Reqs_BE

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							                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




             Regulatory Requirements for BE

                            Evaluation of Quality and
                     Interchangeability of Medicinal Products

                                                       10 – 14 September 2007
                                                       Dar Es Salaam, Tanzania

                                  Dr. Henrike Potthast; Temporary Advisor to WHO



                                                                                                       1
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




            Regulatory Requirements for BE
 EU “Note for Guidance on the Investigation of
  Bioavailability and Bioequivalence” CPMP/EWP/QWP/1401/98

 FDA - Guidance for Industry: “Bioavailability and Bioequivalence Studies
  for Orally Administered Drug Products – General Considerations” (Oct.
  2000) – and related guidances

 WHO – Multisource (generic) pharmaceutical products: Guidelines on
  registration requirements to establish interchangeability (2005)

 CN – Guidance for Industry; Conduct and analysis of bioavailability and
  bioequivalence studies – Part A: Oral dosage formulations used for
  systemic effects (1992)
 ….and others
                                                                                                       2
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




                       Regulatory Requirements for BE

    Bioavailability – rate and extent at which a drug
     substance... becomes available in the general system
     (product characteristic!)

    Bioequivalence – equivalent bioavailability within pre-set
     acceptance ranges

    Pharmaceutical equivalence  Bioequivalence

    Bioequivalence  Therapeutic equivalence
                                                                                                       3
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




                     Regulatory Requirements for BE

  Bioequivalence Studies



  in vivo comparison of products by means of volunteers
   serving as “in-vivo dissolution model”

  ‘biological quality control’

 comparison of product characteristics in order to ensure
        therapeutic equivalence


                                                                                                       4
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




               Regulatory Requirements for BE

    Immediate and Modified Release Dosage
     Forms

   BE is generally required and can be investigated by
          means of

   ♦      pharmacokinetic (BE) studies (preferred as most sensitive)
   ♦      comparative pharmacodynamic studies
   ♦      comparative clinical trials
   ♦      comparative in vitro trials
                                                                                                       5
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




             Regulatory Requirements for BE

  Immediate Release (IR) Dosage Forms

  possible BE exemptions

 ♦ aqueous solution (incl. syrups, elixirs, but no suspensions)
 ♦ gases
 ♦ aqueous otic or ophthalmic products (contg. the same actives and
   excipients)


 ♦ nebulizer inhalation products or nasal sprays (contg. the same actives
   and excipients)
                                                                                                       6
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




             Regulatory Requirements for BE

    Particularity for IR dosage forms

                                        ‘BCS-based Biowaiver’.....
 .....which is defined as
  in vitro instead of in vivo bioequivalence testing
  comparison of test and reference
 ....is not defined as
  no equivalence testing
     cave: different recommendations in WHO, EU, and FDA!
                                                                                                       7
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




               Regulatory Requirements for BE
    Bioequivalence for Immediate Release Dosage Forms
     by means of…

    …the ‘parent’ drug substance within a single dose 2-period
     crossover design is usually appropriate

    note – special cases
   ♦      dose- or time-dependent kinetics
   ♦      specific food recommendations in the SPC
   ♦      active metabolites
   ♦      pro-drugs
   ♦      enantiomers……

                                                                                                       8
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




             Regulatory Requirements for BE

  Modified Release (MR) Dosage Forms

                            controlled (extended, sustained) release
                                        delayed release

 ♦ single unit formulations

 ♦ multiple unit formulations



                                                                                                       9
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




               Regulatory Requirements for BE

    Modified Release (MR) Dosage Forms

   generally BE under specific conditions

   ♦ single dose study (fasting)
   ♦ multiple dose study (steady state conditions – EU, not FDA)
   ♦ food-effect study (“dose-dumping” under high-fat
     conditions; note: FDA guidance on ‘Food-Effect Bioavailability and
     Fed Bioequivalence Studies’, CDER; December 2002)

                                                                                                     10
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




               Regulatory Requirements for BE

 ♦ ‚ If a product concerns several strengths…‘
        (see e.g. 5.4 EU guidance)


           ♦ bioequivalence proven for one strength
           ♦ same manufacturer and manufacturing process
           ♦ linear drug input (if this is not the case…..)
           ♦ same qualitative composition of different strengths (WHO)
           ♦ same ratio between active substance and excipients, or same excipients
             in case of low concentration (less than 5 % API)
           ♦ similar in vitro dissolution (WHO)


         see also guidance for MR products, 5.1 of EU guidance
         CPMP/EWP/280/96…



                                                                                                     11
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




             Regulatory Requirements for BE
      …MR products acc. to 5.1 of EU guidance
       (CPMP/EWP/280/96)…however, there is a possibility for

              ♦ single-unit forms:
                single dose study in the fasted state for every
                strength, multiple dose study may be waived for lower
                strengths
              ♦ multiple-unit forms:
                single and multiple dose studies may be waived for
                lower strengths in case of identical beeds or pellets
                                                cave: in vitro dissolution studies……..

                                                                                                     12
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




             Regulatory Requirements for BE

♦ Comparative in vitro dissolution ….

         ♦ complementary to BE studies (see e.g. 3.7 EU guidance)
         ♦ comparison of reference products
         ♦ in vitro/in vivo correlation (only level A for BE decision)
         ♦ ‚biowaiver‘ – dose proportionality
         ♦ ‚biowaiver‘ – BCS concept
         ♦ batch release and other ‚quality issues‘….


                                                                                                     13
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




                       Regulatory Requirements for BE

    Fixed combination products

    in vivo comparison vs appropriate comparator combination
          (or separate comparator products in specific cases)

    general testing criteria apply to all active components

   bioequivalence criteria apply to all active components



                                                                                                     14
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




               Regulatory Requirements for BE

    Bioequivalence for transdermal therapeutic systems
     (TTS)


    BE by means of single and multiple dose studies
    performing a replicate design study is advisable (investigation
          of subject by formulation interaction)
    ‘BE’ regarding local tolerability
    dose proportionality issue: thorough in vitro release testing
     and exact proportionality (partial effective surface area!)

                                                                                                     15
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                             Federal Institute for Drugs
                                                                                                   and Medical Devices




                       Regulatory Requirements for BE

    Bioequivalence for topical dosage forms
     without systemic action

   EU/WHO  usually therapeutic studies necessary
          (therapeutic equivalence, safety and tolerability usually not possible by means
          of blood sampling and PK data)

   FDA  usually therapeutic studies necessary                                            (specific
          FDA guidance for corticosteroids…..)


    possibilities are e.g. skin stripping, microdialysis, NIR…

                                                                                                        16
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




                     Regulatory Requirements for BE

 ♦ ..inhalatives… metered dose inhalers…(locally
        acting)


           ♦ usually therapeutic studies necessary
           ♦ in some cases PK studies for safety reasons
           ♦ in some cases PK studies in addition to in-vitro (‚quality‘ -
             deposition characteristics e.g. FPD)
           ♦ usually in patients

         EU guidances: CPMP/EWP/4151/00 ref. to 75/318/EEC – Council Regulation No
        594/91), CPMP/EWP/2922/01, and CPMP/EWP/239/95
         FDA: ‚Critical Path Opportunities for Generic Drugs‘ May 1, 2007

                                                                                                     17
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health
                                                                                          Federal Institute for Drugs
                                                                                                and Medical Devices




               Regulatory Requirements for BE



                               THANK YOU FOR YOUR
                                    ATTENTION




                                                                                                     18
The BfArM is a Federal Institute within the portfolio of the Federal Ministry of Health

						
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