Moexipril HCl/Hydrochlorothiazide 15/25 mg Tablets Under Non-Fasting Conditions

Study Overview
=================
Brief Summary
-----------------
The objective of this study is to compare the relative bioavailability of moexipril HCl/ hydrochlorothiazide 15/25 mg tablets (manufactured and distributed by TEVA Pharmaceuticals USA) with that of UNIRETIC® 15/25 mg tablets (Schwartz Pharma) in healthy, adult, non-smoking subjects under non-fasting conditions.

Detailed Description
-----------------
Criteria for Evaluation: FDA Bioequivalence Criteria Statistical Methods: FDA bioequivalence statistical methods

Official Title
-----------------
A Relative Bioavailability Study of Moexipril HCl/Hydrochlorothiazide 15/25 mg Tablets Under Non-Fasting Conditions

Conditions
-----------------
Healthy

Intervention / Treatment
-----------------
* Drug: Moexipril HCl/hydrochlorothiazide 15/25 mg tablets
* Drug: UNIRETIC® 15/25 mg tablets


Participation Criteria
=================
Eligibility Criteria
-----------------
Inclusion Criteria: All subjects selected for this study will be non-smokers at least 18 years of age. Subjects will have a BMI index (body mass index) of 30 or less. Exclusion Criteria: Subjects with a history of chronic alcohol consumption (during past 2 years), drug addiction, or serious gastrointestinal, renal, hepatic, tuberculosis, epilepsy, asthma (during past 5 years), diabetes, psychosis or glaucoma will not be eligible for this study. Subjects whose clinical laboratory test values are greater than 20% outside the normal range may be retested. If the clinical values are outside the range on retesting, the subject will not be eligible to participate in the study unless the clinical investigator deems the result not to be significant. Subjects who have a history of allergic responses to the class of drug being tested should be excluded from the study. All subjects will have urine samples assayed for the presence of abuse as part of the clinical laboratory screening procedures and ath check-in each study period. Subjects found to have urine concentrations of any of the tested drug will not be allowed to participate. Subjects should not have donated blood and/or plasma for at least thirty (30) days prior to the first dosing of the study. Subjects who have taken an investigational drug within thirty (30) days prior to the first dosing of the study will not be allowed to participate. Female subjects who are pregnant, breast-feeding, or who are likely to become pregnant during the study will not be allowed to participate. Female subjects of child bearing potential must either abstain from sexual intercourse or use a reliable barrier method (e.g. condom, IUD) of contraception during the course of the study (first dosing until last blood collection) or they will not be allowed to participate. Subjects who have used implanted or injected hormonal contraceptives anytime during the 180 days prior to study dosing or oral hormonal contraceptives with in 14 days of dosing will not be allowed to participate. All female subjects will be screened for pregnancy at check-in each study period. Subjects with positive or inconclusive results will be withdrawn from the study. Subjects who use tobacco in any form will not be eligible to participate in the study. Three months abstinence is required. Subjects who do not tolerate venipuncture will not be allowed to participate.

Ages Eligible for Study
-----------------
Minimum Age: 18 Years

Sexes Eligible for Study
-----------------
All

Accepts Healthy Volunteers
-----------------
Accepts Healthy Volunteers

Study Plan
=================
How is the study designed?
-----------------

Design Details

Allocation: Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: 1<br> | Drug: Moexipril HCl/hydrochlorothiazide 15/25 mg tablets<br>* 1 x 15/25 mg<br>|
| Active Comparator: 2<br> | Drug: UNIRETIC® 15/25 mg tablets<br>* 1 x 15/25 mg<br>|

What is the study measuring?
-----------------
Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cmax (Maximum Observed Concentration of Drug Substance in Plasma) of Moexipril. | Bioequivalence based on Cmax. | Blood samples collected over a 192 hour period. | 
| AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) of Moexipril. | Bioequivalence based on AUC0-t. | Blood samples collected over a 192 hour period. | 
| AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity) of Moexipril. | Bioequivalence based on AUC0-inf. | Blood samples collected over a 192 hour period. | 
| Cmax (Maximum Observed Concentration of Drug Substance in Plasma) of Hydrochlorothiazide. | Bioequivalence based on Cmax. | Blood samples collected over a 192 hour period. | 
| AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) of Hydrochlorothiazide. | Bioequivalence based on AUC0-t. | Blood samples collected over a 192 hour period. | 
| AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity) of Hydrochlorothiazide. | Bioequivalence based on AUC0-inf. | Blood samples collected over a 192 hour period. | 

Secondary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Cmax (Maximum Observed Concentration of Drug Substance in Plasma) of Moexiprilat. | Informational comparison of Cmax values for the metabolite Moexiprilat. | Blood samples collected over a 192 hour period. | 
| AUC0-t (Area Under the Concentration-time Curve From Time Zero to Time of Last Measurable Concentration) of Moexiprilat. | Informational comparison of AUC0-t values for the metabolite Moexiprilat. | Blood samples collected over a 192 hour period. | 
| AUC0-inf (Area Under the Concentration-time Curve From Time Zero to Infinity) of Moexiprilat. | Informational comparison of AUC0-inf values for the metabolite Moexiprilat. | Blood samples collected over a 192 hour period. | 

 Terms related to the study
=================
Keywords Provided by Centre Hospitalier Valida
-----------------
Bioequivalence, Healthy Subjects