E.1 Medical condition or disease under investigation |
E.1.1 | Medical condition(s) being investigated |
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MedDRA Classification |
E.1.3 | Condition being studied is a rare disease | No |
E.2 Objective of the trial |
E.2.1 | Main objective of the trial |
• To characterize the pharmacokinetics of Aliskiren following once a day dosing alone or in combination with Atenolol in healthy subjects • To investigate the pharmacokinetics of Atenolol alone and in combination with Aliskiren in healthy subjects
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E.2.2 | Secondary objectives of the trial |
• To assess the safety and tolerability of Aliskiren and Atenolol co-administration in healthy subjects |
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E.2.3 | Trial contains a sub-study | Information not present in EudraCT |
E.3 | Principal inclusion criteria |
1. Male and/or female subjects from 18-45 years of age and in good health as determined by past medical history, physical examination, vital signs, electrocardiogram, and laboratory tests at screening. 2. Female subjects must have been surgically sterilized at least 6 months prior to screening. Surgical sterilization procedures must be supported with clinical documentation made available to sponsor and noted in the Relevant Medical History / Current Medical Conditions section of the CRF. Female subjects of child bearing potential must be using a double-barrier local contraception, i.e. intra-uterine device plus condom, or spermicidal gel plus condom. Postmenopausal women must have no regular menstrual bleeding for at least 1 year prior to inclusion. Menopause will be confirmed by a plasma FSH level of >40 IU/L. 3. Vital signs (after 3 minutes resting measured in the supine position) which are within the following ranges: - oral body temperature between 35.0-37.5 °C - systolic blood pressure, 120-140 mm Hg - diastolic blood pressure, 70-90 mm Hg - pulse rate, 60 - 90 bpm Blood pressure and pulse will be taken again in a standing position. After 3 minutes standing, there shall be no more than a 20 mm Hg drop in systolic or 10 mm Hg drop in diastolic blood pressure associated with clinical manifestation of postural hypotension. 4. Body Mass Index (BMI) must be within the range of 18 to 29.9 kg/m2. For instructions and tables see Part B, Section 8.6. Subjects must weigh at least 50 kg for participate in this study. 5. Able to provide written informed consent prior to study participation. 6. Subject information and consent forms generated by the investigator must be approved by the sponsor prior to submission to the Ethics Committee (EC)/Institutional Review Board (IRB). A copy of the subject information and consent forms approved by the EC/IRB must be forwarded to the sponsor prior to study initiation. 7. Able to communicate well with the investigator and comply with the requirements of the study.
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E.4 | Principal exclusion criteria |
Subjects meeting any of the following criteria during screening or baseline evaluations will be excluded from entry into or continuation in the study: 1. Smokers (use of tobacco products in the previous 3 months). Urine cotinine levels will be measured during screening for all subjects using a semi-quantitative test with a cut-off level of 500 ng/mL. All values above will be considered positive. Smokers will be defined as any subject who reports cigarette use or has a positive urine cotinine test. 2. Use of any prescription drug or over-the-counter (OTC) medication within 2 weeks prior to dosing. Paracetamol is acceptable, but must be documented in the Concomitant medications / Significant non-drug therapies page of the CRF. 3. Participation in any clinical investigation within 4 weeks prior to dosing or longer if required by local regulation. 4. Donation or loss of 400 mL or more of blood within 8 weeks prior to dosing. 5. Significant illness within the two weeks prior to dosing. 6. A past medical history of clinically significant ECG abnormalities or a history of or family history of long QT syndrome. 7. History of autonomic dysfunction. 8. History of acute or chronic bronchospastic disease (including asthma and chronic obstructive pulmonary disease, treated or not treated), 9. History of clinically significant drug allergy; history of atopic allergy (asthma, urticaria, eczematous dermatitis). A known hypersensitivity to the study drugs or drugs similar to the study drug. 10. Any surgical or medical condition which might significantly alter the absorption, distribution, metabolism or excretion of drugs or which may jeopardize the subject in case of participation in the study. The investigator should be guided by evidence of any of the following: - history of inflammatory bowel syndrome, gastritis, ulcers, gastrointestinal or rectal bleeding; - history of major gastrointestinal tract surgery such as gastrectomy, gastroentero-stomy, or bowel resection; - history or clinical evidence of pancreatic injury or pancreatitis; - clinical evidence of liver disease or liver injury as indicated by abnormal liver function tests such as SGOT, SGPT, GGT, alkaline phosphatase, or serum bilirubin. SGPT will have to be strictly within the normal range before inclusion, GGT and alkaline phosphatase must not exceed twice the upper limit of the normal range, and serum bilirubin should not exceed the value of 27 µmol/L (1.6 mg/dL). - history or presence of impaired renal function as indicated by abnormal creatinine or BUN values or abnormal urinary constituents (e.g., albuminuria); - evidence of urinary obstruction or difficulty in voiding at screening; - polymorphonuclears <1500/µL or platelets <100’000/µL at inclusion. 11. History of immunocompromise, including a positive HIV (ELISA and Western blot) test result. 12. A positive Hepatitis B surface antigen (HBsAg), Anti HBs and Anti-HBc or Hepatitis C test result. 13. History of drug or alcohol abuse within the 12 months prior to dosing or evidence of such abuse as indicated by the laboratory assays conducted during the screening or baseline evaluations.
