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Applications of IVIVC in Formulation Development - PQRI

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Application <strong>of</strong> <strong>IVIVC</strong>s <strong>in</strong><br />

<strong>Formulation</strong> <strong>Development</strong><br />

Douglas F Smith<br />

<strong>PQRI</strong> Workshop on Application <strong>of</strong> <strong>IVIVC</strong><br />

<strong>in</strong> <strong>Formulation</strong> <strong>Development</strong><br />

September 5 - 6, 2012<br />

Bethesda, Maryland


In Vitro/In Vivo Correlations - Goals<br />

Establish a correlation between <strong>in</strong> vitro drug<br />

dissolution and <strong>in</strong> vivo drug absorption<br />

Develop a model that can accurately predict<br />

bioavailability characteristics for a drug product based<br />

on dissolution pr<strong>of</strong>ile characteristics


<strong>Applications</strong> <strong>of</strong> <strong>IVIVC</strong><br />

Understand<strong>in</strong>g key formulation variable(s)<br />

Biowaivers for changes <strong>in</strong> drug product<br />

Lower strengths<br />

New strengths<br />

Changes <strong>in</strong> components and/or composition (with<strong>in</strong><br />

SUPAC guidel<strong>in</strong>es)<br />

- Release rate controll<strong>in</strong>g<br />

- Non-release rate controll<strong>in</strong>g<br />

Changes <strong>in</strong> manufactur<strong>in</strong>g site, process and/or<br />

equipment (with<strong>in</strong> SUPAC guidel<strong>in</strong>es)<br />

Sett<strong>in</strong>g dissolution specifications<br />

Justification <strong>of</strong> limits other than +/-10%


<strong>Development</strong> <strong>of</strong> <strong>IVIVC</strong><br />

In vitro release<br />

(Dissolution at<br />

multiple pH and<br />

agitations)<br />

Adm<strong>in</strong>istration to<br />

healthy volunteers<br />

(Crossover design)<br />

Design <strong>of</strong> MR<br />

<strong>Formulation</strong>s<br />

<strong>IVIVC</strong><br />

Deconvolution<br />

(Absorption)


Practical Application: In Vivo and In Vitro Data<br />

Required<br />

<br />

<br />

In Vivo Data – Bioavailability Studies<br />

At least 2 test formulations with different release rates (3 or more<br />

recommended)<br />

Solution, immediate release, or IV reference (unit impulse response)<br />

Crossover studies <strong>in</strong> fasted subjects<br />

Parallel studies acceptable (common treatment across studies)<br />

In Vitro Data – Dissolution Studies<br />

Test formulations should exhibit at least 10% difference <strong>in</strong> dissolution<br />

USP apparatus I (basket @ 100 rpm) or II (paddle @ 50 rpm) preferred<br />

Adjust dissolution conditions to fit <strong>in</strong> vivo data/obta<strong>in</strong> proper discrim<strong>in</strong>ation<br />

If dissolution is faster or slower than <strong>in</strong> vivo absorption, adjust the time scale


Case Study 1<br />

BCS Class III Drug<br />

Fraction absorbed approximately 80%<br />

Reformulation <strong>of</strong> a currently marketed modified release<br />

formulation<br />

<strong>IVIVC</strong> desired to support site change for manufacture<br />

<strong>of</strong> reformulated drug product


Plasma Concentrations Follow<strong>in</strong>g Oral<br />

Adm<strong>in</strong>istration<br />

5<br />

4<br />

<strong>Formulation</strong> B (Fast Release)<br />

<strong>Formulation</strong> A (Slow Release)<br />

<strong>Formulation</strong> C (Medium Release)<br />

Market Product Reference<br />

IR Reference<br />

[Drug] (ng/mL)<br />

3<br />

2<br />

1<br />

0<br />

0 6 12 18 24 30 36 42 48 54 60 66 72<br />

Time (Hours)


Dissolution and Absorption Pr<strong>of</strong>iles – Water as<br />

Dissolution Medium<br />

Drug Dissolution<br />

Drug Absorption<br />

100<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

Slow Release<br />

Medium Release<br />

Fast Release<br />

Cumulative Relative Percent Absorbed<br />

80<br />

60<br />

40<br />

20<br />

Slow Release<br />

Medium Release<br />

Fast Release<br />

0<br />

0<br />

0 2 4 6 8 10 12 14 16<br />

0 2 4 6 8 10 12 14 16<br />

Time (Hours)<br />

Time (Hours)


