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Safety, Tolerability and Pharmacokinetics of Single and Multiple Oral Doses of 40 mg Telmisartan/5 mg Amlodipine and 80 mg Telmisartan/5 mg Amlodipine in Healthy Male Volunteers

Phase 1
Completed
Conditions
Healthy
Interventions
Registration Number
NCT02194309
Lead Sponsor
Boehringer Ingelheim
Brief Summary

To investigate safety, tolerability, and pharmacokinetics of telmisartan and amlodipine following single administration of 40 mg telmisartan/5 mg amlodipine and 80 mg telmisartan/5 mg amlodipine, and subsequently, following multiple administration of 40 mg telmisartan/5 mg amlodipine and 80 mg telmisartan/5 mg amlodipine once daily for 10 days

Detailed Description

Not available

Recruitment & Eligibility

Status
COMPLETED
Sex
Male
Target Recruitment
24
Inclusion Criteria

Healthy male volunteers according to the following criteria:

  1. No finding deviating of clinical relevance and no evidence of a clinically relevant concomitant disease based upon a complete medical history, including the physical examination, vital signs (blood pressure, pulse rate, body temperature), 12-lead ECG, clinical laboratory tests
  2. Age ≥20 and Age ≤35 years
  3. Body weight ≥50 kg
  4. Body mass index (BMI) ≥17.6 and BMI ≤26.4 kg/m2
  5. Signed and dated written informed consent before admission to the trial
Exclusion Criteria
  1. Gastrointestinal, hepatic, renal, respiratory, cardiovascular, metabolic, immunological or hormonal disorders
  2. Diseases of the central nervous system (such as epilepsy) or psychiatric disorders or neurological disorders
  3. Chronic or relevant acute infections
  4. Any clinical relevant findings of the laboratory test deviating from normal
  5. Positive result for either hepatitis B surface antigen (HBsAg), anti hepatitis C virus (HCV) antibodies, syphilitic test or human immunodeficiency virus (HIV) test
  6. History of surgery of gastrointestinal tract (except appendectomy)
  7. History of relevant orthostatic hypotension (mean standing systolic blood pressure (SBP) varied by ≥20 mmHg from mean supine SBP or mean standing diastolic blood pressure (DBP) varied by ≥10 mmHg from mean supine DBP), fainting spells or blackouts
  8. History of hepatic dysfunction (e.g., biliary cirrhosis, cholestasis)
  9. History of serious renal dysfunction
  10. History of bilateral renal artery stenosis or renal artery stenosis in a solitary kidney
  11. History of cerebrovascular disorder
  12. History of hyperkalemia
  13. Known hypersensitivity to any component of the formulation, or to any other Angiotensin Receptor Blocker (ARB), angiotensin converting enzyme or dihydropyridine
  14. 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 before administration or during the trial
  15. Use of drugs which might reasonably influence the results of the trial based on the knowledge at the time of protocol preparation within 7 days before administration or during the trial
  16. Participation in another trial with an investigational drug within 4 months or 6 half-lives of the investigational drug before administration
  17. Smoker (≥20 cigarettes/day)
  18. Alcohol abuse (60 g or more ethanol/day: ex. 3 middle-sized bottles of beer, 3 gous (equivalent to 540 mL) of sake)
  19. Drug abuse
  20. Blood donation (more than 100 mL within 4 weeks before administration or during the trial)
  21. Excessive physical activities (within 1 week before administration or during the trial)
  22. Intake of alcohol within 2 days before administration
  23. Inability to comply with dietary regimen of trial centre
  24. Intake of any drugs/supplements with ingredient of hypericum perforatum (citrus fruits, Sevilla orange) within 5 days prior to administration
  25. Inability to refrain from smoking on trial days

Study & Design

Study Type
INTERVENTIONAL
Study Design
PARALLEL
Arm && Interventions
GroupInterventionDescription
Telmisartan low + amlodipineTelmisartan low-
Telmisartan high + amlodipineTelmisartan high-
Telmisartan low + amlodipineamlodipine-
Telmisartan high + amlodipineamlodipine-
Primary Outcome Measures
NameTimeMethod
Number of patients with adverse eventsup to 6 days after last administration in multiple dose phase
Number of patients with clinically significant changes in 12-lead electrocardiogram (ECG)up to 6 days after last administration in multiple dose phase
Assessment of tolerability by investigator on a four-point scaleup to 6 days after last administration in multiple dose phase
Number of patients with clinically significant changes in vital signs (blood pressure, pulse rate, body temperature)up to 6 days after last administration in multiple dose phase
Number of patients with clinically significant changes in laboratory parametersup to 6 days after last administration in multiple dose phase
Secondary Outcome Measures
NameTimeMethod
Accumulation ratio (RA) based on Cmaxup to day 16
MRTpo (mean residence time of the analyte in the body after oral administration) for several time pointsup to day 16
Vz/F (apparent volume of distribution during the terminal phase λz following an extravascular administration) for several time pointsup to day 16
RA based on AUCup to day 16
Predose concentration (Cpre) for several time pointsup to day 10
Cmax (maximum measured concentration of the analyte in plasma) for several time pointsup to day 16
tmax (time from dosing to the maximum measured concentration of the analyte in plasma) for several time pointsup to day 16
AUC (area under the concentration-time curve of the analyte in plasma) for several time pointsup to day 16
λz (terminal rate constant in plasma) for several time pointsup to day 16
t1/2 (terminal half-life of the analyte in plasma) for several time pointsup to day 16
CL/F (apparent clearance of the analyte in plasma following extravascular administration) for several time pointsup to day 16
C24,1024 hours after last administration on day 10
Cmin,ss (minimum measured concentration of the analyte in plasma at steady state over a uniform dosing interval τ)up to day 16
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