I want to compare Bioequivalence of test IR and test MR formulation with IR reference formulation. Is it possible to compare both test formulation with reference formulation in single study. ???
Dear Praful i dont think it is possible because both IR and MR have completely different release pattern and hence BE parameter like AUC , Cmax, Tmax will be different.
You can also refer the US FDA guidelines for same.
If the MR product is newly developed by you only and you don't have any comparator. Then you can do the comparison. But as I understand we will call this study a bio-availability study not bioequivalence study. Also your MR product should have same AUC, prolonged Tmax and cmax smaller than the IR product in order to prove that you have successfully created the MR formulation. You will find the literature regarding this for more details.
Dear Praful, Please read this article. May be you find this useful.
Pharmacokinetic comparison of sustained- and immediate-release oral formulations of cilostazol in healthy Korean subjects: a randomized, open-label, 3-part, sequential, 2-period, crossover, single-dose, food-effect, and multiple-dose study.
Lee D1, Lim LA, Jang SB, Lee YJ, Chung JY, Choi JR, Kim K, Park JW, Yoon H, Lee J, Park MS, Park K.
Direct want to do multiple dose study (No single dose study).
reference formulation is recommended for three time daily. So I want to evaluate Bio. by IR test Vs. IR ref three time a day. Is it possible....and what about regulatory...thy will accept such kind of results.
I will suggest you to see previous MR formulation approvals (EMA or USFDA). You can also check clinicaltrials.gov site for ongoing and completed projects.
New ER formulation comparison to an already-approved IR product
For drugs with linear pharmacokinetics over the therapeutic dose range: A fasting study should be conducted comparing the ER product administered as a single dose at the highest strength to the IR reference administered over the least common time interval to achieve equivalent total dose as for the ER product. for safety reasons the highest strength cannot be used, a lower strength may be acceptable.
For drugs with nonlinear pharmacokinetics over the therapeutic dose range: At a minimum, a single dose of the highest and lowest strengths of the ER product should be compared to their corresponding IR references administered over the ER dosing interval. If the relative BA of intermediate ER strengths cannot be inferred based on the above studies, a single-dose fasting study for the intermediate strength(s) of the ER product should be compared to the corresponding IR reference administered over the ER dosing interval.
Please find below link for receantly published article
Is it possible to achieve bio-equivalence between an oral solid immediate-release and an analogue enteric-coated formulation?Journal of Pharmacy and Pharmacology
Dannit Licht, Rachel Cohen, Ofer Spiegelstein, Laura Rabinovich-Guilatt, Marina Zholkovsky, Adrian Gilbert, Jennifer B. Dressman and Muhammad Safadi
Version of Record online : 27 JUL 2016, DOI: 10.1111/jphp.12597