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amiloride, hydrochlorothiazide drug combination

Description Research Excerpts Clinical Trials Roles Classes Pathways Study Profile Bioassays Related Drugs Related Conditions Protein Interactions Research Growth Market Indicators

Description

amiloride, hydrochlorothiazide drug combination: amiloride hydrochloride and hydrochlorothiazide drug combination. [Medical Subject Headings (MeSH), National Library of Medicine, extracted Dec-2023]

Cross-References

ID SourceID
PubMed CID107748
SCHEMBL ID1324037
MeSH IDM0055606

Synonyms (9)

Synonym
co-amilozide
amiloride, hydrochlorothiazide drug combination
68529-45-3
SCHEMBL1324037
pyrazinecarboxamide, 3,5-diamino-n-(aminoiminomethyl)-6-chloro-, mixt. with 6-chloro-3,4-dihydro-2h-1,2,4-benzothiadiazine-7-sulfonamide 1,1-dioxide
amiloride hydrochloride, hydrochlorothiazide
DTXSID90218652
Q5137424
6-chloro-1,1-dioxo-3,4-dihydro-2h-1lambda6,2,4-benzothiadiazine-7-sulfonamide;3,5-diamino-6-chloro-n-(diaminomethylidene)pyrazine-2-carboxamide

Research Excerpts

Toxicity

ExcerptReferenceRelevance
"Antihypertensive therapy is effective in reducing the risk of major adverse cardiovascular events."( Combination of amlodipine plus angiotensin receptor blocker or diuretics in high-risk hypertensive patients: a 96-week efficacy and safety study.
Deng, Q; Liu, L; Liu, M; Ma, L; Sun, H; Wang, J; Wang, W; Zhang, Y; Zhao, Y, 2012
)
0.38
" Safety evaluations included monitoring of any adverse events (AEs)."( Combination of amlodipine plus angiotensin receptor blocker or diuretics in high-risk hypertensive patients: a 96-week efficacy and safety study.
Deng, Q; Liu, L; Liu, M; Ma, L; Sun, H; Wang, J; Wang, W; Zhang, Y; Zhao, Y, 2012
)
0.38

Compound-Compound Interactions

ExcerptReferenceRelevance
" In these patients, the doubling of diuretic dose (hydrochlorothiazide 50 mg + amiloride 5 mg) in combination with atenolol resulted in a further drop in systolic pressure (to 142."( Effects of hydrochlorothiazide combined with amiloride in atenolol-resistant hypertensive patients.
Bentivoglio, M; Corea, L; Verdecchia, P, 1983
)
0.27
" This trial aims to investigate the efficacy of chlorthalidone and hydrochlorothiazide, in combination with amiloride at different doses, for initial management of patients with primary hypertension."( Efficacy of chlorthalidone and hydrochlorothiazide in combination with amiloride in multiple doses on blood pressure in patients with primary hypertension: a protocol for a factorial randomized controlled trial.
Bottino, LG; Ferrari, F; Fuchs, FD; Fuchs, SC; Helal, L; Martins, VM, 2019
)
0.51
" Chlorthalidone and hydrochlorothiazide, in combination with amiloride in multiple doses, will be tested in terms of blood pressure lowering efficacy and safety."( Efficacy of chlorthalidone and hydrochlorothiazide in combination with amiloride in multiple doses on blood pressure in patients with primary hypertension: a protocol for a factorial randomized controlled trial.
Bottino, LG; Ferrari, F; Fuchs, FD; Fuchs, SC; Helal, L; Martins, VM, 2019
)
0.51
" The proposed methods were applied to two pharmaceutical formulations; the method for HCT and AMH has proven as reliable assaying method, whereas the method for TML, when combined with HCT, is applicable to screening semi-quantitative analyses."( Simultaneous spectrofluorometric analysis of tablets containing hydrochlorothiazide combined with timolol maleate or amiloride hydrochloride.
Lataifeh, A; Mohammed, MS; Wedian, F, 2020
)
0.56

