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Legislação
Resolução
Resolution
- RDC nº 10, of January 2, 2001 (*)
(*) Republished, due to error in the original, in the OJU nr 6-E, of 9/1/2001,
Section 1, page 18.
(Of. El. nº 18/2001)
The Collegiate
Board of Directors of the National Sanitary Surveillance Agency, in the
use of the attributions vested in it under Article 11, item IV, of the
Regulation of ANVISA approved by Decree 3.029, of April 16, 1999, in a
meeting held on December 28, 2000,
WHEREAS
that
Law 9.787, of February 10, 1999, established the legal basis for the institution
of generic drugs in the Country;
that
the same Law, in its Article 2, determines that its regulation is to be
given by the Federal Agency responsible for the sanitary surveillance;
that
the implantation of generic drugs in the Country is a priority of the
drug products policy of the Ministry of Health;
the need
to assure the quality, safety and effectiveness of generic drugs, as well
as to guarantee its interchangeableness with respective products of reference,
adopted the following Resolution and I, the Chairman, determine its publication:
Article
1 - Approve the Technical Regulations for Generic Drugs.
Article
2 - Determine that, for the registration of generic drugs, interested
companies must comply with all provisions of this regulation.
Only
paragraph - In case ANVISA has not yet made any official communication
about any reference drug product, companies interested in the registration
of its corresponding generic drug must inquire about it by writing to
ANVISA, which will provide the requested indication.
Article
3 - Determine that only the specialized establishments duly authorized
by ANVISA may carry out the necessary tests for the proofs ofpharmaceutical
Equivalence, Bioavailability and Bioequivalence stated in this Regulation.
Only
paragraph - Companies interested in carrying out those assays must arrange
their registration with ANVISA and comply with legal requirements pertaining
to their activity.
Article
4 - The Resolution 391, of August 9, 1999, published in the Official Journal
of the Union (OJU) on November 19, 1999, is hereby revoked.
Article
5 - This Resolution enters into force on the date of its publication.
GONZALO
VECINA NETO
ANNEX
TECHNICAL
REGULATION FOR GENERIC DRUGS
1. SCOPE
The bioequivalence
tests, the therapeutical andpharmaceutical equivalence measurements, the
registration, the interchangeableness and the dispensation of generic
drugs are governed by this regulation.
2. DEFINITIONS
2.1 Common
Brazilian Denomination (CBD) - denomination of the drug or pharmacologically
active principle approved by the Federal Agency responsible for the sanitary
surveillance.
2.2 International
Nonproprietary Names (INN) - denomintation of the drug or pharmacologically
active principle recommended by the World Health Organization.
2.3 Bioavailability
- indicates the speed and the extension of absorption of one active principle
in a dosage form, from its concentration/time curve in the systemic circulation
or from its excretion in the urine.
2.4 Pharmaceuticalal
Equivalents - are drug products containing the same drug , that is, the
same salt or ester of the same active therapeutical molecule, in the same
quantity and dosage form, either or not containing identical excipients.
They must comply with the same updated specifications of Brazilian Pharmacopoeia
and, in the absence of these, with the specifications of other authorized
codes by the legislation in force or, furthermore, with other applicable
quality standards, related to identity, dosage, purity, strength, content
uniformity, disintegration time and dissolution speed, whenever necessary.
2.5 Bioequivalent
Drug products - arepharmaceutical equivalents that, when given in a same
molar portion, under the same experimental conditions, do not present
statistically significant differences in relation to the bioavailability.
2.6 Therapeutical
Equivalence - two drug products are considered therapeutical equivalents
if they are phamaceutically equivalents and, after the administration
of the same molar portion, its effects in relation to the efficacy and
safety are essentially the same, what is appraised by means of appropriate
bioequivalence studies, pharmacodynamic assays, clinical assays or studies
in vitro.
2.7 Drug
product -pharmaceutical product, technically obtained or elaborated, with
a prophylatic, curative, palliative aim or for diagnosis purpose. It's
a finished dosage form containing the drug , generally in association
withpharmaceutical adjuvants.
2.7.1. Generic Drug
- drug product similar to a product of reference or innovator, which intends
to be interchangeable with it, generally produced after the expiration
or rejection of the patent protection or of any other rights of exclusiveness,
verified its effectiveness, safety and quality, and designated by the
CDB or, in its absence, by the INN.
2.7.2. Innovator Drug
Product - drug product presenting in its composition at least one active
drug that has been under patent, even already extinguished, by the company
responsible for its development and introduction in the market of the
country of origin, and available in the national market. Generally, the
innovator drug product is considered drug product of reference, however,
in the absence of the same, ANVISA will indicate the reference drug product.
2.7.3. Reference Drug
Product - innovator drug product registered at the Federal Agency responsible
for the sanitary surveillance and commercialized in the Country, with
effectiveness, safety and quality, scientifically verified by the qualified
Federal Agency, at registration time.
2.7.4. Similar Drug
Product - drug product containing the same or more active principles,
presenting the same concentration, dosage form, means of administration,
posology and therapeutical indication, and that is equivalent to the registered
drug product at the Federal Agency responsible for the sanitary surveillance.
It may only differ in characteristics related to the size and shape of
the product, validity period, packaging, labelling, excipients and vehicles,
always identifiable by the trade name or trade mark.
3. CRITERIA AND CONDITIONS
FOR THE REGISTRATION AND QUALITY CONTROL OF GENERIC DRUGS
The registration process
of generic drugs will include three (03) steps: first step: pre-submission;
second step: submission; third step: post-registration. Information about
the necessary documents are found in the articles of the respective steps.
All documents for the registration of generic drugs sent to ANVISA must
be accompanied by a " Cover Page " (ANNEX X), duly completed.
Obs.: The Step 1 Pre-Submission
is optional. In case the applicant prefers, it is possible to start the
process at Step 2 Submission, provided that the requirements described
in item 3.1 are fulfilled and observed in this step.
3.1 Step 1 - Pre-submission
(phase of preparation for the drug product registration)
3.1.1. National Drug
product
3.1.1.1. Drug product
WITHOUT registration in ANVISA
3.1.1.1.1. Authorization
request for the manufacture of pilot batches
The request must contain
the following information:
a) standard formula,
process and equipments used for the manufacture of the drug product;
b) detailed protocol,
with study of stability, according to GUIDE FOR THE UNDERTAKING OF THE
STUDIES OF STABILITY (ANNEX I, of this regulation);
c) Analytical methods
employed;
d) Protocol of the
pharmaceutical equivalence study, indicating the reference drug product,
with the description of assays to be carried out, according to the GUIDE
FOR THE UNDERTAKING OF THE STUDY AND REPORT PREPARATION OF PHARMACEUTICAL
EQUIVALENCE (ANNEX II, of this regulation);
e) Bioequivalence
study protocol, in two copies, presented in accordance with the GUIDE
FOR PROTOCOL AND TECHNICAL REPORT OF THE BIOAVAILABILITY AND BIOEQUIVALENCE
STUDY (ANNEX III, of this regulation). In case these studies are not necessary,
as indicated in the GUIDE FOR EXEMPTION AND SUBSTITUTION OF BIOEQUIVALENCE
STUDY (ANNEX IV of this regulation), submit technical justification supporting
such waiver.
