Trial Outcomes & Findings for Pharmacokinetics of Different Formulations of Telmisartan, Amlodipine, and Hydrochlorothiazide (HCTZ) in Japanese Healthy Male Volunteers (NCT NCT02183675)

NCT ID: NCT02183675

Last Updated: 2016-11-30

Results Overview

Maximum measured concentration (Cmax) of telmisartan in plasma at steady state over the dosing interval tau

Recruitment status

COMPLETED

Study phase

PHASE1

Target enrollment

36 participants

Primary outcome timeframe

15 minutes (min) before drug administration and 15min, 30min, 45min, 1 hour (h), 1h 30min, 2h, 2h 30min, 3h, 4h, 6h, 8h, 12h, 24h, 32h, 48h and 72h after 10 days drug administration

Results posted on

2016-11-30

Participant Flow

An open-label, randomised, six-sequence crossover design. Each participant received three treatments each for 10 days. There was no washout period between treatments.

Participant milestones

Participant milestones
Measure
T80-A5-H12.5 / T80-H12.5 / T80-A5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg/ hydrochlorothiazide (HCTZ) 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/ HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5)
T80-H12.5 / T80-A5 / T80-A5-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5)
T80-A5 / T80-A5-H12.5 / T80-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5)
T80-A5 / T80-H12.5 / T80-A5-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5)
T80-A5-H12.5 / T80-A5 / T80-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5)
T80-H12.5 / T80-A5-H12.5 / T80-A5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5)
Treatment Period 1 (10 Days)
STARTED
6
6
6
6
6
6
Treatment Period 1 (10 Days)
COMPLETED
6
6
6
6
6
6
Treatment Period 1 (10 Days)
NOT COMPLETED
0
0
0
0
0
0
Treatment Period 2 (10 Days)
STARTED
6
6
6
6
6
6
Treatment Period 2 (10 Days)
COMPLETED
6
6
6
6
6
4
Treatment Period 2 (10 Days)
NOT COMPLETED
0
0
0
0
0
2
Treatment Period 3 (10 Days)
STARTED
6
6
6
6
6
4
Treatment Period 3 (10 Days)
COMPLETED
6
6
6
6
6
4
Treatment Period 3 (10 Days)
NOT COMPLETED
0
0
0
0
0
0

Reasons for withdrawal

Reasons for withdrawal
Measure
T80-A5-H12.5 / T80-H12.5 / T80-A5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg/ hydrochlorothiazide (HCTZ) 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/ HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5)
T80-H12.5 / T80-A5 / T80-A5-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5)
T80-A5 / T80-A5-H12.5 / T80-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5)
T80-A5 / T80-H12.5 / T80-A5-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5)
T80-A5-H12.5 / T80-A5 / T80-H12.5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5)
T80-H12.5 / T80-A5-H12.5 / T80-A5
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5)
Treatment Period 2 (10 Days)
Adverse Event
0
0
0
0
0
2

Baseline Characteristics

Pharmacokinetics of Different Formulations of Telmisartan, Amlodipine, and Hydrochlorothiazide (HCTZ) in Japanese Healthy Male Volunteers

Baseline characteristics by cohort

Baseline characteristics by cohort
Measure
T80-A5-H12.5 / T80-H12.5 / T80-A5
n=6 Participants
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5)
T80-H12.5 / T80-A5 / T80-A5-H12.5
n=6 Participants
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5)
T80-A5 / T80-A5-H12.5 / T80-H12.5
n=6 Participants
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5)
T80-A5 / T80-H12.5 / T80-A5-H12.5
n=6 Participants
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5)
T80-A5-H12.5 / T80-A5 / T80-H12.5
n=6 Participants
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5)
T80-H12.5 / T80-A5-H12.5 / T80-A5
n=6 Participants
Participants received the three treatments, the treatments were administered orally in the following order: * Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) * Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination tablet (T80-A5-H12.5) * Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5)
Total
n=36 Participants
Total of all reporting groups
Age, Continuous
29.0 Years
STANDARD_DEVIATION 4.9 • n=5 Participants
27.3 Years
STANDARD_DEVIATION 5.2 • n=7 Participants
27.0 Years
STANDARD_DEVIATION 4.2 • n=5 Participants
25.8 Years
STANDARD_DEVIATION 4.1 • n=4 Participants
29.5 Years
STANDARD_DEVIATION 5.1 • n=21 Participants
29.3 Years
STANDARD_DEVIATION 4.9 • n=8 Participants
28.0 Years
STANDARD_DEVIATION 4.6 • n=8 Participants
Sex: Female, Male
Female
0 Participants
n=5 Participants
0 Participants
n=7 Participants
0 Participants
n=5 Participants
0 Participants
n=4 Participants
0 Participants
n=21 Participants
0 Participants
n=8 Participants
0 Participants
n=8 Participants
Sex: Female, Male
Male
6 Participants
n=5 Participants
6 Participants
n=7 Participants
6 Participants
n=5 Participants
6 Participants
n=4 Participants
6 Participants
n=21 Participants
6 Participants
n=8 Participants
36 Participants
n=8 Participants

