Cmax
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India,
2011-07-03 11:08
(5053 d 22:47 ago)

Posting: # 7202
Views: 4,686
 

 secondary parameters [NCA / SHAM]

Hello...
what is the fun in reporting seconary parameters in the generic submission... we are only concerned about Cmax & AUC 90 CI. regulators evaluate this. :confused:

and in pilot study how it helps interpretation...
regards
cmax...


Edit: Category changed. [Helmut]
Helmut
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Vienna, Austria,
2011-07-03 12:57
(5053 d 20:58 ago)

@ Cmax
Posting: # 7203
Views: 3,808
 

 secondary metrics

Dear Cmax!

An excursion into terminology first:
  • Statistics, PK models → parameters
  • NCA → PK metrics or characteristics

❝ what is the fun in reporting seconary parameters in the generic submission... we are only concerned about Cmax & AUC 90 CI. regulators evaluate this. :confused:


Help regulators in assessing the product. Sometimes rapid onset is of importance (might be a clinical claim or should be avoided due to AEs) ⇒ early exposure (FDA) or tmax (EMA and many others).
For some antibiotics the time interval above a threshold (e.g., MIC: minimum inhibitory concentration) is actually the only important one (AUC and Cmax are irrelevant). In the past I have submitted studies (which were accepted in the EU), where I reversed the order: time above MIC primary, AUC & Cmax only supportive. Given the new GLs (concentrating on pharmaceutical quality rather than clinical relevance), I would not dare that any more – but still report it as secondary.
If you have a delayed release formulation, tlag might be of interest.
For pulsatile MR formulations partial AUCs might be more important than AUCt. For instance FDA is considering following AUC-metrics for MR methylphenidate (measuring rapid onset and extended release):
  • Fasting: AUC0-3, AUC3-24, AUC0-∞
  • Fed:     AUC0-4, AUC4-24, AUC0-∞

❝ and in pilot study how it helps interpretation...


It helps you in understanding your product.

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