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The objective of this study is to compare the rate and extent of absorption of losartan 100 mg tablets (test) versus Cozaar® (reference), administered as 1 * 100 mg tablet under fasting conditions.
Criteria for Evaluation: FDA Bioequivalence Criteria
Statistical Methods: FDA Bioequivalence Statistical Methods
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Generic Test Product | Experimental | Losartan 100mg Tablets |
|
| Reference Listed Drug | Active Comparator | Cozaar® 100 mg Tablets |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Losartan | Drug | 100 mg Tablet |
| |
| Cozaar® |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax of Losartan (Maximum Observed Concentration of Drug Substance in Plasma) | Bioequivalence based on Losartan Cmax. | Blood samples collected over a 24 hour period. |
| AUC0-t of Losartan (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) | Bioequivalence based on Losartan AUC0-t. | Blood samples collected over a 24 hour period. |
| AUC0-inf of Losartan (Area Under the Concentration-time Curve From Time Zero to Infinity) | Bioequivalence based on Losartan AUC0-inf. | Blood samples collected over a 24 hour period. |
| Measure | Description | Time Frame |
|---|---|---|
| Cmax of Losartan Carboxy Acid (Maximum Observed Concentration of Drug Substance in Plasma) | Informational comparison of Cmax values for the metabolite Losartan Carboxy Acid. | Blood samples collected over a 24 hour period. |
| AUC0-t of Losartan Carboxy Acid (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) |
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Inclusion Criteria:
Non-child-bearing potential female or male.
Non-smoker.
18 years of age and older.
Capable of consent.
Non-child-bearing potential female subject:
Exclusion Criteria:
Clinically significant illness 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.
Positive urine drug screen at screening.
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 100 bpm) at screening.
Subjects with BMI > 30.0.
History of significant alcohol abuse within 6 months prior to screening visit or 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% alcohol).
History of drug abuse or use of illegal drugs: use of soft drugs (such as marijuana) within 3 months prior to screening visit or hard drugs (such as cocaine, phencyclidine [PCP], and crack) within 1 year prior to the screening visit.
History of allergic reactions to losartan or other related drugs.
History of allergic reactions to heparin.
Use of any drugs known to induce or inhibit drug metabolism within 30 days prior to administration of the study medication.
Use of an 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 bowl diseases), unresolved gastrointestinal symptoms (e.g. diarrhea, vomiting), liver or kidney disease, or other conditions known to interfere with the absorption, distribution, metabolism, or excretion of the study drug.
Any clinically significant history or presence of clinically significant neurological, endocrinal, cardiovascular, pulmonary, hematologic, immunologic, psychiatric, or metabolic disease.
Use of prescription medication 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.
Positive alcohol breath test at screening.
Subjects who have used tobacco in any form within 90 days preceding study drug administration.
Any food allergy, intolerance, restriction, or special diet that could, in the opinion of the Medical Sub-Investigator, contraindicate the subjects participation in this study.
A dept injection or an implant of any drug within 3 months prior to administration of study medication.
Donation of plasma (500 mL) within 7 days prior to drug administration. Donation or loss of whole blood prior to administration of the study medication as follows:
Consumption of food or beverages containing grapefruit (e.g. fresh, canned, or frozen) within 7 days prior to administration of the study medication.
Clinically significant history of known active hypotension or volume depletion.
Intolerance to venipuncture.
Clinically significant history of renal, hepatic, or cardiovascular disease, tuberculosis, epilepsy, asthma, diabetes, psychosis, or glaucoma will not be eligible for this study.
Subjects unable to understand or unwilling to sign the Informed Consent Form.
Additional exclusion criteria for females only;
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| Name | Affiliation | Role |
|---|---|---|
| Richard Larouche, MD | Anapharm | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Anapharm Inc. | Montreal | Quebec | H3X 2H9 | Canada |
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| ID | Title | Description |
|---|---|---|
| FG000 | Losartan (Test) First | 100 mg Losartan Tablets test product dosed in first period followed by 100 mg Cozaar® Tablets reference product dosed in the second period. |
| FG001 | Cozaar® (Reference) First | 100 mg Cozaar® Tablets reference product dosed in first period followed by 100 mg Losartan Tablets test product dosed in the second period. |
| Title | Milestones | Reasons Not Completed | ||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| First Intervention |
|
| ||||||||||||||||||
| Washout of 7 Days |
| |||||||||||||||||||
| Second Intervention |
|
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| ID | Title | Description |
|---|---|---|
| BG000 | Losartan (Test) First | 100 mg Losartan Tablets test product dosed in first period followed by 100 mg Cozaar® Tablets reference product dosed in the second period. |
| BG001 | Cozaar® (Reference) First |
| Units | Counts |
|---|---|
| Participants |
|
| Title | Description | Population Description | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Denominator Units Selected | Denominators | Classes |
|---|---|---|---|---|---|---|---|---|---|
| Age, Categorical | Count of Participants |
| Type | Title | Description | Population Description | Reporting Status | Anticipated Posting Date | Parameter Type | Dispersion Type | Unit of Measure | Calculate Percentage | Time Frame | Units Analyzed | Denominator Units Selected | Arm/Group Information | Denominators | Classes | Analyses | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Primary | Cmax of Losartan (Maximum Observed Concentration of Drug Substance in Plasma) | Bioequivalence based on Losartan Cmax. | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng/mL | Blood samples collected over a 24 hour period. |
|
Adverse event data was collected over the course of the study, which was approximately 2 weeks in duration.
