Ken Peh
★    

Malaysia,
2014-04-13 06:41
(3664 d 10:53 ago)

Posting: # 12826
Views: 2,871
 

 Way to write for inclusion criteria [Regulatives / Guidelines]

Dear All,

Would appreciate your input.

An example on inclusion criteria.
  1. Healthy subjects, 18-55 years of age.
  2. Healthy male and female subjects, 18-55 years of age.
In (I), either sexes or both sexes can be used. In the event that we are not able to recruit or enroll female subjects, we can enroll 100% male subjects and the study can still proceed.

In (II), both male and female must be recruited and enrolled.

What should be the right approach ? Is it essential to provide detailed information in BE study protocol ? If we only recruit male subjects, we need to write healthy male subjects ? :confused:

Thank you.

Regards,
Ken


Please don’t write “RE: ” in the subject line; removed. [Helmut]
ElMaestro
★★★

Denmark,
2014-04-13 11:52
(3664 d 05:43 ago)

@ Ken Peh
Posting: # 12829
Views: 2,563
 

 Way to write for inclusion criteria

Hi Ken Peh,

❝  I. Healthy subjects, 18-55 years of age.

❝ II. Healthy male and female subjects, 18-55 years of age.


❝ In (I), either sexes or both sexes can be used. In the event that we are not able to recruit or enroll female subjects, we can enroll 100% male subjects and the study can still proceed.

❝ What should be the right approach ? (...) If we only recruit male subjects, we need to write healthy male subjects ? :confused:


I think this is a technicality. If you manage only to enroll males then I guess both (I) and (II) can be considered fulfilled (perhaps I'd write male or female subjects in (II)). For an ordinary product which is not linked to any sex I can't imagine this issue will stand in your way, to be honest.

Pass or fail!
ElMaestro
Ohlbe
★★★

France,
2014-04-13 14:31
(3664 d 03:04 ago)

@ Ken Peh
Posting: # 12830
Views: 2,535
 

 Way to write for inclusion criteria

Dear Ken,

If you plan to only have male subjects in the study, I think you should write it clearly in the protocol.

❝ In (II), both male and female must be recruited and enrolled.


Yes, I think it could be interpreted that way. If the study is for FDA submission that's what they would expect anyway. In the EU male-only studies are accepted (and actually common practice).

❝  I. Healthy subjects, 18-55 years of age.


May be safer if you're not sure to be able to get females too.

Regards
Ohlbe
Ken Peh
★    

Malaysia,
2014-04-14 08:12
(3663 d 09:22 ago)

@ Ohlbe
Posting: # 12831
Views: 2,502
 

 Way to write for inclusion criteria

Dear Ohlbe,

Thank you for your input.

❝ Yes, I think it could be interpreted that way. If the study is for FDA submission that's what they would expect anyway. In the EU male-only studies are accepted (and actually common practice).


Do you mean FDA enforces the use of both sexes in BE studies ?
Our local regulatory agency raised this question. We were asked why used only male subjects as FDA states that both male and female can be used in the study. Our reason given is similar to what Helmut has posted before. The use of male reduces variability and we do not have to worry about the monthly hormonal changes of the female subject.

The problem arises mainly because of the different interpretation. We interpret that male and female subject can be used, whereas regulatory officer interprets that both male and female must be used.

Regards,
Ken
kvgreddy06
☆    

India,
2014-04-14 15:01
(3663 d 02:34 ago)

@ Ken Peh
Posting: # 12834
Views: 2,475
 

 Way to write for inclusion criteria

Dear All,

Can we write like healthy male and/or female subjects, so that we can include based one the availability of subjects,

1. only males or
2. male and female

share your ideas...

Thanks
venugopal
jag009
★★★

NJ,
2014-04-14 17:40
(3662 d 23:55 ago)

@ Ken Peh
Posting: # 12837
Views: 2,545
 

 Way to write for inclusion criteria

Hi Ken

Yes we always run studies with M and F for FDA (unless they specify no females). However, they do not enforce equal ratios (50/50). In the protocol we state something like M and F to be enrolled and will make an effort to recruit equal number of Ms and Fs.

John
Helmut
★★★
avatar
Homepage
Vienna, Austria,
2014-04-15 15:50
(3662 d 01:45 ago)

@ jag009
Posting: # 12841
Views: 2,433
 

 ♀/♂-ratio

Hi John,

❝ In the protocol we state something like M and F to be enrolled and will make an effort to recruit equal number of Ms and Fs.


Good idea! In the – not so recent – past a large German CRO managed it to recruit 15 males and one female. Bizarre.

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lechia
☆    

C of U,
2014-04-24 19:00
(3652 d 22:35 ago)

@ Helmut
Posting: # 12892
Views: 2,360
 

 ♀/♂-ratio

❝ Good idea! In the – not so recent – past a large German CRO managed it to recruit 15 males and one female. Bizarre.


I've seen this on a number of occasions. However, in today's world there's a twist to think about. We had a situation where someone who was a male but became a female (or the other way around, can't remember) tried to enroll in a study. In the end the sponsor vetoed the inclusion, though I'm not sure on what basis (this was not a BE study).
Mahesh M
★    

India,
2014-04-14 16:06
(3663 d 01:29 ago)

@ Ken Peh
Posting: # 12835
Views: 2,454
 

 Way to write for inclusion criteria

Dear Ken,

If a drug product is intended for use in both sexes, the applicant should include similar proportion of males and females in the study. (As per Guidance for Industry Bioequivalence Studies with Pharmacokinetic Endpoints for Drugs Submitted Under an ANDA”

And it is always better to describe clearly in the protocol about study population. So if you enroll male subjects only then mentioned Adult healthy male And if both male and female subjects will enroll then mentioned adult healthy male and female

Regards
Mahesh
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