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REGULATORY STATUS OF BIOWAIVERS:
GLOBAL PERSPECTIVE
         Ikjot Sodhi
         M.S. (Pharmaceutics)
         NIPER, Mohali
CONTENTS:
 Background: About Biowaivers
 Current Pedestals of Biowaivers




                                        Perspective
                                        Regulatory Status of Biowaivers: Global
 Regulatory Guidelines and Guidances

 Conclusion




                                        2
BACKGROUND: ABOUT BIOWAIVERS

                                   Pharmaceutical
                                    Equivalence




                                                           Perspective
                                                           Regulatory Status of Biowaivers: Global
                  Bioequivalence




                                             Therapeutic
                                             Equivalence




                                                           3
CURRENT PEDESTALS OF BIOWAIVERS
   Applications for biowaivers are granted on the basis of:

              BCS
              • Considers the dose:solubility
                ratio, permeability and dissolution




                                                              Perspective
                                                              Regulatory Status of Biowaivers: Global
                behaviour.

              IVIVC
              • Based on correlation between in vitro data
                and in vivo profile.


              Composition Proportionality
              • New product is qualitatively same and                 4
                quantitatively proportional to bio-batch.
BCS BASED BIOWAIVERS

              Class I                 Class II of solid oral
                                      For grants
              • High Solubility       • Low Solubility of:
                                      dosage forms
              • High                  • High




                                                                Perspective
                                                                Regulatory Status of Biowaivers: Global
                Permeability          • Permeability products
                                        SUPAC-IR
                                      • ANDAs

              Class III               Class IVAspects:
                                      Current
              • High Solubility       • Low Solubility
              • Low                   •• Low
                                          Extension Potential
                Permeability           • Permeability
                                          Risk Assessment
                                      • Objections

 Along with dissolution behaviour of product                    5
IN VITRO   - IN VIVO CORRELATION


                                       Level A




                                                                 Perspective
                                                                 Regulatory Status of Biowaivers: Global
                                       Level B

                                     Level C
                                    Multi-Level C

                                      Level D


       Used for biowaiver grants of :
       •modified release products or                             6
       •products subject to change in manufacturing procedure.
Regulatory Status of Biowaivers: Global
                              Perspective
                                                                              7
                                                        1000
                                                         mg
COMPOSITION PROPORTIONALITY




                                                              500
                                                              mg
                                                                        250
                                                                        mg
                                                                          100
                                                                          mg
DISSOLUTION TESTING - SOUL OF BIOWAIVERS




                                           Perspective
                                           Regulatory Status of Biowaivers: Global
                        CP
               BCS


                     IVIVC




           DISSOLUTION TESTING
                                           8
Regulatory Status of Biowaivers: Global
                                           Perspective
                                                                                     9
DISSOLUTION TESTING - SOUL OF BIOWAIVERS
GUIDELINES OF
 REGULATORY AGENCIES

HHS-FDA (USA)
• CFR Sec. 320.22(b) „Criteria for waiver of evidence of
  in vivo bioavailability or bioequivalence.‟




                                                           Perspective
                                                           Regulatory Status of Biowaivers: Global
EMEA (EU)
• Guideline on the Investigation of Bioequivalence, 2010



PMDA (Japan)
• Guideline for Bioequivalence Studies of Generic
  Products, 2006

                                                           10

                                       …continued
GUIDELINES OF
  REGULATORY AGENCIES

CDSCO (India)




                                                         Perspective
                                                         Regulatory Status of Biowaivers: Global
• Guidelines for Bioavailability and Bioequivalence
  Studies, 2005



WHO (International)
• Revision of Multi-source (generic) Pharmaceutical
  Products: Guidelines on Registration Requirements to
  Establish Interchangeability, 2005




                                                         11
HHS-FOOD AND DRUG ADMINISTRATION
              Dosage Forms
              • Parenterals, solutions, IR solid oral dosage
                forms




