Regulatory Process Updated January 14, 2026

What is Bioequivalence?

Bioequivalence demonstrates that a generic drug performs identically to the brand version. Learn about BE studies, criteria, and FDA requirements.

Definition

Bioequivalence (BE) is the demonstration that a generic drug has the same rate and extent of absorption as the brand-name Reference Listed Drug when administered under similar conditions. It’s the scientific basis for generic drug approval.

How Bioequivalence Works

BE studies compare pharmacokinetic parameters between generic and brand products in healthy volunteers, using a crossover design where subjects receive both products.

Key BE Parameters

ParameterMeaningCriteria
AUCArea under concentration-time curve (extent)90% CI: 80-125%
CmaxMaximum plasma concentration (rate)90% CI: 80-125%
TmaxTime to maximum concentrationNot always required

BE Study Design

Typical bioequivalence studies involve:

  • 24-48 healthy adult volunteers
  • Single-dose crossover design
  • Fasting or fed conditions (or both)
  • Blood sampling over 72+ hours
  • Bioanalytical method validation

Why BD Teams Track Bioequivalence

For business development professionals, BE data is fundamental for generics:

  • Deal Implication: Successful BE study is critical milestone for ANDA programs
  • Due Diligence Focus: Review BE study design and whether FDA has accepted approach
  • Opportunity Signal: Complex products with difficult BE challenges may seek partners

Frequently Asked Questions

What is bioequivalence?

Bioequivalence means a generic drug has the same rate and extent of absorption as the brand drug when given at the same dose under similar conditions.

How is bioequivalence demonstrated?

Through pharmacokinetic studies comparing AUC (extent) and Cmax (rate) between generic and brand, typically requiring 80-125% confidence intervals.

What is the 80-125% rule?

The 90% confidence interval for the ratio of generic to brand AUC and Cmax must fall between 80% and 125% to demonstrate bioequivalence.

Are bioequivalent drugs identical?

Bioequivalent drugs have the same active ingredient and performance but may differ in inactive ingredients, color, shape, or packaging.

What about narrow therapeutic index drugs?

NTI drugs may require tighter bioequivalence limits and additional testing due to the small margin between effective and toxic doses.

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