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Bioperformance of drugs
the BCS
a look at GI physiology
dosage form properties
Discriminative power
apparatus
media
office@phast.de
Dissolution methodology
in closed systems
in open systems
with apparatus
and dissolution media that act
as
solvents
carriers of mechanical energy
absorbers of dissolved drug
nott (yet)
( t) tto model
d l GI-transit
GI t
it off
dosage forms
disintegrated particles
solutions alone or with
chyme
office@phast.de
GI transfer model
predictive?
prerequisite
standardized equipment and reagents for
precise testing to measure quality differences
link to relevant in vivo parameters
office@phast.de
Concept of mapping
variables:
those materials and methods
used in the manufacturing
process that can significantly
affect drug release from the
product
to develop product
specifications with
bioavailability implications
Bioperformance of drugs
the BCS
a look at GI physiology
dosage
g form p
properties
p
Discriminative power
apparatus
media
office@phast.de
Bioperformance of drugs
In vivo-dissolution vs.
BA as the surrogate parameter
drug
product
kr
stomach
small Int.
ka
feces /
urine
ka
blood
residual content
in dosage form
kr not directly
accessible
PHAST GmbH, www.phast.de
office@phast.de
ke
feces/urine
Classical BA
kr derived from
composite [kr, ka]
10
system function
time [h]
response function
time [h]
deconvoluted fct.
PHAST GmbH, www.phast.de
11
Bioperformance of drugs
office@phast.de
12
13
Bioperformance of drugs
the BCS
a look at GI physiology
dosage
g form p
properties
p
Discriminative power
apparatus
media
office@phast.de
14
In vitro in vivo
relationship?
in vitro
in vivo
15
TNO TIM-1
TIM 1 model
simulation takes into account:
dynamic conditions (sequential
passage)
mechanical stress (peristaltic
movement)
body temperature
body pH
concentration electrolytes
enzymes
concentration of bile salts
removal of water / solubilized molecules
office@phast.de
16
Standardized equipment
wanted
FIP Position
Paper<1-4>
on Qualification of Paddle and Basket Dissolution Apparatus
USP
Cynthia K. Brown[1], Lucinda Buhse[2], Horst-Dieter Friedel[3], Susanne Keitel[4], Johannes Kraemer[5], J.
harmonized via ICH Q4B
Michael Morris[6], Mary Stickelmeyer[7], Chikako Yomota[8] and Vinod P. Shah[9]
Special
more Interest
or lessGroup,
standardized
Members of FIP
Dissolution / Drug Release
Paddle/Basket
Dissolution Apparatus
Qualification
qualification
procedures
for GMP available
[1] Eli Lilly and Company
[2] Food and Drug Administration
[3] Bayer Schering Pharma AG, Germany
[4] European Directorate for the Quality of Medicines and Healthcare, France
[5] PHAST,
PHAST G
Germany
[6] Irish Medicines Board, Ireland
[7] Eli Lilly and Company, Indianapolis, IN, USA
[8] National Institute of Health Sciences, Japan
Any preference with regard to biorelevance?
[9] FIP Scientific Secretary, The Hague, Netherlands
17
19
35.8
Dissolution methodology:
closed systems
42
74.5
office@phast.de
18
Compendial apparatus-Basket
(apparatus <1>)
adopted
p
in 1970 by
y the USP
Shaft
standard basket
40 mesh stainless steel
e.g. 900 mL at 37 C
e.g. 100 rpm
Basket
Vessel
19
Compendial apparatus-Paddle
(apparatus <2>)
Adopted in 1975 by USP
Standard paddle
shaft & paddle made of inert material
(coated)/stainless steel (uncoated)
e.g. 900 mL at 37 C
e.g. 50 rpm
sinkers optional for floating
dosage forms
office@phast.de
Shaft
Paddle
20
10
differences to <1,2>
pH profiling
dosage form
lower mesh screen
outer cylinder
21
Dissolution methodology:
open systems
office@phast.de
22
11
Flow-through cell
apparatus <4>
Laminar flow
linear flow
dampened pump pulsation
Turbulent flow
flow
fl
characteristics
h
t i ti
less predictable
glass beads
no beads
Laminar
flow
Turbulent
flow
23
C
Cumulative
l ti dissolution
di
l ti profile
fil
Diff
Differential
i l dissolution
di
l i profile
fil
no!
