"ISR" – resolved [Regulatives / Guidelines]
Hi all,
17 pages of justification – essentially following the Q&A (simulations, later studies with ISR, literature data, back-conversion neither under physiological nor sample treatment conditions chemically possible,
).
Day 145 (NL)
Clinical aspects
Potential Serious Risks to Public Health
Pharmacokinetics
Study #1: The conclusion of the preliminary assessment report stands true as both prerequisites are met for waiving ISR: At the time point of the studies the Guideline on analytical validation was not in operation and back conversion is not an issue (re-esterfication is not an issue under physiological or sample preparation conditions; interconversion can be excluded, plasma concentrations are consistent with literature data). Moreover the applicant provided supportive data e.g. ISR results of studies #2 and #3 using the same analytical method and results of remeasurements confirming the robustness and reliability of the analytical method.
Study #2: ISR has been performed and the results comply with the actual recommendations, however formal requirements for the sample size were not met. This is considered acceptable as the same considerations as for study #1 are applicable. Moreover the results demonstrated very high reproducibility as 100% of ISR in study #3 were within the acceptance criteria for deviation.
Overall Summary and Conclusion
Issues resolved.
Edit: PAR from HMA as of 2014-01-27. DE (RMS), AT, DK, ES, FI, LU, NL, NO, PL, SE, UK (CMS). Both studies were performed in a Two-Stage Design (Potvin’s “Method C”) – already passing in the first stage (no α-adjustment = 90% CIs). The estimated Ĉmin was assessed in the MD study.
17 pages of justification – essentially following the Q&A (simulations, later studies with ISR, literature data, back-conversion neither under physiological nor sample treatment conditions chemically possible,

Day 145 (NL)
Clinical aspects
Potential Serious Risks to Public Health
Pharmacokinetics
Study #1: The conclusion of the preliminary assessment report stands true as both prerequisites are met for waiving ISR: At the time point of the studies the Guideline on analytical validation was not in operation and back conversion is not an issue (re-esterfication is not an issue under physiological or sample preparation conditions; interconversion can be excluded, plasma concentrations are consistent with literature data). Moreover the applicant provided supportive data e.g. ISR results of studies #2 and #3 using the same analytical method and results of remeasurements confirming the robustness and reliability of the analytical method.
Study #2: ISR has been performed and the results comply with the actual recommendations, however formal requirements for the sample size were not met. This is considered acceptable as the same considerations as for study #1 are applicable. Moreover the results demonstrated very high reproducibility as 100% of ISR in study #3 were within the acceptance criteria for deviation.
Overall Summary and Conclusion
Issues resolved.

Edit: PAR from HMA as of 2014-01-27. DE (RMS), AT, DK, ES, FI, LU, NL, NO, PL, SE, UK (CMS). Both studies were performed in a Two-Stage Design (Potvin’s “Method C”) – already passing in the first stage (no α-adjustment = 90% CIs). The estimated Ĉmin was assessed in the MD study.
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Dif-tor heh smusma 🖖🏼 Довге життя Україна!
![[image]](https://static.bebac.at/pics/Blue_and_yellow_ribbon_UA.png)
Helmut Schütz
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The quality of responses received is directly proportional to the quality of the question asked. 🚮
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Complete thread:
- Incurred sample reanalysis sarada06884 2013-04-09 12:22 [Regulatives / Guidelines]
- Incurred sample reanalysis Ohlbe 2013-04-09 14:09
- Incurred sample reanalysis The Outlaw Torn 2013-04-10 08:40
- Clopidogrel Ohlbe 2013-04-10 10:34
- Clopidogrel The Outlaw Torn 2013-04-10 11:31
- Lack of ISR / only 5% ISR in study with 656 samples Helmut 2013-04-22 17:01
- Lack of ISR / only 5% ISR in study with 656 samples ElMaestro 2013-04-22 18:56
- Lack of ISR / only 5% ISR in study with 656 samples Helmut 2013-04-22 19:35
- "Meth" - apologies ElMaestro 2013-04-22 20:03
- "Meth" - apologies The Outlaw Torn 2013-04-23 08:27
- "Meth" - apologies ElMaestro 2013-04-23 14:29
- "ISR" - apologies The Outlaw Torn 2013-04-24 07:44
- Repeat use ElMaestro 2013-04-24 11:08
- Repeat use Ohlbe 2013-04-24 11:41
- Repeat use ElMaestro 2013-04-24 13:45
- Repeat use Ohlbe 2013-04-24 11:41
- "ISR" – resolvedHelmut 2013-09-20 21:50
- "ISR" – resolved Dr_Dan 2013-09-22 16:56
- Repeat use ElMaestro 2013-04-24 11:08
- "ISR" - apologies The Outlaw Torn 2013-04-24 07:44
- "Meth" - apologies ElMaestro 2013-04-23 14:29
- "Meth" - apologies The Outlaw Torn 2013-04-23 08:27
- "Meth" - apologies ElMaestro 2013-04-22 20:03
- Lack of ISR / only 5% ISR in study with 656 samples Helmut 2013-04-22 19:35
- Lack of ISR / only 5% ISR in study with 656 samples ElMaestro 2013-04-23 23:31
- Some more stuff Helmut 2013-04-24 02:08
- Lack of ISR / only 5% ISR in study with 656 samples nobody 2014-10-23 10:06
- Lack of ISR / only 5% ISR in study with 656 samples ElMaestro 2013-04-22 18:56
- Lack of ISR / only 5% ISR in study with 656 samples Helmut 2013-04-22 17:01
- Clopidogrel The Outlaw Torn 2013-04-10 11:31
- Clopidogrel Ohlbe 2013-04-10 10:34
- Incurred sample reanalysis The Outlaw Torn 2013-04-10 08:40
- Incurred sample reanalysis Ohlbe 2013-04-09 14:09