Dosage Studied

ExcerptRelevanceReference
" This suggests that some were apparent non-responders due to too low dosing of atenolol rather than true non-responders."( Haemodynamic findings and response rates to beta-blocker--and diuretic monotherapy in mild and moderate hypertension. A one year randomized, double blind study in 100 men.
Erikssen, J; Froeland, G; Otterstad, JE; Saltvedt, E; Soeyland, AK, 1992
)
0.28
" After the increase in dosage blood pressure was lowered further."( Felodipine versus Moduretic. A double-blind parallel-group multicentre study.
Flygt, G; Krönig, B, 1987
)
0.27
" Patients either remained on this regimen for a further 8 weeks or, if their blood pressure was not controlled, dosage was increased to 2 tablets daily."( An open study to compare the efficacy and tolerability of two diuretic combinations, frusemide plus amiloride and hydrochlorothiazide plus amiloride, in patients with mild to moderate essential hypertension.
Allman, S; Backhouse, CI; Crawford, RJ; Platt, J, 1988
)
0.27
" Dosage was 2 tablets per day of the 5 mg amiloride plus 50 mg hydrochlorothiazide combination or of 50 mg hydrochlorothiazide alone."( Potassium conservation with amiloride/hydrochlorothiazide ("Moduret') in thiazide-induced hypokalaemia in hypertension.
Campbell, N; Fernandez, PG; Galway, AB; Gill, V; Granter-Button, S; Kim, BK; MacDonald, J; Sharma, JN; Snedden, W, 1982
)
0.26
" After 3 months the drug dosage was doubled if the systolic blood pressure goal (SBP < 160 mmHg and SBP reduction of at least 20 mmHg) had not been reached."( Antihypertensive efficacy and tolerability of different drug regimens in isolated systolic hypertension in the elderly.
Alli, C; Avanzini, F; Bettelli, G; Colombo, F; Corso, R; Mariotti, G; Radice, M; Tognoni, G; Torri, V, 1994
)
0.29
"Rapid, precise, accurate and specific ratio spectra derivative spectrophotometry and high-performance liquid chromatographic procedures were described for the simultaneous determination of hydrochlorothiazide and amiloride hydrochloride in combined pharmaceutical dosage forms."( Simultaneous determination of hydrochlorothiazide and amiloride hydrochloride by ratio spectra derivative spectrophotometry and high-performance liquid chromatography.
Erk, N; Kartal, M, 1999
)
0.3
[information is derived through text-mining from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Research

Studies (78)

TimeframeStudies, This Drug (%)All Drugs %
pre-199036 (46.15)18.7374
1990's24 (30.77)18.2507
2000's8 (10.26)29.6817
2010's7 (8.97)24.3611
2020's3 (3.85)2.80
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Market Indicators

Research Demand Index: 28.33

According to the monthly volume, diversity, and competition of internet searches for this compound, as well the volume and growth of publications, there is estimated to be moderate demand-to-supply ratio for research on this compound.

MetricThis Compound (vs All)
Research Demand Index28.33 (24.57)
Research Supply Index4.74 (2.92)
Research Growth Index4.44 (4.65)
Search Engine Demand Index34.37 (26.88)
Search Engine Supply Index2.00 (0.95)

This Compound (28.33)

All Compounds (24.57)

Study Types

Publication TypeThis drug (%)All Drugs (%)
Trials36 (46.15%)5.53%
Reviews2 (2.56%)6.00%
Case Studies14 (17.95%)4.05%
Observational0 (0.00%)0.25%
Other26 (33.33%)84.16%
[information is prepared from research data collected from National Library of Medicine (NLM), extracted Dec-2023]

Clinical Trials (2)

