This is a randomized, open-label, single-dose, period-balanced, three-period crossover study
conducted in healthy subjects designed to evaluate whether the absorption of the FDC
formulation is affected by the ingestion of a high fat meal or is altered when taken in a
- Healthy volunteer Adult males and females of non-child bearing potential who are
between 18 to 55 years of age, inclusively
- Body weight > 60 kg (132 lbs) and body mass index (BMI) between 19 and 33
- Any clinically relevant abnormality identified on the screening history, physical or
laboratory examination, or any other medical condition or circumstance making the
volunteer unsuitable for participation in the study.
- Subjects who metabolize carvedilol poorly based on CYP2D6 genotyping as determined at
- Treatment with any prescription or non-prescription drugs (including vitamins, herbal
and dietary supplements, as well as grapefruit-containing products) within 7 days or
5 half-lives (whichever is longer) prior to first dose of study medication and until
the end of the study. Treatment with any CYP2D6 inhibitors such as but not limited
to quinidine, fluoxetine, paroxetine, duloxetine, and terbinofine at least 14 days or
5 half-lives (whichever is longer) prior to Day 1 of Session 1 and until the end of
- Treatment with an investigational drug within 30 days or 5 half-lives (whichever is
longer) preceding Day 1 of Session 1
- Exposure to more than four new chemical entities within 12 months prior to the first
- History of regular alcohol consumption exceeding 7 drinks/week for women or 14
drinks/week for men (1 drink = 5 ounces of wine or 12 ounces of beer or 1.5 ounces of
hard liquor) within 6 months of screening.
- Positive urine drug screen (UDS) including alcohol at screening. A minimum list of
drugs that will be screened for include amphetamines, barbiturates, cocaine, opiates,
cannabinoids and benzodiazepines.
- Urine Na/creatinine ratio < 0.08 meq/mg.
- Positive for Hepatitis B surface antigen, or HIV.
- Women of child-bearing potential.
- NOTE: Pre-menopausal females with a documented tubal ligation or hysterectomy are
eligible. Postmenopausal females are eligible, defined as 12 months of spontaneous
amenorrhea (in questionable cases a blood sample with simultaneous follicle
stimulating hormone (FSH) > 40 MlU/ml and estradiol < 40 pg/ml (<140 pmol/L) is
- Resting heart rate of ≤ 50 beats per minute (bpm) at screening.
- Any of the following abnormalities on 12-lead ECG during screening:
- conduction abnormalities denoted by any of the following:
- PR interval < 120 msec or > 200 msec
- non-specific IVCD (intra-ventricular conduction delay) with QRS duration ≥ 110
msec and where the morphology does NOT meet criteria for left (LBBB) or right
bundle branch block (RBBB)
- incomplete RBBB as defined by QRS duration ≥100 msec but < 120 msec with RBBB
- Complete RBBB or LBBB
- evidence of second- or third- degree AV block
- pathological Q-waves (Q-wave wider than 0.04 sec or depth greater than 0.4-0.5
- evidence of ventricular pre-excitation
- evidence of left axis deviation (left axis deviation is -30 to -90 degrees) but
not normal leftward axis, ST-T wave abnormalities, left bundle branch block
and/or right bundle branch block
- QTcB interval > 450 msec
- Documented history of low blood pressure (average SBP ≤ 110 mm Hg and/or DBP ≤ 50 mm
Hg) or blood pressure below these values at time of screening.
- Orthostatic hypotension diagnosed at screening (orthostatic hypotension will be
defined as a reduction in systolic blood pressure of 20 mmHg or more and/or a
reduction in diastolic blood pressure of 10 mmHg or more for standing vs. supine
- Donation of blood in excess of 500 mL within a 56-day period including the estimated
442 mL of blood to be drawn during this study.
- History of asthma, COPD and/or hypersensitivity to β-adrenergic blocking agents.
- History of sensitivity to heparin, heparin-induced thrombocytopenia, or sensitivity
to any of the study medications or components thereof.
- History of anaphylaxis or anaphalactoid reactions or severe allergic responses to
- History of angioedema.
- History of sensitivity to carvedilol, lisinopril, alpha-blockers, beta-blockers or
- Unwillingness or inability to follow the procedures outlined in the protocol or
inability to provide written informed consent.