Prasugrel [Power / Sample Size]

posted by Helmut Homepage – Vienna, Austria, 2012-11-26 14:48 (4549 d 13:02 ago) – Posting: # 9591
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Dear Madam,

which regulation are you aiming at? Which compound – parent, metabolite(s) – have you measured?
FDA wants to see two metabolites: R-95813 (inactive) and R-138727 (active); BE based on the inactive R-95813.
Following what EMA stated in the Q&A-document on clopidogrel I would expect that they want to see BE based on the parent. Only if you can justify that it is not possible to reliable measure the parent you can go with one of the metabolites – active or inactive (BE GL).

With a ratio of >120% it is very (very!) unlikely that you will be able to show BE in a larger study. Reformulate.

General remark: For the majority of formulations BE in fed state is more difficult to show than in fasted state. It is beyond my intellectual reach why many companies start with the fasted study only to find out that they fail in the fed. Reverse the order and save money.
Send me a pay-check for the tip. :-D

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