Guidance for industry: Preparation of veterinary abbreviated new drug submissions (generic drugs) - Clinical and human safety requirements: Clinical requirements
On this page
- Bioequivalence
- In vivo bioequivalence studies
- Biowaiver for in vivo bioequivalence studies
- Palatability
- Pharmacovigilance
- Related links
Part 4: Clinical requirements
4.1 Bioequivalence
For generic drugs, the concept of bioequivalence is fundamental. The purpose of establishing bioequivalence is to demonstrate equivalence in biopharmaceutical parameters (for example, rate and extent of absorption) between the ANDS product and a reference product to allow the bridging of safety and efficacy data associated with the reference product. Refer to the VICH GL52 for information about bioequivalence study principles, designs and conduct.
Bioequivalence between two pharmaceutically equivalent formulations (test and reference) is demonstrated when both the rate and extent of absorption do not show a statistically and clinically significant difference. Bioequivalence should be demonstrated within pre-determined allowable limits, when administered at the same dose of the medicinal ingredient(s) and under similar experimental conditions.
When the test and reference products are shown to be pharmaceutically equivalent and bioequivalent, they can be considered therapeutically equivalent.
In vivo bioequivalence studies
Bioequivalence studies are conducted when a proposed generic product does not qualify for a biowaiver, or when in vivo data is required. Bioequivalence studies are considered pivotal studies to support an ANDS for a veterinary generic drug to confirm the therapeutic equivalence to the reference product.
It is recommended that bioequivalence studies be conducted according to Good Laboratory Practice (GLP) and Good Clinical Practice (GCP), as well as the Canadian Council for Animal Care (CCAC) guidelines. Refer to the US Center for Veterinary Medicine (CVM) Guidance for Industry #35 "Bioequivalence Guidance" and VICH GL52 "Blood level bioequivalence study" for additional information.
Blood level studies provide the most sensitive and accurate measure of the rate and extent of drug absorption. Note that for AUC and Cmax, the 90% confidence interval for the ratio of the reference and test products should be entirely within 80% to 125%. Widening of the limits of the 90% confidence interval to 70% to 143% to account for intraindividual variability could be acceptable given that:
- Widening of the confidence interval has been predetermined in the study protocol (i.e. prior to the conduct of the study); and
- A valid discussion with supportive data that safety and efficacy are not impacted by the widening of the confidence interval is provided.
If selecting this type of study, it is recommended to seek a protocol review before conducting the study (note that an Experimental Studies Certificate (ESC) may be required if the study is to be conducted in Canada).
There are other study options as well, such as:
- pharmacological end-point studies - for use when a drug induces physiological changes over time related to its indications for use and when the measurement of the rate and extent of drug absorption in blood cannot be achieved, or when blood concentrations cannot be used as surrogate end-points for the demonstration of efficacy and safety of the particular pharmaceutical product in the target species (such as for drug with local effects, without systemic absorption)
- clinical end-point studies - for use when blood concentrations cannot be measured or are not relevant, and pharmacological effects over time cannot be monitored (using a test product, reference product and a negative control)
If you have questions or would like further clarification on different bioequivalence studies that could be conducted, contact us: vdd.skmd.so-dgps.dmv.cp@hc-sc.gc.ca
For some drugs, in vivo bioequivalence studies may be waived - refer to the section below on biowaivers.
4.2 Biowaiver of in vivo bioequivalence studies
According to Section C.08.002.1 of the FDR, approval of a generic product for the Canadian market is contingent upon several requirements, including confirmation of pharmaceutical equivalence and bioequivalence with the CRP. For guidance on the requirements for demonstrating pharmaceutical equivalence as defined in Section C.08.001.1 of the regulations, see the Guidance for Industry: Preparation of Veterinary New Drug Submissions and Abbreviated New Drug Submissions (New and Generic Drugs) - Quality Requirements.
Bioequivalence is typically demonstrated by conducting in vivo studies. However, in certain circumstances, in vivo studies could be waived, and a biowaiver could be granted upon demonstrating bioequivalence using in vitro testing.
Eligibility of a generic product for a biowaiver is dependent on multiple criteria, such as dosage form, formulation, health risk, pharmacokinetic profile, solubility of the medicinal ingredient and others. The importance and weight of each criterion can vary for different products in the decision to grant a biowaiver. It is important to note that pharmaceutical equivalence between a generic product and the CRP does not guarantee a biowaiver for in vivo bioequivalence studies.
Eligibility for a biowaiver based on dosage form
May be eligible for a biowaiver | Generally not eligible for a biowaiver |
---|---|
|
|
Eligibility for a biowaiver based on identicality
Identicality occurs when a generic product has an identical formulation and essentially the same physicochemical characteristics to that of the CRP. An identical formulation requires that the generic product contains identical amounts of the identical medicinal ingredient, as well as qualitatively and quantitatively identical non-medicinal ingredients.
