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List Of Class 2 Drugs

93
Published online 2012 Jun 21. doi: 10.1208/s12248-012-9384-z
PMID: 22718306
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Abstract

The Biopharmaceutics Classification system (BCS) classifies drug substances based on aqueous solubility and intestinal permeability. The objective of this study was to use the World Health Organization Model List of Essential Medicines to determine the distribution of BCS Class 1, 2, 3, and 4 drugs in Abbreviated New drug Applications (ANDA) submissions. To categorize solubility and intestinal permeability properties of generic drugs under development, we used a list of 61 drugs which were classified as BCS 1, 2, 3, and 4 drugs with certainty in the World Health Organization Model List of Essential Medicines. Applying this list to evaluation of 263 ANDA approvals of BCS drugs during the period of 2000 to 2011 indicated 110 approvals (41.8%) for Class 1 drugs (based on both biowaiver and in vivo bioequivalence studies), 55 (20.9%) approvals for Class 2 drugs, 98 (37.3%) approvals for Class 3 drugs, and no (0%) approvals for Class 4 drugs. The present data indicated a trend of more ANDA approvals of BCS Class 1 drugs than Class 3 or Class 2 drugs. Antiallergic drugs in Class 1, drugs for pain relief in Class 2 and antidiabetic drugs in Class 3 have received the largest number of approvals during this period.

KEY WORDS: ANDA, BCS biowaiver, bioequivalence, Biopharmaceutics Classification System, generic drug product

INTRODUCTION

The Biopharmaceutics Classification system (BCS) classifies drug substances based on aqueous solubility and intestinal permeability which are the major characteristics of a drug substance that control its absorption in vivo (). According to the BCS classification approach, drug substances have been grouped into one of the four categories as Class 1 (high solubility, high permeability), Class 2 (low solubility, high permeability), Class 3 (high solubility, low permeability), and Class 4 (low solubility and low permeability). The US Food and Drug Administration (US FDA) implemented guidance based on BCS to waive in vivo bioavailability and bioequivalence study requirements to approve drug products (2). Biowaivers can be granted if the active pharmaceutical ingredient (API) is BCS Class 1, i.e., a drug substance of high solubility and high permeability, and if the immediate-release (IR) oral formulation exhibits rapid in vitro dissolution (2). The BCS-based biowaiver approval has also been adopted by the European Medicines Agency and World Health Organization (WHO) for IR oral drug products (). The WHO guidance recommends biowaivers for APIs that belong to BCS Class 1 and Class 3 and also certain APIs from BCS Class 2 (4). It is important to emphasize that the US FDA considers granting biowaivers only for Class 1 drugs but does not use the WHO BCS Class 1 list to grant such biowaivers. Rather, the US FDA follows the criteria described in its Guidance for Industry on the BCS (2) and considers the applicant's submitted solubility/permeability data on API and dissolution data on the drug product in deciding whether a Class 1 biowaiver is appropriate.

An in vivo bioequivalence (BE) study is the accepted test to ensure therapeutic equivalence of a generic product to its corresponding reference product. The BCS-based BE study waiver is becoming an important tool in approving generic drug products by US FDA. Initially, BCS-based BE study waivers were granted only for Scale-Up and Post Approval Changes (5). Later, this was implemented to approve generic IR oral drug products of BCS Class 1 API. BCS biowaivers are not granted to drug products with a narrow therapeutic range and drug products designed to be absorbed in the oral cavity. In vivo bioequivalence study waivers help to avoid unnecessary human exposure to drugs. In addition, biowaivers reduce the cost and time of developing generic IR oral drug products and also decrease regulatory burden ().

