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PHAST GmbH 2005

Achieving optimum levels of discrimination in


dissolution testing
AAPS: DISSOLUTION WORKSHOP
Rhodes University, Grahamstown
December 09-10, 2009

Dr. Johannes Krmer

Achieving optimum levels of


discrimination in dissolution
testing.but how?

Goals of dissolution testing

Bioperformance of drugs

Biorelevant dissolution testing

Rank order for predictive power of dissolution testing

the BCS
a look at GI physiology
dosage form properties

Discriminative power

apparatus
media

patient vs. manufacturer risk


a qualitative issue
the attempt for a quantitative approach

Biorelevant dissolution testing

PHAST GmbH, www.phast.de

office@phast.de

PHAST GmbH 2005

Goals of dissolution testing


early phase
dissolution testing
g
to evaluate the in vitro performance of drug products
products for systemic and/or local administration and action
in early development: to model in vivo findings with the goal to identify
the best delivery concept

results always relative

PHAST GmbH, www.phast.de

Dissolution methodology

determining drug release

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

PHAST GmbH, www.phast.de

office@phast.de

PHAST GmbH 2005

GI transfer model
predictive?

Disintegration in SGFsp pH 2.0


Transfer to FeSSIF or FaSSIF (immediate or with transfer rate)

Monitor dissolution & precipitation

PHAST GmbH, www.phast.de

Goals of dissolution testing


later phase
dissolution testing
in product lifecycle:
to predict differences in bioperformances
to ascertain constant quality
within a meaningful range

optimum: to evaluate the impact of critical quality parameters on the


in vivo performance of drugs

prerequisite
standardized equipment and reagents for
precise testing to measure quality differences
link to relevant in vivo parameters

PHAST GmbH, www.phast.de

office@phast.de

PHAST GmbH 2005

Concept of mapping

Critical manufacturing variables


critical formulation variables
critical processing variables

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

PHAST GmbH, www.phast.de

Achieving optimum levels of


discrimination in dissolution
testing.but how?

Goals of dissolution testing

Bioperformance of drugs

Biorelevant dissolution testing

Rank order for predictive power of dissolution testing

the BCS
a look at GI physiology
dosage
g form p
properties
p

Discriminative power

apparatus
media

patient vs. manufacturer risk


a qualitative issue
the attempt for a quantitative approach

Biorelevant dissolution testing

PHAST GmbH, www.phast.de

office@phast.de

PHAST GmbH 2005

Bioperformance of drugs

For locallyy and systemically


y
y acting
g drugs
g
Delivery of drug substance
at given pattern
prompt
immediate
modified

complete dose for orals


at given rate for implants and transdermals
i.e. in vivo drug release

not per se accessible


9

PHAST GmbH, www.phast.de

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]
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PHAST GmbH 2005

Apparent in vivo dissolution

system function

time [h]

response function

time [h]

deconvoluted fct.
PHAST GmbH, www.phast.de

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Bioperformance of drugs

for systemically acting oral drugs


the surrogate parameter of therapeutic efficacy is the
bioavailability of the drug product
Bioavailability the rate and extent to which the active
ingredient or active moiety is absorbed from a drug
product and becomes available at the site of action
(product quality criterion!)

bioavailability in vivo dissolution

PHAST GmbH, www.phast.de

office@phast.de

12

PHAST GmbH 2005

Lbenberg (AAPS, April 2007)

PHAST GmbH, www.phast.de

13

Achieving optimum levels of


discrimination in dissolution
testing.but how?

Goals of dissolution testing

Bioperformance of drugs

Biorelevant dissolution testing

Rank order for predictive power of dissolution testing

the BCS
a look at GI physiology
dosage
g form p
properties
p

Discriminative power

apparatus
media

patient vs. manufacturer risk


a qualitative issue
the attempt for a quantitative approach

Biorelevant dissolution testing

PHAST GmbH, www.phast.de

office@phast.de

14

PHAST GmbH 2005

In vitro in vivo
relationship?
in vitro

in vivo

15

PHAST GmbH, www.phast.de

Full GI tract simulation

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

PHAST GmbH, www.phast.de

office@phast.de

16

PHAST GmbH 2005

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

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PHAST GmbH, www.phast.de

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35.8

Dissolution methodology:
closed systems

42
74.5

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office@phast.de

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PHAST GmbH 2005

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

PHAST GmbH, www.phast.de

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

PHAST GmbH, www.phast.de

office@phast.de

Shaft

Paddle

20

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PHAST GmbH 2005

Compendial apparatusreciprocating cylinder


(apparatus <3>)
Apparatus developed by Beckett &
co-workers
Adopted by the USP in 1991
evaporation cap

e.g. 200 mL volume


e.g. 5-30 dips/min

upper mesh screen


inner cylinder

differences to <1,2>
pH profiling

dosage form
lower mesh screen
outer cylinder

PHAST GmbH, www.phast.de

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Dissolution methodology:
open systems

PHAST GmbH, www.phast.de

office@phast.de

22

11

PHAST GmbH 2005

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
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PHAST GmbH, www.phast.de

Any type of dissolution


apparatus preferred?

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

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PHAST GmbH 2005

In vitro modeling of food effects?


standard breakfast

mixer

dissolution test

PHAST GmbH, www.phast.de

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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.

