Planning and Evaluation of Bioequivalence Studies of Enalapril Products

Nowadays retrospective analysis of bioequivalence studies of medicinal products that have the same International Nonproprietary Name is becoming particularly relevant. Over the past years we have accumulated a sufficient pool of data in the Russian Federation which make it possible to identify many...

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Main Authors: D. P. Romodanovsk, A. L. Khokhlov, A. E. Miroshnikov
Format: Article
Language:Russian
Published: Federal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’) 2018-12-01
Series:Регуляторные исследования и экспертиза лекарственных средств
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Online Access:https://www.vedomostincesmp.ru/jour/article/view/179
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author D. P. Romodanovsk
A. L. Khokhlov
A. E. Miroshnikov
author_facet D. P. Romodanovsk
A. L. Khokhlov
A. E. Miroshnikov
author_sort D. P. Romodanovsk
collection DOAJ
description Nowadays retrospective analysis of bioequivalence studies of medicinal products that have the same International Nonproprietary Name is becoming particularly relevant. Over the past years we have accumulated a sufficient pool of data in the Russian Federation which make it possible to identify many differences, difficulties and errors associated with bioequivalence studies (especially those of highly variable drugs). Given that inhibitors of angiotensin-converting enzyme (ACE) can be highly variable, we conducted a retrospective analysis of bioequivalence studies of domestically-produced and foreign-made generic enalapril products. This article presents the results of the analysis whose aim was to determine intraindividual coefficients of variation and harmonise approaches to planning and evaluation of enalapril bioequivalence studies. It was demonstrated that enalapril products do not show high variability – both in terms of the original compound and the active metabolite. However, the analysis revealed many differences in the study designs: recruitment of a different number of healthy volunteers; determination of the concentration of either the original compound only, or in combination with the active metabolite; various analytical methods used for determination of analytes; different duration of blood sampling; and different sampling time points. The revealed differences made it possible to standardise the key research parameters, to harmonise them with the current requirements for conducting bioequivalence studies, and to formulate recommendations for planning and evaluation of enalapril studies. With respect to the study design, in addition to the standard conditions, the following can be recommended: at least 18 healthy volunteers should participate in enalapril bioequivalence studies; the pharmacokinetic parameters should be determined for both enalapril and its main active metabolite (enalaprilat); the duration of blood analyte determination should be at least 24 hours; the washout period should be 7 days; blood sampling for estimation of the maximum concentration should be more frequent around one hour after administration for enalapril and after three hours for enalaprilat.
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institution Kabale University
issn 3034-3062
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language Russian
publishDate 2018-12-01
publisher Federal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’)
record_format Article
series Регуляторные исследования и экспертиза лекарственных средств
spelling doaj-art-422742a2f8974e2084f06e19f2a431d62025-08-20T03:57:31ZrusFederal State Budgetary Institution ‘Scientific Centre for Expert Evaluation of Medicinal Products’ of the Ministry of Health of the Russian Federation (FSBI ‘SCEEMP’)Регуляторные исследования и экспертиза лекарственных средств3034-30623034-34532018-12-018423123710.30895/1991-2919-2018-8-4-231-237177Planning and Evaluation of Bioequivalence Studies of Enalapril ProductsD. P. Romodanovsk0A. L. Khokhlov1A. E. Miroshnikov2Scientific Centre for Expert Evaluation of Medicinal ProductsYaroslavl State Medical UniversityYaroslavl State Medical UniversityNowadays retrospective analysis of bioequivalence studies of medicinal products that have the same International Nonproprietary Name is becoming particularly relevant. Over the past years we have accumulated a sufficient pool of data in the Russian Federation which make it possible to identify many differences, difficulties and errors associated with bioequivalence studies (especially those of highly variable drugs). Given that inhibitors of angiotensin-converting enzyme (ACE) can be highly variable, we conducted a retrospective analysis of bioequivalence studies of domestically-produced and foreign-made generic enalapril products. This article presents the results of the analysis whose aim was to determine intraindividual coefficients of variation and harmonise approaches to planning and evaluation of enalapril bioequivalence studies. It was demonstrated that enalapril products do not show high variability – both in terms of the original compound and the active metabolite. However, the analysis revealed many differences in the study designs: recruitment of a different number of healthy volunteers; determination of the concentration of either the original compound only, or in combination with the active metabolite; various analytical methods used for determination of analytes; different duration of blood sampling; and different sampling time points. The revealed differences made it possible to standardise the key research parameters, to harmonise them with the current requirements for conducting bioequivalence studies, and to formulate recommendations for planning and evaluation of enalapril studies. With respect to the study design, in addition to the standard conditions, the following can be recommended: at least 18 healthy volunteers should participate in enalapril bioequivalence studies; the pharmacokinetic parameters should be determined for both enalapril and its main active metabolite (enalaprilat); the duration of blood analyte determination should be at least 24 hours; the washout period should be 7 days; blood sampling for estimation of the maximum concentration should be more frequent around one hour after administration for enalapril and after three hours for enalaprilat.https://www.vedomostincesmp.ru/jour/article/view/179bioequivalence studyhighly variable drugsinhibitors of angiotensin-converting enzymeenalaprilenalaprilat
spellingShingle D. P. Romodanovsk
A. L. Khokhlov
A. E. Miroshnikov
Planning and Evaluation of Bioequivalence Studies of Enalapril Products
Регуляторные исследования и экспертиза лекарственных средств
bioequivalence study
highly variable drugs
inhibitors of angiotensin-converting enzyme
enalapril
enalaprilat
title Planning and Evaluation of Bioequivalence Studies of Enalapril Products
title_full Planning and Evaluation of Bioequivalence Studies of Enalapril Products
title_fullStr Planning and Evaluation of Bioequivalence Studies of Enalapril Products
title_full_unstemmed Planning and Evaluation of Bioequivalence Studies of Enalapril Products
title_short Planning and Evaluation of Bioequivalence Studies of Enalapril Products
title_sort planning and evaluation of bioequivalence studies of enalapril products
topic bioequivalence study
highly variable drugs
inhibitors of angiotensin-converting enzyme
enalapril
enalaprilat
url https://www.vedomostincesmp.ru/jour/article/view/179
work_keys_str_mv AT dpromodanovsk planningandevaluationofbioequivalencestudiesofenalaprilproducts
AT alkhokhlov planningandevaluationofbioequivalencestudiesofenalaprilproducts
AT aemiroshnikov planningandevaluationofbioequivalencestudiesofenalaprilproducts