Add more subjects after a failed BE study of a HVD [Study Assessment]
❝ ... Translating statistics into simple words: You have already “consumed” the entire 5% in the first study and nothing is “left” for the add-on.
❝ Some remarks for the future:Always plan for the PK metric with the higher CV (in most cases Cmax)...
Thank you, Helmut, for your explanation and answers to my questions. I learnt a lot from the failed BE study. It is worth the time to make a deliberate plan (protocol) before the study.
❝ ... You would need a replicate design (preferably a full replicate: RTR|TRT or RTRT|TRTR). For the required sample sizes see sampleN.RSABE (FDA) and sampleN.scABEL (EMA).
I tried both with CV=0.68. 42 subjects are needed for EMA, while only 27 subjects are needed for FDA. We plan to redo the BE study with a RSABE or SCABEL design.
❝ • Learn from the failed study. Did you sample frequently enough in order to “catch” Cmax in all subjects? This is a very important aspect especially for delayed release formulations...
It was a BE study of an old drug's conventional tablet. We sampled frequently enough to "catch" the Cmax.

Thanks a lot for the slides and references.
Best regards,
Xipei
China
Complete thread:
- Add more subjects after a failed BE study of a HVD wxp 2013-05-27 10:34
- bad luck Dr_Dan 2013-05-27 12:28
- bad luck wxp 2013-05-27 14:19
- Beware of Add-on Studies! Helmut 2013-05-27 13:51
- Beware of Add-on Studies! Shuanghe 2013-05-27 15:59
- Oh wow! Helmut 2013-05-27 16:21
- The same criterion of Cmax in China now wxp 2013-05-28 06:10
- SFDA ⇒ CFDA Helmut 2013-05-28 13:02
- Helmut, updated Chinese BE guideline here Shuanghe 2013-06-14 11:05
- BE in Chinese Pharmacopoeia Helmut 2013-06-14 14:22
- BE in Chinese Pharmacopoeia Shuanghe 2013-06-14 14:56
- BE in Chinese Pharmacopoeia Helmut 2013-06-14 16:11
- BE in Chinese Pharmacopoeia Shuanghe 2013-06-14 14:56
- BE in Chinese Pharmacopoeia Helmut 2013-06-14 14:22
- Helmut, updated Chinese BE guideline here Shuanghe 2013-06-14 11:05
- SFDA ⇒ CFDA Helmut 2013-05-28 13:02
- The same criterion of Cmax in China now wxp 2013-05-28 06:10
- Oh wow! Helmut 2013-05-27 16:21
- Add more subjects after a failed BE study of a HVDwxp 2013-05-28 05:13
- Still many subjects… Helmut 2013-05-28 12:56
- Beware of Add-on Studies! Shuanghe 2013-05-27 15:59
- bad luck Dr_Dan 2013-05-27 12:28
