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Development of Local Anesthetic Drug Products With Prolonged Duration of Effect

DraftCenter for Drug Evaluation and Research03/15/2023

Description

The Food and Drug Administration (FDA or Agency) is announcing the availability of a draft guidance for industry entitled “Development of Local Anesthetic Drug Products With Prolonged Duration of Effect.” The draft guidance reflects the Agency’s current recommendations regarding drug development and trial design issues relevant to the study of local anesthetic drug products with prolonged duration of effect for which submission of a new drug application (NDA) is planned. The recommendations in the guidance are intended to assist developers in generating the data necessary to support different indications and labeling claims for these drugs.

Scope & Applicability

Product Classes

7
Local Anesthetic Drug Products

Drug products developed for postoperative analgesia; Guidance focuses on development programs for local anesthetic drug products for postoperative analgesia.

Combination Product

Products combining drug, device, or biological constituents; Generally recommended for Enhanced Documentation; Requires 14971-based framework incorporating ICH Q9; A drug-device combination where the device constituent part detects ingestion.

Modified-release products

Complex dosage forms that may require one batch per strength for evaluation

Modified-Release Formulation

Efficacy and safety studies are necessary for the first modified-release formulation.

Immediate-Release Local Anesthetic Drug Product

Comparison point for modified-release formulations.

Local Anesthetic Drug Product

Development of local anesthetic drug products with prolonged duration of effect

Fixed-Combination Drug Product

Two or more active ingredients combined at a fixed dosage

Stakeholders

1
Sponsor

Entity responsible for submitting applications under section 524B

Regulatory Context

Attributes

6
Noninferiority Margin

Explanation of the basis for this margin if a noninferiority trial is used

Prolonged duration of effect

Characteristic of the local anesthetic drug products being discussed; Characteristic of the local anesthetic drug products under development

PK Profile

Pharmacokinetic profile including systemic drug exposure.

Tmax

time to reach peak exposure

Cmax

Cmax may be more informative for safety

AUC

AUC or Cmin may correlate with efficacy

Identified Hazards

Hazards

2
Local Anesthetic Systemic Toxicity

Risk of systemic exposure that must be assessed

Nerve Toxicity

Risk of local exposure at the site of administration

Related CFR Sections (3)

Related Warning Letters (4)

  • CGMP/Finished Pharmaceutical/Adulterated

    Advanced Pharmaceutical Technology

    2025-03-18
  • CGMP/Drugs/Adulterated

    EyePoint Pharmaceuticals, Inc.

    2024-08-27
  • CGMP/Finished Pharmaceuticals/Adulterated/Unapproved New Drug

    Omega Tech Labs LLC

    2024-08-06
  • Investigational Device Exemptions (IDE)/Premarket Approval Application (PMA)

    Aquavit Pharmaceuticals, Inc

    2021-06-29

See Also (8)

Development of Local Anesthetic Drug Products With Prolonged Duration of Effect | Guideline Explorer | BioRegHub