3.1.1.1.2. Authorization
for the manufacture of pilot batches
Once fulfilled the
requirements in item 3.1.1.1.1., the company will be authorized to manufacture
three batches of drug products containing, at least, 100.000pharmaceutical
units for the solid dosage forms of oral use. For the other dosage forms,
batches of at least 10% of the industrial batch will be required. For
drug products with high aggregated value, a manufacture of at least 30.000pharmaceutical
units or a technical justification for a smaller size production will
be required.
3.1.1.2. Drug product
WITH registration in ANVISA
In the case of a drug
product already registered in the Ministry of Health, for the purpose
of registration and commercialization as a generic drug, requirements
of item 3.1.1.1. may be observed retrospectively, provided that the analytical
method(s) of validation is verified, according to the GUIDE FOR VALIDATION
OF ANALYTICAL METHODS (ANNEX V of this regulation), as well as the validation
of the manufacture process, or chronogram of its execution, and the standard
operational procedure of cleanliness of equipment. In these cases, the
company must submit:
a) copies of complete
files of production and quality control, related to three batches manufactured
in the last three years;
b) validation of analytical
methods employed. In the case of the pharmacopoeic methodology, it is
necessary to present data of precision, accuracy and linearity;
c) Stability data
of three batches, within the established validity period;
d) Study protocol
of pharmaceutical equivalence (ANNEX II of this regulation);
e) Study protocol
of bioequivalence (ANNEX III of this regulation), in two copies. In the
cases that the undertaking of those studies is not applicable, submit
a technical justification supporting such exemption;
Obs.: in the impossibility
of complying with requirements specified in the previous items, the company
must follow procedure regarding to the respective requirement(s) of item
3.1.1.1.
3.1.2. Imported drug
product
3.1.2.1. With bioequivalence
test to be carried out IN the Country
The procedures are:
a) import samples
for this purpose, follow the legislation in force for obtaining the import
license of samples for experiments in vitro and in vivo;
In the case of imported
drug products, destined to registration and commercialization as a generic
drug, the requirements of item 3.1.1.1. can be observed retrospectively,
once the validation of analytical method (s) is verified, according to
the GUIDE FOR THE VALIDATION OF ANALYTICAL METHODS (ANNEX V of this regulation),
as well as the validation of the manufacture process, or the chronogram
of its execution, and the standard operational procedure of cleanliness
of the equipment. In these cases the company must submit:
b) copies of complete
files of production and quality control, related to three batches manufactured
in the last three years;
c) validation of analytical
methods employed. In the case of the pharmacopoeic methodology, it is
necessary to present data of precision, accuracy and linearity;
d) Stability data
of the three batches, within the established validity period;
e) Study protocol
of pharmaceutical equivalence (ANNEX II of this regulation);
f) Study protocol
of bioequivalence (ANNEX III of this regulation), in two copies. In case
the undertaking of these studies is not applicable, submit a technical
justification supporting such exemption;
Obs.: 1 in the impossibility
of observance of any of the previous items, the company must comply with
the respective requirement(s) of item 3.1.1.1.
3.1.2.2. With bioequivalence
test carried out ABROAD
For drug products
manufactured abroad, which the bioequivalence studies have already been
carried out as per directives of this Resolution, it is needed:
a) import samples
for this purpose, observing the legislation in force for obtaining the
import license of samples for tests in vitro;
In the case of imported
drug products, destined to registration and commercialization as a generic
drug, the requirements of item 3.1.1.1. can be observed retrospectively,
provided that the validation of analytical method (s) is verified according
to the GUIDE FOR THE VALIDATION OF ANALYTICAL METHODS (ANNEX V of this
regulation), as well as the validation of the manufacture process, or
the chronogram of its execution, and the standard operational procedure
of cleanliness of the equipment. In these cases, the company must submit:
b) file copies of
comparative assays of dissolution among the three drug products: test,
international reference employed for the study of bioequivalence and national
reference, in accordance with the directives of the GUIDE FOR DISSOLUTION
TESTING OF ORAL SOLID IMMEDIATE RELEASE DOSAGE FORMS (ANNEX VIII of this
regulation);
c) technical report
of the studies of in vitro/in vivo correlation (ANNEX IX of this regulation),
or technical justification that it was not undertaken;
d) copy of documents
proving the origin of the drug product of reference used in the bioequivalence
study (international reference), by means of the manufacturer information
(same company, licensing, etc);
e) complete file copies
of production and quality control related to three batches manufactured
in the last three years;
f) validation of analytical
methods employed. In the case of the pharmacopoeic methodology, it is
necessary to present data of precision, accuracy and linearity;
g) stability data
of three batches, showing the established validity period;
h) study protocol
of pharmaceutical equivalence (ANNEX II of this regulation);
i) technical report
of bioequivalence study (ANNEX III of this regulation), in two copies.
In the cases that the undertaking of these studies is not applicable,
submit a technical justification supporting such exemption;
Obs: 1 in the impossibility
of observance of any of the previous items, the company must comply with
the respective requirement (s) of item 3.1.1.1.
Obs: 2 at ANVISA discretion,
after the publication of the registration, a new bioequivalence study
may be requested taking as reference the drug product indicated by the
Agency, to be undertaken, preferably, in Brazil.
Obs: 3 for drug products
manufactured outside of the country, that do not conform with item 3.1.2.2.,
all requirements described in item 3.1.1.1. must be observed, without
the obligation to present the manufacturing authorization described in
item 3.1.1.1.2.
3.2. Step 2 Submission
(Registration Request of Generic Drug)
For this step, the
procedure for the registration request of generic drugs is unique, that
is, it is the same for national and for imported drug products.
3.2.1. Legal aspects
a) original proof
of bank deposit and legalized copy;
b) copy of the Operation
License of the company and/or up-to-date Sanitary Permit;
c) copy of the Operation
Authorization of the company, published in the Official Journal of the
Union;
d) certificate of
Technical Responsibility, issued by the Pharmaceutical Regional Council;
e) certificate of
Good Practices of Manufacture and Control (GPM) issued by ANVISA for the
line of production in which the drug product, to be registered, will be
manufactured.
Obs: for imported
drug products, the presentation of the registration certificate of generic
drug in the country of origin is required.
