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lüll Review article: dual delayed release formulation of dexlansoprazole MR, a novel approach to overcome the limitations of conventional single release proton pump inhibitor therapy Metz DC; Vakily M; Dixit T; Mulford DAliment Pharmacol Ther 2009[May]; 29 (9): 928-37BACKGROUND: Proton pump inhibitors (PPIs) provide the most effective pharmacotherapy for treating acid-related disorders. However, PPIs do not completely control acid over 24 h with once-daily dosing. AIMS: To discuss limitations inherent in the pharmacokinetics (PK) and pharmacodynamics of conventional PPI formulations, which provide a single drug release. Also, to consider approaches to extending the duration of acid suppression focusing on dexlansoprazole MR, a PPI with a novel Dual Delayed Release (DDR) formulation. METHOD: We reviewed the available literature regarding marketed and investigational PPIs. RESULTS: Non-standard dosing of currently marketed PPIs has produced incremental advances in acid control. Multiple approaches are being evaluated to enhance acid suppression with PPIs. Dexlansoprazole MR is a DDR formulation of dexlansoprazole, an enantiomer of lansoprazole, with two distinct drug release periods to prolong the plasma dexlansoprazole concentration-time profile and extend duration of acid suppression. Clinical studies show that dexlansoprazole MR produces a dual-peak PK profile that maintains therapeutic plasma drug concentrations longer than lansoprazole, with a single-peak PK profile, and increases the percentage of time that intragastric pH >4. CONCLUSIONS: Novel drug delivery platforms, including the dexlansoprazole MR DDR formulation, may improve acid suppression and offer benefits over conventional single release PPI formulations.|2-Pyridinylmethylsulfinylbenzimidazoles/*pharmacology/*therapeutic use[MESH]|Anti-Ulcer Agents/*pharmacokinetics/pharmacology/therapeutic use[MESH]|Cross-Over Studies[MESH]|Delayed-Action Preparations/administration & dosage/pharmacokinetics/pharmacology[MESH]|Dexlansoprazole[MESH]|Humans[MESH]|Lansoprazole[MESH]|Proton Pump Inhibitors/administration & dosage/*pharmacokinetics/pharmacology[MESH]|Randomized Controlled Trials as Topic[MESH] |