                                                                                                                    Perspective
                                                                                                                    Regulatory Status of Biowaivers: Global
              Drug Efficacy Study Implementation (DESI)
              • No past bioINequivalence case
              • Example: Hydroxyzine Hydrochloride Tablets

              Fed-BE Study
              • If taken on empty stomach
              • No effect of food
                                                                                                                    12


„Criteria for waiver of evidence of in vivo bioavailability or bioequivalence‟, CDER, HHS-FDA, CFR Sec. 320.22(b)
HHS-FOOD AND DRUG ADMINISTRATION
          BCS Based Biowaivers
          • Only IR products with class 1 APIs
          • Post-change products (for minor changes)




                                                         Perspective
                                                         Regulatory Status of Biowaivers: Global
            Proportional Similarity based biowaivers
          • Else additive change must be NMT 10% or
          • Change of API compensated by excipients in
            different strengths

          IVIVC based biowaivers
          • For MR products
          • Post-change products (SUPAC Level 3)
                                                         13


FDA Guidances- 1995, 1997, 1997, 2000, 2003
EUROPEANS MEDICINES AGENCY

                                  • For additional strengths
 Composition                      • Some deviations from exact
Proportionality                     proportionality allowed




                                                                              Perspective
                                                                              Regulatory Status of Biowaivers: Global
                                  • Acceptable level A correlation
 IVIVC Based                      • Grants of biowaivers for variations



                                  • Class I and III
 BCS based
 Biowaivers
                                  • Pediatric Investigation Plan(PIP)
 Biowaivers of                    • Pediatric Committee decides eligibility
Pediatric Study                     of biowaivers
                                                                              14


      Guideline on the Investigation of Bioequivalence, 2010
PHARMACEUTICALS AND
                MEDICAL DEVICES AGENCY

BCS not recognised testing
Multimedia dissolution




                                                                                         Perspective
                                                                                         Regulatory Status of Biowaivers: Global
• •McIlvaine buffersANDAsto prepare media
    No biowaivers to
                      used in Japan
• Dissolution experimental duration is defined
IVIVC not recognised
• Passing criteria
• •Low solubility: predictor of in vivo absorption 85% disslution
    IVIVC not real Drug product fails to reach behaviour

Wider variations allowed
Japanese Achlorhydic patients
• Upto level D, variations are allowed without BE testing under
 • Dosage form performance across physiological pH carefully
  certain conditions
   reviewed
• Separate qualification requirements for core versus coating
  layer for coated products.                                                            15


                 Guideline for Bioequivalence Studies of Generic Products, PMDA, 2006
CDSCO GUIDELINES

BCS based biowaiver: Class I
    Dosage forms
• Highly soluble
• Highly permeable nasal sprays, powders




                                                                                      Perspective
                                                                                      Regulatory Status of Biowaivers: Global
    • Solutions, gases,
• Dissolution: 85% in 15 min
      for reconstitution
Composition proportionality:
       Excipient considerations:
•   Qualitatively same
•      • All dosage forms must
    Quantitatively proportionalcontain essentially
•        same excipients as comparator
    Same method of manufacture
•   At least one of the strength has been studied for
    its bioavailability
                                                                                      16


             Guidelines for Bioavailability and Bioequivalence Studies, CDSCO, 2005
WORLD HEALTH ORGANIZATION

      BCS Class             Dissolution profile                Qualification Criteria

    High solubility
       Class I               Rapidly dissolving                       F2>50




                                                                                        Perspective
                                                                                        Regulatory Status of Biowaivers: Global
    • When API shows dose:solubility ratio of less
                   Very Rapidly dissolving Profile comparison not
      than 250mL over pH range of 1.2-6.8 needed

Class II with weak acidic Rapidly dissolving at pH             Profile comparison at
    High permeability
        properties                   6.8                         pH 1.2, 4.5, 6.8

    • WhenIIIAPI is absorbed to the extent of assessment of
       Class          Very rapidly dissolving   Risk 85% or
      more                                    bioInequivalency more
                                                                      critical

