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Evaluation of Therapeutic Equivalence

DraftCenter for Drug Evaluation and Research07/21/2022

Description

The draft guidance explains the criteria FDA uses to evaluate the therapeutic equivalence (TE) of drug products and what the TE codes indicate. The guidance explains how FDA evaluates drug products for, and determines TE for, multi-source drug products to be listed in the Approved Drug Products With Therapeutic Equivalence Evaluations publication (the Orange Book). The guidance provides background on the fundamentals of TE and utilizes a question and answer format to provide more information on the therapeutic equivalence evaluation of approved drug products and assignment of TE codes in the Orange Book.

Scope & Applicability

Product Classes

5
Multisource Prescription Drug Products

Products evaluated for therapeutic equivalence

drug/device combination products

Products comprised of two or more regulated components

RLD

Reference Listed Drug used as the basis for an ANDA submission.

Reference Listed Drug

The drug product identified by the applicant for comparison; Comparison of ANDA product to RLD for pH adjuster differences

Generic drug-device combination product

Combination product with a user interface

Stakeholders

3
Manufacturer

Entity responsible for submitting NDINs

ANDA holder

Entity responsible for maintaining generic drug labeling

regulatory project manager

Role involved in changing amendment classification; The regulatory project manager will issue the applicant an acknowledgment letter

Regulatory Context

Attributes

7
Same Clinical Effect

Requirement for therapeutic equivalence

A code

Therapeutic equivalence rating in the Orange Book

Safety Profile

Requirement for therapeutic equivalence

AB Code

Assigned when bioequivalence problems are resolved with evidence

B Code

Assigned when bioequivalence problems have not been resolved

therapeutic equivalence code

coding system (e.g., AB, BX) used in the Orange Book

pharmaceutical equivalent

drug products that contain the same active ingredient(s), dosage form, route of administration, and strength

Related CFR Sections (7)

See Also (8)