Meyer M C
College of Pharmacy, University of Tennessee Center for the Health Sciences, Memphis, USA.
J Clin Psychiatry. 2001;62 Suppl 5:4-9; discussion 23-4.
As generic products become more available for the treatment of psychiatric disorders, clinicians must stay abreast of the U.S. Food and Drug Administration (FDA) requirements for the approval of generic drug products. The FDA declares that pharmaceutical equivalents only are therapeutically equivalent, and pharmacokinetic data are all that is usually required to determine therapeutic equivalence. The rationale behind the overall concept of bioequivalence is that if 2 pharmaceutical equivalents provide identical plasma concentration-time profiles in humans, there is no evidence to demonstrate that the 2 identical dosage forms will exhibit a difference in safety and efficacy. This article reviews current terminology used in abbreviated new drug applications for generic products, typical bioequivalence study designs, and FDA bioequivalence guidance for clozapine.
随着用于治疗精神疾病的仿制药越来越容易获得,临床医生必须了解美国食品药品监督管理局(FDA)对仿制药产品批准的要求。FDA宣称只有药学等效产品才具有治疗等效性,通常只需药代动力学数据来确定治疗等效性。生物等效性这一总体概念背后的基本原理是,如果两种药学等效产品在人体中提供相同的血浆浓度-时间曲线,那么就没有证据表明这两种相同剂型在安全性和有效性方面会存在差异。本文回顾了仿制药简略新药申请中使用的当前术语、典型的生物等效性研究设计以及FDA关于氯氮平的生物等效性指南。