Model-based bioequivalence methods open new doors for generics

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Background

Traditional bioequivalence (BE) via Non-Compartmental Analysis (NCA) requires prohibitive sample sizes for complex drugs (LAIs/HVDs), creating barriers to affordable generics. Model-Based Bioequivalence (MBBE) maintains regulatory rigor (Type I error control) while improving efficiency.

The objective was to demonstrate MBBE’s practical value in increasing study power and reducing costs.

Methods

Methods
This example used a 2-way crossover study of a moderately variable oral drug (~50% IIV, ~15% IOV). Sample size required for 80% statistical power.

MBBE
Single-model method with sampling-importance-resampling (SIR) uncertainty.

NCA
Power calculations via powerTOST R package

Results

Results

MBBE significantly reduced the required sample size compared to NCA while maintaining target power.

  • N for 80% Power – MBBE: 24, NCA: 44
  • Power at N=24 — MBBE: 80%, NCA: 58%

Publications

Recommended reading

-publication 1

publication 2

publication 3