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This was a randomized, single-blind, two-period, two sequence cross-over study under fasting condition, with a one-week wash-out period, to compare the pharmacokinetic profiles and bioavailability of two formulations (the test and reference) of valsartan 160 mg film-coated caplets.
In the first period, subjects received either the test formulation (160 mg valsartan film-coated caplets produced by PT Dexa Medica, Palembang, Indonesia) once daily, or the innovator film-coated tablets (DiovanĀ® 160, Novartis Farmaceutica S.A., Barbera del Valles, Spain for Novartis Pharma AG, Basel, Switzerland) once daily as the reference formulation. In the subsequent period, after a one-week wash-out period, they received the alternate drug.
At the night before starting the study, subjects were instructed to fast from any food and drink but mineral water for 9 hours before the drug administration. In the morning after, at the dosing day, each of the 48 subjects then swallowed (without chewing) one dose of valsartan 160 mg of the test formulation or of the reference formulation, with 200 mL of water. As much as 5 mL of blood samples for drug assay were drawn again from each subject, at 0.5, 1, 1.5, 2, 2.5, 3, 3.5, 4, 6, 9, 12, 16, 24, 36, and 48 hours after dosing.
The concentrations of valsartan in plasma were assayed using a validated high performance liquid chromatography with fluorescence detector (HPLC-FL) method. Pharmacokinetic parameters, including the area under the concentration-versus-time curve (AUC) from time zero to the time of last quatifiable concentration (48 hours after dosing) (AUC-t), AUC from time zero extrapolated to infinity (AUC-inf), maximum concentration (Cmax), time to reach the maximum concentration (tmax), and half-life (t1/2), were assessed in this study.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| (Test) Group I | Experimental | Valsartan 160 mg film-coated caplets of PT Dexa Medica |
|
| (Reference) Group II | Active Comparator | Valsartan 160 mg film-coated caplets (DiovanĀ® 160) |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Valsartan 160 mg film-coated caplets (test formulation) | Drug | In each of the two study periods (separated by a washout of one week) a single dose of test or reference formulation was administered. |
| Measure | Description | Time Frame |
|---|---|---|
| AUCt | Area under the curve of plasma concentrations versus time from time zero to the time of last observed quantifiable concentration was determined from plasma concentration of two valsartan160 mg film-coated caplets formulations (test and reference formulations) | 48 hours |
| AUCinf | Area under the curve of plasma concentrations versus time from time zero to infinity was determined from plasma concentration of two valsartan160 mg film-coated caplets formulations (test and reference formulations) | 48 hours |
| Cmax | The maximum (peak) plasma concentration was determined from plasma concentration of two valsartan160 mg film-coated caplets formulations (test and reference formulations) | 48 hours |
| Measure | Description | Time Frame |
|---|---|---|
| Tmax | The time of peak plasma concentration was determined from plasma concentration of two valsartan160 mg film-coated caplets formulations (test and reference formulations) | 48 hours |
| T1/2 | The elimination half-life was determined from plasma concentration of two valsartan160 mg film-coated caplets formulations (test and reference formulations) |
| Measure | Description | Time Frame |
|---|---|---|
| Adverse events | The presence of adverse events will be observed, reported and sufficiently handled during subjects' participation in the study (1 month). | 1 months |
Inclusion Criteria:
Male and female subjects with absence of significant disease or clinically significant abnormal laboratory values on laboratory evaluation, medical history or physical examination during screening.
Aged 18 - 55 years inclusive
Preferably non-smokers or smoke less than 10 cigarettes per day.
Able to participate, communicate well with the investigators and willing to provide written informed consent to participate in the study.
Body mass index within 18 to 25 kg/m2.
Vital signs (after 10 minutes rest) must be within the following ranges:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Effi Setiawati, MSc | PT Equilab International | Study Director |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| PT Equilab International | Jakarta | Jakarta Special Capital Region | 12430 | Indonesia |
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| ID | Term |
|---|---|
| D000068756 | Valsartan |
| ID | Term |
|---|---|
| D013777 | Tetrazoles |
| D001393 | Azoles |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |
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|
| Valsartan 160 mg film-coated caplets (reference formulation) | Drug | In each of the two study periods (separated by a washout of one week) a single dose of test or reference formulation was administered. |
|
|
| 48 hours |
| D014633 |
| Valine |
| D000597 | Amino Acids, Branched-Chain |
| D000596 | Amino Acids |
| D000602 | Amino Acids, Peptides, and Proteins |
| D000601 | Amino Acids, Essential |