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Relative Bioavailability Study With Enalapril in Healthy Volunteers

Primary Purpose

Heart Failure

Status
Unknown status
Phase
Phase 1
Locations
Belgium
Study Type
Interventional
Intervention
Enalapril
Sponsored by
Ethicare GmbH
About
Eligibility
Locations
Arms
Outcomes
Full info

About this trial

This is an interventional treatment trial for Heart Failure focused on measuring Bioavailability, pharmacokinetics, enalapril, enalaprilat

Eligibility Criteria

18 Years - 55 Years (Adult)All SexesAccepts Healthy Volunteers

Inclusion Criteria:

  1. Healthy male and female subjects aged between 18 and 55 years, inclusive.
  2. Body mass index (BMI) between 18.5 and 30 kg/m2 inclusive (BMI = weight/height2).
  3. Non-smoker (not smoked for at least 3 months prior to screening).
  4. Physical examinations, clinical laboratory values, vital signs and ECGs are clinically acceptable to the investigator.
  5. Subjects must have signed an informed consent document indicating that they understand the purpose of, and procedures required for the study and are willing to participate in the study and comply with the study procedures and restrictions.

Exclusion Criteria:

  1. History or evidence of clinically significant disorder (including psychiatric), condition or disease that, in the opinion of the investigator would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion.
  2. Women who are lactating/breastfeeding.
  3. Women planning to become pregnant during the duration of the study.
  4. Men with pregnant partners or whose partners plan to become pregnant during the study.
  5. Positive pregnancy test (women) on screening or predose.
  6. A baseline systolic BP ≥ 140 or < 90 mmHg and/or a baseline diastolic BP of ≥ 90 or <50 mmHg. A baseline ECG QTcB > 440 ms (males) or >450 ms (females) or heart rate >100 bpm.
  7. Positive for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen, or hepatitis C antibodies at screening.
  8. Known substance abuse (eg, alcohol, illicit or illegal drugs) within 1 year of dosing.
  9. Positive test for drug or alcohol use at screening. If the retest during the screening period is negative, subject can be included.
  10. Inability or unwillingness to refrain from alcohol consumption 24 hours prior to study visits and to limit consumption throughout the course of the study.
  11. Has had major surgery, donated or lost 500 mL or more of blood within 2 months of the first study treatment or has a history of chronic anemia.
  12. Receiving or has received any investigational drug (or is currently using an investigational drug or device) within 30 days or 5 half-lives (whichever is longer), prior to receiving the first study treatment.
  13. Use of any over-the-counter or prescription medications within 7 days or 5 half-lives (whichever is longer), prior to receiving the first study treatment. However, if a subject has to use medication within 7 days of the first study drug administration, he/she can be included in the study the study if according to the investigator the medication is not relevant within the context of the trial. Paracetamol (up to 2 g per day) for analgesia, and hormonal birth control medication will be allowed.
  14. Use of any herbal medicines (eg. St. John's wort), vitamins, and supplements consumed by the subject within 7 days prior to receiving the first study treatment. However, if a subject has used herbal medicines (eg, St. John's wort), vitamins, and supplements medication within 7 days of the first study drug administration, he/she can be included in the study if according to the investigator the medication is not relevant within the context of the trial.

Sites / Locations

  • Center for Clinical Pharmacology, UZ Leuven

Arms of the Study

Arm 1

Arm 2

Arm 3

Arm Type

Active Comparator

Experimental

Experimental

Arm Label

Enalapril

Enalapril ODMT

Enalapril ODMT dispersed

Arm Description

Renitec® 2 x 5 mg tablets administered at once, to be entirely swallowed with 240 ml water

10 x 1mg of Enalapril ODMT, swallowed entirely with 240ml of water

10 x 1mg of Enalapril ODMT, dispersed on tongue

Outcomes

Primary Outcome Measures

AUC 0-∞
Area under the serum concentration-time curve from time of administration to infinite time for enalaprilat

Secondary Outcome Measures

Safety parameters
adverse events
Tolerability Outcome Parameter
orodispersible minitablet palatability questionnaire
AUC 0-∞
Area under the serum-concentration time curve from time of administration extrapolated to infinite time for enalapil
AUC 0-t
Area under the serum concentration-time curve from from administration to the last measurable concentration or last sampling time point (48h) for enalapril
AUC 0-t
Area under the serum concentration-time curve from from administration to the last measurable concentration or last sampling time point (48h) for enalaprilat
Cmax
Maximum serum concentration for enalapril
Cmax
Maximum serum concentration of enalaprilat
tmax
Time of maximum serum concentration of enalapril
tmax
Time of maximum serum concentration for enalaprilat
Ae
Amount of enalaprilat or the sum of enalapril and enalaprilat excreted in urine over the time interval 0-t

