Proving equivalence of originator and an authorized generic drug
following EMA draft guideline on quality and equivalence of topical
products
Abstract
Aim: Today, the approval for a generic topical product includes the
presentation of therapeutic equivalence to the originator based on
clinical trials. To facilitate this procedure, in 2018 the European
Medicines Agency (EMA) published a draft guideline on quality and
equivalence of topical products, which includes request parameters
regarding the quality of the newly developed generic product and test
protocols for the implementation of equivalence tests with respect to
efficacy. Methods: To date, no data are available on the quality and
evidence of the proposed test conditions. In this study, we performed an
in vitro penetration test (IVPT) following the terms of the EMA draft
guideline on two authorized topical products for which therapeutic
equivalence was already proven during the approval process. Results: The
complex biometric data processing revealed that in vitro equivalence
could not be observed for all skin sections for both, originator and
generic product. Moreover, the necessity of the negative control
proposed in the draft guideline is more as questionable. From the
results presented, there were indications that a reduced number of skin
donors would be sufficient in order to achieve statistically significant
equivalence in the comparison of all applied formulations,
decreasing simultaneously the degree of biodiversity. Moreover, a higher
number of independent replicates (n>2) is proposed for
proper statistics. Conclusion: This bioequivalence study shows
insufficient parameters in the EMA draft guideline, which should be
discussed.