chiragkhatri
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India,
2010-01-01 17:51
(6020 d 16:08 ago)

Posting: # 4550
Views: 4,039
 

 Time points for Effervescent [Design Issues]

Dear Members,

We are planning to conduct relative bioavailability of effervescent tablets of series of antibiotic drugs.These formulations are first time and hence no reference is available.

I would like to know on what basis the blood sampling time points be decided.

Thanks

Chirag
Helmut
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Vienna, Austria,
2010-01-01 18:04
(6020 d 15:54 ago)

@ chiragkhatri
Posting: # 4551
Views: 3,445
 

 First Point Cmax

Dear Chirag,

the main problem with effervescent formulations is the ‘First Point Cmax’.
See for example FDA (2003, [image] Section VI.D.):

The first point of a concentration-time curve in a BE study based on blood and/or plasma mea­sure­ments is sometimes the highest point, which raises a question about the measurement of true Cmax because of insufficient early sampling times. A carefully conducted pilot study may avoid this problem. Collection of an early time point between 5 and 15 minutes after dosing followed by additional sample collections (e.g., two to five) in the first hour after dosing may be sufficient to assess early peak concentrations. If this sampling approach is followed, we recommend that data sets be considered adequate, even when the highest observed concentration occurs at the first time point.

or EMA’s BE-Draft (2008, Section 4.1.4.)

The sampling schedule should include frequent sampling around Cmax to provide a reliable estimate of peak exposure. The sampling schedule should be planned to avoid Cmax being the first point of a concentration time curve.


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chiragkhatri
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India,
2010-01-02 05:45
(6020 d 04:13 ago)

(edited on 2010-01-02 13:56)
@ Helmut
Posting: # 4552
Views: 3,478
 

 First Point Cmax

Dear HS,

Thank you very much for your reply. I also wish to know whether the reference product which is a suspension can be taken into consideration for Tmax for designing time points of an effervescent tablet.

Regards

Chirag


Edit: Full quote removed. Please delete anything from the text of the original poster which is not necessary in understanding your answer; see also this post! [Ohlbe]
Helmut
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Vienna, Austria,
2010-01-02 16:57
(6019 d 17:01 ago)

@ chiragkhatri
Posting: # 4553
Views: 3,512
 

 First Point Cmax

Dear Chirag!

❝ I also wish to know whether the reference product which is a suspension can be taken into consideration for Tmax for designing time points of an effervescent tablet.


Difficult to answer. A solution must no necessarily show a faster absorption than a suspension. Sometimes excipients in a suspension enhance absorption, whereas the API in solution precipitates in the stomach.
I would suggest to perform a small pilot study.

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