Helmut
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Vienna, Austria,
2014-12-31 14:40
(4193 d 08:02 ago)

Posting: # 14206
Views: 5,340
 

 FDA: Draft guid­ance MPH suspension [Regulatives / Guidelines]

Dear all,

and the methylphenidate-story continues. On Dec 18 the FDA published a new draft for MPH extended release suspension. In line with the ER tablet guidance, three partial AUCs instead of only two in the Sep 2012 draft (see also here about cut-points).
But: 2×2 crossovers (no S × F interaction assessed in fully replicated studies).
I don’t understand these guys.

Submit your comments to regulations.gov until Feb 23, 2015.

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AngusMcLean
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USA,
2015-01-01 22:25
(4192 d 00:17 ago)

@ Helmut
Posting: # 14208
Views: 4,378
 

 FDA: Draft guid­ance MPH suspension

Helmut: Thank you for this reference. It seems that this new Guidance focuses on an MR suspension type formulation akin to a Quillivant type product available here in the US.

In the Guidance it mentions in the beginning that
Design: Single-dose, two-way crossover in vivo

This appears to be a regular BE study. It then goes on to say

The fasting BE study may be conducted in a single dose, two-treatment, two-sequence, four-period, replicated design.

Now this contrasts with the previous methylphendidate Concerta guidance, which states up front

Design: Single-dose, two-treatment, four-period, two-sequence, fully replicated crossover in vivo

Therefore my interpretation of what they are saying for the suspension is that, although the study design is firstly envisaged as Single-dose two-way crossover in vivo, the sponsor is given the option of running Single-dose, two-treatment, four-period, two-sequence, fully replicated crossover study in vivo.
Helmut
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Vienna, Austria,
2015-01-02 00:07
(4191 d 22:34 ago)

@ AngusMcLean
Posting: # 14209
Views: 4,307
 

 Replicate instead of Xover

Hi Angus,

❝ […] the sponsor is given the option of running Single-dose, two-treatment, four-period, two-sequence, fully replicated crossover study in vivo.


Correct. But that’s a trivial statement, right? According to FDA’s practice (for years!) one can always perform a replicate study instead of simple cross-over.

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AngusMcLean
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USA,
2015-01-02 01:22
(4191 d 21:20 ago)

@ Helmut
Posting: # 14210
Views: 4,369
 

 Replicate instead of Xover

Helmut: I am not sure whether that general statement can be made. Have you seen any FDA documents stating their policy in such terms?

I know that if an innovator has set precedent with a BE study design for an MR formulation during their development program then a generic company will tend to do the same study. For example if the innovator has performed BE studies with a non-highly variable drug (non replicate) and determined BE then I do not know if a generic company during their program would be allowed {if they wish} to use a replicate design BE for their formulation. Or would the FDA direct then to use a non-replicate design.


My background is not in generics; it is in 505 b(2).

Angus
Helmut
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2015-01-02 02:11
(4191 d 20:30 ago)

@ AngusMcLean
Posting: # 14211
Views: 4,346
 

 Replicate instead of Xover

Hi Angus,

❝ Helmut: I am not sure whether that general statement can be made. Have you seen any FDA documents stating their policy in such terms?


I don’t need a policy. That’s basic statistics. From any replicate design you can infer average BE.

❝ I know that if an innovator has set precedent with a BE study design for an MR formulation during their development program then a generic company will tend to do the same study.


That’s stupid unjustified copy-and-paste.

❝ For example if the innovator has performed BE studies with a non-highly variable drug (non replicate) and determined BE then I do not know if a generic company during their program would be allowed {if they wish} to use a replicate design BE for their formulation. Or would the FDA direct then to use a non-replicate design.


Doesn’t make sense. The applicability of replicate designs is not limited to RSABE (upscaling for HVDs, downscaling for NTIDS) or estimating S×F for ER MPH. I agree with one European regu­la­tor who once said “From a scientific perspective I would like to see all BE studies in a fully repli­cated design”.

OK, if you want a quote: On David Bourne’s PKPD-list this question popped up and on 30 Jun 2002 FDA’s Mei-Ling Chen replied:

No restrictions are imposed to anyone wishing to conduct a replicate design bio­equi­va­lence study. In fact, replicate designs are encouraged from a scientific point of view.

(my emphasis)

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