Effect of High-Fat Meal on the Pharmacokinetics and Safety of Valsartan/Amlodipine Fixed Dose Combination Tablets in Healthy Subjects

Abstract

Background

The objective of this study was to evaluate the effect of a high-fat meal on the pharmacokinetics and safety of 80/5 mg valsartan/amlodipine tablets in healthy subjects.

Subjects and Methods

These results were derived from a bioequivalence trial where subjects were randomly assigned to take valsartan/amlodipine 80/5mg under fed conditions or after a high-fat meal contained 978.6 kilocalories (54.6% from fat). The blood samples were collected and plasma concentrations of valsartan/amlodipine were measured using high-performance liquid chromatography-mass spectrometry. The non-compartmental module of Phoenix WinNonlin Version 8.2 was used to calculate pharmacokinetic parameters. The BE module of WinNonLin was used to analyze the statistics of the maximum plasma concentration (C_max), the area under the concentration-time curve from zero to the last quantifiable time point (AUC_0-t), and the area under the concentration-time curve from zero to infinity(AUC_0–∞) in plasma. 88 healthy subjects were enrolled and divided into in a fasted group and a fed group.

Results

The Cmax, AUC_0–t, and AUC_0–∞ of valsartan in plasma under fed conditions were 51%, 56%, and 57% lower, respectively, than those under fasted conditions, and the 90% confidence interval (90% CI) were outside the 80.00–125.00% range. All the pharmacokinetic parameters for amlodipine under fed conditions were similar to those observed under fasted conditions, and the 90% CIs were within the 80.00–125.00% range. The incidence of treatment emergent adverse events (TEAE) was similar between the fasted group and the fed group, while adverse drug reaction (ADR) was more frequent in the fasted group which may be related to the higher blood concentrations of valsartan, but all were mild.

Conclusion

The result indicated that the high-fat meal had a significant effect on the pharmacokinetics of valsartan, but no effect on amlodipine. All treatments were safe and well tolerated in healthy subjects under fed and fasted conditions.

Keywords:

• amlodipine
• valsartan
• high-fat meal
• pharmacokinetics

Data Sharing Statement

The data set used during the current study is available from the corresponding author (Wanjun Bai) upon reasonable request.

Informed Consent

Informed consent was written by all individual participants included in the study.

Acknowledgments

We are grateful to Dr Haowei Song at MilliporeSigma, who assist with the English.

Disclosure

The authors have declared that no competing interests exist.