Trial Overview

TrialPhaseEnrollmentStudy TypeStart DateStatus
An Open-label, Randomized, Single-dose, Two-period Cross-over Study to Evaluate Bioequivalence of GSK3542503 Hydrochlorothiazide + Amiloride Hydrochloride 50 mg: 5 mg Fixed Dose Combination Tablets Versus Reference Product in Healthy Adult Participants Un [NCT03031496]Phase 142 participants (Actual)Interventional2017-03-17Completed
A Randomized, Placebo-Controlled, Double-Blind, Phase IIa Study of Amiloride in the Treatment of Acute Autoimmune Optic Neuritis [NCT01879527]Phase 278 participants (Anticipated)Interventional2014-03-31Recruiting
[information is prepared from clinicaltrials.gov, extracted Sep-2024]

Trial Outcomes

TrialOutcome
NCT03031496 (16) [back to overview]Alanine Aminotransferase (ALT), Alkaline Phosphatase (Alk.Phosph.) and Aspartate Aminotransferase (AST) Levels at Indicated Time Points
NCT03031496 (16) [back to overview]Area Under the Curve (AUC) From Time Zero to the Time of the Last Quantifiable Concentration (AUC [0-t]) of Hydrochlorothiazide and Amiloride Hydrochloride
NCT03031496 (16) [back to overview]AUC From Time Zero to Infinity (AUC[0-inf]) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma
NCT03031496 (16) [back to overview]Blood Urea Nitrogen (BUN) Levels at Indicated Time Points
NCT03031496 (16) [back to overview]Body Temperature Values at Indicated Time Points
NCT03031496 (16) [back to overview]Calcium, Chloride, Glucose, Magnesium, Potassium and Sodium Levels at Indicated Time Points
NCT03031496 (16) [back to overview]Creatinine, Direct Bilirubin and Total Bilirubin Levels at Indicated Time Points
NCT03031496 (16) [back to overview]Maximum Observed Concentration (Cmax) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma
NCT03031496 (16) [back to overview]Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs) During Treatment Period
NCT03031496 (16) [back to overview]Percentage of AUC(0-inf) Obtained by Extrapolation (Percent AUCex) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma
NCT03031496 (16) [back to overview]Pulse Rate Values at Indicated Time Points
NCT03031496 (16) [back to overview]Respiratory Rate Values at Indicated Time Points
NCT03031496 (16) [back to overview]Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Values at Indicated Time Points
NCT03031496 (16) [back to overview]Terminal Phase Half-life (T1/2) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma
NCT03031496 (16) [back to overview]Time of Occurrence of Cmax (Tmax) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma
NCT03031496 (16) [back to overview]Total Protein Levels at Indicated Time Points

Alanine Aminotransferase (ALT), Alkaline Phosphatase (Alk.Phosph.) and Aspartate Aminotransferase (AST) Levels at Indicated Time Points

Serum ALT, alk. phosph. and AST levels were assessed as a clinical chemistry laboratory parameter at Day -1 and Day 3 in each treatment period. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionUnit per liter (U/L) (Mean)
ALT;Period 1 (P1);Day -1;24 hour pre-dose;n=21,21ALT; P1; Day 3; 48 hour post-dose; n= 21,20ALT; P2; Day -1; 24 hour pre-dose; n= 19,19ALT; P2; Day 3; 48 hour post-dose; n= 19, 19Alk.phosph.; P1; Day -1; 24 hour pre-dose; n=21,21Alk.phosph.; P1; Day 3; 48 hour post-dose; n=21,20Alk.phosph.; P2; Day -1; 24 hour pre-dose; n=19,19Alk.phosph.; P2; Day 3; 48 hour post-dose; n=19,19AST; P1; Day -1; 24 hour pre-dose; n=21, 21AST; P1; Day 3; 48 hour post-dose; n=21, 20AST; P2; Day -1; 24 hour pre-dose; n=19, 19AST; P2; Day 3; 48 hour post-dose; n=19, 19
Treatment A19.815.915.815.867.567.165.166.821.917.521.619.9
Treatment B16.614.117.616.971.169.963.665.220.117.821.118.4