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E.5 End points |
E.5.1 | Primary end point(s) |
Pharmacokinetic assessment of Aliskiren following once a day dosing alone or in combination with Atenolol in healthy subjects |
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E.6 and E.7 Scope of the trial |
E.6 | Scope of the trial |
E.6.1 | Diagnosis | No |
E.6.2 | Prophylaxis | No |
E.6.3 | Therapy | No |
E.6.4 | Safety | Yes |
E.6.5 | Efficacy | No |
E.6.6 | Pharmacokinetic | Yes |
E.6.7 | Pharmacodynamic | No |
E.6.8 | Bioequivalence | No |
E.6.9 | Dose response | No |
E.6.10 | Pharmacogenetic | Information not present in EudraCT |
E.6.11 | Pharmacogenomic | No |
E.6.12 | Pharmacoeconomic | No |
E.6.13 | Others | No |
E.7 | Trial type and phase |
E.7.1 | Human pharmacology (Phase I) | No |
E.7.1.1 | First administration to humans | Information not present in EudraCT |
E.7.1.2 | Bioequivalence study | Information not present in EudraCT |
E.7.1.3 | Other | Information not present in EudraCT |
E.7.1.3.1 | Other trial type description | |
E.7.2 | Therapeutic exploratory (Phase II) | Yes |
E.7.3 | Therapeutic confirmatory (Phase III) | No |
E.7.4 | Therapeutic use (Phase IV) | No |
E.8 Design of the trial |
E.8.1 | Controlled | Yes |
E.8.1.1 | Randomised | No |
E.8.1.2 | Open | Yes |
E.8.1.3 | Single blind | No |
E.8.1.4 | Double blind | No |
E.8.1.5 | Parallel group | No |
E.8.1.6 | Cross over | No |
E.8.1.7 | Other | Yes |
E.8.1.7.1 | Other trial design description |
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E.8.2 | Comparator of controlled trial |
E.8.2.1 | Other medicinal product(s) | Yes |
E.8.2.2 | Placebo | No |
E.8.2.3 | Other | No |
E.8.3 |
The trial involves single site in the Member State concerned
| Yes |
E.8.4 | The trial involves multiple sites in the Member State concerned | No |
E.8.5 | The trial involves multiple Member States | No |
E.8.6 Trial involving sites outside the EEA |
E.8.6.1 | Trial being conducted both within and outside the EEA | No |
E.8.6.2 | Trial being conducted completely outside of the EEA | Information not present in EudraCT |
E.8.7 | Trial has a data monitoring committee | Information not present in EudraCT |
E.8.8 |
Definition of the end of the trial and justification where it is not the last
visit of the last subject undergoing the trial
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E.8.9 Initial estimate of the duration of the trial |
E.8.9.1 | In the Member State concerned years | |
E.8.9.1 | In the Member State concerned months | 2 |
E.8.9.1 | In the Member State concerned days | |
E.8.9.2 | In all countries concerned by the trial months | 2 |