Mahesh M
★    

India,
2016-01-08 11:56
(3020 d 20:23 ago)

Posting: # 15803
Views: 5,357
 

 multilayer tablet exclusion criteria from PK analysis due to emesis [Regulatives / Guidelines]

Dear All,

My concern regarding multilayer tablet one API is IR and another is XR (combination of IR and XR) what is the exclusion criteria of subjects form PK analysis due to the emesis for FDA submission? Can we use different criteria for IR and XR as per FDA guidance or this combination product consider as modified release dosage form?

Regards
M
Mahesh M
★    

India,
2016-01-13 13:46
(3015 d 18:33 ago)

@ Mahesh M
Posting: # 15823
Views: 4,066
 

 multilayer tablet exclusion criteria from PK analysis due to emesis

Please share your thoughts on that.
Regards


Edit: Please follow the Forum’s Policy. Five days ≠ two weeks. [Helmut]
jag009
★★★

NJ,
2016-01-26 18:56
(3002 d 13:24 ago)

@ Mahesh M
Posting: # 15858
Views: 3,654
 

 multilayer tablet exclusion criteria from PK analysis due to emesis

❝ Please share your thoughts on that.


I've done a few of those IR/XR or IR/ER bilayer tablets before and emesis was be based on IR. It's one tablet for administration. Why would you based on MR for emesis dropout criteria?

John
Dr_Dan
★★  

Germany,
2016-01-28 09:57
(3000 d 22:22 ago)

@ jag009
Posting: # 15871
Views: 3,440
 

 tmax IR > tmax MR?

Dear John
Is there a possibility that tmax of the IR formulated drug is greater than tmax of the MR formulated? In this case you should based on MR for emesis dropout criteria, right? As you said, it's one tablet for administration...
Kind regards
Dr_Dan

Kind regards and have a nice day
Dr_Dan
jag009
★★★

NJ,
2016-01-29 23:51
(2999 d 08:29 ago)

@ Dr_Dan
Posting: # 15898
Views: 3,374
 

 tmax IR > tmax MR?

Hi Dr.Dan,

❝ Is there a possibility that tmax of the IR formulated drug is greater than tmax of the MR formulated?


For MR product emesis criteria we would base on the dosing interval (ie, once daily then 24 hr) and not the Tmax. I assume the original post "XR" means MR product?

Thanks
John
Shuanghe
★★  

Spain,
2016-01-28 14:00
(3000 d 18:19 ago)

@ Mahesh M
Posting: # 15877
Views: 3,421
 

 multilayer tablet exclusion criteria from PK analysis due to emesis

Dear All,

I had a feeling that you guys were talking different things. e.g., asking about oranges and answered about apples.:-D

❝ My concern regarding multilayer tablet one API is IR and another is XR (combination of IR and XR) ...


So I guess that means 1 APIs, compound A is IR and compound B is XR (that seems strange though).

I believe John and Dan were talking about 1 API, compound A, which was formulated part as IR and part as XR so IR part can be released quickly to have quick initial effect and XR part released slowly to maintain the therapeutic effect, which is common for new pain killer formulation.

Depending on which scenario I guess the answer should be different.

All the best,
Shuanghe
jag009
★★★

NJ,
2016-01-30 00:02
(2999 d 08:18 ago)

@ Shuanghe
Posting: # 15899
Views: 3,361
 

 multilayer tablet exclusion criteria from PK analysis due to emesis

Hi Shuanghe,

But does it matter if it's IR/XR with a single API or IR with API A and XR with API B?
The emesis criteria should be based on the IR Tmax. Okay, unless there is an IR product out there which has a really long Tmax such that it's actually longer than the dosing interval of the modified release.

Thanks
John
Shuanghe
★★  

Spain,
2016-02-01 12:01
(2996 d 20:19 ago)

@ jag009
Posting: # 15906
Views: 3,217
 

 multilayer tablet exclusion criteria from PK analysis due to emesis

Hi John,

The difference is subtle. I would use IR Tmax as criteria if the product is of 1 API with 2 release components IR and ER. If the product is of 2 APIs, A (IR) and B (ER), then I would use separate criteria for each of them. e.g., if subject vomit during dosing interval, exclude for B but depending on when, this subject might (>2 x IR Tmax) or might not (<= 2xIR Tmax) be included for A. All scenarios should be described in detail in protocol of course.

All the best,
Shuanghe
Mahesh M
★    

India,
2016-02-01 14:14
(2996 d 18:05 ago)

@ Shuanghe
Posting: # 15908
Views: 3,130
 

 multilayer tablet exclusion criteria from PK analysis due to emesis

Hi, Shuanghe,

I do agree with your thoughts but if we talk regarding bilayer or multilayer tablet it should consider as modified dosage form.
And if the combination in capsule 1 API is IR tablet and 2 is modified release pallets then I would use separate criteria for each of them. e.g., if subject vomit during dosing interval, exclude for B but depending on when, this subject might (>2 x IR Tmax) or might not (<= 2xIR Tmax) be included for A.

Regards
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