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Area Under the Curve (AUC) From Time Zero to the Time of the Last Quantifiable Concentration (AUC [0-t]) of Hydrochlorothiazide and Amiloride Hydrochloride

Blood samples were collected at indicated time points under fasting conditions for pharmacokinetic (PK) analysis of hydrochlorothiazide and amiloride. Bioequivalence of test product and reference product was assessed based on the 90 percent confidence intervals (CIs) for estimates of the geometric mean ratios between the AUC (0-t) of the test and reference products in relation to the conventional bioequivalence range. An analysis of variance was used with sequence, subject (sequence), treatment and period as fixed effects. (NCT03031496)
Timeframe: Pre-dose, 0.33, 0.67, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0, 8.0, 10, 12,14, 16 hours post-dose on Day 1, 24 and 36 hours post dose on Day 2 and 48 hours post-dose on Day 3

,
InterventionHour x nanograms/milliliter (h*ng/mL) (Geometric Mean)
HydrochlorothiazideAmiloride
Treatment A216096.3
Treatment B236094.1

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AUC From Time Zero to Infinity (AUC[0-inf]) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma

Blood samples were collected at indicated time points under fasting conditions for PK analysis of hydrochlorothiazide and amiloride. Bioequivalence of test product and reference product was assessed based on the 90 percent CIs for estimates of the geometric mean ratios between the AUC (0-inf) of the test and reference products in relation to the conventional bioequivalence range. An analysis of variance was used with sequence, subject (sequence), treatment and period as fixed effects. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles). (NCT03031496)
Timeframe: Pre-dose, 0.33, 0.67, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0, 8.0, 10, 12,14, 16 hours post-dose on Day 1, 24 and 36 hours post dose on Day 2 and 48 hours post-dose on Day 3

,
Interventionh*ng/mL (Geometric Mean)
Hydrochlorothiazide; n= 37, 38Amiloride; n= 22, 22
Treatment A2310117
Treatment B2490112

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Blood Urea Nitrogen (BUN) Levels at Indicated Time Points

Serum BUN levels were assessed as a clinical chemistry laboratory parameter at Day -1 and Day 3 in each treatment period. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionMilligrams per deciliter (mg/dL) (Mean)
P1; Day-1; 24 hour pre-dose; n=21, 21P1; Day 3; 48 hour post-dose; n=21, 20P2; Day -1; 24 hour pre-dose; n=19, 19P2; Day 3; 48 hour post-dose; n=19, 19
Treatment A12.51914.97012.18516.372
Treatment B12.70215.59312.16415.208

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Body Temperature Values at Indicated Time Points

Vital sign measurements including body temperature were taken in a supine position after at least 5 minutes of rest at Day -1, Day 1, Day 2 and Day 3 in each treatment period. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionDegree Celsius (Mean)
P1; Day-1; 12 hour pre-dose; n= 21, 21P1; Day1; 1 hour post-dose; n= 21, 21P1; Day1; 1.5 hour post-dose; n= 21, 21P1; Day1; 2 hour post-dose; n= 21, 21P1; Day1; 4 hour post-dose; n= 21, 21P1; Day1; 6 hour post-dose; n= 21, 21P1; Day1; 8 hour post-dose; n= 21, 21P1; Day2; 24 hour post-dose; n= 21, 21P1; Day3; 48 hour post-dose; n= 21, 20P2; Day-1; 12 hour pre-dose; n= 19, 19P2; Day1; 1 hour post-dose; n= 19, 19P2; Day1; 1.5 hour post-dose; n= 19, 19P2; Day1; 2 hour post-dose; n= 19, 19P2; Day1; 4 hour post-dose; n= 19, 19P2; Day1; 6 hour post-dose; n= 19, 19P2; Day1; 8 hour post-dose; n= 19, 19P2; Day2; 24 hour post-dose; n= 19, 19P2; Day3; 48 hour post-dose; n= 18, 19
Treatment A36.4236.4436.0636.4236.4536.5936.6436.2836.2636.4136.2836.0636.4136.5336.5936.6436.1536.08
Treatment B36.4336.4036.0536.3836.4636.6136.7536.3036.2836.3436.2436.1936.3836.4436.5736.6536.1736.28

