secondary metrics [NCA / SHAM]

posted by Helmut Homepage – Vienna, Austria, 2011-07-03 12:57 (5054 d 04:40 ago) – Posting: # 7203
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Dear Cmax!

An excursion into terminology first:

❝ what is the fun in reporting seconary parameters in the generic submission... we are only concerned about Cmax & AUC 90 CI. regulators evaluate this. :confused:


Help regulators in assessing the product. Sometimes rapid onset is of importance (might be a clinical claim or should be avoided due to AEs) ⇒ early exposure (FDA) or tmax (EMA and many others).
For some antibiotics the time interval above a threshold (e.g., MIC: minimum inhibitory concentration) is actually the only important one (AUC and Cmax are irrelevant). In the past I have submitted studies (which were accepted in the EU), where I reversed the order: time above MIC primary, AUC & Cmax only supportive. Given the new GLs (concentrating on pharmaceutical quality rather than clinical relevance), I would not dare that any more – but still report it as secondary.
If you have a delayed release formulation, tlag might be of interest.
For pulsatile MR formulations partial AUCs might be more important than AUCt. For instance FDA is considering following AUC-metrics for MR methylphenidate (measuring rapid onset and extended release):

❝ and in pilot study how it helps interpretation...


It helps you in understanding your product.

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