<strong>IVIVC</strong> Model – Water as Dissolution Medium<br />

Cumulative Percent Absorbed<br />

100<br />

80<br />

60<br />

40<br />

Slow Release<br />

<strong>Formulation</strong><br />

Medium Release<br />

<strong>Formulation</strong><br />

Fast Release<br />

<strong>Formulation</strong><br />

Slow and Fast <strong>IVIVC</strong><br />

R 2 = 0.949<br />

20<br />

0<br />

0 20 40 60 80 100<br />

Cumulative Percent Dissolved


<strong>IVIVC</strong> Validation<br />

Internal Validation<br />

Predict plasma concentration-time pr<strong>of</strong>iles, C max and AUC values us<strong>in</strong>g <strong>in</strong><br />

vitro dissolution data for the formulations that were used to develop the<br />

<strong>IVIVC</strong><br />

Average absolute percent prediction error (%PE) <strong>of</strong> 10% or less for C max<br />

and AUC and no <strong>in</strong>dividual %PE <strong>of</strong> <strong>in</strong>dividual formulation more than 15%<br />

validates <strong>IVIVC</strong><br />

External Validation<br />

Predict plasma concentration-time pr<strong>of</strong>iles, C max and AUC values us<strong>in</strong>g <strong>in</strong><br />

vitro dissolution data for a formulation that was not used <strong>in</strong> the<br />

development <strong>of</strong> <strong>IVIVC</strong><br />

%PE <strong>of</strong> 10% or less for C max and AUC validates <strong>IVIVC</strong><br />

Pro<strong>of</strong> <strong>of</strong> external validation provides greater<br />

confidence <strong>in</strong> <strong>IVIVC</strong> than <strong>in</strong>ternal validation


Level A <strong>IVIVC</strong> Validation – Water as<br />

Dissolution Medium<br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

Slow<br />

Release<br />

Fast<br />

Release<br />

63.4 66.0 4.15 1.77 2.02 14.3<br />

74.1 78.2 5.54 3.45 3.00 13.2<br />

Average %PE 4.84 Average %PE 13.7<br />

External Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

Medium<br />

Release<br />

66.8 67.2 0.67 2.26 2.22 1.77<br />

AUC units: ng-hr/mL, C max units: ng/mL


Dissolution and Absorption Pr<strong>of</strong>iles - Acetate<br />

Buffer as Dissolution Medium<br />

Drug Dissolution<br />

Drug Absorption<br />

100<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

Slow Release<br />

Medium Release<br />

Fast Release<br />

Cumulative Relative Percent Absorbed<br />

80<br />

60<br />

40<br />

20<br />

Slow Release<br />

Medium Release<br />

Fast Release<br />

0<br />

0<br />

0 2 4 6 8 10 12 14 16<br />

0 2 4 6 8 10 12 14 16<br />

Time (Hours)<br />

Time (Hours)


<strong>IVIVC</strong> Model – Acetate Buffer as Dissolution<br />

Medium<br />

Cumulative Percent Absorbed<br />

100<br />

80<br />

60<br />

40<br />

Slow Release<br />

<strong>Formulation</strong><br />

Medium Release<br />

<strong>Formulation</strong><br />

Fast Release<br />

<strong>Formulation</strong><br />

Slow and Fast <strong>IVIVC</strong><br />

R 2 = 0.989<br />

20<br />

0<br />

0 20 40 60 80 100<br />

Cumulative Percent Dissolved


Level A <strong>IVIVC</strong> Validation – Acetate Buffer<br />

as Dissolution Medium<br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

Slow<br />

Release<br />

Fast<br />

Release<br />

63.4 65.9 3.94 1.77 1.83 3.22<br />

74.1 78.2 5.47 3.45 3.15 8.64<br />

Average %PE 4.69 Average %PE 5.93<br />

External Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

Medium<br />

Release<br />

66.8 67.1 0.41 2.26 2.16 4.56<br />

AUC units: ng-hr/mL, C max units: ng/mL


Dissolution <strong>of</strong> Target <strong>Formulation</strong> – Acetate<br />

Buffer as Dissolution Medium<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

