4-period BE study fed/fasting: statistical issues [General Sta­tis­tics]

posted by Amandine – 2009-06-04 14:31 (6225 d 19:18 ago) – Posting: # 3820
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Dear all,

We are preparing a 4-period single-dose BE study under both fed and fasting conditions (as described in the new draft BE/BA EMEA guidance: Test fast/Ref fast/Test fed/Ref fed).

However, the product we are developing has a great food effect and a high within-subject variability in fed conditions (not under fasting conditions).

Our concern is:What is your opinion about this design? Is it more risky than two 2-way studies?
Do you confirm the increase of residual variability in such a study and the difficulties to prove bioequivalence under fasting conditions?

Thank you in advance for your answers.

Best regards.

Amandine

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