secondary metrics [NCA / SHAM]
Dear Cmax!
An excursion into terminology first:
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):
It helps you in understanding your product.
An excursion into terminology first:
- Statistics, PK models → parameters
- NCA → PK metrics or characteristics
❝ what is the fun in reporting seconary parameters in the generic submission... we are only concerned about Cmax & AUC 90 CI. regulators evaluate this.
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):
Fasting:
AUC0-3, AUC3-24, AUC0-∞
Fed:
AUC0-4, AUC4-24, AUC0-∞
❝ and in pilot study how it helps interpretation...
It helps you in understanding your product.
—
Dif-tor heh smusma 🖖🏼 Довге життя Україна!![[image]](https://static.bebac.at/pics/Blue_and_yellow_ribbon_UA.png)
Helmut Schütz
![[image]](https://static.bebac.at/img/CC by.png)
The quality of responses received is directly proportional to the quality of the question asked. 🚮
Science Quotes
Dif-tor heh smusma 🖖🏼 Довге життя Україна!
![[image]](https://static.bebac.at/pics/Blue_and_yellow_ribbon_UA.png)
Helmut Schütz
![[image]](https://static.bebac.at/img/CC by.png)
The quality of responses received is directly proportional to the quality of the question asked. 🚮
Science Quotes
Complete thread:
- secondary parameters Cmax 2011-07-03 09:08
- secondary metricsHelmut 2011-07-03 10:57