Full Information

First Posted
September 6, 2014
Last Updated
September 26, 2014
Sponsor
Ethicare GmbH
Collaborators
European Commission
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1. Study Identification

Unique Protocol Identification Number
NCT02252692
Brief Title
Relative Bioavailability Study With Enalapril in Healthy Volunteers
Official Title
Relative Bioavailability of Enalapril Administered as Orodispersible Minitablets in Healthy Adults
Study Type
Interventional

2. Study Status

Record Verification Date
September 2014
Overall Recruitment Status
Unknown status
Study Start Date
August 2014 (undefined)
Primary Completion Date
October 2014 (Anticipated)
Study Completion Date
October 2014 (Anticipated)

3. Sponsor/Collaborators

Responsible Party, by Official Title
Sponsor
Name of the Sponsor
Ethicare GmbH
Collaborators
European Commission

4. Oversight

Data Monitoring Committee
No

5. Study Description

Brief Summary
Phase I study in healthy adult male and female volunteers to compare the bioavailability of enalapril administered in orodispersible Minitablets with or without water in comparison to the standard galenic tablet formulation of enalapril. The standard pharmacokinetic parameters will be calculated from the bioanalytical results for enalapril and enalaprilat and compared in a descriptive statistical analysis.
Detailed Description
Trial design: Open label, randomized, 3-way cross-over, 3-treatments, 3-periods in 24 healthy male and female adult subjects. Primary objectives: To assess the relative bioavailability of 10 mg enalapril administered as orodispersible minitablets (ODMT) with water versus a standard enalapril tablet formulation (reference product: Renitec® 2 x 5 mg tablets) taken with water; To assess the relative bioavailability of 10 mg enalapril administered as orodispersible minitablets (ODMT) dispersed in the oral cavity versus a standard enalapril tablet formulation (reference product: Renitec® 2 x 5 mg tablets) taken with water. Secondary objectives: To assess whether the PK of enalapril is affected when the orodispersible minitablet (ODMT) is entirely swallowed with water versus dispersion in the oral cavity. To assess the general safety and tolerability including local tolerability and palatability of enalapril administered as orodispersible minitablet (ODMT).

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study
Heart Failure
Keywords
Bioavailability, pharmacokinetics, enalapril, enalaprilat

7. Study Design

Primary Purpose
Treatment
Study Phase
Phase 1
Interventional Study Model
Crossover Assignment
Masking
None (Open Label)
Allocation
Randomized
Enrollment
24 (Anticipated)

8. Arms, Groups, and Interventions

Arm Title
Enalapril
Arm Type
Active Comparator
Arm Description
Renitec® 2 x 5 mg tablets administered at once, to be entirely swallowed with 240 ml water
Arm Title
Enalapril ODMT
Arm Type
Experimental
Arm Description
10 x 1mg of Enalapril ODMT, swallowed entirely with 240ml of water
Arm Title
Enalapril ODMT dispersed
Arm Type
Experimental
Arm Description
10 x 1mg of Enalapril ODMT, dispersed on tongue
Intervention Type
Drug
Intervention Name(s)
Enalapril
Other Intervention Name(s)
Renitec
Intervention Description
oral administration
Primary Outcome Measure Information:
Title
AUC 0-∞
Description
Area under the serum concentration-time curve from time of administration to infinite time for enalaprilat
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Secondary Outcome Measure Information:
Title
Safety parameters
Description
adverse events
Time Frame
0-48 hours post dose, at follow-up visit
Title
Tolerability Outcome Parameter
Description
orodispersible minitablet palatability questionnaire
Time Frame
Immediately and 10 minutes after orodispersible minitablet administration
Title
AUC 0-∞
Description
Area under the serum-concentration time curve from time of administration extrapolated to infinite time for enalapil
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Title
AUC 0-t
Description
Area under the serum concentration-time curve from from administration to the last measurable concentration or last sampling time point (48h) for enalapril
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Title
AUC 0-t
Description
Area under the serum concentration-time curve from from administration to the last measurable concentration or last sampling time point (48h) for enalaprilat
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Title
Cmax
Description
Maximum serum concentration for enalapril
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Title
Cmax
Description
Maximum serum concentration of enalaprilat
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Title
tmax
Description
Time of maximum serum concentration of enalapril
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Title
tmax
Description
Time of maximum serum concentration for enalaprilat
Time Frame
predose, 10 min, 20 min, 30 min, 45 min, 1 hour, 1.25 hours,1.5 hours, 2 hours, 2.5 hours, 3 hours, 3.5 hours, 4 hours, 4.5 hours, 5 hours, 6 hours, 8 hours, 10 hours, 12 hours, 24 hours, 36 hours, 48 hours post-dose
Title
Ae
Description
Amount of enalaprilat or the sum of enalapril and enalaprilat excreted in urine over the time interval 0-t
Time Frame
0-2, 2-4, 4-8, 8-12, 12-24, 24-36, 36-48 hours post-dose

