pash413
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India,
2015-12-07 14:22
(3849 d 20:29 ago)

Posting: # 15702
Views: 6,832
 

 Enzalutamide [Design Issues]

Dear all
I need help to understand the dose to be administered for enzalutamide 40mg Capsule BE study.
As per recently published OGD recommendation dose is "Strength: 40 mg at a dose of 160 mg (4x40mg", however reported Cmax for for 160 mg is 3.6 µg/mL.

Can we perform study with single capsule administration for studies to be perform other than USFDA submission, because looking at the reported Cmax it will be possible to measure the concentrations with single capsule (40mg Dose).
Note; As per product lable single daily dose is 160 mg (4x 40mg)


Edit: Category changed and guidance linked. [Helmut]
Helmut
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Vienna, Austria,
2015-12-07 18:59
(3849 d 15:51 ago)

@ pash413
Posting: # 15704
Views: 5,589
 

 Which regulatory agency?

Hi Pash,

recommending for the highest dose is not uncommon for the FDA.

❝ Can we perform study with single capsule administration for studies to be perform other than USFDA submission…


Which other agency do you have in mind? For the EMA it is the highest strength (not the dose). Last March at the ”Global Bioequivalence Harmonisation Initiative” this was exactly the issue where harmonisation seemed to lie in the far future. One presentation by Jack Cook (Pfizer US) was entitled “Differences in USA vs. EU approach: highest dose vs. highest dose strength”. Heated debates. :-D

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