nermina
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Bosnia and Herzegovina,
2010-01-15 16:27
(6003 d 23:33 ago)

Posting: # 4608
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 Tramadol BE study [Design Issues]

Hello, does anyone have experience with tramadol BE study, precisely is it necessary for granting MA in EU to determinate in BE study the parent drug and metabolite M1, or just the parent drug.


Edit: Category changed. [Helmut]
Helmut
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Vienna, Austria,
2010-01-15 17:08
(6003 d 22:52 ago)

@ nermina
Posting: # 4609
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 Tramadol BE study

Dear Nermina,

in my experience parent only (like in the US). Other observations are welcome.

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nermina
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Bosnia and Herzegovina,
2010-01-15 17:15
(6003 d 22:45 ago)

@ Helmut
Posting: # 4610
Views: 8,191
 

 Tramadol BE study

Thanks for a prompt answer. I saw on web of UK regulatory agency (www.mhra.gov.uk) in Public assessment report, that they've required a determination of M1 metabolite too. That confused me.


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! [Helmut]
Helmut
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Vienna, Austria,
2010-01-15 17:40
(6003 d 22:20 ago)

@ nermina
Posting: # 4611
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 Tramadol BE study

Dear Nermina!

❝ I saw on web of UK regulatory agency in Public assessment report, that they've required a determination of M1 metabolite too.


Interesting. Can you give us a direct link to the document (I'm not in the mood of searching).

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mvgchakravarthi
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India,
2010-01-18 16:19
(6000 d 23:40 ago)

@ Helmut
Posting: # 4613
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 Tramadol BE study

Dear Nermina

As per FDA BE guidance document, need to estimate parent "Tramadol" only but not metabolite.

Regards
M.V.G.Chakravarthi


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! [Helmut]
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2010-01-18 16:44
(6000 d 23:16 ago)

@ mvgchakravarthi
Posting: # 4614
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 Tramadol BE study

Dear M.V.G.Chakravarthi,

have you read the entire thread? The application is for the EU, not for the USA.

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raghu
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India,
2010-01-20 18:53
(5998 d 21:06 ago)

@ Helmut
Posting: # 4625
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 Tramadol BE study

Dear Nermina,

If an active metabolite is available and it is quantifiable in biological fluid (i.e plasma, urine etc), better to analyse and submit as a supportive evidence.

It may add some additional cost, but it is safer.

Nowadays, Sponsor's initially submit the ANDA submission to the proposed countries (EU), Later on they might submit to the rest of the world. If any query comes after several years, then it would be difficult to answer and product approval may be questionable ???

Regards
Raghavender Chenna :ok:
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Vienna, Austria,
2010-01-20 19:18
(5998 d 20:41 ago)

@ raghu
Posting: # 4626
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 MA (EU) vs. ANDA (USA)

Dear Raghavender!

❝ Nowadays, Sponsor's initially submit the ANDA submission to the proposed countries (EU),


In the EU the sponsor applies for Market Authorization (MA) - ANDA is FDA's term. ;-)

❝ Later on they might submit to the rest of the world.


Well, except to the FDA (unless you have included FDA's RLD in a 3way-study).
Some countries except the European reference product if it can be demonstrated that the reference product in that particular country is similar (based on in vitro data), whilst other require the innovators product marketed in their country as a reference anyhow.
This was the driving force behind WHO's 'International Comparator' - but I'm afraid it didn't work out.

❝ If any query comes after several years, then it would be difficult to answer and product approval may be questionable ???


You are right.

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ratna
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2010-01-21 07:36
(5998 d 08:23 ago)

@ Helmut
Posting: # 4635
Views: 8,209
 

 Tramadol BE study

Dear HS,

❝ Interesting. Can you give us a direct link to the document (I'm not in the mood of searching).


Here is the Public assessment report of Tramadol.

Regards,
Ratna


Edit: THX! Document linked. [Helmut]
Otto
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2010-01-25 14:26
(5994 d 01:34 ago)

@ nermina
Posting: # 4645
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 Tramadol BE study

I worked with Tramadol in the past. Since M1 is the active metabolite that's mainly responsible for the efficacy of Tramadol (strong afinity to the µ-receptor) it is necessary to show BE also for M1. I would be surprised if a study without the BE for M1 would be accepted.

Regards,
Otto
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Vienna, Austria,
2010-02-07 18:01
(5980 d 21:58 ago)

@ Otto
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 Therapeutic Equivalence vs. Pharmaceutical Quality

Dear Otto!

❝ Since M1 is the active metabolite that's mainly responsible for the efficacy of Tramadol (strong afinity to the µ-receptor) it is necessary to show BE also for M1. I would be surprised if a study without the BE for M1 would be accepted.


Well, this point of view has clearly shifted from BE seen as surrogate of Therapeutic Equivalence towards a measure of Pharmaceutical Quality (the 'human testtube'-approach) in the past years.
See the new BE-guideline (Section 4.1.5 Characteristics to be investigated / Parent compound or metabolites):

In principle, evaluation of bioequivalence should be based upon measured concentrations of the parent compound. The reason for this is that Cmax of a parent compound is usually more sensitive to detect differences between formulations in absorption rate than Cmax of a metabolite. [...]
The use of a metabolite as a surrogate for an active parent compound is not encouraged.

One exception would be an inactive pro-drug, which is not the case for tramadol.

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kumarnaidu
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Mumbai, India,
2014-03-15 12:36
(4484 d 03:24 ago)

@ Helmut
Posting: # 12634
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 Therapeutic Equivalence vs. Pharmaceutical Quality

Dear All,

We have submitted old tramadol study recently in EU that was conducted as per the old EMA GL. As per the current GL, for establishing BE we have to consider enantiomers of tramadol and its active metabolite. And hence we have recieved the following query from the agency asking the same.
The use of an achiral bioanalytical method for tramadol and its metabolite should be discussed and justified.
Can anyone help me out to defend this ?:confused:

Kumar Naidu
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