Lecture 17- Biopharmaceutics IV Flashcards

1
Q

Comparative dissolution testing; immediate release products
- Profile similarity determination

A
  1. If both the test + reference product show >85% dissolution within 15 minutes; profiles are considered to be similar
  2. Calculate the f2 value;
    If f2 > 50% - profiles are regarded similar + no decimal required
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2
Q

Significance of the similarity factor, f2 + when comparing dissolution profile results

A

Comparing the dissolution profiles from solid dosage forms; e.g. tablets, capsules) to establish in-vitro similarity between different test samples of the same product

Comparison used= to support a request for waiver of performing bioequivalence study

F2 value between 50-100= 2 dissolution profiles are considered similar, f2 <50= investigation should be initiated to determine the cause of apparent dissimilarity

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3
Q

Dissolution testing; similarity factor f2

A

Equation; slide 7-10

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4
Q

Biopharmaceutics Classification System; BCS
Factors affecting drug absorption from GI

A

Pharmaceutical factors;

Physiochemical factors; pKa, solubility, stability, lipophilicity, particle size, crystal form

Factors related to dosage form; tablet, capsule, solution, suspension, emulsion and gel

Patients-related factors;

Physiological factors; GI pH, GI blood flow, gastric emptying, small intestinal transit time, colonic transit time and absorption mechanism

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5
Q

BCS

A

Characterises drugs into 4 classes; according to their aqueous solubility + intestinal permeability

Waiver- based on;

  • high solubility- ensures drug solubility will not limit dissolution + absorption
  • high permeability- ensures drug is completely absorbed during the limited transit time through the small intestine
  • rapid dissolution- ensures that the gastric emptying process is the rate limiting step for absorption of highly soluble + permeable drugs
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6
Q

In vitro- in vivo correlation

A

Mathematical model= describing relationship between in vitro + in vivo properties of a drug product; in vivo properties can be predicted from in vitro behaviour

In vitro property= rate/extent of drug dissolution or extent of drug release while in vivo response- plasma drug concentration/amount absorbed

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7
Q

BCS + its use in drug development

A

Allows us to predict;
- its in vivo absorption
- disposition ; transporter+ metabolism interactions
- potential for food effects- interactions
- guide our formulation stratergies
- potentially waive clinical studies

Classes 1-4
1= high solubility + high permeability
2= low solubility + high permeability
3= high solubility, low permeability
4= low solubility, low permeability

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8
Q

Benefits of knowing BCS category

A

Save time + money- immediate release, orally administered drug meets criteria, FDA= grant waiver for expensive time consuming bio-equivalence studies

Reduces timelines in drug development process and reduces unnecessary drug exposure in healthy volunteers

Class of drug- influences the decision to continue/stop development

Helps pharmaceutical manufactures to avoid unnecessary human experiments + reduce cost + time

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9
Q

Limitations of BCS

A

Absorption transporters and efflux pumps= not considered

Drugs undergoing first/second pass metabolism= not factored in appropiate manner

Solubility + permeability = loosely defines

Food effects= not considered

Chances of misclassification

Examples;
Class I: Metoprolol, Diltiazem, Propranolol, Verapamil.
Class II: Griseofulvin, Carbamazepine, Nifedipine, Phynetoin.
Class III: Cimetidine, Acyclovir, Captopril, Metformine.
Class IV: Furosemide, Retonavir, Taxol, Cyclosporine A.

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10
Q

Examples; CLASS I

A

Metoprolol, diltiazem + propranolol
Drugs= well absorbed, unless unstable/form insoluble complexes + undergo 1st pass metabolism

Dissolution test for IR formulations; need to verify that the drug is rapidly released from the dosage from under mild aqueous conditions

Dissolution spec of 85% dissolution of drug contained in IR in 15 mins may ensure bioequivalence

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11
Q

Class II

A

Absorption= usually slower than class I and takes place over a longer period of time

Dose of drug= determined on the basis of pharmacokinetics/ pharmacodynamic considerations and could not be altered

Examples;
- classical micronisation, stabilisation of high energy states, use of surfactants, solid dispersion, use of complexing agents…

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12
Q

Class III

A

Drug permeation is the main factor controlling how fast the drug is absorbed. If permeation is slow, even if the drug dissolves quickly, absorption will still be limited. Because of this, a good IVIVC (In Vitro–In Vivo Correlation)- may not be reliable

Exhibit a high variability in rate + extent of absorption, if dissolution is fast (85%) the variation could be attributed to GI transit, luminal contents etc

Manipulate the site/rate of exposure or perhaps by incorporating functional agents into the dosage forms to modify metabolic activity

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13
Q

Class IV

A

Poor bioavailability, usually not well absorbed over the intestinal mucosa -> high variability is expected

Drugs of this class are problematic for effective oral administration

Examples; rarely developed + marketed
- cyclosporin A, furesomide, saquinavir + taxol

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14
Q

Biowaiving

A

Approval of a drug product without having to conduct an in-vivo bioavailability/bioequivalence study

More on slide 32

Advantages;
- avoiding unnecessary human experiments, simplification of time required for product approval + reducing the cost

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15
Q

Abbreviated new drug application

A

Rest of slides

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