FDA: Alternative approaches… [Regulatives / Guidelines]

posted by Helmut Homepage – Vienna, Austria, 2013-12-24 15:15 (4562 d 07:32 ago) – Posting: # 12103
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Hi intuitivepharma,

❝ […] In such a precarious situation my only hope to defend the ANDA would be based on the following assumptions.

❝ The guidance recommendations are nonbinding


Yes, but:

“You can use an alternative approach if the approach satisfies the re­quire­­ments of the applicable statutes and regulations. If you want to discuss an alternative approach, contact the Office of Generic Drugs.”


The guidance was already published in March 2011. What does your protocol state?

❝ The demonstration of bioequivalence to an active metabolite is more “closer” to the actual clinical situation than demonstration of bio­equivalence to an inactive metabolite.

❝ Can any one let know why for Prasugrel, bioequivalence is based on inactive metabolite and active metabolite PK is submitted as suppor­tive data.

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© Anypodetos @ Wikimedia Commons

We had this discussion ∞ times. Current thinking at most regulatory author­ities is to demonstrate similarity of the in vivo performance of formulations. Since prasugrel is a pro-drug the inactive R-95913 is closer related to the drug release than the active – but secondary! – R-138727. Regulators are not inter­ested any more in the “clinical situation” – which would call for the most active metabolite with the longest half-life in steady state in many cases.
That’s history.

❝ The condition that data on active metabolite is required implies that it can be quantified.


Yes, but only as supportive data.
Face it: According to the guidance your study failed.

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