3.2.2. Technical aspects
3.2.2.1. Petition
forms PF1 and PF2
3.2.2.2. Technical
report
The technical report
must contain:
3.2.2.2.1. General
data
a) physical and physicochemical
characterization of all components of the formula including melting point,
solubility, pKa, impurities, polymorphism, physical form (amorphous/crystalline),
solvation (solvate/hydrate/anydrous) and chirality, among others;
b) dosage form;
c) formula indicating
the components per dose, and whenever possible, per gramme, milliliter,
international standard unit, relation salt/base and excess used;
d) function performed
by the substances in the formula;
e) route of administration
(for liquid dosage forms describe the dosage meter included in the package,
when there is one);
f) directions for
use, when that is the case;
g) indications, purpose
or appropriate use;
h) contra-indications;
i) side effects and
adverse reactions;
j) restrictions and
care to be considered;
k) precautions and
warnings;
l) medicinal and alimentary
interactions;
m) change in the laboratory
clinical examinations;
n) overdosage: signs,
symptoms and treatment;
o) validity period;
p) storage instructions.
3.2.2.2.2. Pharmacodynamic
data
a) action mechanism;
b) strenght (maximum
and minimum doses);
c) justification of
indicated doses;
d) therapeutical range,
when that is the case.
3.2.2.2.2. Pharmacokinetic
data
a) absorption;
b) distribution;
c) biotransformation;
d) excretion;
3.2.2.3. Production
and quality control report
3.2.2.3.1. Production
Submit report showing:
a) a complete description
of the master formula designating the components as per a CBD, INN or
a denomintation described in the Chemical Abstract Substance (CAS), following
this order of priority;
b) description of
the quantity of each substance, expressed in the decimal metric system
or standard unit, indicating its function in the formula and respective
reference of quality specification described in the Brazilian Pharmacopoeia
or, for lack of it, in other official codes authorized by the legislation
in force;
c) the validation
of analytical methods employed;
d) the validation
of the productive process, or chronogram of its execution, and the standard
operational procedure of cleanliness of the equipments;
Obs: the reproductibility
of results between the batch used in the bioequivalence study and other
batches produced subsequently must be verified employing methods described
in the Brazilian Pharmacopoeia and other manuals recognized by the legislation
in force. Otherwise, the methods and specifications proposed in the drug
product registration file can be used, undertaking, whenever appropriate,
the in vitro/in vivo correlation study taking in account the drug characteristics
of solubility and permeability (ANNEX IX of this regulation).
3.2.2.3.2. Quality
control
3.2.2.3.2.1. Raw material
3.2.2.3.2.1.1. Excipients
Quote bibliographic
reference.
Obs: in the case of
drug products not described in official manuals, show specifications and
methods of analysis adopted.
3.2.2.3.2.1.2. Drug
s
For drug products
described in official manuals, submit:
a) the manufacture
companies and the synthesis path;
b) specification descriptions;
c) analytical methods
used and the identification;
d) quantification
and limits of their main contaminators, according to the synthesis path
of the drug ;
e) list of solvent
agents used in the process;
f) for the drug s
presenting chirality, and whose proportion of stereoisomers may compromise
the effectiveness and safety of the drug product: data about the proportion
of stereoisomers, whenever the analytical methodology is available;
g) for the drug s
presenting polymorphism: information about probable polymorphs and whenever
possible, the analytical methodology for its determination.
Obs: 1 in case the
drug is not described in official manuals submit, in addition, the analytical
method duly validated.
Obs. 2 the maximum
indication of three manufacturer companies of the drug will be accepted,
provided that all parameters previously mentioned are informed in the
registration process.
The drug proceeding
from any one of the manufacturers mentioned must comply entirely with
the specifications adopted in the development and testing of the drug
product.
3.2.2.3.2.2. Drug
product
3.2.2.3.2.2.1. specifications
and analytical methods (send, in addition, copy in disk in MS-Word)
For the drug products
belonging to the pharmacopoeia, describe the specifications and analytical
methods used, highlighting, whenever the case, the in vitro assay (s)
that assure (s) a reproductibility of the bioavailability batch per batch,
provided the in vitro-in vivo correlation is verified, whenever the case
(ANNEX IX of this regulation); the quality specifications must take in
consideration relevant aspects of its effectiveness and safety.
Obs: for the drug
products not belonging to the pharmacopoeia, submit, in addition, a validation
of the analytical method used.
3.2.2.3.2.2.2.pharmaceutical
equivalence
In all cases, the
company must prove thepharmaceutical equivalence in relation to the drug
product of reference, using, whenever the case, up-to-date monograph of
the Brazilian Pharmacopoeia or, for lack of it, of other codes authorized
by the legislation in force. The results must be displayed as perpharmaceutical
equivalence report model (ANNEX II of this regulation).
3.2.2.3.2.2.3. Stability
a) submit the results
and assessments of the accelerated stability study of the three batches
produced. The drug products classified in items 3.1.1.2. and 3.1.2, of
the pre-submission step, must show stability data, observing the established
validity period;
Obs: in the case of
recently registered drug products which the stability test at long term
has not been concluded, exceptionally, at ANVISA discretion, the accelerate
test may be accepted.
b) generic drugs imported
in great quantities must present the results and the assessment of the
stability test in the final arrangement for commercialization;
c) the assessment
of the stability study results must emphasize the projection of the validity
period and recommended conditions of storage and distribution;
3.2.2.3.2.3. Packing
material and packaging Describe the specifications and analytical methods
used.
3.2.2.4. Biopharmaceutical
tests report
Submit technical report
containing the results and the assessment of the bioequivalence study
as per ANNEX III of this regulation.
The bioequivalence
study must be undertaken using the same batch employed for the pharmaceutical
equivalence study. In the case of new generic drugs (production of three
batches), one of the batches must be used to carry out bioequivalence
and pharmaceutical equivalence tests, provided that the stability of such
batch was verified. The technical report must be sent in two copies.
3.2.2.5. Sayings of
the secondary and primary packagings and of the printed instructions for
the use of drug product
The sayings of the
secondary and primary packagings and of the printed instructions for the
use of drug product must be equivalent to the ones of the drug product
of reference, being in accordance with the legislation in force. Send
copy in disk MS-Word and two printed copies.
3.3. Step 3: post-registration
3.3.1. Information
the company must send after the publication of the registration
a) indicate the distribution
of the first manufactured batches (at least 3) to ANVISA that, at its
discretion, will apprehend for control analysis;
b) results and final
assessment of the long term stability study of the three batches produced
in accordance of the approved protocol;
c) declaration of
the validity period and definite storage and distribution conditions;
d) report of adverse
reactions and therapeutic inefficacy occurrence;
3.3.2. changes that
need previous approval in order to be implemented by the manufacturer
a) replacement of
the drug manufacturer;
b) alterations of
the drug synthesis path;
c) alterations in
the formula and/or packing material and packaging;
d) change of manufacture
place, production area and used equipment;
e) increase and decrease
of the batch size;
f) alterations in
the process of production.