                                                                                        17


                              WHO Multisource Document, 2005
Regulatory Status of Biowaivers: Global
                       Perspective
                                                                 18
COMPARATIVE APPROACH
COMPARATIVE APPROACH

   Parameter             US                EU               Japan
Allowed BCS Class         I              I and III            All
Highly permeable        >90%             >85%            Not relevant




                                                                             Perspective
                                                                             Regulatory Status of Biowaivers: Global
    Rapidly         >85% 30 min, 3   >85% 15 min, 3
                                                       No requirement
   Dissolving           pHs              pHs
                    SUPAC allowed-   None “Strictly      Required if low
Media Surfactant
                      if justified   discouraged”           solubility
                                                       Type A-E, Type B,
   Intramural
                    SUPAC- All BCS                      C, E like SUPAC
  Composition                           Variation
                       Classes                        level 1, 2, 3 Type D
    Change
                                                             unique
    IVIVC as
   Dissolution      Allowed for MR
                                        Allowed         Not permitted
  Regimen/BE            SUPAC
   Surrogate                                                                 19
Regulatory Status of Biowaivers: Global
             Perspective
                                                       20
CONCLUSION
Regulatory Status of Biowaivers: Global
Perspective
                                          21
Perspective
                                      Regulatory Status of Biowaivers: Global
     REGULATORY STATUS OF
     BIOWAIVERS: GLOBAL PERSPECTIVE
22


     Back-up Slides
Regulatory Status of Biowaivers: Global
                       Perspective
                                                                 23
BIOWAIVER MONOGRAPHS
Regulatory Status of Biowaivers: Global
                  Perspective
                                                            24
RISK ASSESSMENT
Regulatory Status of Biowaivers: Global
                                 Perspective
                                                                           25
DISSOLUTION PROFILE COMPARISON
EXCIPIENTS
 Well established
 No interaction with the PK of the active substance




                                                        Perspective
                                                        Regulatory Status of Biowaivers: Global
  expected
 Not affect the rate and extent of absorption

 In case of atypically large amounts of known
  excipients or new excipients being used, additional
  documentation has to be submitted.




                                                        26
BIOPHARMACEUTICS CLASSIFICATION
                    SYSTEM
   Dose-Solubility Ratio (Highly soluble):
     FDA- Highest dose strength is soluble in ≤ 250mL




                                                         Perspective
                                                         Regulatory Status of Biowaivers: Global
      aqueous media over pH range of 1-7.5, 37¹1⁰C.
     EMEA- same except for 1-6.8


   Permeability (Highly permeable):
     FDA- 90%
     EMEA- 85%


   Dissolution behaviour:
     FDA - pH 1.0, 4.6, 6.8
                                                         27
     EMEA - pH 1.2, 4.5, 6.8

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Regulatory status of biowaivers

