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CTRI Number  CTRI/2014/04/004526 [Registered on: 07/04/2014] Trial Registered Prospectively
Last Modified On: 06/05/2014
Post Graduate Thesis  No 
Type of Trial  BA/BE 
Type of Study    
Study Design  Randomized, Crossover Trial 
Public Title of Study   Relative bioavailability study of fixed dose combination tablet formulation of GSK587323 (16mg candesartan cilexetil/12.5mg hydrochlorothiazide) under fasting conditions 
Scientific Title of Study   An open-label, randomised, single dose, two-way crossover pilot study to determine the relative bioavailability of a fixed dose combination tablet formulation of GSK587323 (16mg candesartan cilexetil/12.5mg hydrochlorothiazide) relative to respective reference dosage Atacand D in healthy adult human subjects under fasting conditions 
Trial Acronym  Asian 
Secondary IDs if Any  
Secondary ID  Identifier 
042-BE-2013 dated 05-DEC-2013  Protocol Number 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Dr N Anil Babu 
Designation  Principal Investigator 
Affiliation  Piramal Clinical Research 
Address  Mirra Kamshetty Mall (3rd and 4th Floor) Ramanthapur R.R.District Hyderabad

Rangareddi
ANDHRA PRADESH
500013
India 
Phone  04027032630  
Fax  04027033454  
Email  nettyam.anilbabu@piramal.com  
 
Details of Contact Person
Scientific Query
 
Name  Dr N Anil Babu 
Designation  Principal Investigator 
Affiliation  Piramal Clinical Research 
Address  Mirra Kamshetty Mall (3rd and 4th Floor) Ramanthapur R.R.District Hyderabad


ANDHRA PRADESH
500013
India 
Phone  04027032630  
Fax  04027033454  
Email  nettyam.anilbabu@piramal.com  
 
Details of Contact Person
Public Query
 
Name  Maddela Rambabu 
Designation  Chief Manager-Operations 
Affiliation  Piramal Clinical Research 
Address  Mirra Kamshetty Mall (3rd and 4th Floor) Ramanthapur R.R.District Hyderabad

Rangareddi
ANDHRA PRADESH
500013
India 
Phone  04027032630  
Fax  04027033454  
Email  maddela.rambabu@piramal.com  
 
Source of Monetary or Material Support  
GlaxoSmithKline, UK 
 
Primary Sponsor  
Name  GlaxoSmithKline Research and Development Limited  
Address  Dr. Mair Jenkins M.B.B.S.- Director GlaxoSmithKline Research and Development Limited 980 Great West Road Brentford Middlesex, TW8 9Gs UK 
Type of Sponsor  Pharmaceutical industry-Global 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Maddela Rambau  Piramal Clinical Research  Mirra Kamshetty Mall (3rd and 4th Floor) Ramanthapur R.R.District Hyderabad India
Rangareddi
ANDHRA PRADESH 
04027032630
04027033454
maddela.rambabu@piramal.com 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Samkshema Independent Ethics Committee  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Notified 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Healthy human subjects between 18 and 65 years of age inclusive 
 
Intervention / Comparator Agent  
Type  Name  Details 
Intervention  16mg candesartan cilexetil/12.5mg HCTZ (GSK587323) FDC tablet Manufactured by Laboratorios Phoenix S.A.I.C.F. Juan G. Lemos 2809 – B1613 AUE Los Polvorines – Buenos Aires, Argentina  Each tablet contains 16mg candesartan cilexetil/12.5mg HCTZ Single Oral-dose will be administered as per randomization schedule at morning session (0800-0900 am) of the drug administration 
Comparator Agent  Atacand D (containing 16mg candesartan cilexetil/12.5mg HCTZ) tablet Manufactured by Astra Zeneca, Sweden SE-151 85 Södertälje, Supplied by M/s. Laboratorios Phoenix S.A.I.C.F. Juan G. Lemos 2809 – B1613 AUE, Los Polvorines – Buenos Aires, Argentina  Each tablet contains 16mg candesartan cilexetil/12.5mg HCTZ Single Oral-dose will be administered as per randomization schedule at morning session (0800-0900 am) of the drug administration 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  65.00 Year(s)
Gender  Both 
Details  Male and females aged between 18 and 65 years of age inclusive, at the time of signing the informed consent

Healthy as determined by a responsible and experienced physician, based on a medical evaluation including medical history, physical examination, laboratory tests and cardiac monitoring. A subject with a clinical abnormality or laboratory parameter(s) which is/are not specifically listed in the inclusion or exclusion criteria,outside the reference range for the population being studied may be included only if
the Investigator in consultation with the GSK Medical Monitor if required agree and document that the finding is unlikely to introduce additional risk factors and will not interfere with the study procedures.

