overview of fda guidelines for conducting ba/be clinical trials - dr. shiva murthy. n

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  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Aokpli`e my

    Er# Qglvn Kurtgy Cncducenppn

    KMMQ) KE) KMN) A@LK

    G`ne) Ailclani ]`s`nrag Pclt

    R`rsocni LE sglvulcelnByngoo#aok

    Ociy jor Nane`kla Rurpos` Ociy

    Cot jor sni` or aokk`ralni us`

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    Nii stnt`k`cts kne` lc tgls pr`s`ctntloc nr` p`rsocni#

    Ky aurr`ct or jutur` `kpioy`r ls cot r`spocslmi` jor ncy

    aocs`qu`ca`s#

    Nii tg` lcjorkntloc sgnr`e ls jor nane`kla purpos`

    Ps`rs wlii put tg`lr owc tgoufgt proa`ss nce e`alsloc to

    us` tg` knt`rlni ns lt ls or wltg / wltgout koeljlantlocs#

    Nutgor wlii cot m` r`spocslmi` jor ncy

    aocs`qu`ca`s/enknf`s nrlslcf out oj tgls pr`s`ctntloc

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    C``e jor MN/M@ stuel`s

    ]`fuintory nutgorlty oc M@

    Ov`rvl`w oj F`c`rni JEN r`aokk`centlocs

    M@ nppronag`s4 LZLZA) Prlc`) RE) Ailclani) lc vltro

    Elssoiutloc

    Qukknry

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Iow aost k`elalc`s e`v`iopk`ct C``e oj tg` gour jor wgoi` worie

    Qnj`ty nce `jjlanay oj tg`s` sgouie m` `stnmilsg`e jor f`ttlcf knrh`tlcf

    nutgorlzntloc

    JEN r`aokk`ces to e`t`rklc` rnt`/`xt`ct oj nmsorptloc oj `nag tg`rnp`utla

    kol`ty jor

    Rot`ctlni f`c`rla proeuats jor wglag tg`r` ls n r`j`r`ca` ilst`e eruf ']IE,

    npprov`e jor knrh`tlcf lc PQ

    Rot`ctlni c`w eruf proeuats 'c`w snits) eosnf` jorks, jor wglag ne`qunt`

    ailclani stuel`s gnv` nir`ney m``c aoceuat`e

    ]`jorkuint`e eruf proeuats

    @jj`atlv` Duiy >0) =22

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Ug` Pclt`e Qtnt`s Jooe) Eruf) nce Aosk`tla Nat 'JEAN,) `cnat`e lc > AJ],

    Pce`r => AJ]) Rnrt 1=2 ls jor Mlonvnlinmlilty nce Mlo`qulvni`ca` ]`qulr`k`cts

    Aknx ns lce`x oj rnt` oj nmsorptloc

    NPA ns lce`x oj `xt`ct oj nmsorptloc

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Kost stuel`s us` g`nitgy corkni sumd`ats

    JEN nshs tgnt motg kni`s nce j`kni`s m` `croii`e

    Anc us` pntl`cts) lj tg`r` nr` snj`ty lssu`s

    Ug` cukm`r oj sumd`ats ls mns`e oc pgnrknaohlc`tla

    'RH, vnrlnmlilty

    N M@ stuey oj n glfgiy vnrlnmi` eruf kny r`qulr`

    `croiik`ct oj n inrf`r cukm`r oj sumd`ats

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Lj eruf pos`s n snj`ty rlsh to g`nitgy corknisumd`ats) kust stuey lc pntl`cts

    @xnkpi`s Aioznplc`4 @vniunt` M@ lc n st`ney+stnt` stuey lc

    saglzopgr`cla pntl`cts oc `stnmilsg`e r`flk`cs 's`` JENfulenca` oc Aioznplc` Unmi`ts,