  • 1. REGULATORY STATUS OF BIOWAIVERS: GLOBAL PERSPECTIVE Ikjot Sodhi M.S. (Pharmaceutics) NIPER, Mohali
  • 2. CONTENTS:  Background: About Biowaivers  Current Pedestals of Biowaivers Perspective Regulatory Status of Biowaivers: Global  Regulatory Guidelines and Guidances  Conclusion 2
  • 3. BACKGROUND: ABOUT BIOWAIVERS Pharmaceutical Equivalence Perspective Regulatory Status of Biowaivers: Global Bioequivalence Therapeutic Equivalence 3
  • 4. CURRENT PEDESTALS OF BIOWAIVERS Applications for biowaivers are granted on the basis of: BCS • Considers the dose:solubility ratio, permeability and dissolution Perspective Regulatory Status of Biowaivers: Global behaviour. IVIVC • Based on correlation between in vitro data and in vivo profile. Composition Proportionality • New product is qualitatively same and 4 quantitatively proportional to bio-batch.
  • 5. BCS BASED BIOWAIVERS Class I Class II of solid oral For grants • High Solubility • Low Solubility of: dosage forms • High • High Perspective Regulatory Status of Biowaivers: Global Permeability • Permeability products SUPAC-IR • ANDAs Class III Class IVAspects: Current • High Solubility • Low Solubility • Low •• Low Extension Potential Permeability • Permeability Risk Assessment • Objections Along with dissolution behaviour of product 5
  • 6. IN VITRO - IN VIVO CORRELATION Level A Perspective Regulatory Status of Biowaivers: Global Level B Level C Multi-Level C Level D Used for biowaiver grants of : •modified release products or 6 •products subject to change in manufacturing procedure.
  • 7. Regulatory Status of Biowaivers: Global Perspective 7 1000 mg COMPOSITION PROPORTIONALITY 500 mg 250 mg 100 mg
  • 8. DISSOLUTION TESTING - SOUL OF BIOWAIVERS Perspective Regulatory Status of Biowaivers: Global CP BCS IVIVC DISSOLUTION TESTING 8
  • 9. Regulatory Status of Biowaivers: Global Perspective 9 DISSOLUTION TESTING - SOUL OF BIOWAIVERS
  • 10. GUIDELINES OF REGULATORY AGENCIES HHS-FDA (USA) • CFR Sec. 320.22(b) „Criteria for waiver of evidence of in vivo bioavailability or bioequivalence.‟ Perspective Regulatory Status of Biowaivers: Global EMEA (EU) • Guideline on the Investigation of Bioequivalence, 2010 PMDA (Japan) • Guideline for Bioequivalence Studies of Generic Products, 2006 10 …continued
  • 11. GUIDELINES OF REGULATORY AGENCIES CDSCO (India) Perspective Regulatory Status of Biowaivers: Global • Guidelines for Bioavailability and Bioequivalence Studies, 2005 WHO (International) • Revision of Multi-source (generic) Pharmaceutical Products: Guidelines on Registration Requirements to Establish Interchangeability, 2005 11
  • 12. HHS-FOOD AND DRUG ADMINISTRATION Dosage Forms • Parenterals, solutions, IR solid oral dosage forms Perspective Regulatory Status of Biowaivers: Global Drug Efficacy Study Implementation (DESI) • No past bioINequivalence case • Example: Hydroxyzine Hydrochloride Tablets Fed-BE Study • If taken on empty stomach • No effect of food 12 „Criteria for waiver of evidence of in vivo bioavailability or bioequivalence‟, CDER, HHS-FDA, CFR Sec. 320.22(b)
  • 13. HHS-FOOD AND DRUG ADMINISTRATION BCS Based Biowaivers • Only IR products with class 1 APIs • Post-change products (for minor changes) Perspective Regulatory Status of Biowaivers: Global Proportional Similarity based biowaivers • Else additive change must be NMT 10% or • Change of API compensated by excipients in different strengths IVIVC based biowaivers • For MR products • Post-change products (SUPAC Level 3) 13 FDA Guidances- 1995, 1997, 1997, 2000, 2003
  • 14. EUROPEANS MEDICINES AGENCY • For additional strengths Composition • Some deviations from exact Proportionality proportionality allowed Perspective Regulatory Status of Biowaivers: Global • Acceptable level A correlation IVIVC Based • Grants of biowaivers for variations • Class I and III BCS based Biowaivers • Pediatric Investigation Plan(PIP) Biowaivers of • Pediatric Committee decides eligibility Pediatric Study of biowaivers 14 Guideline on the Investigation of Bioequivalence, 2010