The company must submit
the Petition Forms (PF1 and PF2) accompanied by the documentation required
in item 3.2.1, including the technical report related to aspects inherent
to alteration proposals.
3.3.3 Information
about the alimentary effects on the absorption and request of a new bioequivalence
study
Bioequivalence studies
that estimate the alimentary effect on the drug s absorption may be required
during the post-registration phase. Other situations where new bioequivalence
studies may be required are described in the ANNEX VI of this regulation.
4. BIOAVAILABILITY
PROOFS OF DRUGS IN GENERAL
The bioavailability
proofs must be presented in accordance with the ANNEX III of this regulation.
4.1. Stages of the
bioavailability study
4.1.1. Clinical stage
a) the drug products
to be subjected to the study of bioavailability must, at first, be analyzed
according to its monograph registered in the Brazilian Pharmacopoeia and,
for lack of it, in other codes authorized by the legislation in force;
b) the bioavailability
study is generally undertaken by means of the drug quantification or the
active metabolite in the circulation (frequently in plasma or serum),
or through its quantification in the urine, whenever justified;
c) the bioavailability
study is of the open, random, crossed type. The volunteers receive the
test and the reference drug products (the drug product is given intravenously
when a drug oral solution is not indicated) in separate occasions (periods),
following a scheme of simple or multiple dose. The interval between the
periods must be of, at least, seven half-lives of the drug elimination,
or the metabolite elimination, whenever the same is active;
d) the chronogram
of samples collection must observe a length of time equal or greater to
3-5 times the half-life of the elimination of the drug , or the metabolite,
whenever the same is active;
e) the minimum number
of healthy volunteers must be of 12, male (excepting for the cases where
the drug product is indicated only to women), aged between 18 and 50 years
old and capable to express their free and informed consent. ANVISA may
require a greater number of volunteers for drug s presenting a great variability;
f) the weight of volunteers
must be within a limit of ± 15% of the weight considered normal,
considering the height and physical structure;
g) smokers and subjects
with a history of alcohol and drug abuse must be avoided. In case smokers
are included, these subjects must be identified;
h) cytotoxic drug
products must be tested in volunteer patients, carrying the pathology
for which the drug product is indicated, with their free and informed
consent or that of their legal representative, in case of incapability
of the patient;
i) the researcher
must fill out a registration form of adverse events and list the adopted
procedures for the control or treatment of the same;
j) the research project,
the experimental protocol and the free and informed consent term must
be submitted to a Committee of Ethics in Research (CEP) accredited by
the National Committee of Ethics in Research (CONEP) of the National Council
of Health/Ministry of Health (CNS/MS);
k) the volunteers
taking part of clinical studies, and in the need of housing, must stay
in appropriate place attending the Good Clinic Practices (GCP), under
the responsibility of a doctor.
4.1.2. Analytical stage
a) all stages of the
study must be achieved in compliance with international norms of Good
Laboratory Practices (GLP);
b) analytical methods
must be validated as per ANNEX V of this regulation;
c) stability studies
of the drug in biological liquids must be achieved in compliance with
item 3 of the ANNEX V of this regulation;
d) the analytical
protocol must contain directives for the re-analysis of the samples. Not
more that 20% of the samples can be re-analysed;
e) the lost of samples
during any one of the analytical process stages must be justified;
f) the analysis of
the samples may be done in the following conditions: without reply, in
duplicate or triplicate. For the analysis of samples in duplicate, the
mean value must be used, and in triplicate, the mean of the two nearest
values;
4.1.3. Statistical
stage
4.1.3.1. the pharmacokinetics
parameters are obtained from the blood concentration curves of the drug
versus time, statistically analysed for the determination of the bioavailability;
4.1.3.2. the following
pharmacokinetics parameters must be determined:
4.1.3.2.1. area under
the blood concentration time curve, calculated using the method of the
trapezoids, from time zero to time t (ASC0-t), where t is the time related
to the last concentration determined through experimentation;
4.1.3.2.2. area under
the blood concentration time curve, calculated from time zero to time
infinite (ASC0-inf), where ASC0-inf = ASC0-t + Ct/lz, where Ct is the
last concentration of the drug determined through experimentation and
lz is the elimination constant of the terminal stage. The ASC0-t must
be equal or greater than 80% of the ASC0-inf;
4.1.3.2.3. the peak
of maximum concentration (Cmax) of the drug and/or metabolite and the
timing to reach this peak (Tmax) must be directly obtained without interpolation
of figures;
4.1.3.2.4. the depuration
(D), the apparent volume of distribution (Vd) and the half-life of elimination
(t1/2)b of the drug and/or the metabolite must also be determined, although
there is no need of statistical treatment;
4.1.3.2.5. in the
studies employing multiple doses the following parameters must be determined:
a) ASC0-t calculated
in the interval of the dose (t) in steady state;
b) Cmax e Tmax, obtained
without interpolation of figures;
c) Minimum concentration
of the drug (Cmin), determined at the end of each dose interval in steady
state;
d) Mean concentration
of the drug in steadystate (C* = ASC0-t /t);
e) Fluctuation rate
in steady state [GF = (Cmax - Cmin)/C* x 100];
4.1.3.2.6. in the
case of studies with multiple doses it has to be proved that the steady
state has been reached after the administration of the test and the reference
drug product;
4.1.3.2.7. the absolute
bioavailability (F) of the drug product must be determined and corresponds
to the fraction of the dose administered of the drug effectively absorbed.
It is calculated through the relation between the area under the curve
(ASC0-inf) obtained after the extravascular administration of the test
product (Te) and the ASC0-inf obtained after the intravenously administration
of the reference product (R). In case the intravenous administration is
not possible, a solution containing the drug can be orally administered.
The calculation of F is obtained through the formula:
ASC0-inf (Te) x Dose
(R)
F(%) = --------------------------------
x 100
ASC0-inf (R ) x Dose
(Te)
4.1.3.2.8. inform
software programs used for the statistical analysis of the figures.
5. CRITERIA FOR PROOFS
OF BIOEQUIVALENCE OF GENERIC DRUGS
The bioequivalence
proofs of generic drugs must observe three stages: clinical, analytical
and statistical, and must be presented in accordance with the ANNEX III
of this regulation.
5.1. Clinical stage
a) the test and the
reference drug products to be subjected to the study of bioequivalence
must, at first, be analyzed according to its monograph registered in the
Brazilian Pharmacopoeia and, for lack of it, in other codes authorized
by the legislation in force, following the pharmaceutical equivalence
protocol (ANNEX II of this regulation). The difference in the drug proportions
between the test and the reference drug products must not be greater than
5% (five per cent);
b) the bioequivalence
study is generally undertaken through the quantification of the drug or
the active metabolite in the circulation (frequently in plasma or serum),
or through its quantification in the urine, whenever justified. Alternatively,
the study may be undertaken through the comparison of pharmacodynamic
measures.
c) the bioequivalence
study is of the open, random, crossed type. The volunteers receive the
test and the reference drug products in separate occasions (periods),
under a scheme of single or multiple doses. The drug products must be
administrated with a standard (usually 200mL) liquid (generally water)
volume.
d) The number of periods
and the study sequences will be determined by the number of drug products
analyzed, in order to assure the statistical validity. The interval between
the periods must be, at least, of seven half-lives of the drug or the
metabolite elimination, whenever it is active;
e) In general, the
quantification of the drug in samples of blood, plasma or serum are employed.
