Single Dose Pharmacokinetics of Prucalopride in Paediatric Subjects, With Functional Faecal Retention

This is a multicentre, open-label, single-dose pharmacokinetic trial. A minimum of 24 paediatric subjects (aged ≥ 4 to ≤ 12 years) with functional faecal retention (FFR) were administered a single dose of prucalopride in oral solution.

All subjects who qualified to enter the trial received a single dose of 0.03 mg/kg prucalopride oral solution at Hour 0 on Day 1. One blood sample was drawn prior to dosing, and 13 samples were drawn over the 72-hour interval following the single dose or prucalopride. Urine was collected quantitatively for the first 24 hours. Plasma prepared from blood samples and urine samples were assayed for prucalopride concentrations. Safety was monitored over the 72-hour interval following the dose of trial medication.

Inclusion criteria

• Subjects with a confirmed diagnosis of FFR, defined as a minimum 2-month history of faecal impaction, plus at least one of the following:

• < 3 bowel movements per week at the toilet;
• A history of soiling;
• Male and female subjects ≥ 4 to ≤ 12 years of age, with a Tanner stage 1 of 2 or less;
• Weight-height proportionality for age within the 5th and 95th percentile;
• Written informed consent, signed by the subject's legal guardian and by the investigator, and;
• Subject assent documented in the form of a note-to-file in the subject's source documentation.

Exclusion criteria

• Requirement for any medication during the period of the trial;
• Evidence by examination or laboratory tests of abnormal growth;
• An abnormal neurologic examination;
• Cystic fibrosis;
• History of, or current anorectal malformations;
• Diagnosed chromosomal abnormalities (e.g., Down's Syndrome);
• Disease state or surgery known to significantly affect the gastrointestinal absorption of drugs, or the assessment of the trial drug's effect;
• Any history, clinical and/or biochemical evidence of clinically significant renal or liver disease or cirrhosis;
• Clinically significant anaemia;
• Use of any investigational drug within the 4-week period prior to administration of trial medication.