Revise BE study protocol: CDSCO Panel tells Akum Pharma on FDC of Chlorthalidone, Cilnidipine, Bisoprolol film-coated tablet

New Delhi: Citing that individual and innovators’ products should be taken as a reference product in the proposed bioequivalence study protocol, the Subject Expert Committee (SEC) functional under the Central Drug Standard Control Organisation (CDSCO) has opined the drug major Akum Pharmaceutical to revise the bioequivalence (BE) study protocol for Chlorthalidone IP 6.25mg plus Cilnidipine IP 5mg plus Bisoprolol Fumarate IP 5mg film-coated tablet.

This came after Akum Pharmaceutical presented the proposal along with the BE study protocol before the committee.

Chlorthalidone is a diuretic used to treat hypertension or edema caused by heart failure, renal failure, hepatic cirrhosis, estrogen therapy, and other conditions.

Chlorthalidone is a thiazide-like diuretic used for the treatment of hypertension and the management of edema caused by conditions such as heart failure or renal impairment. Chlorthalidone improves blood pressure and swelling by preventing water absorption from the kidneys through inhibition of the Na+/Cl− symporter in the distal convoluted tubule cells in the kidney.

Cilnidipine is a dihydropyridine calcium channel blocker with action on both N- and L-type calcium channels used to treat hypertension.

Cilnidipine acts on the L-type calcium channels of blood vessels by blocking the incoming calcium and suppressing the contraction of blood vessels, thereby reducing blood pressure. Cilnidipine also works on the N-type calcium channel located at the end of the sympathetic nerve, inhibiting the emission of norepinephrine and suppressing the increase in stress blood pressure.

Bisoprolol is a cardioselective β1-adrenergic blocking agent used to treat high blood pressure. It is considered a potent drug with a long half-life that can be used once daily to reduce the need for multiple doses of antihypertensive drugs.

Bisoprolol is indicated for the treatment of mild to moderate hypertension. It may be used off-label to treat heart failure, atrial fibrillation, and angina pectoris.

At the recent SEC meeting for Cardiovascular and Renal on 6th and 7th December 2023, the expert panel reviewed the proposal along with the BE study protocol of the Chlorthalidone plus Cilnidipine plus Bisoprolol Fumarate film-coated tablet which was presented by the drug major Akum Pharmaceutical.
After detailed deliberation, the committee recommended that the BE protocol be revised. Furthermore, the expert panel suggested that the individual and innovators’ products should be taken as a reference product in the proposed BE study protocol.
Accordingly, the committee stated that the revised BE study protocol should be submitted to CDSCO for review by the committee.
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