jag009
★★★

NJ,
2013-02-05 23:03
(4476 d 18:26 ago)

Posting: # 9968
Views: 9,490
 

 Highly variable drug product [PK / PD]

Hi all,

Based on your experience :-), how often does one encounter a highly variable drug product "Test" --> Meaning the intrasubject CV of the test product being much higher than that of the reference product. The reference product itself is already highly variable (>30%).

Thanks
John
drgunasakaran1
★★  
avatar

2013-02-06 09:31
(4476 d 07:58 ago)

@ jag009
Posting: # 9971
Views: 8,470
 

 Highly variable drug product

Dear Mr John,

❝ Intrasubject CV of the test product being much higher than that of the reference product.


In my experience, I encountered 1 out 10 products showed higher Intrasubject CV for test formulation when compared to ISCV of reference formulation.

Dr Gunasakaran Sambandan MD
Disclaimer: The replies/posts are my personal opinions, and they do not represent my company's views on the same. LinkedIn
jag009
★★★

NJ,
2013-02-06 16:14
(4476 d 01:14 ago)

@ drgunasakaran1
Posting: # 9978
Views: 8,482
 

 Highly variable drug product

Hi drgunasakaran1,

❝ In my experience, I encountered 1 out 10 products showed higher Intrasubject CV for test formulation when compared to ISCV of reference formulation.


1 out of 10? Are you referring to highly variable drug category (where ISCV is > 30%) or you mean in general (as in pooling both non-highly variable and highly variable drug)?

Thanks
John
Dr_Dan
★★  

Germany,
2013-02-06 13:10
(4476 d 04:19 ago)

@ jag009
Posting: # 9975
Views: 8,434
 

 Highly variable drug product

Dear John
You have to distinguish between variability due to Drug Product (inactive ingredient effects, manufacturing effects) and variability due to Drug Substance (variable absorption rate, extent, low bioavailability, low aqueous solubility, acid lability and most important extensive pre-systemic metabolism). Therefore in this case it would be also interesting to compare the inter-subject variability. In general the development of the test product is more advanced and the variability due to Drug Product is less.
Kind regards
Dan

Kind regards and have a nice day
Dr_Dan
jag009
★★★

NJ,
2013-02-06 16:26
(4476 d 01:02 ago)

@ Dr_Dan
Posting: # 9979
Views: 8,379
 

 Highly variable drug product

Hi Dr_Dan,

❝ You have to distinguish between variability... Therefore in this case it would be also interesting to compare the inter-subject variability.


Just out of curiousity, why would you be interested in the intersubject variability?

Thanks
John
luvblooms
★★  

India,
2013-02-06 13:27
(4476 d 04:02 ago)

@ jag009
Posting: # 9976
Views: 8,671
 

 Highly variable drug product

Dear Jag
My experience
For simple IR products
BCS class-1 and III: very less (~none, only shock we gor once was for BUSPIRONE where Intra subject CV was 38% and inter subject CV was 80%)
BCS class-II and IV: ~50% case (mainly beause of variable ingredient effects, manufacturing process, variable rate and extentof absorption etc etc)

For MR/ER/PR products
Variability was observed in ~50 percent case inter-subject variability was higher mainly because of he design of test product.

~A happy Soul~
jag009
★★★

NJ,
2013-02-06 16:28
(4476 d 01:00 ago)

@ luvblooms
Posting: # 9980
Views: 8,375
 

 Highly variable drug product

Thanks luvBloom,

For MR/ER/PR products

❝ Variability was observed in ~50 percent case inter-subject variability was higher mainly because of he design of test product.


You meant intra-subject variability?

John
Dr_Dan
★★  

Germany,
2013-02-07 12:00
(4475 d 05:29 ago)

@ jag009
Posting: # 9984
Views: 8,378
 

 Highly variable drug product

Dear John
Please keep in mind: HVD ≠ HVDP
HVDPs are products in which the drug must not necessaribly be highly variable, but the product could be of poor pharmaceutical quality => high within-formulation variability!
Examples exist where a highly variable reference product failed to demonstrate bioequivalence when compared to itself in a BE study using the standard design/sample size.
Kind regards
Dan

Kind regards and have a nice day
Dr_Dan
Helmut
★★★
avatar
Homepage
Vienna, Austria,
2013-02-07 14:22
(4475 d 03:07 ago)

@ Dr_Dan
Posting: # 9986
Views: 8,310
 

 HVD ≠ HVDP

Dear Dan & John

❝ Please keep in mind: HVD ≠ HVDP


Exactly. CVintra of diclofenac from my files: Solution ~7%, effervescent tablets ~10%, IR ~12%, suppository ~15%, enteric coated ~25%, dermal ~35%.

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jag009
★★★

NJ,
2013-02-07 16:22
(4475 d 01:06 ago)

@ Dr_Dan
Posting: # 9988
Views: 8,294
 

 Highly variable drug product

Hi Dr_Dan,

❝ Please keep in mind: HVD ≠ HVDP

❝ HVDPs are products in which the drug must not necessaribly be highly variable, but the product could be of poor pharmaceutical quality => high within-formulation variability!


Understood and totally agree. I was just curious on what basis one justifies the need for a full four way replicate design study. I just don't see it unless one has identified the issues based on 1) quality issue - variation observed from dissolution/content uniformity/etc etc 2) running a pilot test only 2x2 or full replicate study.

John
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