Laura Gomes Castanheira ANVISA- Brazil Implementation of bioequivalent medicines regulation
2 Summary -History from Regulations -Challenges -Positive and negative results
3 History - before 1999 Innovator or Similar medicines brand name No generics License granted using similarity approach (same active ingredient and pharmaceutical dosage form of innovator drug) Technical information: production, QC, stability, packaging In vivo studies not necessary
4 History Law 9782 – Creates Anvisa Law 9787 – Creates Generic Drugs in Brazil Resolution 391/99 – ANVISA - first regulation for generic drugs -Pharmaceutical equivalence and bioequivalence for all generics
5 History Resolution 41/00 - criteria for Bioequivalence CROs habilitation and creation of Generic Drugs General Office Bioequivalence Coordination was created, CROs inspections Resolution 133/03 - Pharmaceutical equivalence and bioequivalence study mandatory; Resolution analytical methodology validation; Resolution 897- biowaive; Resolution 134/03 - BE studies for drugs already in the market; risk based approach
Resolution Guideline for bioequivalence studies Electronic information System - SINEB CRO production, electronic submission of BE reports, volunteers national database Normative Instruction 12 - Guideline for controlled released sprays and aerosols Resolution 37 - Biowaive Pharmaceutical form, dosages biowaive, biowaive based on BCS Resolution 27- Bio analytical methodology validation CROs certification system revision History
7 Current Regulations RDC 41/ Habilitation RDC 103/ Certification RE 894/ BE protocol elaboration guideline RE 895/ BE report elaboration guideline RE 898/ Statistical part planning and execution guideline RE 1170/ BE guideline RE 37/ Biowaive RDC 27/ Bioanalytical methodology validation
8 Challenges Reference medicine CROS - national and international Biowaive
9 Positive and negative points Shortage Number of therapeutic equivalents Impact on public purchase Access
10 Thank you!