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The aim of this study is to evaluate the effect of urine acid-base disequilibrium on the pharmacokinetics of captopril in healthy male volunteers.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Captopril | Active Comparator | Single dose of captopril 12.5 mg |
|
| Sodium bicarbonate+captopril | Experimental | Single dose of captopril 12.5 mg during multiple doses of sodium bicarbonate 1 g every 4-6 hours |
|
| Torsemide+captopril | Experimental | Single dose of captopril 12.5 mg during multiple doses of torsemide 20 mg every 6-12 hours |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Captopril 12.5 Mg | Drug | 12.5 mg of captopril |
|
| Measure | Description | Time Frame |
|---|---|---|
| AUClast of captopril | Area under the concentration-time curve from 0 to last measurable concentration (AUClast) | Pre-dose (0 hour) and up to 12 hours in each period |
| Cmax of captopril | Maximum concentration of captopril (Cmax) | Observed value among pre-dose (0 hour) and up to 12 hours in each period |
| Measure | Description | Time Frame |
|---|---|---|
| AUCinf of captopril | Area under the concentration-time curve from 0 to infinite (AUCinf) | Pre-dose (0 hour) and up to 12 hours in each period |
| Tmax of captopril | Time to Cmax (Tmax) |
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Inclusion Criteria:
Healthy male volunteer aged 19 to 50 years at screening
Body weight between 50.0 kg and 90.0 kg and body mass index (BMI) between 18.5 kg/m2 and 29.9 kg/m2 at screening
Participants who voluntarily decided to participate and agreed in writing to comply with study instructions after receiving sufficient explanation and complete understanding of the study
Participants who are suitable as test subjects for this test as determined by the investigator through physical examination, clinical laboratory tests, and interviews, etc.
Exclusion Criteria:
Participants who have or have a history of clinically significant hepatobiliary system (severe liver failure, viral hepatitis, etc.), kidney (severe renal impairment, etc.), nervous system, immune system, respiratory system, digestive system, endocrine system, blood/tumor, cardiovascular system (heart failure, Torsades de pointes, etc.), urinary system, mental system (mood disorder, obsessive-compulsive disorder, etc.), and sexual dysfunction, etc.
Evidence or past history of gastrointestinal disease (Crohn's disease, gastrointestinal ulcer, gastritis, gastroesophageal reflux disease, etc.) or past history of gastrointestinal surgery (except for simple appendectomy and hernia repair) that might affect the safety and PK assessment of the investigational product.
Hypersensitivity to drugs including captopril, sodium bicarbonate, and torsemide or other drugs (aspirin, antibiotics, etc.) or history of clinically significant hypersensitivity reactions
Participants with genetic problems such as lactose intolerance, Lapp lactase deficiency, or glucose-galactose malabsorption
Positive serum test (HBs antigen, HCV antibody, HIV antigen-antibody, and RPR) at screening
Past history of alcohol and drug abuse or a positive urine test for drugs with abuse potential at screening
Any abnormalities in vital signs after 3 minutes rest at screening
QT/QTcF > 450 msec or any abnormalities on electrocardiogram (ECG) at screening
Any abnormalities in blood tests at screening
Past or planned treatment with any prescription drugs or herbal medicine within 2 weeks, or any over the counter drugs, health functional foods, or vitamin supplements within 1 week, prior to the first scheduled dose (individual who is eligible based on other criteria may participate in the study at the discretion of the investigator).
Participants who have taken drugs that induce drug-metabolizing enzymes such as barbiturates or inhibit drug metabolism such as clarithromycin within 1 month prior to the first scheduled dose
Treatment with any investigational product in another clinical trial within 6 months prior to the first scheduled dose
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Seoul National University Hospital | Seoul | Seoul | 03080 | South Korea |
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| ID | Term |
|---|---|
| D006973 | Hypertension |
| ID | Term |
|---|---|
| D014652 | Vascular Diseases |
| D002318 | Cardiovascular Diseases |
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| ID | Term |
|---|---|
| D002216 | Captopril |
| D017693 | Sodium Bicarbonate |
| D000077786 | Torsemide |
| ID | Term |
|---|---|
| D011392 | Proline |
| D007098 | Imino Acids |
| D000598 | Amino Acids, Cyclic |
| D000596 | Amino Acids |
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| Sodium bicarbonate 4 G | Drug | 4 g of sodium bicarbonate |
|
| Torsemide 20 MG | Drug | 20 mg of torsemide |
|
| Observed time point among pre-dose (0 hour) and up to 12 hours in each period |
| t1/2 of captopril | half-life (t1/2) | Pre-dose (0 hour) and up to 12 hours in each period |
| CL/F of captopril | Apparent clearance (CL/F) | Pre-dose (0 hour) and up to 12 hours in each period |
| Vd/F of captopril | Apparent volume of distribution (Vd/F) | Pre-dose (0 hour) and up to 12 hours in each period |
| fe of captopril | Fraction of urinary excretion (fe) | Pre-dose (0 hour) and up to 12 hours in each period |
| urine pH | urine pH | Pre-dose (0 hour) and up to 12 hours in each period |
| Safety parameters | Number and frequency of participants observed adverse events in each period | Through study completion, an average of 3 months |
| D000602 |
| Amino Acids, Peptides, and Proteins |
| D001639 | Bicarbonates |
| D002254 | Carbonates |
| D002255 | Carbonic Acid |
| D017554 | Carbon Compounds, Inorganic |
| D007287 | Inorganic Chemicals |
| D017670 | Sodium Compounds |
| D013449 | Sulfonamides |
| D000577 | Amides |
| D009930 | Organic Chemicals |
| D013450 | Sulfones |
| D013457 | Sulfur Compounds |
| D011725 | Pyridines |
| D006573 | Heterocyclic Compounds, 1-Ring |
| D006571 | Heterocyclic Compounds |