The chronogram of samples collection must observe a length of time equal
or greater than 3-5 times the half-life of the elimination of the drug
, or the metabolite, whenever it is active;
f) The number of healthy
volunteers must always assure sufficient statistical power in order to
guarantee the trustability of the results of the bioequivalence study.
The minimum number of volunteers is, generally, equal to 24subjects, aged
between 18 and 50 years old and capable to express their free and informed
consent.
g) Depending on the
drug product, volunteers taking part in the studies may be male, female
or both, noting that in this last case, the number of men and women must
be the same.
h) the weight of volunteers
must be within a limit of ± 15% of the weight considered normal
to men and women, considering the height and physical structure;
i) smokers and subjects
with a history of alcohol and drug abuse must be avoided. In case smokers
are included, these subjects must be identified;
j) cytotoxic drug
products must be tested in volunteer patients, carrying the pathology
for which the drug product is indicated, with their free and informed
consent or that of their legal representative, in case of incapability
of the patient;
k) the researcher
must fill out a registration form of adverse events and list the adopted
procedures for the control or treatment of the same;
l) the research project,
the experimental protocol and the free and informed consent term must
be submitted to a Committee of Ethics in Research accredited by the National
Committee of Ethics in Research (CONEP) of the National Council of Health/Ministry
of Health (CNS/MS).
In the title of the
project must be included the drug name, the dosage, the dosage form and
name of the manufacturers of the test and the reference drug products.
This title must also be included in the experimental report, in the free
and informed consent term, as well as in the report prepared by the Committee
of Ethics in Research.
m) the volunteers
taking part of clinical studies, and in the need of confinement, must
stay in appropriate place attending the Good Clinic Practices (GCP), under
the responsibility of a doctor.
5.2. Analytical stage
a) all stages of the
study must be achieved in compliance with international norms of Good
Laboratory Practices (GLP);
b) analytical methods
must be validated as per ANNEX V of this regulation;
c) stability studies
of the drug in biological liquids must be achieved in compliance with
item 3 of the ANNEX V of this regulation; d) the analytical protocol must
contain criteria for the samples re-analysis. Not more that 20% of the
samples can be re-analyzed;
e) any lost of samples
must be justified;
f) the analysis of
the samples may be effectuated in the following conditions: without reply,
in duplicate or triplicate. For the analysis of samples in duplicate,
the mean value must be considered, and for triplicate, the mean of the
nearest two values;
g) all determinations
with values lower than the Quantification Limit (QL), must be considered
equal to zero for the statistical calculations.
5.3. Statistical Stage
5.3.1. General Methodology
5.3.1.1. the pharmacokinetics
parameters are obtained from the blood concentration curves of the drug
versus time, statistically analyzed for the determination of the bioequivalence;
5.3.1.2. the following
pharmacokinetics parameters must be determined:
5.3.1.2.1. the area
under the blood concentration time curve, calculated using the method
of the trapezoids, from time zero to time t (ASC0-t), where t is the time
related to the last concentration determined through experimentation;
5.3.1.2.2. the area
under the blood concentration time curve, calculated from time zero to
time infinite (ASC0-inf), where ASC0-inf = ASC0-t + Ct/lz, where Ct is
the last concentration of the drug determined through experimentation
and lz is the elimination constant of the terminal stage. The ASC0-t must
be equal or greater than 80% of the ASC0-inf;
5.3.1.2.3. the peak
of maximum concentration (Cmax) of the drug and/or metabolite and the
timing to reach this peak (Tmax) must be directly obtained without interpolation
of figures;
5.3.1.2.4. the depuration
(D), the apparent volume of distribution (Vd) and the half-life of elimination
(t1/2) of the drug and/or the metabolite must also be determined, although
there is no need of statistical treatment;
5.3.1.2.5. for studies
employing multiple doses the following parameters must be determined:
a) ASC0-t calculated
in the interval of the dose (t) in steady state;
b) Cmax e Tmax, obtained
without interpolation of figures;
c) Minimum concentration
of the drug (Cmin), determined at the end of each interval of the dose
in steady state;
d) Mean concentration
of the drug in steady state (C* = ASC0-t /t);
e) Fluctuation rate
in steady state [GF = (Cmax - Cmin)/C* x 100];
5.3.1.2.6. for the
bioequivalence assessment the parameters ASC0-t, Cmax and Tmax must be
employed;
5.3.1.2.7. in the
case of studies with multiple doses it must be proved that the steady
state was obtained after the administration of the test and the reference
drug products.
5.3.2 Statistical
Analysis
a) analysis of variance
(ANOVA) of the pharmacokinetics parameters ASC0-t and Cmax must be achieved
in order to evaluate the effects of sequence (group), of volunteers, of
period and of treatment;
b) for a study employing
only one dose of the test and the reference drug products, the ANOVA is
generally undertaken with the data of ASC0-t and Cmax transformed in logarithm.
The distribution of the transformed data is closer to a normal distribution
in relation to the data not transformed;
c) for the anlysis
of ASC0-t e Cmax, two test t unicaudal must be employed, with a level
of significance of a= 0,05, building a 90 % confidence interval (CI) for
the ratio between the means of the values obtained with the test and the
reference drug products, for each of these parameters, using ln-transformed
data. Tmax is analyzed as the individual difference: test(-)reference,
building a 90% CI, using nonparametric test;
d) two drug products
are considered bioequivalents when the 90% CI for the ratio between the
means of ASC0-t and of Cmax is included between 80 and 125%. Other limits
of the 90% CI can be accepted through scientific justifications. When
clinically relevant, Tmax is also to be considered;
e) for drugs presenting
low therapeutical range, such as carmazepine, valproic acid, clindamycin,
and others, a 95% CI must be adopted;
f) validated statistical
programs must be used;
g) whenever necessary,
appropriate statistical models, depending on the kind of bioequivalence
study (for exemple, of multiple doses), must be employed;
h) in cases of vounteers
presenting different behaviour on the absorption parameters, in relation
to the remaining volunteers, their exclusion from the study must be justified.
The results of the study must be presented with and without the inclusion
of their data;
i) inform software
programs used for the statistical analysis of the data.
6. PRESCTRIPTION AND
DISPENSATION OF GENERIC DRUGS
The requirements described
in this chapter will only be effective with the existence of the generic
drug(s), in accordance with Law 9787/99, registered under ANVISA and available
to consumption.