Medium Release<br />

<strong>Formulation</strong><br />

Target Release<br />

<strong>Formulation</strong><br />

Candidate Target<br />

Release <strong>Formulation</strong><br />

0<br />

0 2 4 6 8 10 12<br />

Time (Hours)


Plasma Concentrations Follow<strong>in</strong>g Oral Tablet<br />

Adm<strong>in</strong>istration<br />

5<br />

4<br />

Observed Levels for Target<br />

<strong>Formulation</strong><br />

Observed Levels for Market<br />

Product Reference<br />

[Drug] (ng/mL)<br />

3<br />

2<br />

1<br />

0<br />

0 6 12 18 24 30 36 42 48 54 60 66 72<br />

Time (Hours)


Level A <strong>IVIVC</strong> Validation – Acetate Buffer<br />

as Dissolution Medium<br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

Slow<br />

Release<br />

Fast<br />

Release<br />

63.4 65.9 3.94 1.77 1.83 3.22<br />

74.1 78.2 5.47 3.45 3.15 8.64<br />

Average %PE 4.69 Average %PE 5.93<br />

External Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

Medium<br />

Release<br />

Target<br />

Release<br />

66.8 67.1 0.41 2.26 2.16 4.56<br />

87.1 85.5 1.87 3.92 3.56 9.18<br />

AUC units: ng-hr/mL, C max units: ng/mL


Sett<strong>in</strong>g <strong>of</strong> Dissolution Specifications<br />

Dissolution at Release<br />

Dissolution at Release (%)<br />

and After 3 Months (%)<br />

Time (Hr) Mean -10% +10% -3 SD +3 SD Mean - 3SD +3 SD<br />

2 21 11 31 15 27 22 16 28<br />

4 53 43 63 47 59 54 49 59<br />

5 64 54 74 58 70 65 60 69<br />

8 85 75 95 78 92 86 82 91<br />

12 97 87 107 90 104 98 93 103<br />

Simulated Bioavailability Parameters<br />

Parameter Mean -10% +10% -3 SD +3 SD Mean - 3SD +3 SD<br />

AUC 69.8 62.7 77.0 64.9 73.9 69.6 65.0 73.6<br />

% Diff from<br />

Mean -- 10.2 10.4 7.0 6.0 -- 6.6 5.6<br />

% Diff Low<br />

to High -- 18.6 12.2 -- 11.6<br />

Cmax 2.76 2.47 3.04 2.55 2.97 2.76 2.64 2.89<br />

% Diff from<br />

Mean -- 10.4 10.2 7.6 7.5 -- 4.2 4.8<br />

% Diff Low<br />

to High -- 18.8 14.1 -- 8.6


Case Study 2<br />

BCS Class II Drug<br />

Highly variable pharmacok<strong>in</strong>etics<br />

AUC and Cmax dependent upon <strong>in</strong>put rate<br />

Reformulation <strong>of</strong> generic formulation to IR reference<br />

drug products at three dose levels<br />

Controlled release required to achieve bioequivalence<br />

to reference drug product<br />

<strong>IVIVC</strong> desired to support change <strong>in</strong> tablet coat<strong>in</strong>g and<br />

change <strong>in</strong> site <strong>of</strong> manufacture


Mean Plasma Concentration-Time Pr<strong>of</strong>iles Follow<strong>in</strong>g<br />

Adm<strong>in</strong>istration <strong>of</strong> Low Dose Reformulation Candidates<br />

1400<br />

[Drug] (pg/mL)<br />

1200<br />

1000<br />

800<br />

600<br />

8.0% Polymer<br />

4.5% Polymer<br />

5.25% Polymer<br />

6.25% Polymer<br />

6.5% Polymer<br />

7.0% Polymer<br />

0% Polymer<br />

Reference<br />

400<br />

200<br />

0<br />

0 2 4 6 8 10 12 14 16 18 20 22 24<br />

Time (Hours)


Dissolution <strong>of</strong> Low Dose Reformulation Candidates by<br />

QC Release Method (USP Monograph)<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

4.5% Polymer<br />

5.25% Polymer<br />

6.25% Polymer<br />

6.5% Polymer<br />

7.0% Polymer<br />

8.0% Polymer<br />

0<br />

0 20 40 60 80 100<br />

Time (M<strong>in</strong>utes)


