Limits for the scaled average bioequivalence of highly variable drugs and drug products

L. Tóthfalusi, Laszlo Endrenyi

Research output: Contribution to journalArticle

63 Citations (Scopus)

Abstract

Purpose. To provide a rational procedure for establishing regulatory bioequivalence (BE) limits that can be applied in determinations of scaled average BE for highly-variable (HV) drugs and drug products. Methods. Two-period crossover BE investigations with either 24 or 36 subjects were simulated with assumptions of a coefficient of variation of 10, 20, 30, or 40%. The decline in the fraction of accepted studies was recorded as the ratio of geometric means (GMR) for the two formulations was raised from 1.00 to 1.45. Acceptance of BE was evaluated by scaled average BE, assuming various BE limits, and, for comparison, by unscaled average BE. A procedure for calculating exact confidence limits in two-period studies is presented, and an approximate method, based on the linearization of the regulatory model, is applied. Results. A mixed model is proposed for average BE. Accordingly, at low variabilities, the BE limit is constant, ±BELo, generally log(1.25). Beyond a logarithmic, limiting, "switching" variability (σo), in the region of HV drugs, the approach of scaled average BE is applied with limits of ±(BELoo). It is demonstrated that the performance of the mixed model corresponds to these expectations. The effect of σo and of the resulting BE limits is also demonstrated. Scaled average BE, with all reasonable limits for HV drugs, requires fewer subjects than an unscaled average BE. In two-period studies, the exact and approximate methods calculating confidence limits yield very comparable inferences. Conclusions. Scaled average BE can be effectively applied, with the recommended limits, for determining the BE of HV drugs and drug products. The limiting, "switching" variability (σo) will have to be established by regulatory authorities.

Original languageEnglish
Pages (from-to)382-389
Number of pages8
JournalPharmaceutical Research
Volume20
Issue number3
DOIs
Publication statusPublished - Mar 1 2003

Fingerprint

Therapeutic Equivalency
Drug products
Pharmaceutical Preparations
Linearization

Keywords

  • Bioequivalence
  • Crossover designs
  • Highly-variable drugs
  • Mixed model for average bioequivalence
  • Regulatory limits
  • Scaled average bioequivalence

ASJC Scopus subject areas

  • Chemistry(all)
  • Pharmaceutical Science
  • Pharmacology

Cite this

Limits for the scaled average bioequivalence of highly variable drugs and drug products. / Tóthfalusi, L.; Endrenyi, Laszlo.

In: Pharmaceutical Research, Vol. 20, No. 3, 01.03.2003, p. 382-389.

Research output: Contribution to journalArticle

@article{9c3481fb7541438b99e378ec10652411,
title = "Limits for the scaled average bioequivalence of highly variable drugs and drug products",
abstract = "Purpose. To provide a rational procedure for establishing regulatory bioequivalence (BE) limits that can be applied in determinations of scaled average BE for highly-variable (HV) drugs and drug products. Methods. Two-period crossover BE investigations with either 24 or 36 subjects were simulated with assumptions of a coefficient of variation of 10, 20, 30, or 40{\%}. The decline in the fraction of accepted studies was recorded as the ratio of geometric means (GMR) for the two formulations was raised from 1.00 to 1.45. Acceptance of BE was evaluated by scaled average BE, assuming various BE limits, and, for comparison, by unscaled average BE. A procedure for calculating exact confidence limits in two-period studies is presented, and an approximate method, based on the linearization of the regulatory model, is applied. Results. A mixed model is proposed for average BE. Accordingly, at low variabilities, the BE limit is constant, ±BELo, generally log(1.25). Beyond a logarithmic, limiting, {"}switching{"} variability (σo), in the region of HV drugs, the approach of scaled average BE is applied with limits of ±(BELo /σo). It is demonstrated that the performance of the mixed model corresponds to these expectations. The effect of σo and of the resulting BE limits is also demonstrated. Scaled average BE, with all reasonable limits for HV drugs, requires fewer subjects than an unscaled average BE. In two-period studies, the exact and approximate methods calculating confidence limits yield very comparable inferences. Conclusions. Scaled average BE can be effectively applied, with the recommended limits, for determining the BE of HV drugs and drug products. The limiting, {"}switching{"} variability (σo) will have to be established by regulatory authorities.",
keywords = "Bioequivalence, Crossover designs, Highly-variable drugs, Mixed model for average bioequivalence, Regulatory limits, Scaled average bioequivalence",
author = "L. T{\'o}thfalusi and Laszlo Endrenyi",
year = "2003",
month = "3",
day = "1",
doi = "10.1023/A:1022695819135",
language = "English",
volume = "20",
pages = "382--389",
journal = "Pharmaceutical Research",
issn = "0724-8741",
publisher = "Springer New York",
number = "3",

}

TY - JOUR

T1 - Limits for the scaled average bioequivalence of highly variable drugs and drug products

AU - Tóthfalusi, L.

