TRT|RTR rulez? References [RSABE / ABEL]

posted by Helmut Homepage – Vienna, Austria, 2013-08-14 15:44 (4700 d 10:47 ago) – Posting: # 11285
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Dear Detlew!

❝ Rulez? Really?

❝ Read chapter 9.3 of Chow and Liu, especially 9.3.4 "Assessment of Intra-Subject Variabilities". And if you have, read it again.


Ok, promised.

❝ ❝ BTW, if you like a reference that’s a design the two Lászlós used in some of their papers / simulations.


❝ Which one do you mean?


Likely all of them. I guess they started with simulations in 20011,2 (only 2- and 4-period studies) and referred back to these papers in all followings. In 20073 László Tóthfalusi recommended TRTR|RTRT and TRT|RTR. Interesting enough no details were given until 20094:

“The power curves were obtained by simulating 10 000 three-period bioequivalence trials with a design of TRT/RTR and 36 subjects.”



  1. Tóthfalusi L, Endrényi L, Midha KK, Rawson MJ, Hubbard JW. Evaluation of the Bioequivalence of Highly-Variable Drugs and Drug Products. Pharm Res. 2001;18(6):728–33.
  2. Tóthfalusi L, Endrényi L. Limits for the Scaled Average Bioequivalence of Highly Variable Drugs and Drug Products. Pharm Res. 2003;20(3):382–9.
  3. L Tóthfalusi L. Scaled Average Bioequivalence to Evaluate Bioequivalence of Highly Variable Drugs. Presentation at the informa conference “Dissolution Testing, Bioavailability & Bioequivalance”, 24 May 2007, Budapest, Hungary
  4. Tóthfalusi L, Endrényi L, García-Arieta A. Evaluation of Bioequivalence for Highly Variable Drugs with Scaled Average Bioequivalence. Clin Pharmacokinet. 2009;48(11):725–43. doi 10.2165/11318040-000000000-00000

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