% Polymer Prediction Model to Achieve Bioequivalence<br />

for Low Dose <strong>Formulation</strong>s<br />

2.5<br />

C max<br />

and AUC Geometric Mean Ratios<br />

2.0<br />

1.5<br />

1.0<br />

% Polymer vs C max<br />

Ratio<br />

R 2 = 0.9995<br />

% Polymer vs AUC Ratio<br />

R 2 = 0.9996<br />

Maximum GMR for C max<br />

% Polymer = 6.40<br />

M<strong>in</strong>imum GMR for AUC<br />

0.5<br />

0 2 4 6 8<br />

% Polymer<br />

% Polymer = 6.98


Mean Dissolution and Absorption Pr<strong>of</strong>iles <strong>of</strong> Drug From<br />

Low Dose <strong>Formulation</strong> Candidates<br />

Dissolution<br />

Absorption<br />

100<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

8% Polymer<br />

5.25% Polymer<br />

4.5% Polymer<br />

6.25% Polymer<br />

6.5% Polymer<br />

7% Polymer<br />

Cumulative Relative Percent Absorbed<br />

80<br />

60<br />

40<br />

20<br />

8% Polymer<br />

5.25% Polymer<br />

4.5% Polymer<br />

6.25% Polymer<br />

6.5% Polymer<br />

7% Polymer<br />

0<br />

0<br />

0 2 4 6 8 10 12<br />

0 2 4 6 8 10 12<br />

Time (Hours)<br />

Time (Hours)


Absorption Versus Dissolution Relationship for Drug From<br />

Low Dose Reformulation Candidates<br />

100<br />

80<br />

4.5% Polymer<br />

5.25% Polymer<br />

6.25%% Polymer<br />

6.5% Polymer<br />

7% Polymer<br />

8% Polymer<br />

<strong>IVIVC</strong> Model<br />

R 2 = 0.906<br />

Absorption<br />

60<br />

40<br />

20<br />

0<br />

0 20 40 60 80 100<br />

Dissolution


Internal and External Predictability Measures <strong>of</strong> the Level A<br />

<strong>IVIVC</strong> for Drug from Low Dose <strong>Formulation</strong> Candidates<br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

8.0%<br />

Polymer<br />

7.0%<br />

Polymer<br />

4.5%<br />

Polymer<br />

5.25%<br />

Polymer<br />

6.25%<br />

Polymer<br />

6.5%<br />

Polymer<br />

3829 3990 4.21 488 476 2.41<br />

4456 4624 3.77 461 518 12.2<br />

5357 5581 4.19 706 716 1.42<br />

Average % PE 4.06 Average % PE 5.36<br />

External Predictability<br />

5252 5428 3.35 628 650 3.50<br />

4963 5116 3.08 578 572 1.00<br />

4454 4613 3.57 494 523 5.79<br />

AUC units: pg-hr/mL, C max units: pg/mL


Dissolution Specifications For Low Dose<br />

Formuation<br />

Dissolution<br />

<strong>IVIVC</strong> Based<br />

Absence <strong>of</strong> <strong>IVIVC</strong><br />

Time (Hr) Mean Lower Upper Lower Upper<br />

1 48 39 57 38 58<br />

4 78 69 87 68 88<br />

12 82 NLT 73 NLT 72<br />

Parameter<br />

Simulated Bioavailability Parameters<br />

AUC 4834 4240 5322 4179 5382<br />

% Diff from Mean<br />

-- 12% 10% 14% 11%<br />

% Diff Lower to<br />

Upper -- 20% 22%<br />

Cmax<br />

578 531 649 525 655<br />

% Diff from Mean<br />

-- 8% 12% 9% 13%<br />

% Diff Lower to<br />

Upper -- 18% 20%


Dissolution Specifications For Low Dose<br />

Formuation<br />

Dissolution<br />

FDA Proposed<br />

Wyeth Proposed<br />

Time (Hr) Mean Lower Upper Lower Upper<br />

1 48 38 58 36 60<br />

4 78 68 88 69 87<br />

12 82 NLT 80 NLT 73<br />

Parameter<br />

Simulated Bioavailability Parameters<br />

AUC 4834 4339 5302 4257 5216<br />

% Diff from Mean<br />

-- 10% 10% 12% 8%<br />

% Diff Lower to<br />

Upper -- 18% 18%<br />

Cmax<br />

578 544 659 558 688<br />

% Diff from Mean<br />

-- 6% 14% 3% 19%<br />

% Diff Lower to<br />

Upper -- 17% 19%


Controlled Release <strong>Formulation</strong> – IR or MR<br />

PK and PD pr<strong>of</strong>ile is that <strong>of</strong> an IR drug product<br />