  • 15. PHARMACEUTICALS AND MEDICAL DEVICES AGENCY BCS not recognised testing Multimedia dissolution Perspective Regulatory Status of Biowaivers: Global • •McIlvaine buffersANDAsto prepare media No biowaivers to used in Japan • Dissolution experimental duration is defined IVIVC not recognised • Passing criteria • •Low solubility: predictor of in vivo absorption 85% disslution IVIVC not real Drug product fails to reach behaviour Wider variations allowed Japanese Achlorhydic patients • Upto level D, variations are allowed without BE testing under • Dosage form performance across physiological pH carefully certain conditions reviewed • Separate qualification requirements for core versus coating layer for coated products. 15 Guideline for Bioequivalence Studies of Generic Products, PMDA, 2006
  • 16. CDSCO GUIDELINES BCS based biowaiver: Class I Dosage forms • Highly soluble • Highly permeable nasal sprays, powders Perspective Regulatory Status of Biowaivers: Global • Solutions, gases, • Dissolution: 85% in 15 min for reconstitution Composition proportionality: Excipient considerations: • Qualitatively same • • All dosage forms must Quantitatively proportionalcontain essentially • same excipients as comparator Same method of manufacture • At least one of the strength has been studied for its bioavailability 16 Guidelines for Bioavailability and Bioequivalence Studies, CDSCO, 2005
  • 17. WORLD HEALTH ORGANIZATION BCS Class Dissolution profile Qualification Criteria High solubility Class I Rapidly dissolving F2>50 Perspective Regulatory Status of Biowaivers: Global • When API shows dose:solubility ratio of less Very Rapidly dissolving Profile comparison not than 250mL over pH range of 1.2-6.8 needed Class II with weak acidic Rapidly dissolving at pH Profile comparison at High permeability properties 6.8 pH 1.2, 4.5, 6.8 • WhenIIIAPI is absorbed to the extent of assessment of Class Very rapidly dissolving Risk 85% or more bioInequivalency more critical 17 WHO Multisource Document, 2005
  • 18. Regulatory Status of Biowaivers: Global Perspective 18 COMPARATIVE APPROACH
  • 19. COMPARATIVE APPROACH Parameter US EU Japan Allowed BCS Class I I and III All Highly permeable >90% >85% Not relevant Perspective Regulatory Status of Biowaivers: Global Rapidly >85% 30 min, 3 >85% 15 min, 3 No requirement Dissolving pHs pHs SUPAC allowed- None “Strictly Required if low Media Surfactant if justified discouraged” solubility Type A-E, Type B, Intramural SUPAC- All BCS C, E like SUPAC Composition Variation Classes level 1, 2, 3 Type D Change unique IVIVC as Dissolution Allowed for MR Allowed Not permitted Regimen/BE SUPAC Surrogate 19
  • 20. Regulatory Status of Biowaivers: Global Perspective 20 CONCLUSION
  • 21. Regulatory Status of Biowaivers: Global Perspective 21
  • 22. Perspective Regulatory Status of Biowaivers: Global REGULATORY STATUS OF BIOWAIVERS: GLOBAL PERSPECTIVE 22 Back-up Slides
  • 23. Regulatory Status of Biowaivers: Global Perspective 23 BIOWAIVER MONOGRAPHS
  • 24. Regulatory Status of Biowaivers: Global Perspective 24 RISK ASSESSMENT
  • 25. Regulatory Status of Biowaivers: Global Perspective 25 DISSOLUTION PROFILE COMPARISON
  • 26. EXCIPIENTS  Well established  No interaction with the PK of the active substance Perspective Regulatory Status of Biowaivers: Global expected  Not affect the rate and extent of absorption  In case of atypically large amounts of known excipients or new excipients being used, additional documentation has to be submitted. 26
  • 27. BIOPHARMACEUTICS CLASSIFICATION SYSTEM  Dose-Solubility Ratio (Highly soluble):  FDA- Highest dose strength is soluble in ≤ 250mL Perspective Regulatory Status of Biowaivers: Global aqueous media over pH range of 1-7.5, 37Âą1⁰C.  EMEA- same except for 1-6.8  Permeability (Highly permeable):  FDA- 90%  EMEA- 85%  Dissolution behaviour:  FDA - pH 1.0, 4.6, 6.8 27  EMEA - pH 1.2, 4.5, 6.8