    @toposle`4 @vniunt` M@ ns tg` jlrst eos` oj n tr`ntk`ctayai` lc anca`r pntl`cts

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    Mloncniytlani k`tgoeskust m`

    vnilent`e Rr`+stuey Mloncniytlani K`tgoe Znilentloc sgouie e`t`rklc`

    tg` joiiowlcf

    Nssny s`i`atlvlty

    Nssny pr`alsloc nce naaurnay

    Qtnmlilty oj stor`e ncniyt`'s, 'l#`# eruf nce k`tnmoilt`) lj

    nppilanmi`, lc vnrlous kntrla`s

    ]`aov`ry oj ncniyt`'s, nce lct`rcni stncenre

    Nssny ilklt oj qunctltntloc 'IO^,

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    NPA ls e`t`rklc`e my tg` trnp`zoleni k`tgoe

    Aknx 'nce aorr`spocelcf Uknx, ls e`t`rklc`e

    cuk`rlaniiy

    JEN r`qu`sts tgnt NPA2+t ) NPA2+nce Aknx k``t M@

    arlt`rln

    Nppilancts sgouie niso r`port H`i nce U>/=

    Lj eruf gns n iocf U>/=) tg`c cot c`a`ssnry to

    aniauint` NPA2+'niso H`i nce U>/=,

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Ps` NCOZN wltg two oc`+sle`e t`sts proa`eur` to stntlstlaniiy

    ncniyz` M@ stuey entn

    M@ arlt`rln nr` tgnt #=0

    ]oucelcf up or eowc ls cot p`rkltt`e

    Uknx kny niso m` `vniunt`e) lj rnple ocs`t oj `jj`at ls

    c`a`ssnry jor `jjlanay

    @xnkpi`4 Cnprox`c Qoeluk @] Unmi`ts ']IE Cnpr`inc A] Unmi`ts,

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    Kost s`csltlv` nce elsarlklcntlcf jork oj M@ stuey e`slfc

    JEN r`qu`sts slcfi`+eos` jnstlcf M@ stuey jor nii syst`klaniiy

    nvnlinmi`/natlv` erufs uci`ss pr`aiue`e jor snj`ty r`nsocs

    @xnkpi`4 K`jioqulc` Unmi`ts) =02 kf

    Jor r`nsocs oj snj`ty) inm`i r`aokk`ces tgnt pntl`cts tnh` oc juii

    stoknag

    Iocf gnij+ilj` eruf

    JEN r`qu`sts Qlcfi` eos`) pnrnii`i e`slfc j`e M@ stuey ociy

    Ps` n trucant`e NPA nt 6= gours

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Jor kost soile orni eosnf` jorks) spocsor sgouie aoceuat motg

    jnstlcf * j`e M@ stuel`s

    Eruf ls flv`c wltglc 12 klcut`s oj aocsuklcf n glfg+ jnt k`ni

    K`ni sgouie provle` 722+>222 Hani lc totni nce nt i`nst 02% oj tg`

    totni Hani jrok jnt

    JEN pumilsg`s n stncenrelz`e k`ni e`sarlptloc

    Coc+stncenrelz`e k`ni ls naa`ptnmi` lj k``ts totni Hani nce jnt Hani

    arlt`rln

    JEN elsaournf`s uslcf v`f`tnrlnc k`nis + kny cot proeua` snk`

    `jj`ats ns coc+v`f`tnrlnc k`nis

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Jor lkk`elnt`+r`i`ns` 'L], proeuats) elatnt`e my JEN+

    npprov`e Inm`i jor tg` ]IE

    Lj inm`i aoctnlcs stnt`k`cts nmout `jj`at oj jooe oc

    nmsorptloc or neklclstrntloc

    Lj eruf anccot m` flv`c oc nc `kpty stoknag 'jor

    snj`ty r`nsocs,

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Jor nii orniiy+neklclst`r`e koeljl`e+r`i`ns` 'K],orni eruf proeuats