Cl<strong>in</strong>ical safety and efficacy pr<strong>of</strong>ile is that <strong>of</strong> an IR drug<br />

product<br />

Product does not meet requirements <strong>of</strong> MR dosage<br />

formulation<br />

No reduction <strong>in</strong> dos<strong>in</strong>g frequency<br />

No reduction <strong>in</strong> plasma concentration fluctuations<br />

No modified release characteristics exhibited <strong>in</strong> plasma concentration-time<br />

pr<strong>of</strong>ile<br />

Are changes to formulation subject to SUPAC-IR<br />

guidance or SUPAC-MR guidance


% Polymer Prediction Model to Achieve Bioequivalence<br />

for Medium Dose <strong>Formulation</strong>s<br />

2.0<br />

C max<br />

Ratios BA Study<br />

1.8<br />

AUC Ratios BA Study<br />

C max<br />

Ratios BE Study<br />

AUC Ratios BE Study<br />

C max<br />

and AUC Geometric Mean Ratios<br />

1.6<br />

1.4<br />

1.2<br />

1.0<br />

Maximum GMR for C max<br />

% Polymer = 5.24<br />

0.8<br />

M<strong>in</strong>imum GMR for AUC<br />

% Polymer = 6.19<br />

0.6<br />

0 2 4 6 8<br />

% Polymer


% Polymer Prediction Model to Achieve Bioequivalence<br />

for High Dose <strong>Formulation</strong>s<br />

1.8<br />

C max<br />

and AUC Geometric Mean Ratios<br />

1.6<br />

1.4<br />

1.2<br />

1.0<br />

0.8<br />

0.6<br />

0.4<br />

% Polymer = 2.89<br />

% Polymer = 3.95<br />

C max<br />

Ratios BA Study<br />

AUC Ratios BA Study<br />

C max<br />

Ratios BE Study<br />

AUC Ratios BE Study<br />

Maximum GMR for C max<br />

M<strong>in</strong>imum GMR for AUC<br />

0.2<br />

0.0<br />

0 2 4 6 8<br />

% Polymer


Case Study 3<br />

BCS Class I Drug<br />

<strong>Development</strong> <strong>of</strong> MR dosage for an exist<strong>in</strong>g IR market<br />

product<br />

Initial <strong>IVIVC</strong> developed with data from slow, medium<br />

and fast release formulations<br />

Small scale batches<br />

Lowest strength to be marketed<br />

<strong>IVIVC</strong> desired to support change <strong>in</strong> process<br />

parameters and change <strong>in</strong> site <strong>of</strong> manufacture


In vitro release and <strong>in</strong> vivo absorption<br />

pr<strong>of</strong>iles from 75 mg <strong>Formulation</strong>s<br />

Dissolution<br />

Absorption<br />

100<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

0<br />

Slow Release<br />

Medium Release<br />

Fast Release<br />

Dissolution Conditions:<br />

- USP I (baskets)<br />

- 100 rpm<br />

- 0.9L Water<br />

- 37 o C<br />

Cumulative Percent Absorbed<br />

80<br />

60<br />

40<br />

20<br />

0<br />

Slow Release<br />

Medium Release<br />

Fast Release<br />

0 2 4 6 8 10 12<br />

Time (Hours)<br />

0 4 8 12 16 20 24<br />

Time (Hours)


In Vitro / In Vivo Relationship for 75mg<br />

Capsules<br />

100<br />

Slow Release<br />

Medium Release<br />

Fast Release<br />

L<strong>in</strong>ear Regression<br />

R 2 = 0.932<br />

80<br />

Cumulative Percent Absorbed<br />

60<br />

40<br />

20<br />

0<br />

0 20 40 60 80 100<br />

Cumulative Percent Dissolved


Internal and External Predictability Measures <strong>of</strong> the Level A<br />

