hiren379
★    

India,
2012-05-02 10:39
(5152 d 20:32 ago)

Posting: # 8486
Views: 5,034
 

 EMEA Widening of acceptance limit [Regulatives / Guidelines]

Hello friends,
EMEA states below
"Those HVDP for which a wider difference in Cmax is considered clinically irrelevant based on a sound clinical justification can be assessed with a widened acceptance range."

Is it necessary to give the justification a priori in the protocol for no relevance of wider difference in Cmax. :confused:
Dr_Dan
★★  

Germany,
2012-05-02 11:28
(5152 d 19:43 ago)

@ hiren379
Posting: # 8487
Views: 4,118
 

 EMEA Widening of acceptance limit

Dear hiren379
IMHO you just have to point out in the protocol that the drug has no narrow therapeutic window and that a slightly higher variability of Cmax will not raise any safety concerns. This should be sufficient to allow the ethics committee to assess the study design and the planned evaluation of the results in order to give their approval.
Kind regards
Dan

Kind regards and have a nice day
Dr_Dan
hiren379
★    

India,
2012-05-10 12:37
(5144 d 18:34 ago)

@ Dr_Dan
Posting: # 8551
Views: 3,999
 

 EMEA Widening of acceptance limit

Thank you for your reply but should it be just stated or regulatory requires a strong back up justification (Clinical study) for the same.
akinapally
☆    

2012-05-10 15:22
(5144 d 15:48 ago)

@ hiren379
Posting: # 8552
Views: 4,052
 

 EMEA Widening of acceptance limit

Dear this below mentioned link may be give answer of your query

http://www.eufeps.org/document/bonn09011415_presentations/Brown_David.pdf
mittyri
★★  

Russia,
2015-02-03 14:16
(4145 d 15:55 ago)

@ Dr_Dan
Posting: # 14363
Views: 3,207
 

 EMEA Widening of acceptance limit

Dear Dr.Dan & All,

I apologize for leveling up so old thread, but I didn't find any additional topics.

❝ IMHO you just have to point out in the protocol that the drug has no narrow therapeutic window and that a slightly higher variability of Cmax will not raise any safety concerns.

Is it really enough as sound clinical justification? It doesn't look so...
Can someone help with additional requirements or examples?

PS: The link to the presentation above is broken :-(

Kind regards,
Mittyri
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