Bioequivalence study of Pyridostigmine Bromide [Design Issues]

posted by Helmut Homepage – Vienna, Austria, 2015-01-05 15:21 (4195 d 05:37 ago) – Posting: # 14219
Views: 5,833

Hi Falisa,
  1. Not me. ;-)

  2. Yes.

  3. :google: ⇐ click

  4. In MHRA’s EPAR the CI for Cmax in the fasting study was 89.60–125.85% (n 24).
    “[…] the Cmax 90% upper limit is exceeded, albeit only slightly. The fasting environment is poten­ti­ally a more sensitive test for bioequivalence than the fed study. The applicant has provided a suitable argument to justify why the upper limit for Cmax may not be of clinical relevance and should have no safety or efficacy consequences.”
    With a CVintra of 35.3% of Cmax that’s a candidate for reference-scaling, otherwise you have to increase the sample size. Below some ideas for different designs & 80% power (the replicate designs for reference-scaling approaches). For a HVD I would suggest to assume a T/R-ratio of 90%.
      design                    regulator   n   treatments (~costs)
      2×2 (conventional ABE)       all     108      216
      2×2×3 full replicate         FDA      26       78
                                   EMA      28       84
      2×3×3 partial replicate      FDA      27       81
                                   EMA      28       84
      2×2×4 full replicate         FDA      18       72
                                   EMA      20       80


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