<strong>IVIVC</strong><br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

Slow<br />

Release<br />

Medium<br />

Release<br />

Fast<br />

Release<br />

853 916 7.37 45.3 40.8 10.0<br />

885 917 3.62 53.1 42.8 19.4<br />

880 908 3.23 58.8 54.0 8.13<br />

Average % PE 4.74 Average % PE 12.5<br />

External Predictability<br />

2x75mg 1703 1622 4.74 96.5 94.0 2.59<br />

1x150mg 1647 1622 1.51 94.4 91.1 3.50<br />

AUC units: mcg-hr/mL, C max units: mcg/mL


Demonstration <strong>of</strong> <strong>in</strong> vitro release<br />

<strong>in</strong>dependence <strong>of</strong> dissolution test conditions<br />

Dissolution tests for 75mg and 150mg formulations<br />

USP I (baskets) and USP II (paddles) at 50, 75 and 100 rpm<br />

Dissolution media <strong>of</strong> water, SGF (without enzymes) and SIF (without<br />

enzymes<br />

All dissolution pr<strong>of</strong>iles similar to reference pr<strong>of</strong>ile (USP I, 100 rpm, water)<br />

- f 2 > 65<br />

Dissolution tests for 225mg formulations<br />

USP I (baskets) at 100 rpm<br />

Dissolution media <strong>of</strong> water, SGF (without enzymes), buffers at pH 4.5, 6.8<br />

and 7.4<br />

All dissolution pr<strong>of</strong>iles similar to reference pr<strong>of</strong>ile (USP I, 100 rpm, water)<br />

- f 2 > 78


In Vitro / In Vivo Relationship for 75mg and<br />

150mg <strong>Formulation</strong>s<br />

100<br />

80<br />

Study 1 75 mg US Mfg<br />

Study 1 75 mg PR Mfg<br />

Study 1 150 mg PR Mfg<br />

Study 2 75 mg US Mfg<br />

Study 2 150 mg PR Mfg<br />

<strong>IVIVC</strong> Model<br />

R 2 = 0.971<br />

Cumulative Percent Absorbed<br />

60<br />

40<br />

20<br />

0<br />

0 20 40 60 80 100<br />

Cumulative Percent Dissolved


Internal Predictability Measures <strong>of</strong> the Level A <strong>IVIVC</strong><br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

2x75mg 1703 1556 8.66 96.5 94.4 2.18<br />

Study 2<br />

1x150mg 1647 1559 5.35 94.4 94.1 0.32<br />

Study 2<br />

2x75mg 2248 2187 2.71 150 130 13.1<br />

Study 1<br />

1x150mg 2242 2200 1.87 149 130 12.8<br />

Study 1<br />

2x75mg 2224 2175 2.20 144 130 9.69<br />

Study 1<br />

Average % PE 4.16 Average % PE 7.61<br />

AUC units: mcg-hr/mL, C max units: mcg/mL


Case Study 4<br />

BCS Class III Drug<br />

Fraction absorbed approximately 80%<br />

<strong>Development</strong> <strong>of</strong> MR dosage for which no IR market<br />

product<br />

Multiple strengths developed to achieve same <strong>in</strong> vitro<br />

dissolution release pr<strong>of</strong>ile<br />

50mg – 70% HPMC<br />

75mg – 57% HPMC<br />

100mg – 50% HPMC<br />

200mg – 30% HPMC<br />

<strong>IVIVC</strong> desired to support development <strong>of</strong> other<br />

strengths


MR Tablet Dissolution Pr<strong>of</strong>iles <strong>in</strong> 0.9% NaCl<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

