Professional Documents
Culture Documents
BABE Data & Regulatory Requirements For BABE Studies
BABE Data & Regulatory Requirements For BABE Studies
BIOEQUIVALENCE DATA
ABSTRACT
To ensure a therapeutic equivalence between a pharmaceutically equivalent test drug and a
generic drug or test drug.
Aditya Kekan
Drug Regulatory Affairs
1.INTRODUCTION
1.1 BIOAVAILABILITY-
A) Bioavailability is a measurement of the rate and extent to which a therapeutically active
chemical is absorbed from a drug product into the systemic circulation and becomes available
at the site of action.
B) For most drugs that are taken orally, the active ingredients are released in the
gastrointestinal (GI) tract and arrive at their site of action via the systemic circulation.
C) Blood concentrations of the active ingredients and/ or their active metabolites thereby
provide a marker for the concentration at the site of action and a valid measure of
bioavailability.
D) A blood concentration-time curve (achieved by serial measurements over time) reflects
not just the release of the active ingredient from the drug and its absorption from the GI tract,
but also other factors including pre-systemic metabolism, distribution, and elimination.
1.2 BIOEQUIVALENCE-
A) Bioequivalence is a term in pharmacokinetics used to assess the expected in vivo
biological equivalence of two proprietary preparations of a drug. If two products are said to
be bioequivalent it means that they would be expected to be, for all intents and purposes, the
same.
If two drugs are bioequivalent, there is no clinically significant difference in their
bioavailability.
B) Although bioequivalence is most commonly discussed in relation to generic drugs, it is
important to note that bioequivalence studies are also performed for brand name drugs in
some situations such as:
• Between early and late clinical trial formulations or between the formulations used in
clinical trials and the product to be marketed for new drugs
• When changes in formulation have occurred after a brand name drug has been approved; for
example, a change in one or more excipients (inactive ingredients). Bioequivalence studies
are a surrogate marker for clinical effectiveness and safety data, as it would not normally be
necessary to repeat clinical studies for generic products.
. For oral drugs, it is accepted that if blood concentrations of the active ingredient of the
generic and brand name drugs are the same, then their concentration at the site of action and
therefore their safety and effectiveness will also be the same.
. For other dosage forms (e.g., drugs for inhalation, topical, or parenteral use), bioequivalence
can be demonstrated through other comparative testing (e.g., comparative pharmacodynamic
studies, pharmaceutical properties) in addition to or in view of comparative bioavailability to
support the safety and efficacy of the proposed product.
b) Health scientists ensure that the standards are adhered to and kept up to date as they
work closely with an expert panel of scientists, physicians, and pharmacists from
across the world.
d) There must be no more than a 20% difference between the AUC and Cmax of brand
name versus generic products.
e) This is based on international agreement that differences below this percentage rate
are not clinically significant.
f) In order to establish bioequivalence, the AUC and Cmax for the generic drug are
compared with that of the brand name drug.
h) This is how the range for the confidence intervals is defined: • 8/10 = 0.8 (gives the
lower limit of 80%) • 10/8 = 1.25 (gives the upper limit of 125%).
i) The ratio of the Cmax and the 90% confidence interval for the ratio of the AUC
should be contained within the limits of 0.8 to 1.25.
j) Thus, bioequivalence is based on ratios where the nominal equality is 1 (or 100%). It
is not based on differences in absolute values.
k) In practice, for a generic product to demonstrate bioequivalence, the ratio of the mean
values must be close to 100% in order for the upper and lower limits to be contained
within the accepted range.
l) If the observed ratio is closer to 80% or 125%, then the data would have to contain
little or no variation from the mean for the 90% confidence intervals of the ratio to lie
within the 80% to 125% range necessary to demonstrate bioequivalence.
m) This applies to generic drugs and aforementioned situations cited for new
formulations of brand drugs.
2.2.1 SOLUBILITY-
c) The higher single unit dose is completely soluble in 250 ml at pH 1- 6.8 (37˚C).
2.2.2 PERMEABILITY-
a) Permeability of the drug to pass the biological membrane which is the lipophilic.
c) Drug substance is considered to be highly permeable, when the extent of absorption in human
determined to be 90% or more of administered drug or compare to in vivo reference dose.
