Answer machine [RSABE / ABEL]

posted by d_labes  – Berlin, Germany, 2012-10-09 17:15 (4992 d 11:10 ago) – Posting: # 9357
Views: 17,606

Dear Helmut!

❝ Oh no! What will you answer? Maybe this post helps. Seems that (some) regulators are not aware about the consequences of (acceptable!) limitations of analytical methods (20% inaccuracy, 20% imprecision at the LLOQ) and take results as set in stone. ...


My answer is somefink like (may be it helps others):
The concentration time points selected for calculation of the terminal rate constant (lambdaZ) are chosen by visual inspection as recommended in the literature. :-D
The last concentration of the questioned terminal rate constant calculations does not fit the linear part of the concentration time curves (in log-linear plot). This behaviour is sometimes common if the concentrations are in the range of the LLOQ. To not grossly overestimate the terminal half-life in such cases it is recommended to leave out such measurement points. See for instance the book
Hauschke, Steinijans, Pigeot
"Bioequivalence Studies in Drug Development"
Wiley, Chichester (2007)
Chapter 2 “Metrics to characterize concentration-time profiles in single- and multiple-dose bioequivalence studies” especially Fig. 2.3

:blahblah:

On the other hand the reliable estimation of the terminal rate constant which is needed for a reliable estimate of AUC(0-inf) has the one and only purpose to assure that the observation time is long enough for ensuring that AUC(0-tlast) covers at least 80% of the AUC(0-inf) (or the other way round that the residual area AUC(tlast-inf) is <=20% of AUC(0-inf)).

AUC(0-inf) in itself is not a primary endpoint on which the bioequivalence decision will be based (not according to the EMA guidance and also not according to the Study protocol). The bioequivalence decision taken in the Study Report is thus in no way affected by the way of calculation of the terminal rate constant.

Regards,

Detlew

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