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Biowaiver monographs for immediate release solid oral dosage forms: levofloxacin
Marcelle O Koeppe1, Rodrigo Cristofoletti, Eduardo F Fernandes
1Brazilian Health Surveillance Agency (Anvisa), Division of Bioequivalence, Brazil.
A biowaiver for levofloxacin immediate-release (IR) solid oral dosage forms is recommended. This applies if the drug, classified under Class I, meets specific dissolution and excipient criteria, simplifying bioequivalence (BE) testing.
Area of Science:
- Pharmaceutical Sciences
- Drug Development
- Regulatory Science
Background:
- Levofloxacin is an active pharmaceutical ingredient (API) often formulated as immediate-release (IR) solid oral dosage forms.
- The Biopharmaceutics Classification System (BCS) categorizes drugs based on solubility and permeability, influencing regulatory requirements.
- Bioequivalence (BE) testing ensures that generic drugs perform comparably to reference drugs.
Purpose of the Study:
- To review literature data supporting a waiver of in vivo bioequivalence (BE) testing for levofloxacin IR solid oral dosage forms.
- To assess the feasibility of biowaiver for levofloxacin based on its physicochemical properties and formulation characteristics.
- To establish criteria for granting a biowaiver for levofloxacin formulations.
Main Methods:
- Literature review of existing data on levofloxacin formulations and bioequivalence.
- Classification of levofloxacin within the Biopharmaceutics Classification System (BCS).
- Analysis of reported issues with levofloxacin formulations regarding bioequivalence and dissolution.
Main Results:
- Levofloxacin is classified as BCS Class I, indicating high solubility and permeability.
- No significant issues with bioequivalence for IR levofloxacin formulations using various excipients and manufacturing methods have been reported.
- Levofloxacin possesses a wide therapeutic index, suggesting a low risk of clinical issues due to minor formulation variations.
Conclusions:
- A biowaiver is recommended for IR solid oral dosage forms of levofloxacin as the sole API.
- Conditions for the biowaiver include specific excipient profiles, rapid dissolution rates, and demonstrated dissolution profile similarity across relevant pH levels.
- Quantitative and qualitative similarity of polysorbate content is required if present in the formulation.
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