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<title>European Journal of Pharmaceutical Sciences 1 September 2025</title>
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<dateIssued>2025</dateIssued>
<issuance>monographic</issuance>
<edition>1 September 2025</edition>
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<languageTerm type="text">Indonesia</languageTerm>
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<note>ABSTRACT
At the 6th International Conference of the Global Bioequivalence Harmonisation Initiative (GBHI), co-organised
by the European Federation of Pharmaceutical Sciences (EUFEPS) and the Product Quality Research Institute
(PQRI), critical bioequivalence (BE) topics were discussed by pharmaceutical scientists from academia, industry
and regulatory agencies, revealing the following main conclusions:
(1) Physiologically based pharmacokinetic/biopharmaceutic modelling (PBPK/PBBM) for solid oral drugs:
PBPK/PBBM gains increasing recognition for generic drug development, e.g. waivers of fed studies and drug

interaction studies with proton pump inhibitors. However, especially for complex formulations containing low-
solubility compounds, more data are needed for modelling-based conclusion regarding BE in fed state.

(2) Narrow therapeutic index drugs: A progress towards harmonisation of BE criteria from US-FDA and EMA
speakers was made as there is consensus in the usefulness of applying a mixed scale for BE acceptance range

depending on variability, via either fully or partially replicated design. Differences still remain regarding vari-
ability comparison and the selection of regulatory constant (0.760 vs. 1.05361). All parties confirmed the

importance of controlling type-I error.
(3) Single- vs. multiple-dose studies for BE demonstration of modified-release (MR) products: To circumvent

multiple-dose studies, model-informed approaches were discussed based on real-life data, e.g. to simulate steady-
state profiles from single-dose data. To reduce the burden in patient trials for long-acting injectables promising

modelling approaches were presented, extrapolating from incomplete steady-state scenarios.
(4) BE demonstration for additional dose strengths of solid oral MR products: For multiple-unit dosage forms
where strengths differ in number of units only, testing BE of the highest dose was considered sufficient. In
addition, there was some consensus that, whenever extrapolation from one strength to the others is not easily
established, the &ldquo;bracket-approach&rdquo; of the EMA focusing on the intake conditions in the label claim (fasted or fed), can help mitigating risks without adding significant cost and effort.</note>
<subject authority=""><topic>Modeling</topic></subject>
<subject authority=""><topic>Highly variable drug</topic></subject>
<subject authority=""><topic>Bioequivalence</topic></subject>
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