The dosage forms indicated in Table 2 are eligible to be granted a biowaiver, if identicality can be demonstrated.
Dosage forms ONLY eligible for a biowaiver based on identicality |
---|
|
Generic products, regardless of the dosage form, manufactured by the same manufacturer of the CRP, using the same manufacturing process and medicinal ingredient source, are eligible for a biowaiver based on identicality of formulation with the CRP.
Not eligible for a biowaiver
- Regardless of the dosage form and formulation identicality, the following are not eligible for a biowaiver due to a high risk to health:
- Products with a medicinal ingredient with a narrow therapeutic range in animals (i.e. a safety margin 2X or less than the recommended label dosage), such as warfarin, cyclosporine, theophylline, etc.
- Products with a high incidence or risk of adverse events in animals
- Products containing a critical-dose medicinal ingredient that needs titration to effect (such as digoxin and phenobarbital, etc.)
- Products containing nanoparticles or a delivery system on the nanometer scale
- Regardless of the dosage form and formulation identicality, the following are not eligible for a biowaiver due to complex pharmacokinetics (PK) or pharmacodynamics:
- Products with medicinal ingredients with non-linear kinetics (such as acepromazine, omeprazole and phenylbutazone)
- Products with integrated dose-delivery devices (such as a metered-dose inhalers)
- Products with a conjugated medicinal ingredient (such as conjugation with polyethylene glycol, liposomes, or an immunologic carrier protein)
- Products containing a medicinal ingredient with possible in vivo interactions (such as some endogenous hormones like insulin and levothyroxine)
- The following are not eligible for a biowaiver due to a complicated/high risk route of administration:
- Intramammary products
- Intrauterine products
Should your product fit in any of the above categories, it is recommended to contact VDD for more specific guidance: vdd.skmd.so-dgps.dmv.cp@hc-sc.gc.ca
Data requirements in support of a biowaiver
For all biowaiver requests, the following information is to be submitted:
- A written biowaiver request to waive in vivo studies
- A justification, including a scientific rationale, as to why the product is eligible for a biowaiver
- A side-by-side quantitative and qualitative comparison of the proposed generic and CRP formulations
- Comparative analytical testing of a minimum of two (2) lots of the generic product and a minimum of one (1) lot of the CRP, using the drug product specifications established for the generic product for the following parameters:
- The medicinal ingredient(s) and excipients (if available)
- Impurity profile
- Relevant comparative physicochemical properties (see Table 3 for more information)
- A copy of a Certificate of Analysis (CoA) needs to be included for all tested generic product lots; and
- Information identifying the CRP used in any comparative studies conducted in connection with the submission (as per paragraph C.08.002.1(2) of the FDR), including photos of the CRP and FRP labels (if relevant) of the product(s) purchased that clearly show the following information: company name, brand name, product identifier (e.g. DIN, National Drug Code (NDC) number, etc.), lot number, and expiry date.
Notes:
- Additional information may be required in specific circumstances, as outlined below regarding dosage forms, product formulation, palatability and pharmacovigilance.
- It is the responsibility of the generic product manufacturer to ensure that the CRP lot is not expired at the time of analytical testing. It is recommended that the testing date and expiry date be included in the CoA.
- If there are discrepancies between the CRP and generic product, additional lots of the CRP may need to be tested.
Physicochemical properties
Physicochemical properties or characteristics between the generic product and the CRP should be essentially the same, so there would not be differences in bioavailability. For this reason, a comparison of these properties is to be provided for granting a biowaiver.
Depending on the dosage form, route of administration or due to clinical considerations, relevant physicochemical characteristics to be tested for comparison purposes may vary. Table 3 summarizes comparative physicochemical parameters commonly tested.
