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CompletedNCT00828321Updated Aug 19, 2024Results posted

Ramipril 10 mg Capsule in Healthy Subjects Under Fasting Conditions

A Phase 1 interventional study of Ramipril 10 mg capsule and Altace® 10 mg capsule in Healthy, sponsored by Teva Pharmaceuticals USA. Completed at 2 sites in Canada. Open to participants aged 18 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-08-19.

Sponsored by Teva Pharmaceuticals USA · Phase 1, Interventional, and Other

Phase
Phase 1
Study type
Interventional
Enrollment
40
Allocation
Randomized
Ages
18 Years and older
Sex
All
01

Study summary

The objective of this study is to compare the rate and extent of absorption of ramipril 10 mg capsule (test) versus Altace® (reference), administered as 1 x 10 mg capsule under fasting conditions.

Read the detailed description

Detailed Description

Criteria for Evaluation: FDA Bioequivalence Criteria

Statistical Methods: FDA bioequivalence statistical methods

Outcome: Confidence interval fell within 80-125% therefore met the FDA Bioequivalence criteria; no drug related, serious, unexpected adverse events were reported during the study.

02

Conditions studied

  • Healthy

Keywords

  • Bioequivalency
  • Healthy Volunteers
03

In context

Lead sponsor

Teva Pharmaceuticals USA is the lead sponsor of 171 studies on the registry; none are open to participants now.

Of its 5 completed or terminated interventional studies of FDA-regulated products, 4 (80%) have results posted.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
18 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

Inclusion criteria

  • Male or non-childbearing potential female, light smoker of non-smoker 18 years of age and older.
  • Capable of consent
  • Non-childbearing potential female subject is defined as follows:
  • Post-menopausal state: absence of menses for 12 months prior to drug administration or hysterectomy with bilateral oophorectomy at least 6 months prior to drug administration, or
  • Surgically sterile: hysterectomy, bilateral oophorectomy, or tubule ligation at least 6 months prior to drud administration.

Exclusion criteria

Exclusion Criteria:

  • Clinically significant illnesses within 4 weeks prior to the administration of the study medication.
  • Clinically significant surgery within 4 weeks prior to the administration of the study medication.
  • Any clinically significant abnormality found during medical screening.
  • Any reason which, in the opinion of the Medical Sub- Investigator, would prevent the subject from participating in the study.
  • Abnormal laboratory tests judged clinically significant, specifically BUN, serum creatinine and hyperkalemia.
  • Positive testing for hepatitis B, hepatitis C, or HIV at screening.
  • EcG abnormalities (clinically significant) or vital sign abnormalities (systolic blood pressure lower than 100 or over 140 mmHg, diastolic blood pressure lower than 60 or over 90 mmHg, or heart rate less than 50 or over 100 bpm) or change in the systolic blood pressure of 20 mmHg, or diastolic blood pressure of 10mmHg when passing from supine (after at least 5 minutes) to standing position ( after 1-3 minutes), at screening.
  • BMI ≥30.0kg/m2.
  • History of significant alcohol abuse within 6 months prior to the screening visit of any indication of the regular use of more than 14 units of alcohol per week ( 1 Unit= 150 mL of wine, 360 mL of beer, or 45 mL of 40% hard alcohol), or positive alcohol breath test at screening.
  • History of drug abuse or use of illegal drugs: use of soft drugs (such as marijuana) within 3 months prior to the screening visit of hard drugs (such as cocaine, phencyclidine [PCP] and crack) within 1 year prior to the screening visit of positive urine drug screen at screening.
  • History of allergic reactions to heparin, ramipril, or other ACE inhibitors, or other related drugs.
  • Use of any drugs known to induce hepatic drug metabolism (examples of inducers: barbiturates, carbamazepine, phenytoine, glucocorticoids, omeprazole; examples of inhibitors: antidepressant (SSRI), cimetidine, diltiazem, macrolides, imidazoles, neuroleptics, verapamil, fluoroquinolones, antihistamines) within 30 days prior to administration of the study medication.
  • Use of and investigational drug or participation in an investigational study within 30 days prior to administration of the study medication.
  • Clinically significant history or presence of any clinically significant gastrointestinal pathology (e.g. chronic diarrhea, inflammatory bowel diseases), unresolved gastrointestinal symptoms (e.g. diarrhea, vomiting), liver of kidney disease, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of hte drug.
  • Any clinically significant history or presence of clinically significant neurological, endocrinal, cardiovascular, pulmonary, hematologic, immunologic, psychiatric, or metabolic disease.
  • Use of prescription medication ( including hormone replacement therapy) within 14 days prior to administration of study medication or over-the-counter products (including natural food supplements, vitamins, garlic as a supplement) within 7 days prior to administration of study medication, except for topical products without systemic absorption.
  • Difficulty to swallow study medication.
  • Smoking more than 10 cigarettes per day.
  • Any food allergy, intolerance, restriction or special diet that, in the opinion of the Medical Sub-Investigator, could contraindicate the subject's participation in this study.
  • A depot injection or an implant of any drug within 3 months prior to administration of study medication.
  • Donation of plasma (500 mL) within 30 days prior to drug administration. Donation or loss of whole blood (excluding the volume of blood that will be drawn during the screening procedures of this study) prior to administration of the study medication as follows:
  • 50 mL to 300 mL of whole blood within 30 days,
  • 301 mL to 500 mL of whole blood within 45 days, or
  • more than 500 mL of whole blood within 56 days prior to drug administration.
  • Intolerance to venipunctures
  • Clinically significant history of renal, hepatic or cardiovascular disease, tuberculosis, epilepsy, asthma, diabetes, psychosis or glaucoma will nor be eligible for this study.
  • Unable to understand or unwilling to sign the Informed Consent Form.
  • Clinically significant history of angioedema.
  • History of known presence of volume-depletion (diuretics, dialysis, gastrointestinal disease) or hypotension.
  • History of collagen-vascular disease and/or renal disease.
  • History of ischemic heart disease, congestive heart failure, or cerebrovascular disease.
  • Breast-feeding subject.
  • Positive urine pregnancy test at screening.
05