PHAST GmbH, www.phast.de
office@phast.de
24
12
mixer
dissolution test
25
Biorelevant media by
Jenny Dressman
Biorelevant Media:
stomach
FaSSGF (250 mL): Fasted State Simulated Gastric Fluid
pH 2.0, 0.01 N HCl, 0.1 mg/ml pepsin, 80 M Na-taurocholate, 20 M lecithin, 34 mM
NaCl.
small intestine
FeSSIF (900 mL): Fed State Simulated Intestinal Fluid
pH 5.0, 15 mM NaTC, 3.75 mM Lecithin, 670 mosmol/kg.
food / co-medication
Milk
Bio-relevant medium + mixed food
Bio-relevant medium + co-medication
office@phast.de
26
13
Biorelevant media in QC
yes
y
but as qualified reagents
with regard to
pH
osmolality
ional composition
volume
temperature
surfactants
27
Bioperformance of drugs
apparatus
media
Discriminative power
the BCS
a look at GI physiology
dosage
g form p
properties
p
office@phast.de
28
14
a high solubility drug is one that dissolves in < 250 ml water at its
highest dose strength
29
Biopharmaceutical Classification
High
Permeability
Class 1
Class 2
High Solubility
High Permeability
Rapid Dissolution
Low Solubility
High Permeability
Class 3
Class 4
High Solubility
S
Low Permeability
Low Solubility
S
Low Permeability
office@phast.de
Low Solubility
Low
Permeability
High Solubility
30
15
31
Absorption rate
control
when
IVIVC expected
predicting in vivo
p
performance
from
diss. data
Gastric emptying
Yes
II
Dissolution
Yes
III
Permeability
absorption is rate
determining and limited or
no correlation
No
IV
Case by case
Limited or no IVIVC
correlation
No
office@phast.de
32
16
Gastrointestinal transit
stomach
continues grinding of food antral mill
PYLORUS
1. Propulsion
2. GRINDING
3. Retropulsion
emptying controlled by
pylorus
33
Gastric transit
MMC iin th
the fasted
f t d state
t t (interdigestive)
(i t di
ti )
phase I: 40 - 60 min, no to small activity
phase II: 30 - 45 min some occasional activity
phase III: 5 - 15 strong contractions, housekeeper wave
phase IV: leads to next cycle
office@phast.de
34
17
BCS predictability
di t bilit greater
t for
f IR than
th for
f MR
FASSIF/FESSIF and others of greater significance
for IR
35
Bioperformance of drugs
apparatus
media
the BCS
a look at GI physiology
dosage form properties
Discriminative power
office@phast.de
36
18
Discriminatory power
BA-study
i.e. detection of biorelevant differences
theophylline ER
[mg/ml]
Charge C
Charge A
vivo
Charge B
Zeit [h]
bio study
PHAST GmbH, www.phast.de
Zeit [h]
in vivo-dissolution
37
An existing correlation
includes the proof of
the discriminatory power
but in the correct order
office@phast.de
38
19
Verification of
rank order
Charge C
Charge A
in vitro
pH 4.5
100 rpm
[%]
Charge B
Charge C
Charge A
Charge B
vivo
Zeit [h]
in vivodissolution
Zeit [h]
39
bio-study, n=18
office@phast.de
relative bioavailabilities
40
20
bio-study
in vitro study
41
Discriminatory power
a bioequivalence approach, contd
office@phast.de
21
Summary
10
9
8
7
vivo [h]
manufacturer risk
shared risk
patient risk
4
3
2
1
0
0
10
vitro [h]
43
Thank
you
PHAST GmbH, www.phast.de
office@phast.de
44
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