50 mg<br />

100 mg<br />

200 mg<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


50 mg MR Tablet Dissolution Pr<strong>of</strong>iles <strong>in</strong><br />

Alternate Media<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

0.9% NaCl - Reference Media<br />

Water, f 2<br />

= 72<br />

0.1N HCl (pH 1.0), f 2<br />

= 60<br />

0.1N HCl / 0.2M Phosphate (Two-Stage), f 2<br />

= 66<br />

0.02M Acetate (pH 4.5), f 2<br />

= 81<br />

0.05M Phosphate (pH 6.8), f 2<br />

= 96<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


200 mg MR Tablet Dissolution Pr<strong>of</strong>iles <strong>in</strong><br />

Alternate Media<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

0.9% NaCl - Reference Media<br />

Water, f 2<br />

= 97<br />

0.1N HCl (pH 1.0), f 2<br />

= 46<br />

0.1N HCl / 0.2M Phosphate (Two-Stage), f 2<br />

= 57<br />

0.02M Acetate (pH 4.5), f 2<br />

= 94<br />

0.05M Phosphate (pH 6.8), f 2<br />

= 96<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


MR Tablets Absorption Pr<strong>of</strong>iles<br />

100<br />

Cumulative Percent Label Claim Absorbed<br />

80<br />

60<br />

40<br />

20<br />

50 mg<br />

100 mg<br />

200 mg<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


In Vitro / In Vivo Relationship for MR Tablets<br />

100<br />

80<br />

Cumulative Percent Absorbed<br />

60<br />

40<br />

20<br />

0<br />

50 mg<br />

100 mg<br />

200 mg<br />

L<strong>in</strong>ear Regression<br />

R 2 = 0.991<br />

0 20 40 60 80 100<br />

Cumulative Percent Dissolved


Validation <strong>of</strong> Level A <strong>IVIVC</strong> for MR Tablets<br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

2x50 mg 4754 4273 10.1 169 172 1.82<br />

1x100 mg 4626 4273 7.64 173 172 0.75<br />

1x200 mg 9383 8550 8.88 321 333 3.58<br />

Average % PE 8.88 Average % PE 2.05<br />

External Predictability<br />

2x75 mg 7037 6480 8.94 246 264 7.35<br />

AUC units: mcg-hr/mL, C max units: mcg/mL


Approaches to a Level A <strong>IVIVC</strong><br />

<br />

Traditional Approach<br />

<br />

Non-traditional Approach<br />

% absorbed Vs % dissolved<br />

mg absorbed Vs mg dissolved<br />

One strength<br />

Multiple strengths<br />

Multiple formulations with different<br />

levels <strong>of</strong> rate-controll<strong>in</strong>g parameter<br />

Multiple formulations with different<br />

levels <strong>of</strong> rate-controll<strong>in</strong>g parameter<br />

Differences among formulations <strong>in</strong><br />

both % and mg released pr<strong>of</strong>iles<br />

Differences among formulations only<br />

<strong>in</strong> mg released pr<strong>of</strong>iles<br />

Po<strong>in</strong>t to po<strong>in</strong>t relationship between <strong>in</strong><br />

vitro dissolution (%) and <strong>in</strong> vivo<br />

dissolution (%)<br />

Po<strong>in</strong>t to po<strong>in</strong>t relationship between <strong>in</strong><br />

vitro dissolution (mg) and <strong>in</strong> vivo<br />

dissolution (mg)


FDA Guidance on <strong>Development</strong>, Evaluation<br />

and Application <strong>of</strong> <strong>IVIVC</strong>s<br />

<br />

Traditional Approach<br />

“Level A Correlation is . . . . comparison <strong>of</strong> fraction <strong>of</strong> drug absorbed to the fraction<br />

<strong>of</strong> drug dissolved”<br />

“release rates, as measured by percent dissolved, for each formulation studied,<br />

should differ adequately (e.g., 10%)”<br />

“most commonly seen processes”<br />

<br />

Non-traditional Approach<br />

“Alternative approaches to develop<strong>in</strong>g Level A <strong>IVIVC</strong>s are possible”<br />

“Whatever the method used to establish a Level A <strong>IVIVC</strong>, the model should predict<br />

the entire <strong>in</strong> vivo time course from the <strong>in</strong> vitro data. In this context, the model refers<br />

to the relationship between <strong>in</strong> vitro dissolution <strong>of</strong> an ER dosage form and an <strong>in</strong> vivo<br />

response such as plasma drug concentration or amount <strong>of</strong> drug absorbed”<br />

“Release rate: Amount <strong>of</strong> drug released per unit time as def<strong>in</strong>ed by <strong>in</strong> vitro or <strong>in</strong> vivo<br />

test<strong>in</strong>g”


