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THe BIOWaIVer MONOGraPHS - FIP

THe BIOWaIVer MONOGraPHS - FIP

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quinine I-II Dose-related<br />

toxicity at<br />

concentrations<br />

not<br />

far above<br />

therapeutic<br />

levels<br />

No Solubility at highest dose<br />

strength (300mg) passes<br />

D:S criteria at pH 6.8 but not<br />

pH 7.5. Dissolution is poor<br />

at pH 6.8 from marketed<br />

products.<br />

ranitidine III few Yes “rapid dissolution” and<br />

similarity between test and<br />

reference is recommended<br />

as the pre-requisite.<br />

rifampicin II Many<br />

reports of<br />

failure to<br />

meet BE<br />

No Poorly soluble API, unexplained<br />

lack of bioequivalence<br />

among products<br />

common<br />

stavudine I few Yes Dissolution requirements<br />

per Guidances for Class I<br />

verapamil *I/II few YEs *Meets solubility criteria<br />

at pH 6.8 but not pH 7.5 (not<br />

biowaivable according to<br />

FDA).<br />

Where applicable, dissolution<br />

requirements per<br />

Guidances for Class I<br />

Of the Biowaiver Monographs published to date, most have recommended a biowaiverbased<br />

approval after a significant post-approval change or for approval of a generic<br />

version. This is largely because most of the APIs considered to date have been highly<br />

soluble over the BCS pH range and have a wide therapeutic index.<br />

For seven of the 32 APIs considered to date, it was deemed inappropriate to recommend<br />

a biowaiver. In the case of ciprofloxacin, furosemide, mefloquine and rifampicin,<br />

the solubility of the drug substance was simply far too low at pH values typical of<br />

the small intestine to consider applying the biowaiver. Additionally for furosemide<br />

and rifampicin, there had been many reports of formulations failing bioequivalence<br />

studies published in the literature and moreover, these failures could often not be<br />

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