Accumulation [Software]

posted by Helmut Homepage – Vienna, Austria, 2017-01-18 03:22 (2649 d 14:11 ago) – Posting: # 16970
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Hi BE-proff,

❝ ❝ Most people are happy with 5×t½ (96.88% of steady state) whilst others are more strict (7×t½ 98.44%, 10×t½ 99.38%

❝ Did you get this information from literature or these figures are your own observations?


We discussed that already, right?

❝ One more question - how would you check if steady state has been reached? :confused:


There are some fancy methods (MANOVA, regression of the pre-dose concentrations and testing whether the slope ≠ 0, Hotelling’s T2; see this thread). None of them are really good. Luckily regulators realized that recently and are generally satisfied with:
  1. A justification of the dosing regimen in the study (e.g., EMA: saturation ≥5t½) based on the (average?) half-life reported in the literature.
    • AFAIK, only in Taiwan and China estimation of t½ in the study is required. Since – especially for MR products – this might be difficult within the dosing interval (flat profile) these poor guys have to sample beyond τ.
  2. A table and plots of ≥3 pre-dose concentrations in the saturation phase.
You can also use the quick & dirty method from below: % of steady state = 100×Cpre-dose/Cτ. Please, don’t ask me for a reference!

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