PRIMARY outcome

Timeframe: 15 minutes (min) before drug administration and 15min, 30min, 45min, 1 hour (h), 1h 30min, 2h, 2h 30min, 3h, 4h, 6h, 8h, 12h, 24h, 32h, 48h and 72h after 10 days drug administration

Population: Pharmacokinetic (PK) set which included all subjects in the treated set who had evaluable PK variable of test (T80/A5/H12.5 mg) and at least one of two references (T80/H12.5 mg and T80/A5 mg) for treatment periods 1, 2, and 3. Subjects who had a protocol deviation relevant to the evaluation of relative bioavailability were excluded.

Maximum measured concentration (Cmax) of telmisartan in plasma at steady state over the dosing interval tau

Outcome measures

Outcome measures
Measure
T80-A5-H12.5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-A5
n=34 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
T80-H12.5
n=36 Participants
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
Maximum Measured Concentration (Cmax) at Steady State for Telmisartan
970 ng/mL
Geometric Coefficient of Variation 69.3
857 ng/mL
Geometric Coefficient of Variation 70.7
895 ng/mL
Geometric Coefficient of Variation 75.0

PRIMARY outcome

Timeframe: 15 minutes (min) before drug administration and 15min, 30min, 45min, 1 hour (h), 1h 30min, 2h, 2h 30min, 3h, 4h, 6h, 8h, 12h, 24h, 32h, 48h and 72h after 10 days drug administration

Population: PK set

Area under the plasma concentration curve (AUC) of telmisartan in plasma at steady state over the dosing interval tau

Outcome measures

Outcome measures
Measure
T80-A5-H12.5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-A5
n=34 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
T80-H12.5
n=36 Participants
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
Area Under the Plasma Concentration Curve at Steady State for Telmisartan
2510 ng*h/mL
Geometric Coefficient of Variation 72.1
2570 ng*h/mL
Geometric Coefficient of Variation 70.8
2580 ng*h/mL
Geometric Coefficient of Variation 81.4

PRIMARY outcome

Timeframe: 15 minutes (min) before drug administration and 15min, 30min, 45min, 1 hour (h), 1h 30min, 2h, 2h 30min, 3h, 4h, 6h, 8h, 12h, 24h, 32h, 48h, 72h, 96h, 120h and 144h after 10 days drug administration

Population: PK set

Maximum measured concentration (Cmax) of amlodipine in plasma at steady state over the dosing interval tau

Outcome measures

Outcome measures
Measure
T80-A5-H12.5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-A5
n=34 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
T80-H12.5
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
Maximum Measured Concentration (Cmax) at Steady State for Amlodipine
11.8 ng/mL
Geometric Coefficient of Variation 21.8
11.3 ng/mL
Geometric Coefficient of Variation 22.3

PRIMARY outcome

Timeframe: 15 minutes (min) before drug administration and 15min, 30min, 45min, 1 hour (h), 1h 30min, 2h, 2h 30min, 3h, 4h, 6h, 8h, 12h, 24h, 32h, 48h, 72h, 96h, 120h and 144h after 10 days drug administration

Population: PK set

Area under the plasma concentration curve (AUC) of amlodipine in plasma at steady state over the dosing interval tau

Outcome measures

Outcome measures
Measure
T80-A5-H12.5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-A5
n=34 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
T80-H12.5
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
Area Under the Plasma Concentration Curve at Steady State for Amlodipine
230 ng*h/mL
Geometric Coefficient of Variation 23.4
223 ng*h/mL
Geometric Coefficient of Variation 21.8

