AB
☆    

India,
2013-01-10 09:42
(4913 d 12:52 ago)

Posting: # 9811
Views: 4,183
 

 Scaling approach in steady state [Design Issues]

Dear All,

Can we adopt a ref scaling approach in a steady state design for highly variable drugs?
if yes, in such cases what are the parameters to consider for the scaling for USFDA & EMA submission studies.

Many thanks in advance.

Regards,
AB
Helmut
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Vienna, Austria,
2013-01-10 14:30
(4913 d 08:04 ago)

@ AB
Posting: # 9814
Views: 3,621
 

 Scaling approach in steady state

Dear AB,

❝ Can we adopt a ref scaling approach in a steady state design for highly variable drugs?


Why not?

❝ if yes, in such cases what are the parameters to consider for the scaling for USFDA & EMA submission studies.


Not sure what you mean by “parameters to consider for the scaling”.
  • PK metrics in steady state are AUCτ and Cmax,ss.
  • FDA: RSABE acceptable for AUC and/or Cmax if sWR ≥0.294.
    GMR within 0.8–1.25. Minimum sample size 24 (rumor!).
  • EMA: ABEL acceptable only for Cmax if CVWR >30%; maximum scaling factor limited to 50%.
    GMR within 0.8–1.25. Clinical justification required.

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AB
☆    

India,
2013-01-11 14:42
(4912 d 07:53 ago)

@ Helmut
Posting: # 9825
Views: 3,384
 

 Scaling approach in steady state

Dear Helmut,

Many thanks for your response.
“parameters to consider for the scaling”.
I mean which PK parameters to consider for the scaling.
Along with PK parameters and criteria you mentioned, should we also consider Cmin for scaling or not?
am not sure to what extent my question is valid.

Thanks again

Regards,
AB
Helmut
★★★
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Vienna, Austria,
2013-01-11 15:11
(4912 d 07:24 ago)

@ AB
Posting: # 9826
Views: 3,472
 

 Only AUCt and Cmin

Dear AB!

❝ Along with PK parameters and criteria you mentioned, should we also consider Cmin for scaling or not?


According to the [image] guidance you should report Cmin together with Cav, degree of fluctuation [(Cmax–Cmin)/Cav], and swing [(Cmax–Cmin)/Cmin]. A statistical comparison is not required.

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