Body weight ≥ 50kg and BMI within the range 19 – 24.9kg/m2 (inclusive)

Male subjects with female partners of child-bearing potential must agree to use one of the contraception methods This criterion must be followed from the time of the first dose of study medication until the follow-up contact visit

Capable of giving written informed consent, which includes compliance with the requirements and restrictions listed in the consent form

ALT, alkaline phosphatase and bilirubin ≤ 1.5xULN (isolated bilirubin >1.5xULN is acceptable if bilirubin is fractionated and direct bilirubin <35%)

Based on single or averaged QTc of triplicate ECGs obtained over a brief recording period: QTcF < 450 msec 
 
ExclusionCriteria 
Details  Gastrointestinal disease or with gastrointestinal surgical history which can affect the absorption of the investigational drug

Any subject with a systolic BP<95mmHg or with a recent history of postural symptoms 
 
Method of Generating Random Sequence   Computer generated randomization 
Method of Concealment   Other 
Blinding/Masking   Open Label 
Primary Outcome  
Outcome  TimePoints 
To assess the relative bioavailability of a candidate formulation of candesartan and HCTZ following administration of a FDC of 16mg candesartan cilexetil/12.5mg HCTZ (GSK587323) relative to reference FDC of 16mg candesartan cilexetil/12.5mg HCTZ (Atacand D) in healthy human subjects under fasting conditions.
Plasma PK parameters including Cmax, AUC(0-∞) and AUC(0-t) for candesartan cilexetil and HCTZ in
relevant treatments 
Twenty-four (24) blood samples (1 x 6 mL)pre-dose (0.00) and at 0.33, 0.67, 1.00, 1.33, 1.67, 2.00, 2.33, 2.67, 3.00, 3.50, 4.00, 4.50, 5.00, 5.50, 6.00, 7.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00 and 48.00 hours post-dose 
 
Secondary Outcome  
Outcome  TimePoints 
To characterise secondary PK parameters of a candidate FDC tablet formulation of 16mg candesartan cilexetil/12.5mg HCTZ (GSK587323) relative to reference 16mg candesartan cilexetil/12.5mg HCTZ (Atacand D) in healthy human subjects under fasting conditions.

Plasma PK parameters: tmax, %AUCex and t½ 
Twenty-four (24) blood samples (1 x 6 mL)pre-dose (0.00) and at 0.33, 0.67, 1.00, 1.33, 1.67, 2.00, 2.33, 2.67, 3.00, 3.50, 4.00, 4.50, 5.00, 5.50, 6.00, 7.00, 8.00, 10.00, 12.00, 16.00, 24.00, 36.00 and 48.00 hours post-dose 
 
Target Sample Size   Total Sample Size="16"
Sample Size from India="16" 
Final Enrollment numbers achieved (Total)= ""
Final Enrollment numbers achieved (India)="" 
Phase of Trial   N/A 
Date of First Enrollment (India)   09/04/2014 
Date of Study Completion (India) Date Missing 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Date Missing 
Estimated Duration of Trial   Years="0"
Months="0"
Days="24" 
Recruitment Status of Trial (Global)
Modification(s)  
Not Applicable 
Recruitment Status of Trial (India)  Completed 
Publication Details    
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Brief Summary  

This study aims to determine the relative bioavailability of a fixed dose combination (FDC) tablet formulation of GSK587323 (16mg candesartan cilexetil/12.5mg hydrochlorothiazide) relative to the reference product Atacand D (16mg candesartan cilexetil/12.5mg hydrochlorothiazide, Astra Zeneca, Argentina) in healthy adult subjects. This will be an open-label, randomised, single dose, two-way crossover study.

Each subject will participate in both treatment periods and will receive a single oral dose of the FDC of GSK587323 and reference Atacand D. Treatment periods will be separated by a washout period at least 7 days and no greater than 14 days. Blood samples for pharmacokinetic analysis will be taken at regular intervals after dosing. Safety will be assessed by measurement of vital signs (blood pressure, body temperature, respiration rate and pulse rate), clinical laboratory assessments, electrocardiogram measurements and review of adverse events. The study will enrol 16 healthy subjects to ensure that 14 complete the study as planned. 
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