AU - Endrenyi, Laszlo

PY - 2003/3/1

Y1 - 2003/3/1

N2 - Purpose. To provide a rational procedure for establishing regulatory bioequivalence (BE) limits that can be applied in determinations of scaled average BE for highly-variable (HV) drugs and drug products. Methods. Two-period crossover BE investigations with either 24 or 36 subjects were simulated with assumptions of a coefficient of variation of 10, 20, 30, or 40%. The decline in the fraction of accepted studies was recorded as the ratio of geometric means (GMR) for the two formulations was raised from 1.00 to 1.45. Acceptance of BE was evaluated by scaled average BE, assuming various BE limits, and, for comparison, by unscaled average BE. A procedure for calculating exact confidence limits in two-period studies is presented, and an approximate method, based on the linearization of the regulatory model, is applied. Results. A mixed model is proposed for average BE. Accordingly, at low variabilities, the BE limit is constant, ±BELo, generally log(1.25). Beyond a logarithmic, limiting, "switching" variability (σo), in the region of HV drugs, the approach of scaled average BE is applied with limits of ±(BELo /σo). It is demonstrated that the performance of the mixed model corresponds to these expectations. The effect of σo and of the resulting BE limits is also demonstrated. Scaled average BE, with all reasonable limits for HV drugs, requires fewer subjects than an unscaled average BE. In two-period studies, the exact and approximate methods calculating confidence limits yield very comparable inferences. Conclusions. Scaled average BE can be effectively applied, with the recommended limits, for determining the BE of HV drugs and drug products. The limiting, "switching" variability (σo) will have to be established by regulatory authorities.

AB - Purpose. To provide a rational procedure for establishing regulatory bioequivalence (BE) limits that can be applied in determinations of scaled average BE for highly-variable (HV) drugs and drug products. Methods. Two-period crossover BE investigations with either 24 or 36 subjects were simulated with assumptions of a coefficient of variation of 10, 20, 30, or 40%. The decline in the fraction of accepted studies was recorded as the ratio of geometric means (GMR) for the two formulations was raised from 1.00 to 1.45. Acceptance of BE was evaluated by scaled average BE, assuming various BE limits, and, for comparison, by unscaled average BE. A procedure for calculating exact confidence limits in two-period studies is presented, and an approximate method, based on the linearization of the regulatory model, is applied. Results. A mixed model is proposed for average BE. Accordingly, at low variabilities, the BE limit is constant, ±BELo, generally log(1.25). Beyond a logarithmic, limiting, "switching" variability (σo), in the region of HV drugs, the approach of scaled average BE is applied with limits of ±(BELo /σo). It is demonstrated that the performance of the mixed model corresponds to these expectations. The effect of σo and of the resulting BE limits is also demonstrated. Scaled average BE, with all reasonable limits for HV drugs, requires fewer subjects than an unscaled average BE. In two-period studies, the exact and approximate methods calculating confidence limits yield very comparable inferences. Conclusions. Scaled average BE can be effectively applied, with the recommended limits, for determining the BE of HV drugs and drug products. The limiting, "switching" variability (σo) will have to be established by regulatory authorities.

KW - Bioequivalence

KW - Crossover designs

KW - Highly-variable drugs

KW - Mixed model for average bioequivalence

KW - Regulatory limits

KW - Scaled average bioequivalence

UR - http://www.scopus.com/inward/record.url?scp=0037337782&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0037337782&partnerID=8YFLogxK

U2 - 10.1023/A:1022695819135

DO - 10.1023/A:1022695819135

M3 - Article

VL - 20

SP - 382

EP - 389

JO - Pharmaceutical Research

JF - Pharmaceutical Research

SN - 0724-8741

IS - 3

ER -