6.1 Prescription
a) in the scope of
the System Unique of Health (SUH), the prescriptions given by the professional
expert in charge must necessarily adopt the Common Brazilian Denomination
- CBD, or, in its absence, the International Nonproprietary Names (INN);
b) in the health private
services, the prescription is left to the discretion of the professional
expert in charge and may be made using the generic or the trade name,
emphasizing, whenever necessary, the restrictions to the interchangeability;
c) in the case that
the professional prescriber decides for a non-interchangeability of his
prescription, this decision must be taken for each item prescribed, in
a clear, legible and unmistakable way, in handwriting, with no printing,
labelling, sealing or other automatic forms allowed.
6.2 Dispensation
a) it is allowed for
the pharmacist to do a substitution of the prescribed drug product, exclusively,
for the corresponding generic drug, unless expressed restritions by the
professional prescriber;
b) in these cases,
the pharmacist must indicate the substitution made in the prescription,
affix his seal where must be stated his name and inscription number of
thepharmaceutical Regional Council, put the date and signature;
c) in the case of
prescriptions using a generic name, only the dispensation of a reference
drug product or of a corresponding generic will be permitted;
d) it is the obligation
of the pharmacist to explain to the patient or user the dispensation made
in detail, as well as to give all necessary instructions for the rational
consumption of the generic drug;
e) the generic substitution
must be based on the list of approval generic drugs by the National Agency
of Sanitary Surveillance and which registration have been published in
the Official Journal of the Union;
f) the selection of
generic drugs must be made public by ANVISA through the media.
ANNEX I
GUIDE FOR THE UNDERTAKING
OF THE STABILITY STUDIES
1. TYPES OF STUDY
1.1. Accelerated stability
studies studies destined to raise the chemical degradation speed and physical
modification of one substance and/or characteristic alterations of the
dosage form, using forced storage conditions, with the purpose of monitoring
the degradation reactions and foresee a validity period in normal storage
conditions;
1.2. Long term stability
studies are experiment validations in relation to physical, chemical,
biological characteristics of the medicament, during and after the expected
validity period.
2. PROCEDURE
2.1. Sampling
2.1.1. for authorization
purposes: three batches
2.1.1.1. the sampling
batches must contain, a minimum of 100.000 pharmaceutical units for solid
dosage forms of oral use.
2.1.1.2. for drug
products with high aggregated value, the sampling batches must contain
a minimum of 30.000 pharmaceutical units. Batches of smaller size must
be technically justified;
2.1.1.3. for the remaining
dosage forms batches of, at least, ten percent of the industrial batch
will be required;
2.1.1.4. the batches
must be manufactured with different batches of the drug ;
2.1.2. The study must
contain all details about the batch
a) batch number;
b) batch size;
c) storage conditions;
d) assay results;
e) date of manufacture;
f) type of packing
material;
g) number of samples
tested per batch;
h) number of samples
analyzed per period;
2.1.3. The study must
be undertaken with the drug product in its original packing for commercialization.
2.1. Assay conditions
2.2.1. the accelerated
stability study must be undertaken at 40 ± 2 °C / 75 ±
5% of relative humidity (RH), during six months, with analysis in 0, 30,
60, 90, and 180 days, or at 50 ± 2ºC / 9± 5% of RH
during three months, with analysis in 0, 30, 60 and 90 days;
2.2.2. the stability
study of long duration must be undertaken at 30 ± 2 °C / 70
± 5% of RH, during the period in which the product stability is
intended to be proved. In this case, in the first year, the samples must
be analysed at 0, 3, 6, 9 and 12 months, and once a year after this period;
2.2.3. for drug products
of drug sensitive to the heat and that require storage in alternating
conditions of lower temperature, the studies of accelerated stability
must be undertaken, at a minimum of 15 ºC above the recommended temperature
for storage. This study must be undertaken for six months, in conditions
of appropriate relative humidity. Other conditions may be accepted under
justification;
2.2.4. special considerations
may be necessary for drug products that can suffer physical and/or chemical
alterations due to low temperatures; for example, suspensions or emulsions
that can cause sedimentation, creams, oils or half-solid preparations
that can present alterations of the viscosity; and, liquid preparations
that can produce precipitation problems, for instance, concentrated solutions;
2.2.5. when drug products
are packed in containers which represent an obstacle for the water vapor
(ampoule, ampoule bottle, full syringes), there is no need for a storage
in conditions of high relative humidity. Low relative humidity may affect
in a contrary way the liquid drug products packing in packages semipermeable
(solutions in plastic bags, nasal drops in plastic bottles, and similars).
In these cases the accelerated stability study must also be undertaken
in the same conditions;
2.2.6. the study protocol
must consider physical, chemical, chemical physics and biological assessments,
whenever necessary. The qualitative or quantitative presence or building
up of sub-products and/or degradation products, must also be appraised
using the appropriate methodology.
3. GENERAL DISPOSITIONS
3.1. The assays of
accelerated stability allow to establish a temporary period of useful
life. These assays must be completed with long term studies undertaken
in appropriate storage conditions for the drug product. It is part of
a stability program.
3.2. The results of
the long term stability studies are employed for:
a) establish a useful
life period of the drug product;
b) confirm the projected
period of useful life;
c) recommend storage
conditions;
3.3. the accelerated
stability studies for the determination of the useful life period and
storage conditions, may be temporarily accepted for a period of 6 months,
or three months, in drastic situations, as a requirement for a drug product
registration;
3.4. Once the period
defined as temporary is expired, the useful life period must be confirmed
through the presentation of a long term stability study;
3.5. The useful life
period is always determined according to storage conditions;
3.6. If the batches
of determined drug product present different stability profiles, the useful
life period proposed must be the one based in the less stable batch;
3.7. A tentative useful
life period of 24 months may be established when:
a) the active principle
is considered stable;
b) the studies undertaken
according to the protocol are positives;
c) there are data
indicating that similar formulations have a useful life period of 24 months
or more;
d) there is a continuity
of the long term studies until the useful life period is reached.
3.8. after the assessment
of the stability, the following storage conditions must appear on the
secondary and primary packaging of the drug product:
a) keep at local temperature
(15ºC - 30ºC);
b) keep between 2ºC
e 8ºC, under refrigeration;
c) keep below 8ºC,
under refrigeration;
d) keep frozen (-5ºC
- -20ºC);
e) keep below 18ºC;
3.9. Additional information
such as: keep out of sun light and keep in dry place must be included
provided that they do not conceal stability problems;
3.10. In the case
of the products that require reconstitution or dilution, the period during
which the product maintain its stability after the reconstitution, in
determined storage conditions, must be reported;
3.11. the studies
must be conducted using the specific diluent for the drug product reconstitution
or, if more than one, using the one through which the less stable reconstituted
drug product is to be obtained, in the most disadvantageous temperature
conditions.
