raghu
★    

India,
2008-12-24 11:48
(6392 d 10:27 ago)

Posting: # 2971
Views: 3,770
 

 BE study of Single Vs Multiple [Design Issues]

Dear all

we want to show the Bioequivalence by Comparing the one dose of 18 mg Extended release tablet (Test) with that of Three doses of 6 mg immediate release tablet (Reference)?

For this, do i have to administer the reference product Thrice In a Day or three reference tablets at single time

please guide me

If the answere is Thrice In a Day what is the Dosage Regimen for reference

Thanking you

Raghu
santosh.awale
☆    

Mumbai,
2008-12-24 13:55
(6392 d 08:20 ago)

@ raghu
Posting: # 2973
Views: 3,145
 

 BE study of Single Vs Multiple

Hi Raghu,
remember bioequivalence study is performed in same strength, hence you dose (3 x 6= 18 mg) three tablets of reference at time which is equivalent to the test product strenth i.e. 18 mg.
if you administered reference product Thrice In a Day then each of Cmax will be at different time then how will you show the equivalence with test Cmax.

regards.
Santosh A.
Helmut
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Vienna, Austria,
2008-12-24 14:05
(6392 d 08:10 ago)

@ santosh.awale
Posting: # 2976
Views: 3,208
 

 Conceptual flaw?

Dear Santosh!

❝ if you administered reference product Thrice In a Day then each of Cmax will be at different time then how will you show the equivalence with test Cmax.


You mixed something up. If bioequivalence (extent and rate of bioavailability - or in FDA-speak total and peak exposure) of MR 18 mg is demonstrated vs. IR 3 x 6 mg (administered as a single dose), then it's also demonstrated that the product is not an MR formulation (which is not the intention)!

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Helmut
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Vienna, Austria,
2008-12-24 14:00
(6392 d 08:14 ago)

@ raghu
Posting: # 2975
Views: 3,313
 

 Comparative BA (MR vs. IR)

Dear Raghu!

❝ we want to show the Bioequivalence by Comparing the one dose of 18 mg Extended release tablet (Test) with that of Three doses of 6 mg immediate release tablet (Reference)?


Keeping terminology up: it's not possible to show bioequivalence of an MR formulation to an IR formulation (rate is intended to be different).
Ask yourself what's the rationale for developing such an MR formulation. Probably you want to improve compliance - one dose of 18 mg in the morning instead of 3 single doses throughout the day. Another possibility would be lower fluctuations in steady state.

❝ For this, do i have to administer the reference product Thrice In a Day or three reference tablets at single time


See for example EMEA's guideline (Appendix 1) for the studies to be performed.
You should administer the IR formulation according to it's label: the dosage interval for some antibiotics is strictly 8 hours; if the label only states three times a day, dosage intervals of 6/6/12 hours (morning, afternoon, evening) may be more appropriate.

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