Study design

Phase
Phase 1
Primary purpose
Other
Allocation
Randomized
Intervention model
Crossover assignment
Masking
None (open label)
Enrollment
40 participants (actual)

Study arms

  • Experimental
    1

    Drug: Ramipril 10 mg capsule

  • Active comparator
    2

    Drug: Altace® 10 mg capsule

Interventions

  • DrugRamipril 10 mg capsule

    1 x 10 mg

  • DrugAltace® 10 mg capsule

    1 x 10 mg

06

What researchers measure

Primary outcomes

  1. Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramipril

    Bioequivalence based on Cmax of Ramipril.

    Time frame: Blood samples collected over a 72 hour period.

  2. AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)of Ramipril

    Bioequivalence based on AUC0-t of Ramipril.

    Time frame: Blood samples collected over a 72 hour period.

  3. AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)of Ramipril.

    Bioequivalence based on AUC0-t for Ramipril.

    Time frame: Blood samples collected over a 72 hour period.

Secondary outcomes

  1. Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramiprilat.

    Informational comparison of Cmax values for the metabolite Ramiprilat.

    Time frame: Blood samples collected over a 72 hour period.

  2. AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time 72 Hours)of Ramiprilat.

    Informational comparison of AUC0-72 values for the metabolite Ramiprilat.

    Time frame: Blood samples collected over a 72 hour period.

07

Results

Posted Aug 18, 2009

Participant flow

First Intervention
Participant flow — First Intervention
MilestoneTest (Ramipril) FirstReference (Altace®) First
Started2020
Completed2020
Not completed00
Washout of 42 Days
Participant flow — Washout of 42 Days
MilestoneTest (Ramipril) FirstReference (Altace®) First
Started2020
Completed1820
Not completed20
Withdrew: Withdrawal by subject20
Second Intervention
Participant flow — Second Intervention
MilestoneTest (Ramipril) FirstReference (Altace®) First
Started1820
Completed1819
Not completed01
Withdrew: Protocol violation01

Outcome measures

PrimaryCmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramipril

Bioequivalence based on Cmax of Ramipril.

Time frame:
Blood samples collected over a 72 hour period.
Reported as:
Mean · pg/mL
Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramipril
pg/mLTest (Ramipril)Reference (Altace®)
Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramipril24243.26 ± 10801.8325646.69 ± 10793.02
Statistical analysis
  • Test (Ramipril) vs Reference (Altace®) · Ratio of the t/r geometric mean x 100: 94.16 · 90% CI 85.08 to 104.21Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference and test product fall within the interval of 80-125%.
PrimaryAUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)of Ramipril

Bioequivalence based on AUC0-t of Ramipril.

