深入研究仿制药应用,寻求对狭窄治疗指数药物的生物等价性标准进行协调
Mirette Mina1, Zhen Zhang2, Wanjie Sun3
1Office of Research and Standards, Office of Generic Drugs, Center for Drug Evaluation and Research, U.S. Food and Drug Administration, Silver Spring, MD, 20993, USA.
Pharmaceutical research
|December 16, 2025
概括
狭窄治疗指数 (NTI) 药物的替代FDA标准可以改善生物等价性 (BE) 证明. 限制限额和α调整为NTI药物BE提供了严格但可行的标准,有助于监管协调.
科学领域:
- 药理动力学和药物开发
- 监管科学 监管科学
- 生物等价性研究 生物等价性研究
背景情况:
- 监管机构在狭窄治疗指数 (NTI) 药物的生物等价性 (BE) 标准上存在差异,美国食品和药物管理局 (FDA) 建议扩大限量和可变性比较,而其他机构则使用更严格的BE限量.
- 协调BE标准对于高效的药物开发和确保患者安全至关重要,特别是对于NTI药物,其中小的变化可以产生显著的临床影响.
研究的目的:
- 评估狭窄治疗指数 (NTI) 药物的各种生物等价性 (BE) 标准的优点和局限性.
- 分析缩写的新药申请 (ANDA) 数据,以支持NTI药物BE标准的协调.
- 为了比较不同的BE标准的通过率,包括监管机构和替代方法的合格率.
主要方法:
- 从NTI缩写的新药应用 (ANDAs) 中分析四种完全复制的交叉生物等价性 (BE) 研究数据.
- 应用欧洲药品署 (EMA),FDA的BE标准和替代标准 (Paixão的,修改的Paixão的,FDA的替代标准).
主要成果:
- 目前的EMA和FDA标准对于具有低至中度主体内变异性 (SWR) 的NTI药物是严格的.
- 替代的FDA标准,包括在SWR ≤0.10时将BE限值限制在90.00-111.11%,提高通过率并与NTI质量标准保持一致.
- 阿尔法调整降低了I型错误,但略有降低了研究通过率,而接近1的点估计约束则降低了通过率,SWR中等至高.
结论:
- 替代的FDA标准,包括SWR ≤ 0.10和α调整的90.00-111.11%上限,为NTI药物BE证明提供了强大的标准.
- 对ANDA BE数据的分析为国际协调理事会 (ICH) M13C专家工作组提供了有价值的见解,以决定协调NTI药物BE标准的决策.
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