Bioequivalence and Bioavailability Forum • Fast & fed in one study (alternative)

Fast & fed in one study (alternative) [Design Issues]

posted by Helmut – Vienna, Austria, 2020-03-05 12:50 (1904 d 10:25 ago) – Posting: # 21206
Views: 4,546

Hi Shuanghe,

❝ What happens if T is BE to R under fasting and fed but T has much more food effect than R? Will "nice-to-know" become "but-now-I-know-so-you-are-fucked"?

By “much more” you mean that the 90% CI is entirely outside the 80-125% limits, right? This means only that you have to forget the idea of a hybrid application.
Everything else (CI overlapping the limits) is indecisive and would not worry me. Even if you are completely outside (T demonstrated a larger food effect than R) – since both fasting and fed passed BE – stay with the generic pathway and you should be fine.

❝ What's your experience from regulation perspective?

Nil – also for the “nice” case. Though the EMA stated in various conferences to welcome such a hybrid application, I haven’t seen one so far. Any experience from the members?

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Complete thread:

Fast & fed studies Amira Gouda 2020-03-01 20:28 [Design Issues]
- Fast & fed studies alghazam 2020-03-03 10:24
- Fast & fed studies Ohlbe 2020-03-03 11:58
  - Fast & fed in one study (alternative) Helmut 2020-03-04 14:15
    - Fast & fed in one study (alternative) Shuanghe 2020-03-04 16:13
      - Fast & fed in one study (alternative) jag009 2020-03-04 19:25
      - Fast & fed in one study (alternative)Helmut 2020-03-05 11:50
        
        Fast & fed in one study (alternative) Shuanghe 2020-03-05 16:02
        
        Fast & fed in one study (alternative) Marcelo Davanco 2020-03-06 13:35