PRIMARY outcome

Timeframe: 15 minutes (min) before drug administration and 15min, 30min, 45min, 1 hour (h), 1h 30min, 2h, 2h 30min, 3h, 4h, 6h, 8h, 12h, 24h, 32h and 48h after 10 days drug administration

Population: PK set

Maximum measured concentration (Cmax) of HCTZ in plasma at steady state over the dosing interval tau

Outcome measures

Outcome measures
Measure
T80-A5-H12.5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-A5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
T80-H12.5
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
Maximum Measured Concentration (Cmax) at Steady State for HCTZ
107 ng/mL
Geometric Coefficient of Variation 28.5
102 ng/mL
Geometric Coefficient of Variation 28.0

PRIMARY outcome

Timeframe: 15 minutes (min) before drug administration and 15min, 30min, 45min, 1 hour (h), 1h 30min, 2h, 2h 30min, 3h, 4h, 6h, 8h, 12h, 24h, 32h and 48h after 10 days drug administration

Population: PK set

Area under the plasma concentration curve (AUC) of HCTZ in plasma at steady state over the dosing interval tau

Outcome measures

Outcome measures
Measure
T80-A5-H12.5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-A5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
T80-H12.5
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
Area Under the Plasma Concentration Curve at Steady State for HCTZ
584 ng*h/mL
Geometric Coefficient of Variation 23.8
565 ng*h/mL
Geometric Coefficient of Variation 23.4

SECONDARY outcome

Timeframe: 0-6 hours (h), 6-12h and 12-24h after drug administration on day 10

Population: PK set

Amount of HCTZ excreted in urine over the time interval from 0 to 24 hours at steady state

Outcome measures

Outcome measures
Measure
T80-A5-H12.5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-A5
n=36 Participants
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
T80-H12.5
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
Amount of HCTZ Excreted in Urine at Steady State From 0 to 24 Hours
10.4 mg
Geometric Coefficient of Variation 11.4
9.9 mg
Geometric Coefficient of Variation 12.2

Adverse Events

T80-A5-H12.5

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

T80-H12.5

Serious events: 0 serious events
Other events: 3 other events
Deaths: 0 deaths

T80-A5

Serious events: 0 serious events
Other events: 2 other events
Deaths: 0 deaths

All Patients

Serious events: 0 serious events
Other events: 5 other events
Deaths: 0 deaths

Serious adverse events

Adverse event data not reported

Other adverse events

Other adverse events
Measure
T80-A5-H12.5
n=36 participants at risk
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg/HCTZ 12.5mg fixed-dose combination (FDC) tablet (T80-A5-H12.5) once daily for ten days.
T80-H12.5
n=36 participants at risk
Participants received oral administration Telmisartan 80mg/HCTZ 12.5mg fixed-dose combination tablet (T80-H12.5) once daily for 10 days
T80-A5
n=34 participants at risk
Participants received oral administration of Telmisartan 80mg/Amlodipine 5mg fixed-dose combination tablet (T80-A5) once daily for 10 days
All Patients
n=36 participants at risk
All participants in the study. Participants received three treatments in a randomised order * T80-A5-H12.5 * T80-A5 * T80-H12.5
Investigations
Alanine aminotransferase increased
8.3%
3/36 • 10 days
5.6%
2/36 • 10 days
5.9%
2/34 • 10 days
11.1%
4/36 • 10 days
Investigations
C-reactive protein increased
2.8%
1/36 • 10 days
2.8%
1/36 • 10 days
0.00%
0/34 • 10 days
5.6%
2/36 • 10 days

Additional Information

Boehringer Ingelheim Call Center

Boehringer Ingelheim

Phone: 1-800-243-0127

Results disclosure agreements

  • Principal investigator is a sponsor employee Boehringer Ingelheim (BI) acknowledges that investigators have the right to publish the study results. Investigators shall provide BI with a copy of any publication or presentation for review prior to any submission. Such review will be done with regard to proprietary information, information related to patentable inventions, medical, scientific, and statistical accuracy within 60 days. BI may request a delay of the publication in order to protect BI's intellectual property rights.
  • Publication restrictions are in place

Restriction type: OTHER