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Calcium, Chloride, Glucose, Magnesium, Potassium and Sodium Levels at Indicated Time Points

Serum calcium, chloride, glucose, magnesium, potassium and sodium levels were assessed as a clinical chemistry laboratory parameter at Day -1 and Day 3 in each treatment period. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionMillimoles per liter (Mmol/L) (Mean)
Calcium; P1; Day-1; 24 hour pre-dose; n= 21, 21Calcium; P1; Day 3; 48 hour post-dose; n= 21, 20Calcium; P2; Day-1; 24 hour pre-dose; n= 19, 19Calcium; P2; Day 3; 48 hour post-dose; n= 19, 19Chloride; P1; Day-1; 24 hour pre-dose; n= 21, 21Chloride; P1; Day 3; 48 hour post-dose; n= 21, 20Chloride; P2; Day-1; 24 hour pre-dose; n= 19, 19Chloride; P2; Day 3; 48 hour post-dose; n= 19, 19Glucose; P1; Day-1; 24 hour pre-dose; n= 21, 20Glucose; P1; Day 3; 48 hour post-dose; n= 21, 20Glucose; P2; Day-1; 24 hour pre-dose; n= 19, 19Glucose; P2; Day 3; 48 hour post-dose; n= 19, 19Magnesium; P1; Day-1; 24 hour pre-dose; n= 21, 21Magnesium; P1; Day 3; 48 hour post-dose; n= 21, 20Magnesium; P2; Day-1; 24 hour pre-dose; n= 19, 19Magnesium; P2; Day 3; 48 hour post-dose; n= 19, 19Potassium; P1; Day-1; 24 hour pre-dose; n= 21, 21Potassium; P1; Day 3; 48 hour post-dose; n= 21, 20Potassium; P2; Day-1; 24 hour pre-dose; n= 19, 19Potassium; P2; Day 3; 48 hour post-dose; n= 19, 19Sodium; P1; Day-1; 24 hour pre-dose; n= 21, 21Sodium; P1; Day 3; 48 hour post-dose; n= 21, 20Sodium; P2; Day-1; 24 hour pre-dose; n= 19, 19Sodium; P2; Day 3; 48 hour post-dose; n= 19, 19
Treatment A2.4002.3962.3742.415104.80103.27104.36102.624.7465.0064.7544.6520.7820.7810.8260.8214.2874.3034.3004.364140.86138.90140.11139.11
Treatment B2.4182.3932.3352.379103.62102.63104.85103.494.6434.8274.7654.7320.8010.8040.8050.7834.2944.2224.2254.336140.67139.25139.68139.11

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Creatinine, Direct Bilirubin and Total Bilirubin Levels at Indicated Time Points

Serum creatinine, direct bilirubin and total bilirubin levels were assessed as a clinical chemistry laboratory parameter at Day -1 and Day 3 in each treatment period. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionMicromoles per liter (µmol/L) (Mean)
Creatinine; P1; Day-1; 24 hour pre-dose; n= 21, 21Creatinine; P1; Day3; 48 hour post-dose; n= 21, 20Creatinine; P2; Day-1; 24 hour pre-dose; n= 19, 19Creatinine; P2; Day3; 48 hour post-dose; n= 19, 19Direct bilirubin;P1;Day-1;24 hour pre-dose;n=21,21Direct bilirubin;P1;Day3;48 hour post-dose;n=21,20Direct bilirubin;P2;Day-1;24 hour pre-dose;n=19,19Direct bilirubin;P2;Day3;48 hour post-dose;n=19,19Total bilirubin;P1;Day-1;24 hour pre-dose;n=21,21Total bilirubin;P1;Day3;48 hour post-dose;n=21,20Total bilirubin;P2;Day-1;24 hour pre-dose;n=19,19Total bilirubin;P2;Day3;48 hour post-dose;n=19,19
Treatment A85.287.082.185.64.253.203.943.7712.109.4010.6110.83
Treatment B85.087.382.588.74.523.723.643.1413.4810.8010.088.67

