Effects of Sodium Intake on (PK/PD) Relationship of a Single Dose of a Renin Angiotensin System-Blocker

The impact of sodium intake on plasma drug concentrations has previously been reported in the literature for verapamil and quinidine but, to the investigators' knowledge, never with renin-angiotensin system blockers such as AT1R antagonists and angiotensin converting enzyme inhibitors...

Date First Received: April 3, 2006

Last Updated: September 19, 2008

Verified by: Assistance Publique - Hôpitaux de Paris, September 2008

Clinical Trial Phase: Phase 1 | Start Date: March 2006

Overall Status: Completed

Estimated Enrollment: 64

Brief Summary

Official Title: “Effects of Sodium Intake on Pharmacokinetic/Pharmacodynamic Relationship of a Single Dose of a Renin Angiotensin System-Blocker, or a Beta-Blocker in Normotensive Sodium-Depleted or Replated Volunteers in a Cross-Over Study”

Condition Keyword(s):

The impact of sodium intake on plasma drug concentrations has previously been reported in the literature for verapamil and quinidine but, to the investigators' knowledge, never with renin-angiotensin system blockers such as AT1R antagonists and angiotensin converting enzyme inhibitors.

Study Type: Interventional

Study Design: Treatment, Randomized, Open Label, Placebo Control, Crossover Assignment, Pharmacokinetics/Dynamics Study

Study Primary Completion Date: March 2007

Detailed Clinical Trial Description

The impact of sodium intake on plasma drug concentrations concentrations obtained after a single oral dose of RAS blocking drugs (ramipril 10 mg, valsartan 160 mg, candesartan 8 mg) or a blocker as control (ATENOLOL 50 mg) will be compared in healthy normotensive men randomly assigned to a 6-day replated-sodium diet or a sodium depletion.

Intervention(s) in this Clinical Trial

  • Drug: high sodium diet
    • high sodium diet
  • Drug: low sodium diet
    • low sodium diet
  • Drug: ramipril 10 mg
    • ramipril 10 mg
  • Drug: valsartan 160 mg
    • valsartan 160 mg
  • Drug: candesartan 8 mg
    • candesartan 8 mg
  • Drug: atenolol 50 mg
    • atenolol 50 mg

Arms, Groups and Cohorts in this Clinical Trial

  • Experimental: 1
    • treatment

Outcome Measures for this Clinical Trial

Primary Measures

  • Area under the curve (AUC) up to the 48 hour time point of plasma drug concentrations between a replated-sodium diet and sodium depletion
    • Time Frame: 48 hours
      Safety Issue?: Yes

Criteria for Participation in this Clinical Trial

Inclusion Criteria:

  • 64 (16 per treatment goup) non-smoking healthy male volunteers
  • Aged between 18 and 35 years after a complete clinical examination
  • Safety laboratory measurements
  • Having given written informed consent.

Exclusion Criteria:

  • hypertension
  • known disease
  • diabetes mellitus
  • known hypersensitivity
  • contraindication to ACE inhibitors
  • history of cardiac or pulmonary disease or asthma conditions which do not permit medical follow-up and compliance with the study protocol.

Gender Eligibility for this Clinical Trial: Male

Minimum Age for this Clinical Trial: 18 Years

Maximum Age for this Clinical Trial: 35 Years

Are Healthy Volunteers Accepted for this Clinical Trial?: Accepts Healthy Volunteers

Clinical Trial Sponsor Information

Lead Sponsor: Assistance Publique - Hôpitaux de Paris

Overall Clinical Trial Officials and Contacts

Michel Azizi, MD, PhD Principal Investigator Assistance Publique - Hôpitaux de Paris  

Related Publications

References

Azizi M, Menard J, Bissery A, Guyenne TT, Bura-Riviere A, Vaidyanathan S, Camisasca RP. Pharmacologic demonstration of the synergistic effects of a combination of the renin inhibitor aliskiren and the AT1 receptor antagonist valsartan on the angiotensin II-renin feedback interruption. J Am Soc Nephrol. 2004 Dec;15(12):3126-33.

Additional Information

Information obtained from ClinicalTrials.gov on November 19, 2008

Link to the current ClinicalTrials.gov record. http://clinicaltrials.gov/show/NCT00310778

Study ID Number: P051201

ClinicalTrials.gov Identifier: NCT00310778

Health Authority: France: Ministry of Health

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