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
[51]  
NIESE D, 1995, TRANSPLANT P, V27, P1849
[52]   ON THE DOSE DEPENDENCY OF CYCLOSPORIN-A ABSORPTION AND DISPOSITION IN HEALTHY-VOLUNTEERS [J].
REYMOND, JP ;
STEIMER, JL ;
NIEDERBERGER, W .
JOURNAL OF PHARMACOKINETICS AND BIOPHARMACEUTICS, 1988, 16 (04) :331-353
[53]  
SHRINER D A, 1991, Pharmacotherapy, V11, P277
[54]   IMPROVEMENT OF CYCLOSPORINE ABSORPTION IN CHILDREN AFTER LIVER-TRANSPLANTATION BY MEANS OF WATER-SOLUBLE VITAMIN-E [J].
SOKOL, RJ ;
JOHNSON, KE ;
KARRER, FM ;
NARKEWICZ, MR ;
SMITH, D ;
KAM, I .
LANCET, 1991, 338 (8761) :212-215
[55]  
STEINIJANS VW, 1990, INT J CLIN PHARM TH, V28, P72
[56]  
Taesch S, 1994, Transpl Int, V7 Suppl 1, pS263
[57]   ALTERED PHARMACOKINETICS OF CYCLOSPORINE IN HEART-LUNG TRANSPLANT RECIPIENTS WITH CYSTIC-FIBROSIS [J].
TAN, KKC ;
HUE, KL ;
STRICKLAND, SE ;
TRULL, AK ;
SMYTH, RL ;
SCOTT, JP ;
KELMAN, AW ;
WHITING, B ;
HIGENBOTTAM, TW ;
WALLWORK, J .
THERAPEUTIC DRUG MONITORING, 1990, 12 (06) :520-524
[58]  
TAN KKC, 1995, EUR J CLIN PHARMACOL, V48, P285
[59]   CYCLOSPORINE ABSORPTION FROM MICROEMULSION FORMULATION IN LIVER-TRANSPLANT RECIPIENT [J].
TRULL, AK ;
TAN, KKC ;
UTTRIDGE, J ;
BAUER, T ;
ALEXANDER, GJM ;
JAMIESON, NV .
LANCET, 1993, 341 (8842) :433-433
[60]   OUTBREAK OF ANTICONVULSANT INTOXICATION IN AUSTRALIAN CITY [J].
TYRER, JH ;
EADIE, MJ ;
SUTHERLAND, JM ;
HOOPER, WD .
BMJ-BRITISH MEDICAL JOURNAL, 1970, 4 (5730) :271-+