Open-label With Blinding Bioanalytical Stage Randomized Crossover Two Period Two Sequences Single Dose Bioequivalence Study of Two Formulations Ramipril/Hydrochlorothiazide Tablets 10 mg/25 mg (Manufacturer: Pharmtechnology LLC, Republic of Belarus) and Tritace® Plus Tablets 10 mg/25 mg (Manufacturer: Sanofi S.p.A., Italy; Holder of the Registration Certificate: Sanofi-Aventis Deutschland GmbH, Germany) in Healthy Volunteers Under Fasting Conditions

RMPL-HCTZ-2021

This is an open-labeled, with blinding bioanalytical stage, randomized, two period, two sequences, single-center, crossover, comparative study, where each participant will be randomly assigned to the reference (Tritace® Plus, 10 mg/25 mg tablets) or the test (Ramipril/Hydrochlorothiazide, 10 mg/25 mg tablets) formulation in each period of study (sequences Test-Reference (TR) or Reference-Test (RT)), in order to evaluate if both formulations are bioequivalent.

2022-12-28

2023-02-22

2023-07-31

Completed

Early phase I

50

Inclusion Criteria: 1. Healthy men or women aged between 18 to 45 years, inclusive; 2. Body mass index 18.5-30.0 kg/m², inclusive; 3. Verified diagnosis "healthy" according to the standard clinical, laboratory and instrumental examination methods; 4. The level of systolic blood pressure (SBP) ≥100 mm Hg and ≤ 130 mm Hg and diastolic blood pressure (DBP) ≥ 70 mm Hg and ≤ 90 mm Hg; heart rate more than 60 beats/min and less than 90 beats/min at the time of screening, respiratory rate more than 12 and less than 20 per minute at the time of screening, body temperature above 35.9 ° C and below 36.9 °C at the time of screening; 5. Subjects are able to understand the requirements of the study; 6. Subjects are able to accept all the restrictions imposed during the course of the study; 7. Availability of written informed consent of the volunteer to participate in the study in accordance with applicable law, obtained before the start of any research procedures; 8. For female subject with preserved reproductive potential: negative pregnancy test and consent to use adequate methods of contraception from the first day of screening up to 30 days after taking the drug in the second period, or the absence of reproductive potential; in the case of using hormonal contraceptives, they must be canceled at least 2 months before the first day of screening; 9. For male: consent to use adequate methods of contraception with partners with preserved reproductive potential from the first day of screening up to 30 days after taking the drug in the second period. Exclusion Criteria: 1. Drug intolerance to any drug; 2. Burdened allergic history; 3. Lactose intolerance, lactase deficiency, glucose-galactose malabsorption; 4. Acute infectious diseases or allergic reactions requiring treatment (including drug allergies) less than 4 weeks before the first day of screening; 5. Surgical interventions on the gastrointestinal tract, with the exception of appendectomy; 6. Volunteers with suspected hypersensitivity to study drugs or any of their components; 7. Chronic diseases of the cardiovascular, bronchopulmonary, neuroendocrine system, as well as diseases of the gastrointestinal tract, liver, kidneys, blood or other conditions that make it impossible for a volunteer to participate in the study according to the opinion of the researcher; 8. The value of standard laboratory and instrumental parameters that go beyond the reference values; 9. Positive test for syphilis, hepatitis B, hepatitis C, HIV or nasal and oropharyngeal swab for SARS-CoV-2; 10. Positive test for alcohol in exhaled air; 11. Positive urine analysis for the content of narcotic and potent substances; 12. For women - positive pregnancy test; 13. Any diet, such as vegetarian, within 2 weeks prior to the first day of screening; 14. Intake of more than 10 units alcohol per week (1 unit of alcohol is equivalent to 500 ml of beer, 200 ml of wine or 50 ml of spirits ethyl 40%) or history of alcoholism, drug addiction, drug abuse; 15. Inability to go without food for at least 12 hours and the inability to take the drug on an empty stomach; 16. Donation of plasma or blood (450 ml or more) less than 3 months before the first day of screening; 17. Depot injections, installation of intrauterine hormonal therapeutic systems or implants of any drugs 6 months before the first day of screening; 18. For women: use of hormonal contraceptives less than 2 months before the first day of screening; 19. Regular medication intake less than 2 weeks before the first day of screening; 20. Taking drugs that have a pronounced effect on hemodynamics, liver function, etc. (examples of inducers: barbiturates, carbamazepine, phenytoin, glucocorticoids, omeprazole; examples of inhibitors: antidepressants, tagamet, cimetidine, diltiazem, macrolides, imidazoles, neuroleptics, verapamil, fluoroquinolones , antihistamines), vitamins, dietary supplements, herbal preparations, including cat's claw, medicinal angelica, evening primrose, feverfew, garlic, ginger, ginkgo, red clover, horse chestnut, green tea, ginseng; Hypericum perforatum, etc. less than 30 days before the first day of screening; 21. For women: volunteers with saved reproductive potential who had unprotected intercourse with an unsterilized male partner within 30 days prior to the first day of screening; 22. For women: the period of breastfeeding; 23. Participation in any other clinical trial or use of investigational drugs less than 3 months prior to the first day of screening; 24. Difficult access to the vein, complicating or making it impossible to install a catheter and frequent blood sampling; 25. Smoking; 26. Volunteers who are unwilling or unable to give up alcohol and excessive physical activity from the first day of screening until the follow-up visit; 27. Volunteers who are unwilling or unable to avoid drinks and foods containing methylxanthines and grapefruit/grapefruit juice, as well as foods containing poppy from the first day of screening until the follow-up visit; 28. Volunteers who lead a lifestyle (including night work and extreme physical activity such as sports or heavy lifting) that may make it difficult to interpret the laboratory data obtained during the study; 29. Volunteers who do not intend to comply with the study regime and / or do not inspire confidence in the researcher; 30. Volunteers who are obviously or likely, in the opinion of the investigator, unable to understand and evaluate the information on this study as part of the process of signing the informed consent form, in particular regarding the expected risks and possible discomfort; 29. Dehydration due to diarrhea, vomiting or other reason within the last 24 hours prior to the first day of screening; 30. The presence of seizures, epilepsy and any other neurological disorders in the history of volunteers.

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2024-01-08