ANNEX II
GUIDE FOR THE UNDERTAKING
OF THE STUDY AND REPORT PREPARATION OF PHAMACEUTICAL EQUIVALENCE
1. CRITERIA FOR PHARMACEUTICAL
EQUIVALENCE STUDIES FOR DRUG PRODUCTS EXEMPTED OF THE BIOEQUIVALENCE STUDY,
ACCORDING TO ANNEX IV OF THIS REGULATION
The studies must be
undertaken in test and reference drug products, preferably manufactured
up to six months. The reference drug product must comply with all pharmacopoeic
requirements.
1.1. To be registered
as generic, the drug product must: Fully comply with the pharmacopoeic
requirements of the individual monograph, registered in the Brazilian
Pharmacopoeia. In case another code authorized by the legislation in force
is used, the requirements from the pharmacopoeia of the monograph must
be completed with assays described in the general methods of the Brazilian
Pharmacopoeia in force, for the dosage form being studied. In the absence
of an official pharmacopoeic monograph, the study must be undertaken using
the method supplied by the requesting company, validated by the laboratory
undertaking the study, being completed with assays described in general
methods of the Brazilian Pharmacopoeia in force. The study must be undertaken
using chemical substances of reference and/or official biological standards
from the Brazilian Pharmacopoeia or from other codes authorized by the
legislation in force. The assays proving phamaceutical equivalence must
be undertaken, simultaneously, in the test and the reference drug products;
1.2. Submit Technical
Report of Pharmaceutical Equivalence, including:
1.2.1. Certificate(s)
of Pharmaceutical Equivalence analysis of test and reference drug product(s),
considering the following items:
1.2.1.1. on the certificates
heading:
a) brand name of the
reference drug product;
b) generic name according
to CBD and INN;
c) name of the manufacturer;
d) dosage form;
e) batch number;
f) date of manufacture;
g) validity period;
h) number and date
of issue of the certificate;
1.2.1.2. on the certificates
contents:
a) drug product characteristics;
b) tests undertaken
(chemical-physics, chemicals, biological etc);
c) specifications
of each assay with quotes of the researched sources;
d) results found;
1.2.1.3. on certificates
foot-note:
a) date and signature
of analyst(s) and professional expert(s) in charge;
b) relevant observations;
1.2.2. Conclusive
report about the pharmaceutical Equivalence of the studied drug product.
1.3. Individual historical
of analysis undertaken, containing the data used for the assessment of
each assay, including statistical data, charts with results, copy of chromatograms
and spectra of the test and the reference drug products, will be available
to the applicant and to ANVISA.
2. CRITERIA FOR PHARMACEUTICAL
EQUIVALENCE STUDIES WHEN THE PHARMACEUTICAL EQUIVALENCE IS ACCEPTED AS
A BIOEQUIVALENCE INDICATOR, ACCORDING TO ITEM 2 OF ANNEX IV OF THIS REGULATION
In the cases that
the pharmaceutical equivalence is accepted as a bioequivalence indicator,
to obtain a generic drug registration, the drug has to comply with the
requirements mentioned on item 1, in addition to the undertaking of a
comparative study of the dissolution profile in relation to the reference
drug product according to the GUIDE FOR DISSOLUTION TESTING OF ORAL SOLID
IMMEDIATE RELEASE DOSAGE FORMS (ANNEX VIII of this regulation).
3. CRITERIA OF PHARMACEUTICAL
EQUIVALENCE STUDIES FOR DRUG PRODUCTS TO BE SUBJECTED TO THE BIOEQUIVALENCE
STUDY
The studies must be
undertaken in test and reference drug products preferably up until six
months of being manufactured. The reference drug product must comply with
all requirements from the pharmacopoeia.
3.1. To obtain the
registration as a generic, the drug product must:
3.1.1. fully comply
with the requirements from the pharmacopoeia of the individual monograph,
registered at the Brazilian Pharmacopoeia. In the case of using any other
code authorized by the legislation in force, the requirements from the
pharmacopoeia of the monograph must be completed with assays described
in general methods in the Brazilian Pharmacopoeia in force, for the dosage
form being studied.
In the absence of
the official monograph from the pharmacopoeia, the study must be undertaken
using a method given by the requesting company, validated by the laboratory
executing the study, being completed by assays described in general methods
of the Brazilian Pharmacopoeia in force. The study must be undertaken
using chemical substances of reference and/or biological standards officially
recognized by the Brazilian Pharmacopoeia or by other codes authorized
by the legislation in force. The assays for the pharmaceutical equivalence
verification must be undertaken simultaneously for the test and the reference
drug products;
3.1.2. the difference
in the drug proportions between the test and the reference drug product
must not be greater than 5%, but it must not, however, exceed the pharmacopoeic
limits.
3.2. Submit the results
of the comparative study of the dissolution profile, according to the
ANNEX VIII of this regulation.
3.3. Submit the Technical
Report of pharmaceutical Equivalence, including:
3.3.1. analysis certificate(s)
of test and reference drug products, observing the following items:
3.3.1.1. on the certificates
heading:
a) brand name of the
reference drug product;
b) generic name according
to CBD and INN;
c) name of the manufacturer;
d) dosage form;
e) batch number;
f) date of manufacture;
g) validity period;
h) number and issue
date of the certificate;
3.3.1.2. on the certificates
contents:
a) drug product characteristics;
b) tests undertaken
(chemical-physics, chemicals, biologicals, etc);
c) specifications
of each test with quotes of researched sources;
d) results found;
3.3.1.3. on certificates
foot-note:
a) date and signature
of analyst(s) and professional expert(s) in charge;
b) relevant observations;
3.3.2. Conclusive
report about the pharmaceutical equivalence of the studied drug product.
3.4. Individual historical
of analysis containing the data used for the assessment of each assay,
including statistical data, charts with results, copy of chromatograms
and spectra of the test and the reference drug products will be available
to the applicant and to ANVISA.
ANNEX III
GUIDE FOR PROTOCOL
AND TECHNICAL REPORT OF THE BIOAVAILABILITY AND BIOEQUIVALENCE STUDY
1. title of the project
(must contain the name of the pharmaceutical substance, strenght, dosage
form and manufacturer's name of the test and the reference drug products);
2. main researcher
(researcher in charge);
3. clinical researcher
(must necessarily be a doctor);
4. protocol number
and date;
5. study objective;
6. study design:
6.1. type;
6.2. test and reference
drug products (description, batch number, date of manufacture, expiry
date, etc);
6.3. dosage (dose
and liquid volume for administration);
6.4. housing of volunteers;
6.5. fasting and feeding
time table;
6.6. sampling schedule;
6.7. samples manipulation
procedures;
6.8. analytical methods;
7. population of the
study:
7.1. detailed description
(sex, age, weight, height);
7.2. subject selection:
7.2.1. clinical assessment
(medical history and physical exam);
7.2.2. clinical laboratory
exams: electrocardiogram, hematological and biochemical exams (including
proofs of hepatical and renal function), serological exams (Hepatitis
B, Hepatitis C, HIV), beta HCG (for women) and urine type I.
