Ramipril 10 mg Capsule in Healthy Subjects Under Fed Conditions
Condition: Healthy
MeSH terms: Malnutrition
Intervention: Ramipril 10 mg capsule; Altace® 10 mg capsule
Intervention description: 1 x 10 mg; 1 x 10 mg
Intervention MeSH terms: Ramipril
Phase: Phase 1
Study type: Interventional
Allocation: Randomized
Intervention model: Crossover Assignment
Masking: None (Open Label)
Enrollment: 40.0
Sex: All
Minimum age: 18 Years
Healthy volunteers: Accepts Healthy Volunteers
Keywords: Bioequivalence; Healthy Subjects

Summary:

      The objective of this study is to compare the rate and extent of absorption of Ramipril 10 mg
      capsule (test) versus Altace® (reference), administered as 1 x 10 mg capsule under fed
      conditions.
    

Eligibility criteria:

        Inclusion Criteria:

          -  Male or non-childbearing potential female, light smoker of non-smoker 18 years of age
             and older.

          -  Capable of consent

          -  Non-childbearing potential female subject is defined as follows:

          -  Post-menopausal state: absence of menses for 12 months prior to drug administration or
             hysterectomy with bilateral oophorectomy at least 6 months prior to drug
             administration, or

          -  Surgically sterile: hysterectomy, bilateral oophorectomy, or tubule ligation at least
             6 months prior to drud administration.

        Exclusion Criteria:

          -  Clinically significant illnesses within 4 weeks prior to the administration of the
             study medication.

          -  Clinically significant surgery within 4 weeks prior to the administration of the study
             medication.

          -  Any clinically significant abnormality found during medical screening.

          -  Any reason which, in the opinion of the Medical Sub- Investigator, would prevent the
             subject from participating in the study.

          -  Abnormal laboratory tests judged clinically significant, specifically BUN, serum
             creatinine and hyperkalemia.

          -  Positive testing for hepatitis B, hepatitis C, or HIV at screening.

          -  EcG abnormalities (clinically significant) or vital sign abnormalities (systolic blood
             pressure lower than 100 or over 140 mmHg, diastolic blood pressure lower than 60 or
             over 90 mmHg, or heart rate less than 50 or over 100 bpm) or change in the systolic
             blood pressure of 20 mmHg, or diastolic blood pressure of 10mmHg when passing from
             supine (after at least 5 minutes) to standing position ( after 1-3 minutes), at
             screening.

          -  BMI ≥30.0kg/m2.

          -  History of significant alcohol abuse within 6 months prior to the screening visit of
             any indication of the regular use of more than 14 units of alcohol per week ( 1 Unit=
             150 mL of wine, 360 mL of beer, or 45 mL of 40% hard alcohol), or positive alcohol
             breath test at screening.

          -  History of drug abuse or use of illegal drugs: use of soft drugs (such as marijuana)
             within 3 months prior to the screening visit of hard drugs (such as cocaine,
             phencyclidine [PCP] and crack) within 1 year prior to the screening visit of positive
             urine drug screen at screening.

          -  History of allergic reactions to heparin, ramipril, or other ACE inhibitors, or other
             related drugs.

          -  Use of any drugs known to induce hepatic drug metabolism (examples of inducers:
             barbiturates, carbamazepine, phenytoine, glucocorticoids, omeprazole; examples of
             inhibitors: antidepressant (SSRI), cimetidine, diltiazem, macrolides, imidazoles,
             neuroleptics, verapamil, fluoroquinolones, antihistamines) within 30 days prior to
             administration of the study medication.

          -  Use of and investigational drug or participation in an investigational study within 30
             days prior to administration of the study medication.

          -  Clinically significant history or presence of any clinically significant
             gastrointestinal pathology (e.g. chronic diarrhea, inflammatory bowel diseases),
             unresolved gastrointestinal symptoms (e.g. diarrhea, vomiting), liver of kidney
             disease, or other conditions known to interfere with the absorption, distribution,
             metabolism, or excretion of hte drug.

          -  Any clinically significant history or presence of clinically significant neurological,
             endocrinal, cardiovascular, pulmonary, hematologic, immunologic, psychiatric, or
             metabolic disease.

          -  Use of prescription medication ( including hormone replacement therapy) within 14 days
             prior to administration of study medication or over-the-counter products (including
             natural food supplements, vitamins, garlic as a supplement) within 7 days prior to
             administration of study medication, except for topical products without systemic
             absorption.

          -  Difficulty to swallow study medication.

          -  Smoking more than 10 cigarettes per day.

          -  Any food allergy, intolerance, restriction or special diet that, in the opinion of the
             Medical Sub-Investigator, could contraindicate the subject's participation in this
             study.

          -  A depot injection or an implant of any drug within 3 months prior to administration of
             study medication.

          -  Donation of plasma (500 mL) within 30 days prior to drug administration. Donation or
             loss of whole blood (excluding the volume of blood that will be drawn during the
             screening procedures of this study) prior to administration of the study medication as
             follows:

          -  50 mL to 300 mL of whole blood within 30 days,

          -  301 mL to 500 mL of whole blood within 45 days, or

          -  more than 500 mL of whole blood within 56 days prior to drug administration.

          -  Intolerance to venipunctures

          -  Clinically significant history of renal, hepatic or cardiovascular disease,
             tuberculosis, epilepsy, asthma, diabetes, psychosis or glaucoma will nor be eligible
             for this study.

          -  Unable to understand or unwilling to sign the Informed Consent Form.

          -  Clinically significant history of angioedema.

          -  History of known presence of volume-depletion (diuretics, dialysis, gastrointestinal
             disease) or hypotension.

          -  History of collagen-vascular disease and/or renal disease.

          -  History of ischemic heart disease, congestive heart failure, or cerebrovascular
             disease.

          -  Breast-feeding subject.

          -  Positive urine pregnancy test at screening.