Application of exposure bracketing to streamline the development of contraceptive products

© 2022 Bill Melinda Gates Foundation..

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.

Medienart:

E-Artikel

Erscheinungsjahr:

2022

Erschienen:

2022

Enthalten in:

Zur Gesamtaufnahme - volume:4

Enthalten in:

Contraception: X - 4(2022) vom: 18., Seite 100072

Sprache:

Englisch

Beteiligte Personen:

Brown, Joshua [VerfasserIn]
Goodrow, Tamra [VerfasserIn]
Hartman, Dan [VerfasserIn]
Hay, Justin L [VerfasserIn]
Hershberger, Kevin [VerfasserIn]
Hershenson, Susan [VerfasserIn]
McNair, Douglas [VerfasserIn]
Matthews, Bethany [VerfasserIn]
Milad, Mark A [VerfasserIn]
Schmidt, Stephan [VerfasserIn]
Vogelsong, Kirsten M [VerfasserIn]
Zhao, Ping [VerfasserIn]

Links:

Volltext

Themen:

BMGF, The Bill & Melinda Gates Foundation
Contraceptive development
Exposure-bracketing
FDA, US Food and Drug Administration
Journal Article
LNG, Levonorgestrel
Levonorgestrel
MHRA, UK's Medical and Healthcare Products Regulatory Agency
PD, Pharmacodynamics
PK, Pharmacokinetics
Pharmacokinetics
Progestin
RWDA, real world data analyses
Real world data

Anmerkungen:

Date Revised 05.03.2022

published: Electronic-eCollection

Citation Status PubMed-not-MEDLINE

doi:

10.1016/j.conx.2022.100072

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM337745277