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Maximum Observed Concentration (Cmax) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma

Blood samples were collected at indicated time points under fasting conditions for pharmacokinetic (PK) analysis of hydrochlorothiazide and amiloride. Bioequivalence of test product and reference product was assessed based on the 90 percent CIs for estimates of the geometric mean ratios between the Cmax of the test and reference products in relation to the conventional bioequivalence range. An analysis of variance was used with sequence, subject (sequence), treatment and period as fixed effects. (NCT03031496)
Timeframe: Pre-dose, 0.33, 0.67, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0, 8.0, 10, 12,14, 16 hours post-dose on Day 1, 24 and 36 hours post dose on Day 2 and 48 hours post-dose on Day 3

,
Interventionng/mL (Geometric Mean)
HydrochlorothiazideAmiloride
Treatment A3129.27
Treatment B3778.92

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Number of Participants With Adverse Events (AEs) and Serious AEs (SAEs) During Treatment Period

An AE is any untoward medical occurrence in a clinical investigation participant, temporally associated with the use of a medicinal product, whether or not considered related to the medicinal product. SAE is defined as any untoward medical occurrence that, at any dose results in death, is life threatening requires hospitalization or prolongation of existing hospitalization, results in disability, is a congenital anomaly/ birth effect, other situations and is associated with liver injury or impaired liver function. Only those participants with data available at the specified time points were analyzed (NCT03031496)
Timeframe: Up to 25 days

,
InterventionParticipants (Number)
AEsSAEs
Treatment A50
Treatment B80

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Percentage of AUC(0-inf) Obtained by Extrapolation (Percent AUCex) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma

Blood samples were collected at indicated time points under fasting conditions for PK analysis of hydrochlorothiazide and amiloride. Bioequivalence of test product and reference product was assessed based on the 90 percent CIs for estimates of the geometric mean ratios between percent AUCex of the test and reference products in relation to the conventional bioequivalence range. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles). (NCT03031496)
Timeframe: Pre-dose, 0.33, 0.67, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0, 8.0, 10, 12,14, 16 hours post-dose on Day 1, 24 and 36 hours post dose on Day 2 and 48 hours post-dose on Day 3

,
InterventionPercent of area (Geometric Mean)
Hydrochlorothiazide; n= 37, 38Amiloride; n= 22, 22
Treatment A5.249.68
Treatment B4.6310.7

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Pulse Rate Values at Indicated Time Points

Vital sign measurements including pulse rate were taken in a supine position after at least 5 minutes of rest at Day -1, Day 1, Day 2 and Day 3 in each treatment period. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionBeats per minute (bpm) (Mean)
P1; Day-1; 12 hour pre-dose; n= 21, 21P1; Day1; 1 hour post-dose; n= 21, 21P1; Day1; 1.5 hour post-dose; n= 21, 21P1; Day1; 2 hour post-dose; n= 21, 21P1; Day1; 4 hour post-dose; n= 21, 21P1; Day1; 6 hour post-dose; n= 21, 21P1; Day1; 8 hour post-dose; n= 21, 21P1; Day2; 24 hour post-dose; n= 21, 21P1; Day3; 48 hour post-dose; n= 21, 20P2; Day-1; 12 hour pre-dose; n= 19, 19P2; Day1; 1 hour post-dose; n= 19, 19P2; Day1; 1.5 hour post-dose; n= 19, 19P2; Day1; 2 hour post-dose; n= 19, 19P2; Day1; 4 hour post-dose; n= 19, 19P2; Day1; 6 hour post-dose; n= 19, 19P2; Day1; 8 hour post-dose; n= 19, 19P2; Day2; 24 hour post-dose; n= 19, 19P2; Day3; 48 hour post-dose; n= 18, 19
Treatment A66.961.862.561.764.171.566.069.071.465.262.561.560.762.472.968.269.070.3
Treatment B64.762.060.960.762.570.867.868.673.065.260.162.859.262.771.466.268.873.4

