Alcon Wants Durezol Bioequivalence Requirements

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Alcon has petitioned FDA to change the bioequivalence testing requirements for any ANDA that cites its Durezol (difluprednate ophthalmic emulsion, 0.05%) as the reference-listed drug and also revise the product-specific bioequivalence draft guidance for difluprednate ophthalmic emulsion. “Petitioners believe that only in vivo pharmacokinetic testing or comparative clinical endpoint testing, and not in vitro testing, is sufficient to accurately, sensitively, and reproducibly measure bioequivalence of difluprednate ophthalmic emulsions,” the petition says.

According to Alcon, a January draft guidance on difluprednate said that an ANDA applicant could establish bioequivalence either through in vitro testing or an in vivo pharmacokinetic study in aqueous humor. The company wants the agency to require in vivo testing and drop the in vitro option.

If FDA denies the requests and retains the in vitro option, Alcon says, it should require additional in vitro testing as recommended in the petition to increase the likelihood that any meaningful differences between the in vivo bioavailability of generic difluprednant ophthalmic emulsion products and Durezol are detected.

A final guidance should be issued promptly, the petition says, with content that is consistent with the petition.

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