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CDSCO Panel Asks Glenmark To Justify BE Waiver for FDC Inhalation Suspension With Scientific Evidence

Glenmark
New Delhi: The Subject Expert Committee (SEC) functional under the Central Drug Standard Control Organisation (CDSCO) has advised Glenmark Pharmaceuticals to furnish scientific backing for its request to waive a bioequivalence (BE) study for its proposed fixed-dose combination (FDC) inhalation suspension.
The firm presented its FDC—Glycopyrronium 100 mcg + Vilanterol 50 mcg + Fluticasone Furoate 200 mcg Inhalation Suspension—along with a request for BE study waiver at the SEC (Pulmonary) meeting held on 28th May 2025.
According to the official minutes, “The firm presented their proposal along with request for BE study waiver before the committee.”
Following detailed deliberation, the committee stated, “The committee opined that the firm should submit data/ research evidence and published scientific literature in peer reviewed journal to support that double dose of nebulizer is equivalent to half dose of MDI/DPI.”
The panel concluded, “Accordingly, the firm should submit the above data to CDSCO for further review by the committee.”
This FDC combines three agents frequently used in respiratory therapy:
1. Glycopyrronium bromide is an anticholinergic that reduces airway secretions by selectively blocking muscarinic receptors.
2. Vilanterol is a long-acting beta2-adrenergic agonist (LABA) used for maintenance treatment of chronic obstructive pulmonary disease (COPD).
3. Fluticasone furoate, a corticosteroid, works by suppressing inflammatory responses involving mast cells, eosinophils, and cytokine mediators.
Glenmark now needs to submit peer-reviewed, published data to demonstrate that the systemic and therapeutic equivalence of the nebulized double dose matches that of the MDI/DPI half dose—a critical point for the requested BE waiver.
Doctor of Pharmacy
Dr. Divya Colin, a Doctor of Pharmacy Graduate with extensive experience in clinical and hospital settings and confidently equipped with diagnostic and therapeutic skills. She also has spread out exposure to Oncology Departments in Mysore Medical College and Research Institute as Oncology Pharmacist. Currently she is building a career in clinical research and clinical data management. She has been a part of Medical Dialogue since January 2022.
Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751