Subject selection [Design Issues]

posted by ele2008  – Korea, 2014-10-16 07:06 (4274 d 20:16 ago) – Posting: # 13722
Views: 30,238

(edited on 2014-10-16 15:46)

Dear Sir

I am a clinical pharmacologist from China, thank you very much for keeping such a wonderful webiste for others, it has been extremely helpful.

I have a question about the subject inclusion in a bioequivalence study:

The Guidance from the EMA says:

"The subject population for bioequivalence studies should be selected with the aim to minimise variability and permit detection of differences between pharmaceutical products."

However the Guidance from the FDA says:

"In general, unless otherwise recommended in a specific guidance:
... In vivo BE study subjects should be representative of the general population,taking into account age, sex, and race... If a drug product is intended for use in both sexes, the applicant should include similar proportions of males and females in the study...
"

I wonder if it is ok to maximize the homogeneity of subjects, especially for those highly variable drugs. Because recently a few studies found that genetics play an important role in determining the intra-individual variability.

So we think if we recruit subjects with same genotype, we can have a smaller intra-indivdual variability therefore a smaller sample size.

But we wonder if we are rational (or allowed) to do so.

Thank you very much

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