FaSSIF (500 mL): Fasted State Simulated Intestinal Fluid


pH 6.5, 3 mM NaTC, 0.75 mM Lecithin, 270 mosmol/kg.

food / co-medication
Milk
Bio-relevant medium + mixed food
Bio-relevant medium + co-medication

PHAST GmbH, www.phast.de

office@phast.de

26

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PHAST GmbH 2005

Biorelevant media in QC

yes
y
but as qualified reagents
with regard to

pH
osmolality
ional composition
volume
temperature
surfactants

PHAST GmbH, www.phast.de

27

Achieving optimum levels of


discrimination in dissolution
testing.but how?

Goals of dissolution testing

Bioperformance of drugs

Biorelevant dissolution testing

apparatus
media

Rank order for predictive power of dissolution testing

Discriminative power

the BCS
a look at GI physiology
dosage
g form p
properties
p

patient vs. manufacturer risk


a qualitative issue
the attempt for a quantitative approach

Biorelevant dissolution testing

PHAST GmbH, www.phast.de

office@phast.de

28

14

PHAST GmbH 2005

High Solubility / High Permeability Drug

a high solubility drug is one that dissolves in < 250 ml water at its
highest dose strength

a high permeability drug is a drug with Fraction Absorbed > 90%


((FDA))
(metoprolol taken as reference permeability drug)

29

PHAST GmbH, www.phast.de

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

PHAST GmbH, www.phast.de

office@phast.de

Low Solubility

Low
Permeability

High Solubility

Amidon et al., Pharm Res 12: 413-420, 1995

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PHAST GmbH 2005

Correlation of in-vitro- and


in-vivo-data

NF XIV (1975) 941: ...in many cases it is


possible to correlate dissolution rates with
biological availability of the active
ingredient.

31

PHAST GmbH, www.phast.de

Relationship between BCS


and IVIVC for IR dosage forms
Class

Absorption rate
control

when
IVIVC expected

predicting in vivo
p
performance
from
diss. data

Gastric emptying

Diss.rate < gastric emptying

Yes

II

Dissolution

In vitro diss.rate similar to


in vivo diss.rate

Yes

III

Permeability

absorption is rate
determining and limited or
no correlation

No

IV

Case by case

Limited or no IVIVC
correlation

No

PHAST GmbH, www.phast.de

office@phast.de

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PHAST GmbH 2005

Gastrointestinal transit

stomach
continues grinding of food antral mill

PYLORUS

1. Propulsion

2. GRINDING

3. Retropulsion

emptying controlled by
pylorus

exclusion size 5-7 mm


large particles only with
p wave
housekeeper
small particles (2mm)
together with grinded
chyme

PHAST GmbH, www.phast.de

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

MMC in the fed state (postprandial)


one phase with constant peristaltic activity
strong antral activities
pylorus is generally closed but opens to release chyme

PHAST GmbH, www.phast.de

office@phast.de

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PHAST GmbH 2005

Impact of drug product


properties

MR dosage forms designed to be robust against


physiological variables
gastrointestinal transit highly relevant
multiparticulates
monoparticulates (size matters)

BCS predictability
di t bilit greater
t for
f IR than
th for
f MR
FASSIF/FESSIF and others of greater significance
for IR

PHAST GmbH, www.phast.de

35

Achieving optimum levels of


discrimination in dissolution
testing.but how?

Goals of dissolution testing

Bioperformance of drugs

Biorelevant dissolution testing

apparatus
media

Rank order for predictive power of dissolution testing

the BCS
a look at GI physiology
dosage form properties

Discriminative power

patient vs. manufacturer risk


a qualitative issue
the attempt for a quantitative approach

Biorelevant dissolution testing

PHAST GmbH, www.phast.de

office@phast.de

36

18

PHAST GmbH 2005

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
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IVIVC: the Swiss Army


Knife in biopharmacy?
IVIVC is a stochastical
relationship!

An existing correlation
includes the proof of
the discriminatory power
but in the correct order

PHAST GmbH, www.phast.de

office@phast.de

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PHAST GmbH 2005

Disriminatory Power Cont'd


in vitro
pH 6.8
150 rpm
p
[%]

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

PHAST GmbH, www.phast.de

Discriminatory power a bioequivalence aproach

upper side batch


target profile
lower side batch

bio-study, n=18

PHAST GmbH, www.phast.de

office@phast.de

relative bioavailabilities

40

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PHAST GmbH 2005

Relation of in vivo and


in vitro performance

upper side batch


target profile
lower side batch

upper side batch


target profile
lower side batch

bio-study

in vitro study

upper side batch


target
lower side batch?

41

PHAST GmbH, www.phast.de

Discriminatory power
a bioequivalence approach, contd

from homomorphic profiles


PHAST GmbH, www.phast.de

office@phast.de

to best fitting "side batch"


within the bioequivalence range
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PHAST GmbH 2005

Summary
10
9
8
7

vivo [h]

manufacturer risk
shared risk

patient risk

4
3
2
1
0
0

10

vitro [h]

PHAST GmbH, www.phast.de

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Thank
you
PHAST GmbH, www.phast.de

office@phast.de

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