The information in this table has been adapted from the Health Canada's guidance document "Guidance for Industry: Pharmaceutical Quality of Aqueous Solutions". It includes examples of physicochemical characteristics or properties to be tested for different dosage forms, yet it is not intended to cover every possible case. Additional physicochemical properties may be clinically relevant, based on the nature of the drug substance or type of drug product, and require comparison. If you have questions about a particular scenario that may not be covered, contact us: vdd.skmd.so-dgps.dmv.cp@hc-sc.gc.ca
Injectable route of administration | |||||
---|---|---|---|---|---|
Physicochemical properties | Aqueous solution | Non-aqueous solution | Powder | ||
pH | ✓ | -- | ✓* | ||
Specific gravity/density | ✓ | ✓ | ✓* | ||
Osmolality | ✓ | ✓ | ✓* | ||
Viscosity | -- | ✓ | -- | ||
Syringeability | -- | ✓ | -- | ||
Oral route of administration | |||||
Physicochemical properties | Aqueous solution | Non-aqueous solution | Powder | Granules | Gel |
pH | ✓ | -- | -- | -- | ✓ |
Specific gravity/density | ✓ | ✓ | -- | -- | ✓ |
Viscosity | -- | ✓ | -- | -- | ✓ |
Particle size | -- | -- | ✓ | ✓ | -- |
Topical route of administration (products with local and/or systemic effects) | |||||
Physicochemical properties | Aqueous solution | Non-aqueous solution | Ointment and cream | Gel | Spray and aerosol |
pH | ✓ | -- | ✓ | -- | ✓ |
Specific gravity/density | ✓ | ✓ | ✓ | ✓ | ✓ |
Viscosity | -- | ✓ | ✓ | ✓ | -- |
Particle size | -- | ✓ | ✓ | ✓ | ✓ |
Delivery and/or dosing device (container closure system) tests | |||||
Droplet size or volume** | ✓ | ✓ | ✓ | ✓ | ✓ |
Droplet size distribution** | ✓ | ✓ | ✓ | ✓ | ✓ |
Otic, ophthalmic, intranasal routes of administration | |||||
Physicochemical properties | Aqueous solution | Non-aqueous solution | Ointment and cream | Gel | Spray and aerosol |
pH | ✓ | -- | ✓ | ✓ | -- |
Specific gravity/density | ✓ | ✓ | ✓ | ✓ | ✓ |
Osmolality | ✓ | ✓ | ✓ | ✓ | -- |
Viscosity | N/A | ✓ | ✓ | ✓ | -- |
Delivery and/or dosing device (container closure system) tests | |||||
Droplet size or volume** | ✓ | ✓ | ✓ | ✓ | ✓ |
Droplet size distribution** | ✓ | ✓ | ✓ | ✓ | ✓ |
Legend:
|
Situations when additional data are required
Based on the dosage form or product formulation, additional data may need to be submitted.
Dosage forms | Additional data required |
---|---|
Water-soluble powders intended for use in drinking water (i.e. pure medicinal ingredient) |
|
Drug premixes with water soluble medicinal ingredient |
|
Water-soluble powders with excipients in the final drug product intended for use in drinking water | |
Oral solutions with a water-soluble medicinal ingredient |
|
Tablets and other solid immediate release dosage forms |
|
* or appropriate pH, suitable for the species under consideration |
Product formulation
For dosage forms eligible for a biowaiver other than those listed in Table 2 (i.e. where there is a difference in the quantity and/or nature of non-medicinal ingredients), a difference in formulation between the generic product and CRP is allowed under the following conditions:
- The rate and extent of absorption of the medicinal ingredient(s) is not altered;
- Physicochemical characteristics are essentially the same; and
- The animal safety profile and expected efficacy are not altered.
When there are any differences in excipient(s) between the generic product and the CRP, the biowaiver request needs to include a rationale supported with scientific evidence that addresses the above points.
If the formulation is (or needs to be) identical to that of the CRP (see Eligibility for a biowaiver based on identicality above), the submission should include a comparative side-by-side table demonstrating:
- Identical formulations between the generic product and CRP in the final generic product; and
- Relevant physicochemical characteristics for both products to demonstrate their identicality.
Supportive analytical data (for example, results of de-formulation tests on the CRP, analytical testing of all medicinal and non-medicinal ingredients in the generic product) or a rationale (when the CRP formulation is not publicly available) should be submitted to justify how the CRP formulation was obtained or determined.
4.3 Palatability data
For innovator products in which palatability is integral to the administration of the dosage form, the generic product requires some evidence of palatability. The generic product need only demonstrate that it is considered palatable in the target species; demonstration of statistical non-inferiority with the CRP is not required. A variety of different palatability study designs may be feasible for generating relevant evidence of palatability. For more details on palatability studies, contact VDD: vdd.skmd.so-dgps.dmv.cp@hc-sc.gc.ca
For innovator products with an implied claim of palatability (for examples, "flavoured" oral solutions, suspensions, or pastes; "odour of meat" or "fish smell"), but in which palatability is not integral to the dosage form, the manufacturer of the generic product may choose to remove all claims of palatability instead of providing evidence. If the manufacturer chooses to include a comparable palatability claim, evidence of palatability would be required.
4.4 Pharmacovigilance data
For generic products already licensed/marketed in other jurisdictions with available Periodic Safety Update (PSU) reports or other similar documentation, the information should be provided at the time of filing the ANDS in Canada.
Related links
- VICH GL52 Bioequivalence: Blood Level Bioequivalence Study - Scientific guideline
- CVM Guidance for Industry #35 Bioequivalence Guidance
- VICH GL9 (GCP): Guideline on Good Clinical Practices
- CCAC Guidelines
- Pharmaceutical Quality of Aqueous Solutions
- Harmonization of Animal Care and Use Guidance
- Conduct and Analysis of Comparative Bioavailability Studies
- Comparative Bioavailability Standards: Formulations Used for Systemic Effects
- ICH M9 on biopharmaceutics classification system based biowaivers