Product-Specific Estring BE Guidance Needed: Pfizer
Pfizer is asking FDA to issue a product-specific bioequivalence (BE) guidance applicable to any ANDA for a generic version of its Estring (estradiol vaginal ring), and to require any ANDA applicant to establish bioequivalence for its generic Estring product based on the conditions set forth in such a guidance. The company’s petition says that Estring is a complex, controlled-release vaginal ring with unique features that are essential to its safety and efficacy profile.
“To ensure that a proposed generic version of Estring matches this safety and efficacy profile,” the company says, “Pfizer believes that the standards proposed in this Citizen Petition are critically important and should be considered by FDA in evaluating any ANDA that references Estring and purports to be therapeutically equivalent.”
The petition includes four requirements that Pfizer says should be included in a guidance document involving comparable in vitro release; an appropriately designed pharmacokinetic endpoints study assessing specific plasma bursts; an appropriately designed clinical endpoint study evaluating the product’s efficacy and safety; and demonstration that the ANDA product’s geometry, formulation, physical, and mechanical properties are equivalent to those of Estring.
The petition asks FDA to expedite its review “to ensure that appropriate BE standards are published as soon as possible,” given that there currently is no product-specific BE guidance for generic versions of Estring.