In the present study, to gain an understanding of the solubility and intestinal permeability properties of generic drugs under development in the USA, we examined the distribution of BCS Class 1, 2, 3, and 4 drugs in ANDA submissions based on the WHO Model List of Essential Medicines (EML) having sufficient solubility and permeability data for BCS classification with certainty (). The WHO Model List of Essential Medicines was used merely to describe generic drug solubility and intestinal permeability properties because it is publicly available and includes BCS Class 1, 2, 3, and 4 designations. However, as stated previously, to determine whether a generic drug is eligible for a BCS biowaiver, the FDA follows its own criteria set forth in its BCS Guidance for Industry (2).

METHODS

An internal FDA database was applied to identify generic drugs approved during the 2000 to 2011 period. For determining the distribution of BCS Class 1, 2, 3, and 4 drugs in ANDA submissions, we used the approved generic drug products of immediate-release oral dosage forms listed on the WHO EML having sufficient solubility and permeability data for BCS classification with certainty.

RESULTS AND DISCUSSION

We evaluated 263 approved generic drugs of IR products listed on the WHO EML to find out the distribution of BCS Class 1, 2, 3, and 4 drugs in approved ANDA applications during the 2000 to 2011 period. The WHO EML was used as it is a publicly available list of Class 1, 2, 3, and 4 drugs. Some of the FDA-approved oral IR ANDA products which are not listed in the WHO EML could not be considered for the study mainly due to insufficient solubility and permeability data for BCS classification with certainty. Of the 130 orally administered drugs on the WHO EML, 61 drugs have been classified as BCS 1 (21 drugs), 2 (10 drugs), 3 (24 drugs), and 4 (6 drugs) drugs with certainty (). ANDA approval data from 2000 to 2011 were analyzed to determine how many BCS Class 1, 2, 3, and 4 drugs from the list of 61 drugs were developed and approved as generic drugs based on both BCS biowaivers (applicable only for Class 1) and BE studies. The results indicated 110 (41.8%) approvals for Class 1 drug products, 55 (20.9%) approvals for Class 2 drug products, and 98 (37.3%) approvals for Class 3 drug products (Fig. 1). Figure 2 shows the yearly approval of different BCS Class generic drug products during this period. There were no approvals for WHO EML BCS Class 4 drug products during the 2000 to 2011 period. Thirty two different therapeutic classes of IR products of BCS Class 1, 2, and 3 were approved during this period. Of these 32 different therapeutics classes, antiallergic drugs in Class 1, drugs for pain relief in Class 2, and antidiabetic drugs in Class 3 have received the largest number of approvals.

The percent approval of different classes of BCS drugs listed on WHO EML from 2000 to 2011

ANDA approvals of WHO EML BCS Class drug products from 2000 to 2011 based on BCS biowaivers and in vivo BE studies

As stated above, the US FDA grants biowaivers based on the applicant's submitted solubility/permeability data on API and dissolution data on the drug product. We evaluated the quality of BCS biowaiver ANDA applications submitted to the FDA and noted some commonly occurring deficiencies. These deficiencies are mostly associated with solubility and permeability studies on API and are listed below:

  • Lack of multi-pH solubility profiles

  • Inappropriate method of solubility determination

  • Lack of dissolution data for all strengths

  • Missing standard operating procedures for analytical methods

  • Missing data supporting gastrointestinal stability

  • Lack of data on efflux transporter(s) in the cell line used for in vitro permeability

  • Lack of bidirectional in vitro permeability data on control model compounds

The above information is provided to assist applicants who submit BCS biowaiver requests to the FDA to prepare high-quality submissions. We hope that publication of this information on commonly occurring deficiencies associated with BCS biowaiver ANDA applications will promote application and review efficiency.

CONCLUSION

The data presented in this study on 32 different therapeutic classes of BCS generic drugs approved by the US FDA during the 2000–2011 period indicated the following ANDA approval trend: BCS Class 1 > Class 3 > Class 2, with no BCS Class 4 drugs evaluated. Antiallergic drugs in Class 1, drugs for pain relief in Class 2, and antidiabetic drugs in Class 3 have received the largest number of approvals.

