PMID- 32107671 OWN - NLM STAT- MEDLINE DCOM- 20210126 LR - 20210126 IS - 1550-7416 (Electronic) IS - 1550-7416 (Linking) VI - 22 IP - 2 DP - 2020 Feb 27 TI - Systematic Review of Device Parameters and Design of Studies Bridging Biologic-Device Combination Products Using Prefilled Syringes and Autoinjectors. PG - 52 LID - 10.1208/s12248-020-0433-8 [doi] AB - Biologic-device combination products using prefilled syringes (PFSs) and autoinjectors (AIs) are popular for biological products administered subcutaneously. Pharmacokinetic (PK) comparability studies commonly provide the scientific data to support introduction of AI presentations via bridging with PFS. A survey of biological products approved by FDA's Center for Drug Evaluation and Research identified 17 biologics license applications (BLAs) with both PFS and AI presentations for subcutaneous (SC) administration, including 16 approved on February 1, 2018, and one with AI presentation under review. A systematic review on the device parameters and the PK comparability studies bridging the two presentations was conducted. Subsequently, whether device parameters or the PK study design may have influenced the PK comparability study results was evaluated. The reported device parameters for AI and PFS are generally consistent across BLAs, whereas the approach to assess PK comparability varied, including the study design. Most PK comparability studies met bioequivalence (BE) criteria. Upon inspection of the studies that did not meet BE criteria, injection depth of AI and the injection site for either AI or PFS were identified as potential influencing factors to the outcome of PK comparability study. This study represents an initial attempt to identify the potential influencing factors on device bridging, including the characteristics of the device and the clinical pharmacology study. These findings may inform the combination product development strategy, specifically design considerations for device and PK comparability studies. FAU - Hu, Ping AU - Hu P AD - Oak Ridge of Institute for Science and Education, Oak Ridge, Tennessee, USA. AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration (OCP/CDER/FDA), 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993, USA. FAU - Wang, Jie AU - Wang J AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration (OCP/CDER/FDA), 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993, USA. FAU - Florian, Jeffery AU - Florian J AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration (OCP/CDER/FDA), 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993, USA. FAU - Shatzer, Katherine AU - Shatzer K AD - Department of Pharmacology and Pharmaceutical Sciences, College of Pharmacy, University of Houston, Houston, Texas, USA. FAU - Stevens, Alan M AU - Stevens AM AD - Office of Device Evaluation, Center for Devices and Radiological Health, U.S. Food and Drug Administration (ODE/CDRH/FDA), Silver Spring, Maryland, USA. FAU - Gertz, Jacqueline AU - Gertz J AD - Office of Device Evaluation, Center for Devices and Radiological Health, U.S. Food and Drug Administration (ODE/CDRH/FDA), Silver Spring, Maryland, USA. FAU - Ji, Ping AU - Ji P AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration (OCP/CDER/FDA), 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993, USA. FAU - Huang, Shiew Mei AU - Huang SM AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration (OCP/CDER/FDA), 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993, USA. FAU - Zineh, Issam AU - Zineh I AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration (OCP/CDER/FDA), 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993, USA. FAU - Wang, Yow-Ming C AU - Wang YC AD - Office of Clinical Pharmacology, Center for Drug Evaluation and Research, U.S. Food and Drug Administration (OCP/CDER/FDA), 10903 New Hampshire Avenue, Silver Spring, Maryland, 20993, USA. Yowming.wang@fda.hhs.gov. LA - eng PT - Journal Article PT - Systematic Review DEP - 20200227 PL - United States TA - AAPS J JT - The AAPS journal JID - 101223209 RN - 0 (Biological Products) SB - IM CIN - AAPS J. 2020 May 15;22(3):72. PMID: 32415524 MH - Biological Products/*administration & dosage/*pharmacokinetics MH - Drug Compounding MH - Drug Delivery Systems/*instrumentation MH - Equipment Design MH - Female MH - Humans MH - Injections, Subcutaneous MH - Male MH - *Needles MH - *Syringes MH - Therapeutic Equivalency MH - Tissue Distribution MH - Viscosity OTO - NOTNLM OT - PK comparability OT - injection site OT - prefilled syringe (PFS) and autoinjector (AI) OT - study design OT - subcutaneous injection depth EDAT- 2020/02/29 06:00 MHDA- 2021/01/27 06:00 CRDT- 2020/02/29 06:00 PHST- 2019/10/13 00:00 [received] PHST- 2020/02/11 00:00 [accepted] PHST- 2020/02/29 06:00 [entrez] PHST- 2020/02/29 06:00 [pubmed] PHST- 2021/01/27 06:00 [medline] AID - 10.1208/s12248-020-0433-8 [pii] AID - 10.1208/s12248-020-0433-8 [doi] PST - epublish SO - AAPS J. 2020 Feb 27;22(2):52. doi: 10.1208/s12248-020-0433-8.