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ICH M13A 实施对生物等效性评估的影响:因暴露量低而删除数据-Vivian.pdf

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1、Impact of ICH M13A Implementation on Bioequivalence Assessment:Removal of Data due to Low ExposureDiana Vivian,Ph.D.Associate Division DirectorDivision of Bioequivalence II,OGD/OBCDER|US FDASBIA Generic Drugs Forum April 10,2025fda.gov/cdersbiafda.gov/cdersbia2Disclaimer:This presentation reflects t

2、he views of the presenter and should not be construed to represent FDAs views or policies.fda.gov/cdersbiafda.gov/cdersbia3Learning Objectives Provide an overview of the ICHM13A guidance recommendations regarding removal of bioequivalence(BE)study data due to low exposure Highlight case studies show

3、ing how the Office of Bioequivalence(OB)has implemented these recommendations,including how the scientific principles have been applied for non-immediate release(IR)productsfda.gov/cdersbiafda.gov/cdersbia4Per the FDA draft Guidances for Industry:Bioequivalence(BE)Studies with Pharmacokinetic Endpoi

4、nts for Drugs Submitted Under an ANDA(Aug 2021)and Statistical Approaches to Establishing Bioequivalence(Dec 2022),data should not be removed from bioequivalence studies due to identification of statistical outliers.Such data was generally only removed with real time documentation of a protocol devi

5、ation;otherwise,it is not clear if the anomalous data could be due to other factors such as product failure.In limited cases,an exception was made due to data below the limit of quantitation(BLQ)which precluded calculation of a subject periods pharmacokinetic(PK)parameters,i.e.,if test/reference(T/R

6、)ratio could not be calculated for the subject.Previous Practice Regarding Low Exposure Data Removalfda.gov/cdersbiafda.gov/cdersbia5Removal of BE Study Data Due to Low ExposureSection II.B.(Data Analysis for Non-Replicate Study Design)1.a.Generally,data should not be removed from the statistical an

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根据FDA的演讲和指导文件,本文讨论了ICH M13A指导原则对生物等效性评估的影响,特别是关于由于低暴露而移除生物等效性研究数据的问题。核心观点包括:1)低暴露数据一般不应仅因统计学上的极端值而被移除;2)当受试者暴露量低到无法计算药代动力学参数时,可以考虑移除数据;3)移除低暴露数据的情况极为罕见,且通常只涉及单一受试者;4)申请者应尽量减少研究中受试者的非 compliance行为;5)所有数据,包括被排除的数据,都应提交用于评估。具体案例分析显示,在某些情况下,移除低暴露受试者的数据是可接受的,例如,当暴露量低于几何平均值的5%时。但是,在其它情况下,如当受试者暴露量低到无法计算药代动力学参数时,即使数据被排除,也无法确定异常数据是否由于产品失效。
ICH M13A如何影响生物等效性评估? 低暴露数据在BE研究中的去除是否总是合理的? 在BE研究中,如何处理因低暴露而被移除的数据?
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