First Time Cmax [Study Per­for­mance]

posted by Helmut Homepage – Vienna, Austria, 2007-11-09 18:27 (6787 d 13:01 ago) – Posting: # 1293
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Dear Tarak!

❝ 1. if it is a IR product, Tmax-12min, and T1/2 - 1hr, then what?


Wow! Tmax 12 minutes, the perfect analgesic!
It will be quite challenging to avoid FDA's http://www.fda.gov/cder/guidance/5356fnl.pdf First Point Cmax-problem (see Section VI.D). Sample as frequently as possible…

In order to avoid bias in the calculation of AUC consider method 9 by

RD Purves
Optimum Numerical Integration Methods for Estimation of Area-Under-the-Curve (AUC) and Area-under-the-Moment-Curve (AUMC)
J Pharmacokin Biopharm 20/3, 211–26 (1992)


Unfortunately this algorithm is not implemented in standard PK software; you would have to write your own routines – which is not very complicated anyhow.

❝ 2. if deviation of blood collection is more than 5%, then should we continue the 2nd period?, if yes then should we collect the blood as per actual time point or schedule time?


Continue in any case; but be prepared to report the reason for the deviation(s) in detail.
Collection in the second period should be performed at the scheduled time; otherwise with such a short half life sampling at actual time points of period I for every subject you will end up in some kind of logistic chaos in period II.


Edit: Link corrected to latest archived copy. [Helmut]

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