Working…
COVID-19 is an emerging, rapidly evolving situation.
Get the latest public health information from CDC: https://www.coronavirus.gov.

Get the latest research information from NIH: https://www.nih.gov/coronavirus.
ClinicalTrials.gov
ClinicalTrials.gov Menu

Steady State Pharmacokinetics of Telmisartan, Ramipril or the Combination Following Repeated Oral Doses to Healthy Male and Female Volunteers

The safety and scientific validity of this study is the responsibility of the study sponsor and investigators. Listing a study does not mean it has been evaluated by the U.S. Federal Government. Read our disclaimer for details.
 
ClinicalTrials.gov Identifier: NCT02215005
Recruitment Status : Completed
First Posted : August 13, 2014
Last Update Posted : August 13, 2014
Sponsor:
Information provided by (Responsible Party):
Boehringer Ingelheim

Brief Summary:
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.

Condition or disease Intervention/treatment Phase
Healthy Drug: Telmisartan Drug: Ramipril Phase 1

Layout table for study information
Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 42 participants
Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: 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)
Study Start Date : June 2007
Actual Primary Completion Date : September 2007

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: Telmisartan + Ramipril
5 days qd
Drug: Telmisartan
Other Name: Micardis®

Drug: Ramipril
Other Name: Delix®

Active Comparator: Telmisartan
5 days qd
Drug: Telmisartan
Other Name: Micardis®

Active Comparator: Ramipril
5 days qd
Drug: Ramipril
Other Name: Delix®




Primary Outcome Measures :
  1. 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 ]
  2. 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 ]

Secondary Outcome Measures :
  1. 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. 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 ]
  3. 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 ]
  4. 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 ]
  5. 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 ]
  6. Cavg (average concentration of the analytes in plasma at steady state) [ Time Frame: up to 72 hours after last drug administration of each treatment ]
  7. λz,ss (terminal rate constant in plasma at steady state) [ Time Frame: up to 72 hours after last drug administration of each treatment ]
  8. 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 ]
  9. 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 ]
  10. 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 ]
  11. 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 ]
  12. PTF (Peak-Trough Fluctuation) [ Time Frame: up to 72 hours after last drug administration of each treatment ]
  13. 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 ]
  14. Number of patients with adverse events [ Time Frame: up to day 76 ]
  15. Number of patients with clinically relevant changes in Vital Signs (Blood Pressure, Pulse rate) [ Time Frame: up to day 76 ]
  16. Number of patients with clinically relevant changes in 12-lead electrocardiogram [ Time Frame: up to day 76 ]
  17. Number of patients with clinically relevant changes in laboratory tests [ Time Frame: up to day 76 ]
  18. Assessment of tolerability by the investigator on a 4-point scale [ Time Frame: Day 8 of each treatment ]


Information from the National Library of Medicine

Choosing to participate in a study is an important personal decision. Talk with your doctor and family members or friends about deciding to join a study. To learn more about this study, you or your doctor may contact the study research staff using the contacts provided below. For general information, Learn About Clinical Studies.


Layout table for eligibility information
Ages Eligible for Study:   18 Years to 55 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

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
Additional Information:
Layout table for additonal information
Responsible Party: Boehringer Ingelheim
ClinicalTrials.gov Identifier: NCT02215005    
Other Study ID Numbers: 1236.6
First Posted: August 13, 2014    Key Record Dates
Last Update Posted: August 13, 2014
Last Verified: August 2014
Additional relevant MeSH terms:
Layout table for MeSH terms
Telmisartan
Ramipril
Antihypertensive Agents
Angiotensin II Type 1 Receptor Blockers
Angiotensin Receptor Antagonists
Molecular Mechanisms of Pharmacological Action
Angiotensin-Converting Enzyme Inhibitors
Protease Inhibitors
Enzyme Inhibitors