- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT02215005
Steady State Pharmacokinetics of Telmisartan, Ramipril or the Combination Following Repeated Oral Doses to Healthy Male and Female Volunteers
August 12, 2014 updated by: Boehringer Ingelheim
Steady State Pharmacokinetics of 80 mg Telmisartan (Micardis®), 10 mg Ramipril (Delix®) or the Combination Following Repeated Oral Doses to Healthy Male and Female Volunteers (an Open-label, Randomised, Multiple-dose, Three-way Crossover Study)
The main objective was to investigate the effect of concurrent dosing of 10 mg ramipril and 80 mg telmisartan on the multiple-dose pharmacokinetics of telmisartan and ramipril.
Therefore the relative bioavailability of telmisartan and ramipril given in combination was determined in comparison with either telmisartan or ramipril given alone.
Study Overview
Study Type
Interventional
Enrollment (Actual)
42
Phase
- Phase 1
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
18 years to 55 years (Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Healthy males and females according to the following criteria based upon a complete medical history, including the physical examination, vital signs (Blood Pressure (BP), Pulse Rate (PR)), 12-lead electrocardiogram (ECG), clinical laboratory tests
- Age ≥18 and ≤55 years
- Body mass index (BMI) ≥18.5 and ≤29.9 kg/m2
- Signed and dated written informed consent prior to admission to the study in accordance with Good Clinical Practice and the local legislation
Exclusion Criteria:
- Any finding of the medical examination (including BP, PR and ECG) deviating from normal and of clinical relevance
- Any evidence of a clinically relevant concomitant disease
- Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
- Surgery of the gastrointestinal tract (except appendectomy)
- Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
- History of relevant orthostatic hypotension, fainting spells or blackouts
- Chronic or relevant acute infections
- History of relevant allergy/hypersensitivity (including allergy to drug or its excipients)
- Intake of drugs with a long half-life (> 24 hours) within at least one month or less than 10 half-lives of the respective drug prior to administration or during the trial
- Use of drugs which might reasonably influence the results of the trial (especially unspecific inducing agents like St.John´s wort (Hypericum perforatum) or inhibitors like cimetidine) or drugs that prolong the QT/QTc interval based on the knowledge at the time of protocol preparation within 10 days prior to administration of trial drug or during the trial
- Participation in another trial with an investigational drug within two months prior to administration or during the trial
- Smoker (> 10 cigarettes or > 3 cigars or > 3 pipes/day)
- Alcohol abuse (more than 60 g/day) or inability to stop alcoholic beverages for 24 hours prior to dosing and up to the last sampling time point
- Drug abuse
- Blood donation (more than 100 mL within four weeks prior to administration of trial drug or during the trial)
- Excessive physical activities (within one week prior to administration of trial drug or during the trial)
- Any laboratory value outside the reference range that is of clinical relevance
- Inability to comply with dietary regimen of trial site
- A marked baseline prolongation of QT/QTc interval (e.g., repeated demonstration of a QTc interval >450 ms)
- A history of additional risk factors for torsade de pointes (e.g., heart failure, hyperkalaemia, hypokalemia, family history of Long QT Syndrome)
- Any history of relevant low blood pressure
- Supine blood pressure at screening of systolic <110 mm Hg and diastolic <60 mm Hg
- History of urticaria
- History of angioneurotic edema
- Hereditary fructose intolerance
- Salt and/or volume depletion
For female subjects:
- Pregnancy or planning to become pregnant during the study or within 1 months of study completion
- Positive pregnancy test
- Not willing or unable to use a reliable method of contraception such as implants, injectables, combined oral contraceptives, sterilisation, intrauterine device, double barrier method, sexual abstinence for at least 1 month, or vasectomised partner as only method of contraception for at least 6 months prior to participation in the trial, during and up to 1 month after completion/termination of the trial
- Chronic use of oral contraception containing ethinyl estradiol as the only method of contraception
- Currently lactating
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Crossover Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Telmisartan + Ramipril
5 days qd
|
Other Names:
Other Names:
|
Active Comparator: Telmisartan
5 days qd
|
Other Names:
|
Active Comparator: Ramipril
5 days qd
|
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
AUCτ,ss (area under the concentration-time curve in plasma at steady state over a uniform dosing interval τ)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
Cmax,ss (maximum measured concentration in plasma at steady state over a uniform dosing interval τ)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
Secondary Outcome Measures
Outcome Measure |
Time Frame |
---|---|
Concentration of the analytes in plasma
Time Frame: 2, 4, and 12 hours after administration of the first dose of each treatment on day 1
|
2, 4, and 12 hours after administration of the first dose of each treatment on day 1
|
pre-dose concentration of the analytes in plasma immediately before the administration of the next dose
Time Frame: pre-dose up to day 5 of each treatment
|
pre-dose up to day 5 of each treatment
|
tmax,ss (time from last dosing to the maximum concentration of the analytes in plasma at steady state)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
Cmin,ss (minimum concentration of the analytes in plasma at steady state over a uniform dosing interval τ)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
Cpre,ss (pre-dose concentration of the analytes in plasma immediately before the administration of the next dose at steady state)
Time Frame: pre-dose up to day 5 of each treatment
|
pre-dose up to day 5 of each treatment
|
Cavg (average concentration of the analytes in plasma at steady state)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
λz,ss (terminal rate constant in plasma at steady state)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
t1/2, ss (terminal half-life of the analyte in plasma at steady state)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
MRTpo,ss (mean residence time of the analyte in the body at steady state after oral administration)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
CL/F,ss (apparent clearance of the analyte in plasma at steady state after extravascular multiple dose administration)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
Vz/F,ss (apparent volume of distribution of the analyte in plasma at steady state after extravascular multiple dose administration)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
PTF (Peak-Trough Fluctuation)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
AUC0-tz,ss (Area under the concentration-time curve of the analyte in plasma over the time interval from 0 to the time of the last quantifiable data point)
Time Frame: up to 72 hours after last drug administration of each treatment
|
up to 72 hours after last drug administration of each treatment
|
Number of patients with adverse events
Time Frame: up to day 76
|
up to day 76
|
Number of patients with clinically relevant changes in Vital Signs (Blood Pressure, Pulse rate)
Time Frame: up to day 76
|
up to day 76
|
Number of patients with clinically relevant changes in 12-lead electrocardiogram
Time Frame: up to day 76
|
up to day 76
|
Number of patients with clinically relevant changes in laboratory tests
Time Frame: up to day 76
|
up to day 76
|
Assessment of tolerability by the investigator on a 4-point scale
Time Frame: Day 8 of each treatment
|
Day 8 of each treatment
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Sponsor
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
Helpful Links
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start
June 1, 2007
Primary Completion (Actual)
September 1, 2007
Study Registration Dates
First Submitted
August 12, 2014
First Submitted That Met QC Criteria
August 12, 2014
First Posted (Estimate)
August 13, 2014
Study Record Updates
Last Update Posted (Estimate)
August 13, 2014
Last Update Submitted That Met QC Criteria
August 12, 2014
Last Verified
August 1, 2014
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 1236.6
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
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