Application of exposure bracketing to streamline the development of contraceptive products

Developing new long-acting products of well-characterized contraceptive drugs is one way to address some of the reasons for unmet need for modern methods of family planning among women in low- and middle-income countries. Development and approval of such products traditionally follow a conventional...

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Bibliographic Details
Main Authors: Joshua Brown (Author), Tamra Goodrow (Author), Dan Hartman (Author), Justin L. Hay (Author), Kevin Hershberger (Author), Susan Hershenson (Author), Douglas McNair (Author), Bethany Matthews (Author), Mark A. Milad (Author), Stephan Schmidt (Author), Kirsten M Vogelsong (Author), Ping Zhao (Author)
Format: Book
Published: Elsevier, 2022-01-01T00:00:00Z.
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Summary:Developing new long-acting products of well-characterized contraceptive drugs is one way to address some of the reasons for unmet need for modern methods of family planning among women in low- and middle-income countries. Development and approval of such products traditionally follow a conventional paradigm that includes large Phase 3 clinical trials to evaluate efficacy (pregnancy prevention) and safety of the investigational product. Exposure-bracketing is a concept that applies known pharmacokinetics and pharmacodynamics of a drug substance to inform its safe and efficacious use in humans. Several therapeutic areas have applied this concept by leveraging established drug concentration-response relationships for approved products to expedite development and shorten the timeline for the approval of an investigational product containing the same drug substance. Based on discussions at a workshop hosted by the Bill & Melinda Gates Foundation in December 2020, it appears feasible to apply exposure-bracketing to develop novel contraceptive products using well-characterized drugs.
Item Description:2590-1516
10.1016/j.conx.2022.100072