New high dose pancreatic enzyme preparations could be potentially help
ful to cystic fibrosis (CF) patients. The purpose of this study was to
compare the efficacy of the new high dose pancreatic enzyme preparati
on, Nutrizym 22 with the standard preparation Nutrizym GR. Twenty-five
CF children (aged 7-16 years) entered the study and 22 completed it;
3 did not, due to non-compliance. All were taking Nutrizym GR for at l
east 2 weeks before entering the study. A randomised double blind, cro
ssover method using standard Nutrizym GR or double strength Nutrizym 2
2 capsules was carried out over two consecutive 14-day periods. Crosso
ver analyses of variance showed no statistically significant differenc
es in actual weight gain, appetite, abdominal pain, stool consistency
or faecal fat during the prestudy and study periods. It is concluded t
hat half the capsule numbers of the high strength preparation are just
as effective as the standard capsule dosage.