Application of exposure bracketing to streamline the development of contraceptive products

Autor: Joshua Brown, Tamra Goodrow, Dan Hartman, Justin L. Hay, Kevin Hershberger, Susan Hershenson, Douglas McNair, Bethany Matthews, Mark A. Milad, Stephan Schmidt, Kirsten M Vogelsong, Ping Zhao
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Contraception: X, Vol 4, Iss , Pp 100072- (2022)
Druh dokumentu: article
ISSN: 2590-1516
DOI: 10.1016/j.conx.2022.100072
Popis: Developing new long-acting products of well-characterized contraceptive drugs is one way to address some of the reasons for unmet need for modern methods of family planning among women in low- and middle-income countries. Development and approval of such products traditionally follow a conventional paradigm that includes large Phase 3 clinical trials to evaluate efficacy (pregnancy prevention) and safety of the investigational product. Exposure-bracketing is a concept that applies known pharmacokinetics and pharmacodynamics of a drug substance to inform its safe and efficacious use in humans. Several therapeutic areas have applied this concept by leveraging established drug concentration-response relationships for approved products to expedite development and shorten the timeline for the approval of an investigational product containing the same drug substance. Based on discussions at a workshop hosted by the Bill & Melinda Gates Foundation in December 2020, it appears feasible to apply exposure-bracketing to develop novel contraceptive products using well-characterized drugs.
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