Establishing “abuse-deterrence equivalence” for generic abuse-deterrent opioid formulations: A proposed development framework

Authors

  • Beatrice Setnik, PhD
  • Edward J. Cone, PhD

DOI:

https://doi.org/10.5055/jom.2016.0320

Keywords:

abuse-deterrence equivalence, abuse-deterrent formulation, generics, opioids

Abstract

Abuse-deterrent formulations are one strategy for mitigating the epidemic of prescription opioid abuse. Regulatory guidance documents describe the requirements for developing abuse-deterrent formulations of novel drugs and formulations; however, they do not address “abuse-deterrence equivalence” for generic formulations. As generics may be produced with different excipients and formulations compared to reference drugs, differences in their properties may impact their abuse-deterrent features. Currently, it is unclear what specific studies are needed to support generic abuse-deterrence claims. This commentary outlines several recommendations on the in vitro and in vivo testing required, including the conditions for conducting a human abuse potential study.

Author Biographies

Beatrice Setnik, PhD

VP Clinical Pharmacology, INC Research, Raleigh, North Carolina

Edward J. Cone, PhD

Principal Scientist, Pinney Associates, Bethesda, Maryland

References

Substance Abuse and Mental Health Services Administration: Results from the 2013 National Survey on Drug Use and Health: Summary of National Findings, NSDUH Series H-48, HHS Publication No. (SMA) 14-4863. Rockville, MD: Substance Abuse and Mental Health Services Administration, 2014.

Vietri J, Joshi AV, Barsdorf AI, et al. Prescription opioid abuse and tampering in the United States: Results of a self-report survey. Pain Med. 2014; 15(12): 2064-2074.

US Department of Health and Human Services. Food and Drug Administration. Center for Drug Evaluation and Research (CDER): Guidance for Industry. Abuse-deterrent Opioids-Evaluation and Labeling. Silver Spring, MD: Office of Communications, April 2015.

Health Canada. Health Products and Food Branch: Draft Guidance Document. Tamper-Resistant Formulations of Opioid Drug Product Submissions. Ottawa, Ontario, Canada: Minister of Health, December 22, 2014.

US Department of Health and Human Services. Food and Drug Administration. Center for Drug Evaluation and Research (CDER): Draft Guidance for Industry. Bioequivalence Studies with Pharmacokinetic Endpoints for Drugs Submitted Under an ANDA. Silver Spring, MD: Office of Communications, December 2013.

US Department of Health and Human Services. Food and Drug Administration. Center for Drug Evaluation and Research (CDER): Draft Guidance for Industry. Applications Covered by Section 505(b)(2). Silver Spring, MD: Office of Communications, October 1999.

Cone EJ, Giordano J, Weingarten B: An iterative model for in vitro laboratory assessment of tamper deterrent formulations. Drug Alcohol Depend. 2013; 131(1-2): 100-105.

Cone EJ, Buchhalter AR, Henningfield JE, et al.: The new science of abuse-deterrence assessment of pharmaceutical products; FDA proposed guidance and category 1 laboratory studies. Pharm Anal Acta. 2014; 5(9): 317.

Health Canada. Health Products and Food Branch: Guidance Document. Clinical Assessment of Abuse Liability for Drugs with Central Nervous System Activity. Ottawa, Ontario, Canada: Minister of Health, December 7, 2007.

US Department of Health and Human Services. Food and Drug Administration. Center for Drug Evaluation and Research (CDER): Draft Guidance for Industry. Assessment of Abuse Potential of Drugs. Silver Spring, MD: Office of Communications, January 2010.

Published

03/01/2016

How to Cite

Setnik, PhD, B., and E. J. Cone, PhD. “Establishing ‘abuse-Deterrence equivalence’ for Generic Abuse-Deterrent Opioid Formulations: A Proposed Development Framework”. Journal of Opioid Management, vol. 12, no. 2, Mar. 2016, pp. 96-100, doi:10.5055/jom.2016.0320.