Time frame:
Blood samples collected over a 72 hour period.
Reported as:
Mean · pg*h/mL
AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)of Ramipril
pg*h/mLTest (Ramipril)Reference (Altace®)
AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration)of Ramipril20716.92 ± 8241.8120859.98 ± 9796.3
Statistical analysis
  • Test (Ramipril) vs Reference (Altace®) · Ratio of the t/r geometric mean x 100: 102.22 · 90% CI 96.21 to 108.6Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference and test product fall within the interval of 80-125%.
PrimaryAUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)of Ramipril.

Bioequivalence based on AUC0-t for Ramipril.

Time frame:
Blood samples collected over a 72 hour period.
Reported as:
Mean · pg*h/mL
AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)of Ramipril.
pg*h/mLTest (Ramipril)Reference (Altace®)
AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity)of Ramipril.21310.07 ± 8422.2621406.11 ± 9997.76
Statistical analysis
  • Test (Ramipril) vs Reference (Altace®) · Ratio of the t/r geometric mean x 100: 102.22 · 90% CI 96.34 to 108.58Bioequivalence is established if the 90% confidence interval for the ln-transformed geometric mean between the reference and test product fall within the interval of 80-125%.
SecondaryCmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramiprilat.

Informational comparison of Cmax values for the metabolite Ramiprilat.

Time frame:
Blood samples collected over a 72 hour period.
Reported as:
Mean · pg/mL
Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramiprilat.
pg/mLTest (Ramipril)Reference (Altace®)
Cmax (Maximum Observed Concentration of Drug Substance in Plasma)of Ramiprilat.25892.38 ± 17462.3726154.13 ± 18380.56
Statistical analysis
  • Test (Ramipril) vs Reference (Altace®) · Ratio of the t/r geometric mean x 100: 98.52 · 90% CI 92.63 to 104.79This analysis was for informational purposes and was not used to establish bioequivalence.
SecondaryAUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time 72 Hours)of Ramiprilat.

Informational comparison of AUC0-72 values for the metabolite Ramiprilat.

Time frame:
Blood samples collected over a 72 hour period.
Reported as:
Mean · pg*h/mL
AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time 72 Hours)of Ramiprilat.
pg*h/mLTest (Ramipril)Reference (Altace®)
AUC0-72 (Area Under the Concentration-time Curve From Time Zero to Time 72 Hours)of Ramiprilat.196669.75 ± 69676.68201747.51 ± 73592.98
Statistical analysis
  • Test (Ramipril) vs Reference (Altace®) · Ratio of the t/r geometric mean x 100: 97.45 · 90% CI 94.66 to 100.32This analysis was for informational purposes only and was not used to establish bioequivalence.

Baseline characteristics

Age, Categorical
Age, Categorical(Participants)Test (Ramipril) FirstReference (Altace®) FirstTotal
<=18 years000
Between 18 and 65 years181735
>=65 years235
Sex: Female, Male
Sex: Female, Male(Participants)Test (Ramipril) FirstReference (Altace®) FirstTotal
Female8917
Male121123
Race/Ethnicity, Customized
Race/Ethnicity, Customized(participants)Test (Ramipril) FirstReference (Altace®) FirstTotal
Black022
White181735
Hispanic213
Region of Enrollment
Region of Enrollment(participants)Test (Ramipril) FirstReference (Altace®) FirstTotal
Canada202040
08

Study locations

2 sites
  • Anapharm Inc.
    Montreal, Quebec H2X 2H9, Canada
  • Anapharm Inc.
    Sainte-Foy, Quebec G1V 2K8, Canada
09

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Aug 19, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
10

Registry details

Key details

Study ID
NCT00828321
Lead sponsor
Teva Pharmaceuticals USA
First posted
Jan 23, 2009
Start date
Aug 2004
Primary completion
Oct 2004
Completion
Oct 2004
Results posted
Aug 18, 2009
Last update
Aug 19, 2024

Study contacts

Richard Larouche, M.D.
principal investigator · Anapharm
View the source record on ClinicalTrials.gov ↗

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