Simple bioequivalence criteria: Are they relevant to critical dose drugs? Experience gained from cyclosporine

被引:42
作者
Johnston, A
Keown, PA
Holt, DW
机构
[1] UNIV BRITISH COLUMBIA,IMMUNOL LAB,VANCOUVER HOSP & HLTH SCI CTR,VANCOUVER,BC V5Z 1M9,CANADA
[2] UNIV LONDON ST GEORGES HOSP,SCH MED,ANALYT UNIT,LONDON SW17 0RE,ENGLAND
关键词
bioequivalence; therapeutic equivalence; critical dose drugs; clinical trials; cyclosporine;
D O I
10.1097/00007691-199708000-00002
中图分类号
R446 [实验室诊断]; R-33 [实验医学、医学实验];
学科分类号
1001 ;
摘要
A critique of the current bioequivalence regulations is presented with reference to critical dose drugs. Using the development of a new cyclosporine formulation as an example, the deficiencies in current bioequivalence testing guidelines are examined and discussed. Based on the experience gained with cyclosporine, recommendations are made on how therapeutic equivalence, rather than just bioequivalence, should be established.
引用
收藏
页码:375 / 381
页数:7
相关论文
共 64 条
[1]   PHARMACOKINETIC STUDIES OF SANDIMMUNE NEORAL VS SANDIMMUNE IN LIVER-TRANSPLANT RECIPIENTS [J].
ALTRAIF, I ;
LEVY, G ;
GRANT, D .
HEPATOLOGY, 1993, 18 (03) :747-747
[2]  
ANDERSON JE, 1994, THER DRUG MONIT, V47, P61
[3]  
[Anonymous], 1996, WHO TECHN REP SER
[4]  
ATKINSON K, 1984, BRIT J HAEMATOL, V56, P223, DOI 10.1111/j.1365-2141.1984.tb03950.x
[5]   BLOOD CYCLOSPORINE CONCENTRATIONS AND THE SHORT-TERM RISK OF LUNG REJECTION FOLLOWING HEART-LUNG TRANSPLANTATION [J].
BEST, NG ;
TRULL, AK ;
TAN, KKC ;
HUE, KL ;
SPIEGELHALTER, DJ ;
GORE, SM ;
WALLWORK, J .
BRITISH JOURNAL OF CLINICAL PHARMACOLOGY, 1992, 34 (06) :513-520
[6]   An approach for widening the bioequivalence acceptance limits in the case of highly variable drugs [J].
Boddy, AW ;
Snikeris, FC ;
Kringle, RO ;
Wei, GCG ;
Oppermann, JA ;
Midha, KK .
PHARMACEUTICAL RESEARCH, 1995, 12 (12) :1865-1868
[7]   Clinically significant drug interactions with cyclosporin - An update [J].
Campana, C ;
Regazzi, MB ;
Buggia, I ;
Molinaro, M .
CLINICAL PHARMACOKINETICS, 1996, 30 (02) :141-179
[8]  
CLARDY CW, 1988, CLIN CHEM, V34, P2012
[9]  
*COMM PROPR MED PR, NOT GUID INV BIOAV B
[10]   DISPOSITION OF INTRAVENOUS AND ORAL CYCLOSPORINE AFTER ADMINISTRATION WITH GRAPEFRUIT JUICE [J].
DUCHARME, MP ;
WARBASSE, LH ;
EDWARDS, DJ .
CLINICAL PHARMACOLOGY & THERAPEUTICS, 1995, 57 (05) :485-491