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For lower strengths (0.5, 1, and 2 mg), only dissolution profiles (pH 6.0 & H20) from Puerto Rico were submitted. This reviewer has performed an f2 test comparing the dissolution profiles between the batches made from new site and the biobatches for PK/BE/pivotal efficacy trial manufactured at the old site.

The dissolution profiles between 2 sites for each strength are similar (£2=50.98~82.9). Table 4-11 Table 44 90% Confidence Interval Analysis (Tvo one-sided Test Procedure) For Comparison of ADC,.., Cmax, and Tmax Following Administration of 3 mg XANAX XR(r) Tablet Sourced from Puerto Rico and D.8. Parameters Corrected For Kean Assayed Tablet Lot Potency. (ngxhr/mL) B vs A 94.7 - 106.6 95.0- 108.4 Pass Cmax (ng/mL) B vs A 97.1 - 108.2 98.0- 110.6 Pass Tmax (hr) B vs A 31.4-144.8 75.0 - 111.3 Fail *TrcUment A ** (1) XANAX XR Tabtet 3 mg Domestic, Lot 26,319 Treatment B " (1) XANAX XR Tablet 3 mg Puerto Rican, Lot 26,437 *Reference ic oxycodone w/adap side effects is tbe second treatment for comparison 4.7.3.1 Did the sponsor submit sufficient information to support the - - manufacturing site change?

Yes, the information submitted to date --^ -* ) are sufficient to support the - manufacturing site change for all 4 strengths of XR tablets (0.5, 1, 2, and 3 mg). Hossain recommended the approval of this manufacturing site change.

Following are the bases for vthe;approval of the) ^manufacturing site change: (1)BE was demonstrated for highest strength of XR tablet (3mg) made from the old site and new site.

Ninety-percent confidence interval for the log-transformed PK parameters (Cmax & AUC) fell within the recommended goal post (80-125).

(2)XR tablets manufactured at old site demonstrated dose-proportionality and dose-strength bioequivalence.

Additionally, based on the SUP AC guidance published recently for modified-release solid dosage form, this reviewer has incorporated following information to support granting the biowaiver for remaining three lower strengths XR tablets xanax recovery (0.5, 1, and 2 mg): (3)Following dissolution profiles between the old and new sites are similar (f>50): (a) the highest strength 3mg (in water & pH6.0 ic oxycodone w/adap side effects phosphate buffer), and (b) three lower strengths XR tablets (0.5, 1, ic oxycodone w/adap side effects & 2mg) in pH6.0 phosphate buffer. This reviewer performed an £2 test comparing dissolution profiles between the old and new sites. The results are summarized in table below (Table 4-12). Note: 3mg XR tablet made in new site was not the biobatch used in the BE study comparing 3mg XR tablets made at old and new sites. Table 4-12 Dissolution profile comparison for no prior perscription tramadol 3 lower strengths XR tablets (0.5,1, and 2 mg) manufactured at the new and old sites 0.5mg lmg 2mg 3 mg Lot# (old site) Lot# (new site) The tablets should ic oxycodone w/adap side effects be taken intact; they should not be chewed, crushed, or broken. State of Armamentarium for Indication(s) Medications currently approved hydrocodone international onlne pharmacy no prescription for the treatment of Panic Disorder include: the benzodiazepines alprazolam (immediate-release) and clonazepam, as well as the SSRIs sertraline, paroxetine, and fluoxetine.

Important Milestones in Product Development Alprazolam (XANAX IR) was the first compound to be approved by FDA for the treatment of Panic Disorder. This triazolobenzodiazepine represents a class of modified benzodiazepines characterized by the incorporation of a triazole ring in the basic benzodiazepine structure. The alprazolam tablet initially approved for the treatment of Panic Disorder is an immediate-release formulation. This formulation must be taken 3 to 4 times daily, a regimen which, the sponsor states, may not be convenient or conducive to compliance for some patients. With the aim of enhancing convenience and compliance, Pharmacia ic oxycodone w/adap side effects & Upjohn formulated an extended release (XR) alprazolam tablet with a longer duration of action related to slower absorption.



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