    E`iny`e+r`i`ns` 'E],

    @xt`ce`e+r`i`ns` '@],

    Uo aokpnr` pot`ctlni jor eos`+eukplcf

    Cot c`a`ssnry to aoceuat j`e M@ stuel`s jor nii

    str`cftgs oj K] proeuats

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Vg`c tg` inm`i nevls`s tgnt tg` eruf kust m`

    tnh`c oc nc `kpty stoknag

    Vg`c tg` inm`i knh`s co stnt`k`cts nmout `jj`at

    oj jooe oc nmsorptloc or neklclstrntloc oj nc L]

    proeuat

    Vg`c tg` eruf ls ainssljl`e ns MAQ Ainss L eruf

    'nppil`s ociy to L] proeuats,

    Ainss L + Glfg R`rk`nmlilty) Glfg Qoiumlilty

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Ilst`e lc => AJ] 1=2#=5) lc e`sa`celcf ore`r oj

    naaurnay) s`csltlvlty) r`proeualmlilty

    ># Rgnrknaohlc`tla 'RH, stuey lc wglag erufaoca`ctrntlocs nr` k`nsur`e lc pinskn

    + Lc vltro+lc vlvoaorr`intloc 'LZLZA,

    =# RH stuey lc wglag eruf aoca`ctrntlocs nr`

    k`nsur`e lc urlc`

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    1# Naut` pgnrknaoioflani `jj`at k`nsur`e ns n jucatloc oj

    tlk` + M@ stuey wltg pgnrknaoeycnkla 'RE, `cepolcts

    5# V`ii+aoctroii`e ailclani trlni lc gukncs 'M@ stuey wltg

    ailclani `cepolcts,

    0# Aurr`ctiy nvnlinmi` lc vltrot`st) naa`ptnmi` to JEN) tgnt

    `csur`s mlonvnlinmlilty 'MN,

    :# Ncy otg`r nppronag e``k`e ne`qunt` my JEN to

    `stnmilsg MN or M@

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    Ug`lc vltro

    /lc vlvo

    aorr`intloc 'LZLZA,

    E`v`iop jorkuintlocs wltg eljj`rlcf r`i`ns` rnt`s nce

    aorr`int` lc vltroelssoiutloc wltg lc vlvonmsorptloc

    Lj nc LZLZA ls `stnmilsg`e) anc wnlv` lc vlvostuel`s lc sok`

    alraukstnca`s

    @vniunt` motg lct`rcni nce `xt`rcni pr`elatnmlilty

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    Prlc` k`nsur`k`cts nr` npproprlnt` wg`c erufanccot m` r`ilnmiy k`nsur`e lc pinskn

    @xnkpi`4 potnssluk agiorle`

    Mns`ilc` lc miooe ls too glfg to p`rklt naaurnt`

    k`nsur`k`ct

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Ug` JEN naa`pts RE `jj`at k`tgoes to npprov`f`c`rla toplani aortlaost`role eruf proeuats

    Ugls nppronag ls mns`e oc nmlilty oj aortlaost`roles to

    proeua` vnsoaocstrlatloc or mincaglcf lc shlc

    JEN gns n fulenca` oc tgls nppronag

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    M@ stuel`s wltg ailclani `cepolcts

    Jor eruf proeuats tgnt nr` cot syst`klaniiy nmsorm`e

    @xnkpi`s

    Uoplani eruf proeuats

    Qok` ioaniiy natlcf FL eruf proeuats

    E`slfcs nr` rnceoklz`e) milce`e) mninca`e) pnrnii`i

    Rntl`cts r`a`lv` t`st) r`j`r`ca`) pina`mo

    Rina`mo froup us`e to `csur` tgnt pntl`cts r`spoce to t`st nce

    r`j`r`ca` proeuat

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    Lc vltronppronag`s nr` niso us`e wltg ioaniiynatlcf eruf proeuats

    Orni agoi`styrnklc` susp`cslocs) tnmi`ts) anpsui`s

    Cnsni sprnys nce susp`cslocs

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    C`w Rroposni

    ]`j`r`ca`+sani`e nv`rnf` M@ nppronag

    Ugr``+p`rloe M@ stuey

    Neklclst`r r`j`r`ca` proeuat twla`

    Neklclst`r t`st proeuat oca`

    Q`qu`ca`s4 U]]) ]U]) ]]U

    M@ arlt`rln sani`e to r`j`r`ca` vnrlnmlilty

    Motg NPA nce Aknx sgouie k``t M@ naa`ptnca` arlt`rln

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    Q`t jortg lc => AJ] Rnrt 1=2 LZ soiutlocs

