Approaches for Estimating the Clinical Starting Dose of New Dosage Forms: An Example of a Long-Acting Injectable Formulation of Finasteride

    Dong Wook Kang, Ju Hee Kim, Hea-Young Cho
    TLDR The best starting dose for a new finasteride injection is 16.80 mg.
    The study aimed to predict the first-in-human (FIH) dose of a long-acting injectable (LAI) formulation of finasteride using three approaches: NOAEL-based, pharmacokinetically-guided, and PK/PD model-based. The NOAEL-based approach estimated the highest starting dose at 81.06 mg, while the PK/PD model-based approach suggested the most optimal starting dose at 16.80 mg. The study concluded that these methodologies could serve as a basis for Investigational New Drug (IND) applications for new dosage forms.
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