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Respiratory Rate Values at Indicated Time Points

Vital sign measurements including respiratory rate were taken in a supine position after at least 5 minutes of rest at Day -1, Day 1, Day 2 and Day 3 in each treatment period. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionBreaths per minute (Mean)
P1; Day-1; 12 hour pre-dose; n= 21, 21P1; Day1; 1 hour post-dose; n= 21, 21P1; Day1; 1.5 hour post-dose; n= 21, 21P1; Day1; 2 hour post-dose; n= 21, 21P1; Day1; 4 hour post-dose; n= 21, 21P1; Day1; 6 hour post-dose; n= 21, 21P1; Day1; 8 hour post-dose; n= 21, 21P1; Day2; 24 hour post-dose; n= 21, 21P1; Day3; 48 hour post-dose; n= 21, 20P2; Day-1; 12 hour pre-dose; n= 19, 19P2; Day1; 1 hour post-dose; n= 19, 19P2; Day1; 1.5 hour post-dose; n= 19, 19P2; Day1; 2 hour post-dose; n= 19, 19P2; Day1; 4 hour post-dose; n= 19, 19P2; Day1; 6 hour post-dose; n= 19, 19P2; Day1; 8 hour post-dose; n= 19, 19P2; Day2; 24 hour post-dose; n= 19, 19P2; Day3; 48 hour post-dose; n= 18, 19
Treatment A16.516.316.717.016.917.216.918.217.117.917.715.818.017.917.218.717.518.4
Treatment B17.017.017.917.517.018.418.218.017.717.217.916.317.317.418.318.217.617.2

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Systolic Blood Pressure (SBP) and Diastolic Blood Pressure (DBP) Values at Indicated Time Points