References

1. Amidon GL, Lennernas H, Shah VP, Crison JR. A theoretical basis for a biopharmaceutic drug classification: the correlation of in vitro drug product dissolution and in vivo bioavailability. Pharm Res. 1995;12:413–420. doi: 10.1023/A:1016212804288. [PubMed] [CrossRef] [Google Scholar]
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5. CDER/FDA. Guidance for industry: immediate release solid oral dosage forms: scale-up and postapproval changes: chemistry, manufacturing and controls, in vitro dissolution testing, and in vivo bioequivalence documentation, Center for Drug Evaluation and Research; 1995. At: http://www.fda.gov/downloads/Drugs/GuidanceComplianceRegulatoryInformation/Guidances/ucm070636.pdf. Accessed 18 June 2012.
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Articles from The AAPS Journal are provided here courtesy of American Association of Pharmaceutical Scientists

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Powerful drugs can cause considerable harm to unsuspecting citizens when needed standards and regulations are lacking. The group of drugs on the Schedule 2 narcotics list is but one of five distinct drug schedules, all of which list controlled substances.

Drug schedules are put in place by government entities as a means to enforce certain controls for powerful and potentially harmful drugs. The Schedule 2 narcotics list comes with a corresponding set of conditions that serve as guidelines for drug handling and dispensing purposes as do the other four schedules or classes of drugs.

Controlled Substances Schedules

Morphine is considered a Schedule 2 narcotic.

The chemical effects of powerful drugs on the body can pose a threat to a person’s health and overall well-being. This is especially true in the case of drugs listed within a controlled substances schedule. By definition, a controlled substance includes any drug or chemical that’s regulated by the government. These government regulations apply for drug manufacturers as well as for anyone who handles or possesses controlled substances.

As a central part of U.S. drug policy, the Controlled Substances Act of 1970 forms the basis for the drug schedules in place today. According to the U.S. Department of Justice-Drug Enforcement Administration, drugs are placed on an assigned schedule based on three general criteria:

  • Whether a drug has an accepted medical treatment use within the U.S.
  • A drug’s abuse potential
  • A drug’s potential for causing dependency

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Drugs listed on the Schedule 2 narcotics list must meet the following criteria set:

  • The drug carries a high abuse potential
  • The drug has an accepted medical treatment use
  • The drug can cause severe psychological and/or physical dependence when abused

Schedule 2 Narcotics List – Drug Types

Drug schedules run from Schedule 1 to Schedule 5. Schedule 1 class listings consist of illegal narcotic drugs, such as heroin and cocaine. Drugs listed on the Schedule 2 narcotics list represent the highest grade prescription medications available. High grade pain relief medications make up the majority of drugs on the Schedule 2 narcotics list, though some stimulant prescription narcotics also appear on the list.

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Some of the drugs appearing on the Schedule 2 narcotics list include:

  • Fentanyl
  • Morphine
  • Codeine
  • Opium
  • Methamphetamine
  • Desoxyn
  • Ritalin
  • Adderall

For prescription purposes, both the person prescribing and the pharmacist are held liable for the distribution of any drugs appearing on the Schedule 2 narcotics list.

Conditions

As the highest grade prescription medications, the Schedule 2 narcotics list also contains the most addictive types of legal drugs on the market. In general, the more addictive the drug class the stricter the regulations that apply. Prescriptions written for drugs on the Schedule 2 narcotics list must meet the following conditions:

  • No refills allowed
  • Oral prescriptions are only permitted for emergency situations
  • Written prescriptions must be filled within 90 days
  • Multiple prescriptions must fall within a 90 day period
  • Multiple prescriptions must include instructions on required lengths of time between refills

Since the inception of drug class schedules, the 90 day requirement for filling a prescription is the only change that’s taken place on the Schedule 2 list.

To learn more about Schedule 2 narcotics, or for help finding addiction treatment, call (800) 407-7195 today!

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Regulations for drugs on the Schedule 2 narcotics list are very strict because this list contains some of the most addictive legal drugs available.

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