present galenic formulation ensures a high bioavailability
after a single dose.