As part of its ongoing efforts to provide product-specific guidance for generics makers the US Food and Drug Administration (FDA) has again released several new and revised bioequivalence documents. The agency announced on 15 May 2017 that it had released 21 new draft guidance documents and 16 revisions to guidance documents on bioequivalence requirements for the development of generics containing 33 different active ingredients.
The new draft bioequivalence guidance documents cover generics of attention deficit hyperactivity disorder (ADHD) treatment amphetamine, antibiotic gentamicin, hepatitis C treatment sofosbuvir; velpatasvir and chronic lymphocytic leukaemia treatment venetoclax, among others, see Table 1.
Revised bioequivalence guidance documents include those for generics of anticoagulant apixaban, cancer treatment bexarotene, HIV treatment emtricitabine/tenofovir and multiple sclerosis treatment Gilenya (fingolimod), among others, see Table 2.
FDA bioequivalence requirements demand that the generic drug performs in the same way in the body and has the same active ingredient(s), strength, dosage form and route of administration as the brand-name reference drug.
Table 1: FDA new draft bioequivalence guidance documents
Active ingredient
|
Route of administration
|
Dosage form
|
Link
|
Acetylcysteine
|
Oral
|
Tablet, effervescent
|
Click here
|
Amphetamine
|
Oral
|
Tablet, ER, OD
|
Click here
|
Aprepitant
|
Oral
|
Suspension
|
Click here
|
Azelastine hydrochloride
|
Nasal
|
Spray, metered
|
Click here
|
Bisacodyl/ polyethylene glycol 3350/ potassium chloride/ sodium bicarbonate/ sodium chloride
|
Oral
|
Tablet DR for solution
|
Click here
|
Carbidopa/ levodopa
|
Enteral
|
Suspension
|
Click here
|
Chlordiazepoxide hydrochloride/ clidinium bromide
|
Oral
|
Capsule
|
Click here
|
Clonazepam
|
Oral
|
Tablet, OD
|
Click here
|
Edoxaban tosylate
|
Oral
|
Tablet
|
Click here
|
Gentamicin sulfate
|
Topical
|
Ointment
|
Click here
|
Hydrocortisone butyrate
|
Topical
|
Lotion
|
Click here
|
Hydrocortisone
|
Topical
|
Cream
|
Click here
|
Linagliptin/ metformin hydrochloride
|
Oral
|
Tablet, ER
|
Click here
|
Lorcaserin HCl
|
Oral
|
Tablet, ER
|
Click here
|
Methylnaltrexone bromide
|
Oral
|
Tablet
|
Click here
|
Nitroglycerin
|
Sublingual
|
Powder
|
Click here
|
Nystatin/ triamcinolone acetonide
|
Topical
|
Cream
|
Click here
|
Nystatin/ triamcinolone acetonide
|
Topical
|
Ointment
|
Click here
|
Tetracaine hydrochloride/ oxymetazoline hydrochloride
|
Nasal
|
Spray
|
Click here
|
Sofosbuvir/ velpatasvir
|
Oral
|
Tablet
|
Click here
|
Venetoclax
|
Oral
|
Tablet
|
Click here
|
DR: delayed release; ER: extended release; OD: orally disintegrating.
|
Table 2: FDA revised draft bioequivalence guidance documents
The draft guidance documents recommend what in vivo and in vitro studies generics companies should carry out in order to demonstrate bioequivalence. The number of studies, the population to be studied, blood sampling timepoints, and analytes to be measured in blood samples are also detailed in the draft guidance documents. Some of the documents also provide discussion on data formats.
FDA also has an overarching guidance document on bioequivalence recommendations for specific products [1], as well as a dissolution methods database.
Comments on the draft guidance documents can be posted to the Division of Dockets Management (DDM) under Docket FDA-2007-D-0369-0015. This can be done via the website www.regulations.gov or written comments can be mailed to DDM (HFA-305), FDA, 5630 Fishers Lane, Rm. 1061, Rockville, MD 20852, USA.
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Reference
1. GaBI Online - Generics and Biosimilars Initiative. US guidelines for generics [www.gabionline.net]. Mol, Belgium: Pro Pharma Communications International; [cited 2017 Jul 14]. Available from: www.gabionline.net/Guidelines/US-guidelines-for-generics
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