2.2.3 DISSOLUTION –
a) It is process in which solid substance solubilises in given solvent i.e mass transfer from solid
surface to liquid phase.
b) Using USP apparatus I (Basket type) at 100 rpm or USP apparatus II (Paddle type) at 50 rpm.
2.4 APPLICATIONS-
a) To predict in vivo performance of drug product using solubility and permeability
measurements.
b) Aid in earliest stages of drug discovery research.
c) To use in biowaiver considerations.
d) For research scientist to decide upon which drug delivery technology to follow or
develop.
e) Used also for the regulation of bioequivalence of the drug product during scale up and
post approval.
2.5 CLASS BOUNDARIES-
A] HIGHLY SOLUBLE-
The highest dose strength is soluble in < 250 ml water over a pH range of 1 to 7.5. The
volume estimate - a glassful (8 ounce).
B] HIGHLY PERMEABLE-
When the extent of absorption in humans is determined to be > 90% of an administered
dose.
C} RAPIDLY DISSOLVING-
When > 85% of the labelled amount of drug substance dissolves within 30 minutes using
USP apparatus I or II in a volume of < 900 ml buffer solutions.
3.REGULATORY REQUIREMENTS
FOR BIOEQUIVALENCE STUDY
3.1 The basic requirements for bioequivalence study are as follows-
BIOEQUIVALENCE STUDY
LINEAR STEREOCHEMISTRY IS
PHARMACOKINETICS NOT AN ISSUE
PHARMACOKINETIC STUDY
A) Study Design
The Basic design of an in vivo bioavailability study is determined by the following:
What are the scientific questions to be answered?
The nature of the reference material and the dosage form to be tested.
The availability of the analytical methods.
Benefit-Risk ratio considerations in regards to testing in humans.
B) Study Population
C) Selection of Subjects
D) Study condition
Fasting state:
a) A single dose study should be conducted after an overnight fast (at least 10 hours),
with subsequent fast of 4 hours following dosing.
b) For multiple dose fasting state studies, when an evening dose must be given, two
hours of fasting before and after the dose is considered acceptable.
Fed State:
Required when:
a) Drug recommended with food
b) Modified release product
c) Assessment of Cmax and Tmax difficult with fasting state study
d) Requires consumption of a high fat food, 30 minutes before dosing
e) Provide 800-1000 kcals with about 50% of calories derived from fat
f) Fat- 500-600, Proteins - 150, Carbohydrate- 250 Kcal
g) Ethnic & cultural variation considered
h) Specified in protocol
Where information is required in both Fasting and fed state, it is acceptable to conduct either:
a. Two separate two-way cross-over.
b. Four way cross-over study.
3.3.1.3 Biowaivers-
A Biowaiver means that in vivo bioavailability and/or bioequivalence studies may be waived
(not considered necessary for product approval/ exempted).
In vitro studies, i.e dissolution studies can be used in place of in vivo bioequivalence under
certain conditions, called BIOWAIVERS.
The drug product differs only in strength of active substance, provided the following
condition hold:
a) Pharmacokinetics is linear.
b) The qualitative composition is same.
c) The ratio between active substance and excipient is same.
d) Both products are produced by same manufacturer at same site with same
manufacturing process.
The drug has been slightly reformulated or manufacturing method has been slightly modified
by same manufacturer in ways that can be argues irrelevant for BA.
The product meets following requirement:
a) The product is in form of solution or solubilised form (elixir, syrup) etc.
b) The product contains active ingredient in same conc. as approved drug.
c) The product contains no excipient known to significantly affect absorption of active
ingredient.
d) The product is administered by inhalation as gas or vapor.
e) The product is for oral administration but not intended for absorption (antacid or radio
opaque medium).
f) The product is intended for topical administration (ointment, creams, gels etc,) for
local effect.
3.3.2 PHARMACODYNAMIC STUDIES-
These studies include measurement of effect on a Patho-physiological process as a function
of time, after administration of 2 different products
Necessity-
1. Quantitative analysis in plasma or urine is not possible with sufficient accuracy &
sensitivity
2. Drug concentrations are not surrogate endpoints e.g Topical formulations without
systemic absorption.
3. In situations of ‘Superiority Claims’.
4. In case only Pharmacodynamic data is collected→ other methods tried & why they
were unsuitable should be mentioned.
1) USP Apparatus I at 100 rpm or Apparatus II at 50 rpm using 900 ml of the following
dissolution media:
2) 0.1N HCl or Simulated Gastric Fluid USP without pepsin enzymes.