Vital sign measurements including SBP and DBP were taken in a supine position after at least 5 minutes of rest at Day -1, Day 1, Day 2 and Day 3 in each treatment period. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionMillimeters of mercury (mmHg) (Mean)
SBP; P1; Day-1; 12 hour pre-dose; n=21,21SBP; P1; Day1; 1 hour post-dose; n= 21, 21SBP; P1; Day1; 1.5 hour pre-dose; n= 21, 21SBP; P1; Day1; 2 hour post-dose; n= 21, 21SBP: P1; Day1; 4 hour post-dose; n= 21, 21SBP; P1; Day1; 6 hour post-dose; n= 21, 21SBP; P1; Day1; 8 hour post-dose; n= 21, 21SBP; P1; Day2; 24 hour post-dose; n= 21, 21SBP; P1; Day3; 48 hour post-dose; n= 21, 20SBP; P2; Day-1; 12 hour pre-dose; n= 19, 19SBP; P2; Day1; 1 hour post-dose; n= 19, 19SBP; P2; Day1; 1.5 hour post-dose; n= 19, 19SBP; P2; Day1; 2 hour post-dose; n= 19, 19SBP: P2; Day1; 4 hour post-dose; n= 19, 19SBP: P2; Day1; 6 hour post-dose; n= 19, 19SBP: P2; Day1; 8 hour post-dose; n= 19, 19SBP: P2; Day2; 24 hour post-dose; n= 19, 19SBP; P2; Day3; 48 hour post-dose; n= 18, 19DBP; P1; Day-1; 12 hour pre-dose; n= 21, 21DBP; P1; Day1; 1 hour post-dose; n= 21, 21DBP: P1; Day1; 1.5 hour post-dose; n= 21, 21DBP; P1; Day1; 2 hour post-dose; n= 21, 21DBP: P1; Day1; 4 hour post-dose; n= 21, 21DBP; P1; Day1; 6 hour post-dose; n= 21, 21DBP; P1; Day1; 8 hour post-dose; n= 21, 21DBP: P1; Day2; 24 hour post-dose; n= 21, 21DBP: P1; Day3; 48 hour post-dose; n= 21, 20DBP; P2; Day-1; 12 hour post-dose; n= 19, 19DBP; P2; Day1; 1 hour post-dose; n= 19, 19DBP; P2; Day1; 1.5 hour post-dose; n= 19, 19DBP; P2; Day1; 2 hour post-dose; n= 19, 19DBP; P2; Day1; 4 hour post-dose; n= 19, 19DBP: P2; Day1; 6 hour post-dose; n= 19, 19DBP; P2; Day1; 8 hour post-dose; n= 19, 19DBP: P2; Day2; 24 hour post-dose; n= 19, 19DBP: P2; Day3; 48 hour post-dose; n= 18, 19
Treatment A115.9112.8111.5113.3112.5110.9113.0111.4114.5113.8110.0108.9109.6109.5108.5109.8109.1112.965.463.764.063.464.861.463.064.967.363.163.961.162.562.859.461.162.965.9
Treatment B115.8111.6110.8112.6114.0113.0111.8110.5113.8116.2113.7112.2113.8113.5112.4111.5110.6116.564.963.563.965.764.462.763.764.266.065.864.163.465.365.361.562.964.467.2

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Terminal Phase Half-life (T1/2) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma

Blood samples were collected at indicated time points under fasting conditions for PK analysis of hydrochlorothiazide and amiloride. Only those participants with data available at the specified data points were analyzed (represented by n= X in the category titles). (NCT03031496)
Timeframe: Pre-dose, 0.33, 0.67, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0, 8.0, 10, 12,14, 16 hours post-dose on Day 1, 24 and 36 hours post dose on Day 2 and 48 hours post-dose on Day 3

,
InterventionHour (Median)
Hydrochlorothiazide; n= 37, 38Amiloride; n= 22, 22
Treatment A12.415.2
Treatment B11.316.6

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Time of Occurrence of Cmax (Tmax) of Hydrochlorothiazide and Amiloride Hydrochloride in Plasma

Blood samples were collected at indicated time points under fasting conditions for PK analysis of hydrochlorothiazide and amiloride. Median and full range has been presented. (NCT03031496)
Timeframe: Pre-dose, 0.33, 0.67, 1.0, 1.5, 2.0, 2.5, 3.0, 3.5, 4.0, 4.5, 5.0, 6.0, 7.0, 8.0, 10, 12,14, 16 hours post-dose on Day 1, 24 and 36 hours post dose on Day 2 and 48 hours post-dose on Day 3

,
InterventionHour (Median)
HydrochlorothiazideAmiloride
Treatment A2.5052.507
Treatment B1.5092.508

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Total Protein Levels at Indicated Time Points

Serum total protein levels were assessed as a clinical chemistry laboratory parameter at Day -1 and Day 3 in each treatment period. Only those participants available at the specified time points were analyzed (represented by n=X in the category titles). (NCT03031496)
Timeframe: Day -1 and Day 3 of each treatment period

,
InterventionGrams per liter (g/L) (Mean)
P1; Day-1; 24 hours pre-dose; n= 21, 21P1; Day 3; 48 hours post-dose; n= 21, 20P2; Day-1; 24 hours pre-dose; n= 19, 19P2; Day 3; 48 hours post-dose; n= 19, 19
Treatment A74.0874.5371.2973.56
Treatment B76.0674.9970.0672.33

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