Volunteers were monitored throughout the study for any adverse experiences. AEs were collected through both solicited and unsolicited methods. The volunteers were encouraged to report signs, symptoms, and any changes in health to the clinic staff.
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| ID | Title | Description | Deaths (Affected) | Deaths (At Risk) | Serious Events (Affected) | Serious Events (At Risk) | Other Events (Affected) | Other Events (At Risk) |
|---|---|---|---|---|---|---|---|---|
| EG000 | Losartan | 100 mg Losartan Tablets test product dosed in either period. |
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| Term | Organ System | Source Vocabulary | Assessment Type | Notes | Statistical Information |
|---|---|---|---|---|---|
| Low Blood Pressure | General disorders | Non-systematic Assessment |
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| Title | Organization | Phone | Extension | |
|---|---|---|---|---|
| Associate Director, Biopharmaceutics | TEVA Pharmaceuticals, USA | 1-866-384-5525 | clinicaltrialqueries@tevausa.com |
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| ID | Term |
|---|---|
| D019808 | Losartan |
| ID | Term |
|---|---|
| D001713 | Biphenyl Compounds |
| D001555 | Benzene Derivatives |
| D006841 | Hydrocarbons, Aromatic |
| D006844 | Hydrocarbons, Cyclic |
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| Drug |
100 mg Tablet |
|
|
Informational comparison of AUC0-t values for the metabolite Losartan Carboxy Acid. |
| Blood samples collected over a 24 hour period. |
| AUC0-inf of Losartan Carboxy Acid(Area Under the Concentration-time Curve From Time Zero to Infinity) | Informational comparison of AUC0-inf values for the metabolite Losaran Carboxy Acid. | Blood samples collected over a 24 hour period. |
| NOT COMPLETED |
|
|
| NOT COMPLETED |
|
100 mg Cozaar® Tablets reference product dosed in first period followed by 100 mg Losartan Tablets test product dosed in the second period.
| BG002 | Total | Total of all reporting groups |
| Participants |
|
| Sex: Female, Male | Count of Participants | Participants |
|
| Race/Ethnicity, Customized | Number | participants |
|
| Region of Enrollment | Number | participants |
|
| Units | Counts |
|---|
| Participants |
|
|
|
| Primary | AUC0-t of Losartan (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) | Bioequivalence based on Losartan AUC0-t. | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 24 hour period. |
|
|
|
|
| Primary | AUC0-inf of Losartan (Area Under the Concentration-time Curve From Time Zero to Infinity) | Bioequivalence based on Losartan AUC0-inf. | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 24 hour period. |
|
|
|
|
| Secondary | Cmax of Losartan Carboxy Acid (Maximum Observed Concentration of Drug Substance in Plasma) | Informational comparison of Cmax values for the metabolite Losartan Carboxy Acid. | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng/mL | Blood samples collected over a 24 hour period. |
|
|
|
|
| Secondary | AUC0-t of Losartan Carboxy Acid (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) | Informational comparison of AUC0-t values for the metabolite Losartan Carboxy Acid. | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 24 hour period. |
|
|
|
|
| Secondary | AUC0-inf of Losartan Carboxy Acid(Area Under the Concentration-time Curve From Time Zero to Infinity) | Informational comparison of AUC0-inf values for the metabolite Losaran Carboxy Acid. | All participants that completed the study had their samples analyzed. | Posted | Mean | Standard Deviation | ng*h/mL | Blood samples collected over a 24 hour period. |
|
|
|
|
| 0 |
| 80 |
| 14 |
| 80 |
| EG001 | Cozaar® | 100 mg Cozaar® Tablets reference product dosed in either period. | 0 | 80 | 9 | 80 |
| Headache | General disorders | Non-systematic Assessment |
|
| Dizziness | General disorders | Non-systematic Assessment |
|
The Principal Investigator is not permitted to discuss or publish trial results.
| D006838 |
| Hydrocarbons |
| D009930 | Organic Chemicals |
| D007093 | Imidazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
| D013777 | Tetrazoles |