3) A pH 4.5 acetate buffer.
4) A pH 6.8 phosphate buffer or Simulated Intestinal Fluid USP without peptidase
enzymes.
5) For capsules and tablets with gelatin coating- Simulated Gastric and Intestinal Fluids
USP (with enzymes) can be used.
It is graphical representation [in terms of concentration vs. time] of complete release of A.P.I.
from a dosage form in an appropriate selected dissolution medium. i.e. in short it is the
measure of the release of A.P.I from a dosage form with respect to time.
3.3.4.1.1 Objective-
a) To Develop in vitro-in vivo correlation which can help to reduced costs, speed-up
product development and reduced the need of perform costly bioavailability human
volunteer studies.
b) Demonstrating equivalence after change in formulation of drug product.
c) Establish the similarity of pharmaceutical dosage forms, for which composition,
manufacture site, scale of manufacture, manufacture process and/or equipment may
have changed within defined limits.
3.3.4.1.2 Importance-
a) Dissolution profile of an A.P.I. reflects its release pattern under the selected condition
sets. i.e. either sustained release or immediate release of the formulated formulas.
b) For optimizing the dosage formula by comparing the dissolution profiles of various
formulas of the same A.P.I.
c) The most important application of the dissolution profile is that by knowing the
dissolution profile of particular product of the BRAND LEADER, we can make
appropriate necessary change in our formulation to achieve the same profile of the
BRAND LEADER.
A0 - At = Kt
where ,
A0 = Initial amount of drug in the dosage form.
At = Amount of drug in the dosage form at time ‘t’.
Kt = Proportionality constant.
Application:
Transdermal systems as well as matrix tablets with low solubility drugs in coated forms,
osmotic systems, etc.
Applications:
This relationship can be used to described the drug dissolution in pharmaceutical dosage
forms containing water soluble drugs in porous matrices.
Applications:
Modified release dosage forms, transdermal systems and matrix tablets with water soluble
drugs.
D) Baker-Lonsdale model (Microspheres, microcapsules)-
In 1974 Baker-Lonsdale (Baker and Lonsdale, 1974) developed the model from the Higuchi
model and describes the controlled release of drug from a spherical matrix that can be
represented as:
3/2 [1-(1-At/A∞)2/3]-At/A∞ = (3DmCms) / (r02C0) t
where,
At is the amount of drug released at time ’t’
A∞ is the amount of drug released at an infinite time,
Dm is the diffusion coefficient,
Cms is the drug solubility in the matrix,
ro is the radius of the spherical matrix
Co is the initial concentration of the drug in the matrix.
The difference factor as defined by FDA calculates the % difference between 2 curves at each
time point and is a measurement of the relative error between 2 curves.
where,
n= no. of time points
Rt= % dissolved at time (t) of reference product (pre-changes)
Tt= % dissolved at time (t) of test product (post-changes)
B) The similarity factor (f2)-
The similarity factor (f2) as defined by FDA is logarithmic reciprocal square root
transformation of sum of squared error and is a measurement of the similarity in the
percentage (%) dissolution between the two curves.
3.3.4.1.3.3.3 Advantages-
a) They are easy to produce
b) They provide single number to describe the comparison of dissolution profile data
3.3.4.1.3.3.4 Disadvantages-
a) The values of f1 and f2 are sensitive to the number of dissolution time point used.
b) If the test and reference formulation are interchanged, f2 is unchanged but f1 is not,
yet difference between two mean profiles remains same.
c) The basis of criteria for deciding the difference or similarity between dissolution
profile is unclear.
3.4 DOCUMENTATION-
With respect to the conduct of bioequivalence/bioavailability studies following important
documents must be maintained:
A) Clinical Data:
All relevant documents as required to be maintained for compliance with GCP Guidelines.
Linearity range-
The linearity of an analytical method is its capability to elicit check consequences
which might be at once, or with the aid of well described mathematical adjustments,
proportional to the concentration of analytes in within a given range.
QC sample analysis
C) Analytical data of volunteer plasma samples which should include the following:
Validation data of analytical methods used,
Chromatograms of all volunteers,
Inter-day and intra-day variation of assay results,
Details including chromatograms of any repeat analysis performed,
Calibration status of the instruments.
D) Raw data
E) All comments of the chief investigator regarding the data of the study submitted for
review