Evidence map›Paper›PMID 29633302›Full record

ArticleBritish journal of clinical pharmacology2018

Evaluation of sex-by-formulation interaction in bioequivalence studies of efavirenz tablets.

Esperanza González-Rojano, Francisco Abad-Santos, Dolores Ochoa, Manuel Román, Julio Marcotegui, Covadonga Álvarez, John Gordon, Alfredo García-Arieta

Abstract readEquivalence Trial
In one paragraph

Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Article
  3. Article
  4. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

8 authors.

Esperanza González-RojanoClinical Pharmacology Service, Hospital Universitario de la Princesa, Instituto Teófilo Hernando, Universidad Autónoma de Madrid (UAM), Instituto de Investigación Sanitaria la Princesa, Madrid, Spain.
Francisco Abad-SantosClinical Pharmacology Service, Hospital Universitario de la Princesa, Instituto Teófilo Hernando, Universidad Autónoma de Madrid (UAM), Instituto de Investigación Sanitaria la Princesa, Madrid, Spain.
Dolores OchoaClinical Pharmacology Service, Hospital Universitario de la Princesa, Instituto Teófilo Hernando, Universidad Autónoma de Madrid (UAM), Instituto de Investigación Sanitaria la Princesa, Madrid, Spain.
Manuel RománClinical Pharmacology Service, Hospital Universitario de la Princesa, Instituto Teófilo Hernando, Universidad Autónoma de Madrid (UAM), Instituto de Investigación Sanitaria la Princesa, Madrid, Spain.
Julio MarcoteguiDepartment of Anaesthesiology, Reanimation and Pain Treatment, Hospital Clínico San Carlos, Madrid, Spain.
Covadonga ÁlvarezPharmaceutical Technology, Facultad de Farmacia, Universidad Complutense de Madrid, Spain.
John GordonDivision of Biopharmaceutics Evaluation, Bureau of Pharmaceutical Sciences, Therapeutic Products Directorate, Health Canada, Ottawa, Canada.
Alfredo García-ArietaService on Pharmacokinetics and Generics, Division of Pharmacology and Clinical Evaluation, Department of Human Use Medicines, Spanish Agency for Medicines and Health Care Products, Madrid, Spain.ORCID 0000-0002-9702-6973

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsThe existence of a sex-by-formulation interaction in bioequivalence studies implies that the bioequivalence results (i.e., the test/reference ratio of the pharmacokinetic parameters) obtained in one sex are not similar to those obtained in the other sex. Therefore, results obtained in studies including only males would not be representative of the results that would have been obtained in females and vice versa. Recently, a sex-by-formulation interaction has been reported in a study for efavirenz tablets. The purpose of this paper is to investigate whether a sex-by-formulation interaction is actually observed in the bioequivalence studies conducted with efavirenz tablets.

methodsThe existence of sex-by-formulation interaction was investigated in the two studies conducted in our centre, where the same test and reference products were investigated in a pilot study with 12 subjects and a pivotal study with 36 subjects.

resultsIn the pilot study, the point estimates for the test/reference ratio of geometrics means of C

conclusionsA sex-by-formulation interaction is suggested in the study with a small sample size, but it disappears when the study is repeated with a larger sample size. In conclusion, the analysis of subgroups should be conducted with caution when the size of the subgroups is not powered to show bioequivalence. There seems to be no reason to require bioequivalence studies for efavirenz in both sexes.

Indexed as

Biological Variation, PopulationSex FactorsAdultAlkynesArea Under CurveBenzoxazinesBiological AvailabilityCross-Over StudiesCyclopropanesEuropean UnionFemaleHumansMaleMiddle AgedPatient SelectionPilot ProjectsAlkynesBenzoxazinesCyclopropanesefavirenzReverse Transcriptase InhibitorsTabletsbioequivalenceefavirenzfemalesmalessexsex-by-formulation interaction

Identifiers

PMID29633302
PMCPMC6046483

What OpenQuestion holds

Textmetadata
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.