Baseline profile prior to each period? [Regulatives / Guidelines]

posted by Helmut Homepage – Vienna, Austria, 2015-09-16 20:15 (3138 d 09:48 ago) – Posting: # 15410
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Dear Ohlbe,

❝ ❝ … I don’t get the idea of basing BE on uncorrected data.


❝ I can see one theoretical situation which could be tricky. I don't know whether you have come across anything like this.


Not only theoretically. ;-)

❝ Many endogeneous compounds follow a circadian rythm. What if the concentrations at 8 AM are higher than in the evening ? Negative concentrations after baseline correction will be replaced with 0. Couldn't this artificially decrease the difference between formulations, compared with a non-baseline-corrected analysis ? […]



Good point! In such a case one has to sample an entire blank profile (as the GL suggests) – not only one (or a few pre-dose) blanks in the morning. If I understand the GL correctly, subtraction of the pre-dose AUC from the post-dose AUC is suggested. I don’t get it. What about Cmax? I always prefer to subtract concentrations.

Another point: The GL suggest a blank profile preceding each period (“to account for fluctuations in the endogenous baseline due to cir­ca­dian rhythms”). This might be difficult to achieve given the limited blood volume (especially in higher order cross-overs or replicate designs). What I did in the past (and which was accepted after a scientific advice):

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