10. Eligibility

Sex
All
Minimum Age & Unit of Time
18 Years
Maximum Age & Unit of Time
55 Years
Accepts Healthy Volunteers
Accepts Healthy Volunteers
Eligibility Criteria
Inclusion Criteria: Healthy male and female subjects aged between 18 and 55 years, inclusive. Body mass index (BMI) between 18.5 and 30 kg/m2 inclusive (BMI = weight/height2). Non-smoker (not smoked for at least 3 months prior to screening). Physical examinations, clinical laboratory values, vital signs and ECGs are clinically acceptable to the investigator. Subjects must have signed an informed consent document indicating that they understand the purpose of, and procedures required for the study and are willing to participate in the study and comply with the study procedures and restrictions. Exclusion Criteria: History or evidence of clinically significant disorder (including psychiatric), condition or disease that, in the opinion of the investigator would pose a risk to subject safety or interfere with the study evaluation, procedures, or completion. Women who are lactating/breastfeeding. Women planning to become pregnant during the duration of the study. Men with pregnant partners or whose partners plan to become pregnant during the study. Positive pregnancy test (women) on screening or predose. A baseline systolic BP ≥ 140 or < 90 mmHg and/or a baseline diastolic BP of ≥ 90 or <50 mmHg. A baseline ECG QTcB > 440 ms (males) or >450 ms (females) or heart rate >100 bpm. Positive for human immunodeficiency virus (HIV) antibodies, hepatitis B surface antigen, or hepatitis C antibodies at screening. Known substance abuse (eg, alcohol, illicit or illegal drugs) within 1 year of dosing. Positive test for drug or alcohol use at screening. If the retest during the screening period is negative, subject can be included. Inability or unwillingness to refrain from alcohol consumption 24 hours prior to study visits and to limit consumption throughout the course of the study. Has had major surgery, donated or lost 500 mL or more of blood within 2 months of the first study treatment or has a history of chronic anemia. Receiving or has received any investigational drug (or is currently using an investigational drug or device) within 30 days or 5 half-lives (whichever is longer), prior to receiving the first study treatment. Use of any over-the-counter or prescription medications within 7 days or 5 half-lives (whichever is longer), prior to receiving the first study treatment. However, if a subject has to use medication within 7 days of the first study drug administration, he/she can be included in the study the study if according to the investigator the medication is not relevant within the context of the trial. Paracetamol (up to 2 g per day) for analgesia, and hormonal birth control medication will be allowed. Use of any herbal medicines (eg. St. John's wort), vitamins, and supplements consumed by the subject within 7 days prior to receiving the first study treatment. However, if a subject has used herbal medicines (eg, St. John's wort), vitamins, and supplements medication within 7 days of the first study drug administration, he/she can be included in the study if according to the investigator the medication is not relevant within the context of the trial.
Overall Study Officials:
First Name & Middle Initial & Last Name & Degree
Jan De Hoon, Professor
Organizational Affiliation
Center of Clinical Pharmacology, University Hospital Leuven, Leuven, Belgium
Official's Role
Principal Investigator
Facility Information:
Facility Name
Center for Clinical Pharmacology, UZ Leuven
City
Leuven
ZIP/Postal Code
3000
Country
Belgium

12. IPD Sharing Statement

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Relative Bioavailability Study With Enalapril in Healthy Volunteers

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