Omeprazole [Design Issues]

posted by Helmut Homepage – Vienna, Austria, 2012-05-15 21:00 (5139 d 23:57 ago) – Posting: # 8572
Views: 12,110

Dear Dr. Gunarsakaran,

THX for digging out these PARs. Always interesting reading matter. ;-)

Public Assessment Report 1 Omeprazol “Copyfarm” Omeprazole


“The primary pharmacokinetic variables evaluated for single dose studies were AUC0-t and Cmax and for steady state, AUCτ and Cmax. Bioequivalence was determined based on limits of 80-125% for AUC and 70-143% for Cmax.
Based on the pharmacokinetic parameters of omeprazole, it can be concluded that Omeprazol “Copyfarm” and Losec/Antra tablets from AstraZeneca are bioequivalent with respect to rate and extent of absorption, and fulfil the bioequivalence requirements outlined in the relevant CHMP Note for Guidance.”
(my emphasis)

The 2001 NfG stated:

In certain cases a wider interval may be acceptable. The interval must be prospectively defined e.g. 0.75-1.33 and justified addressing in particular any safety or efficacy concerns for patients switched between formulations.

(my emphasis again)
The 2006 Q&A document stated:

The possibility offered here by the guideline to widen the acceptance range of 0.80 – 1.25 for the ratio of Cmax (not for AUC) should be considered exceptional and limited to a small widening (0.75 − 1.33).

… applicable only if CVWR >30% was demonstrated in a replicate design study.

The upper CLs of Cmax were 137% (10mg, fasting, MD), 142% (20mg, fed, SD), 135% (20mg, fasting, MD). It’s good to see that – even in Denmark – assessors didn’t take guidelines literally.* BTW, in the only replicate design study (20mg, fasting, SD) CVintra of Cmax was 45%.



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