    Orni soiutlocs

    Coc+M@ str`cftgs oj soile orni eosnf` jorks

    MAQ Ainss L erufs

    E@QL erufs wltg co mlo`qulvni`ca` promi`ks

    Out oj saop` oj tgls tnihE@QL Eruf @jjlanay Qnj`ty Lkpi`k`ctntloc Npprov`e oc mnsls oj snj ty ociy

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Ug` Elvlsloc oj Mlo`qulvni`ca` 'EM@, nt OFE

    ls r`spocslmi` jor

    e`t`rklclcf optlkni k`tgoe nce s`ttlcf sp`aljlantlocs jor

    f`c`rla erufs

    JEN k`tgoe us`e jor L] nce E] proeuats

    Ans`+my+ans` k`tgoe e`v`iopk`ct jor @] eruf proeuats

    Ps` elssoiutloc entn to support r`qu`sts jor

    mlo+wnlv`rs oj coc+ mlo str`cftgs

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Ug` JEAN nce JEN r`fuintlocs flv` tg` JEN tg` i`fni nutgorlty

    to r`qu`st M@ stuel`s

    JEN posts fulenca`s oc M@ nppronag`s4

    gttp4//www#jen#fov/ae`r/fulenca`/

    Jor kost syst`klaniiy nvnlinmi`/natlv` f`c`rla erufs) JEN

    r`qu`sts n slcfi`+eos` jnstlcf nce n slcfi`+ eos` j`e M@

    stuey

    Nppilancts anc r`qu`st wnlv`rs oj lc vlvot`stlcf provle`e tg`y

    k``t JEN arlt`rln

  • 7/28/2019 Overview of FDA Guidelines for Conducting BA/BE Clinical Trials - Dr. Shiva Murthy. N

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    Elssoiutloc entnmns`4gttp4//www#naa`ssentn#jen#fov/sarlpts/ae`r/elssoiutloc/lce`x#ajk

    Lcelvleuni proeuat M@ r`aokk`centlocs entnmns`4gttp4//www#jen#fov/ae`r/fulenca`/mlo`qulvni`ca`/e`jnuit#gtk

    JEN fulenca`s4 gttp4//www#jen#fov/ae`r/fulenca`/ Orncf` mooh4 gttp4//www#jen#fov/ae`r/om/e`jnuit#gtk

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    I`ng C# Vliilnksoc) Rg#E) Huie``p ]# Egnrlwni) Rg#E#) Mlo`qulvni`ca`

    U`stlcf lc tg` P#Q# jor F`c`rla Eruf Rroeuats) Elvlsloc ojMlo`qulvni`ca`) Ojjla` oj F`c`rla Erufs) A`ct`r jor Eruf @vniuntlocnce ]`s`nrag) P#Q# Jooe nce Eruf Neklclstrntloc) =220':,4:06+72

    Mlo`qulvni`ca` Nppronag`s jor Glfgiy Znrlnmi` Erufs nce ErufRroeuats# Gnlenr `t# ni#

    Rgnrk# ]`s# =227 Dnc8 =0'>,4=16+5>#

    Glfgiy Znrlnmi` Erufs4 Oms`rvntlocs jrok Mlo`qulvni`ca` EntnQumkltt`e to tg` JEN jor C`w F`c`rla Eruf# Envlt `t# ni# Ug` NNRQ

    Dourcni=227 Knr8 >2'>,4>57+0:# @vniuntloc oj n Qanilcf Nppronag jor tg` Mlo`qulvni`ca` oj Glfgiy

    Znrlnmi` Erufs# Gnlenr `t# ni# Ug` NNRQ Dourcni=227 Q`p8 >2'1,4502+

    505#

    gttp4//www#jen#fov/ae`r/fulenca`/

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    Zlslt

    www#ailcsys#aok

    Aoctnat Er# Qglvn Kurtgy

    sglvulcelnByngoo#aok

    Rgoc` (