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Dear Sir/Madam:
This has reference to your application for Initial registration of the above subject
product.
Based from the above inefficient study design where the fixed-dose combination test
product (SAPHZIMET) was not compared to the concurrently or
simultaneouslyadministered individual comparator products (DIAMICRON MR and
GLUCOPHAGE), there appears to be a lack of appropriate planning or foresight on
the part of the study sponsor/manufacturer to have conducted two BE studies
separately (instead of one), unnecessarily exposing a different set of healthy subjects
to the risks of a clinical study, which could have been avoided in the first place.
Moreover, the inherent variabilities between the two separate BE studies in terms of
the BE testing centers' clinical and analytical proficiency, sampling periods and
testing conditions during the study, set of study subjects involved, and actual study
dates make the demonstration of the interchangeability of the drug product as a
fixeddose combination questionable, notwithstanding the satisfactory
pharmacokinetic results presented in both studies based AUC0-t, AUC0-∞, on Cmax.
Please take note that for a fixed-dose combination product with systemic action
containing at least one component requiring an in vivo study, a single BE Study
Protocol should have been designed to cover both the pharmacologically active
components/drug substances. In the selection of the comparator product, in case no
fixed-dose combination product is available in the market, the comparator product of
the individual components administered in loose combination should be used. Also,
you have failed to submit the pertinent attachments (raw data sheets) of P 5.4
(3.2.P.5.4) Batch Analyses to support the test results obtained in the analysis.
A disapproved application may be resubmitted within six (6) months from the
date of the Letter of Disapproval (LOD) to be assigned a new Document
Tracking Number (DTN) and charged with a corresponding fee of Php 1,010,
inclusive of the Legal Research Fee (LRF). A resubmitted application shall
only include documents in fulfillment of the deficiencies cited in this letter.
If resubmission is filed beyond this period, the application shall be treated as initial
registration with new DTN, complete documentary requirements and corresponding
initial fee.