7.3. inclusion criteria;
7.4. exclusion criteria;
7.5. restrictions
and prohibitions: before, during and after study;
7.6. criteria for
subjects discontinuation or withdraw from the study;
8. adverse reactions
and emergency procedures;
9. ethical considerations:
9.1. basic principles
- must follow the resolutions in force of the National Health Council-Ministry
of Health (CNS/MS), that regulate the research norms on human beings;
9.2. report from the
Committee of Ethics in Research accredited by the National Committee of
Ethics in Research (CONEP) of the National Health Council-Ministry of
Health (CNS/MS);
10. data analysis:
10.1. validation of
the analytical methods;
10.2. statistical
treatment;
11. appendices;
11.1 retention samples
(it must be informed the number of units of the test and the reference
drug products that must be kept, which should be enough to repeat the
test. These samples must be stored in proper conditions to preserve the
original characteristics of the products up to their expiry date);
11.2. inventory of
the drug products used in the study (the units number of test and reference
drug products used in the study, as well as any occurring loss, must be
informed);
11.3. model of informed
consent form;
11.4. adverse events
charts;
11.5. random list
12. the documents
to be submitted to ANVISA, together with the technical report of the bioequivalence
study, are:
12.1. validation study
figures;
12.2. calibration
curves and respective equations;
12.3. analytical runs
validation;
12.4. complete series
of the chromatograms of 20% of the volunteers, with calibration curves
and quality controls;
12.5. all the standard
operational procedures (SOP) of the analytical part, original data, concentration
calculation and samples re-analysis;
12.6. biological samples
transport procedures, when necessary;
12.7. clinical procedures-
SOP of the clinical part: instructions to the volunteer, samples identification,
blood collection procedure, drug products administration procedure;
12.8. protocol deviations
report
Obs: 1 All the documentation
submitted, concerning the clinical and analytical phases, must be signed
by the respective people in charge.
Obs: 2 The technical
report about the bioavailability and the bioequivalence study must be
returned in two printed copies and one copy in diskette with a spreadsheet
in MS-Excel with the results of the pharmacokinetics parameters calculated
separately (ASC0-t, Cmax e Tmax), and the individual values of the plasmatic
drug concentrations, for all the phases of the study.
Obs: 3 The study protocol,
in two copies, must be handed in together with the technical report.
ANNEX IV
GUIDE FOR THE BIOEQUIVALENCE
EXEMPTION AND SUBSTITUTION STUDY
1. THE FOLLOWING TYPE
OF DRUG PRODUCTS ARE EXEMPT OF THE BIOEQUIVALENCE STUDIES
1.1. drug products
administered via parenteral route (intravenous, intramuscular, subcutaneous
or intratecal), like the aqueous solutions containing the same drug ,
at the same concentration of the reference drug product and components
of same function, with compatible concentration levels;
1.2. oral use solutions
that contain the same drug , at the same of concentration of the reference
drug product and that does not contain components that could affect the
gastrointestinal motility or the drug absorption;
1.3. powders for the
reconstitution that would result in a solution which fulfills all the
requirements (1.1) e (1.2);
1.4. gases;
1.5. otological and
ophthalmic aqueous solutions containing the same drug , at the same concentration
of the reference drug products and components of same function, with compatible
concentration levels;
1.6. for topical use
drug products, not meant for systemic effect, containing the same drug
, at the same concentration of the reference drug product and components
of the same function, with compatible concentration levels, meant for
the otological and ophthalmic use, presented in a suspension form, the
pharmacodynamics studies results that support the therapeutic equivalence
must be presented, but the pharmacodynamic study model must first be approved
by ANVISA;
1.7. inhalant drug
products and nasal sprays assimilated with or without a device, presented
in an aqueous solution and containing the same drug , at the same concentration
of the reference drug product and components of same function, with compatible
concentration levels;
1.8. oral used drug
products of which drugs are not absorbed in the gastrointestinal treatment.
2. CASES IN WHICH
THE BIOEQUIVALENCE MAY BE SUBSTITUTED BY THE PHARMACEUTICAL EQUIVALENCE
2.1. in the case of
generic drugs of immediate release, with several dosages, same pharmaceutical
characteristics and equivalent formulations, manufactured by the same
manufacturer, in the same place of production, the bioequivalence study
must be undertaken with the largest dosage exempting of this study those
with lower dosage, if the drug dissolution profiles, among all dosages,
are comparable (according to the GUIDE FOR DISSOLUTION TESTING OF ORAL
SOLID IMMEDIATE RELEASE DOSAGE FORMS (ANNEX VIII of this regulation).
The non-possibility to use the larger dosage in the bioequivalence study
must be technically justified. This rule is applied to the drug s that
present a linear pharmacodynamics in the therapeutic zone;
2.2. for drug products
exempt of medical prescription, containing the phamaco substance acetylsalicylic
acid, paracetamol, dipyrone ou ibuprophen, in the solid dosage form, they
will be exempt of bioequivalence study if the dissolution profile is comparable
to the reference drug products, using the comparison criteria described
in the ANNEX VIII of this regulation.
2.3. topical use drug
products, with the exception of those foreseen in item 1.6, at the same
level of concentration in respect of the reference drug product and components
of same function, with compatible concentrations levels.
ANNEX V
GUIDE FOR THE VALIDATION
OF ANALYTICAL METHODS
1. GENERAL CONSIDERATIONS
a) The validation
must guarantee, through experimental studies, that the method meets the
requirements of the analytical applications, ensuring the reliability
of the results. For this, it must show precision, accuracy, linearity,
sensibility and specification, suitable for the analysis. Thus, it is
important to point out that all equipment and materials must be properly
calibrated and the researchers must be qualified and properly trained;
b) reference chemical
substances and/or biological standards made official by the Brazilian
Pharmacopoeia or by any other code authorized by the current legislation
must be used. Studies using secondary standards will be admitted provided
its certification is proved, in the absence of reference chemical substances
and/or biological pharmacological standards;
c) for the bioavailability
and bioequivalence studies the internal standard must be used whenever
the chromatographics methods are used. The impossibility of its use must
be justified;
d) the information
enclosed in this guide are more indicated for the chromatographics methods
used for the drug s determination and their metabolites in biological
matrixes, like blood, serum, plasma or urine. It also must be employed
for other analytical techniques, like microbiological and immunological
methods, or for other biological matrixes, although in these cases, a
high degree of variability can be observed.
1.1. Precision
1.1.1. The method
repetitiveness is verified |