MR Tablet Dissolution Pr<strong>of</strong>iles (Cumulative %<br />

Dissolved <strong>in</strong> 0.9% NaCl)<br />

100<br />

Cumulative Percent Label Claim Dissolved<br />

80<br />

60<br />

40<br />

20<br />

50 mg<br />

100 mg<br />

200 mg<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


MR Tablet Dissolution Pr<strong>of</strong>iles (Cumulative mg<br />

Dissolved <strong>in</strong> 0.9% NaCl)<br />

200<br />

50 mg (70% HPMC)<br />

100 mg (50% HPMC)<br />

200 mg (30% HPMC)<br />

Cumulative mg Label Claim Dissolved<br />

160<br />

120<br />

80<br />

40<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


MR Tablets Absorption Pr<strong>of</strong>iles (Cumulative<br />

% Absorbed)<br />

100<br />

Cumulative Percent Label Claim Absorbed<br />

80<br />

60<br />

40<br />

20<br />

50 mg<br />

100 mg<br />

200 mg<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


MR Tablet Absorption Pr<strong>of</strong>iles (Cumulative mg<br />

Absorbed)<br />

200<br />

50 mg (70% HPMC)<br />

100 mg (50% HPMC)<br />

200 mg (30% HPMC)<br />

Cumulative mg Label Claim Absorbed<br />

160<br />

120<br />

80<br />

40<br />

0<br />

0 4 8 12 16 20 24<br />

Time (Hours)


In Vitro / In Vivo Relationship for MR Tablets<br />

200<br />

160<br />

50 mg<br />

100 mg<br />

200 mg<br />

L<strong>in</strong>ear Regression<br />

R 2 = 0.9897<br />

Cumulative mg Absorbed<br />

120<br />

80<br />

40<br />

0<br />

0 40 80 120 160 200<br />

Cumulative mg Dissolved


Validation <strong>of</strong> Level A <strong>IVIVC</strong> for MR Tablets<br />

Internal Predictability<br />

Formula Obs AUC Pred AUC %PE Obs C max Pred C max %PE<br />

2x50 mg 4754 4305 9.45 169 173 2.53<br />

1x100 mg 4626 4306 6.93 173 173 0.06<br />

1x200 mg 9383 8614 8.20 321 336 4.45<br />

Average % PE 8.19 Average % PE 2.35<br />

External Predictability<br />

2x75 mg 7037 6453 8.30 246 266 8.16<br />

AUC units: mcg-hr/mL, C max units: mcg/mL


INTERNAL AND EXTERNAL PREDICTABILITY MEASURES OF<br />

LEVEL A <strong>IVIVC</strong> FOR 200 mg MR TABLETS<br />

Batch<br />

15% HPMC<br />

Roller<br />

Compact<br />

MFG Site A<br />

30% HPMC<br />

Roller<br />

Compact<br />

MFG Site A<br />

Batch<br />

30% HPMC<br />

Wet<br />

Granulation<br />

MFG Site B<br />

Observed<br />

AUC<br />

Predicted<br />

AUC<br />

Intern al Predictability<br />

Absolute<br />

% PE<br />

Observed<br />

Cmax<br />

Predicted<br />

Cmax<br />

Absolute<br />

% PE<br />

8870 9094 2.53 362 344 4.95<br />

8984 9218 2.61 314 307 2.07<br />

Observed<br />

AUC<br />

Average % PE 2.57 Averag e % PE 3.51<br />

Predicted<br />

AUC<br />

External Predictability<br />

Absolute<br />

% PE<br />

Observed<br />

Cmax<br />

Predicted<br />

Cmax<br />

Absolute<br />

% PE<br />

8540 8772 2.72 308 309 0.36<br />

AUC units: ng·hr/mL; Cmax units: ng/mL


Evaluation <strong>of</strong> Dissolution Specifications<br />

Time Po<strong>in</strong>t<br />

Statistical Limits –<br />

Statistical Limits –<br />

Pass<strong>in</strong>g L1 Pass<strong>in</strong>g L1<br />

95% Chance <strong>of</strong> 99% Chance <strong>of</strong><br />

Limits Based<br />

on <strong>IVIVC</strong><br />

2 hours NMT 33% NMT 34% 17 – 37%<br />

4 hours 33 – 50% 32 – 51% 32 – 52%<br />

8 hours 50 – 73% 50 – 75% 52 – 72%<br />

12 hours 63 – 95% 63 – 95% 69 – 89%<br />

24 hours NLT 83% NLT 82% NLT 87%


Case Study 5<br />

BCS Class I Drug<br />

<strong>Development</strong> <strong>of</strong> <strong>IVIVC</strong> for Marketed MR Product<br />

Change <strong>in</strong> process<br />

Multiple strengths manufactured and exhibit same <strong>in</strong><br />

vitro dissolution release pr<strong>of</strong>ile<br />

Retrospective analysis <strong>of</strong> data available from 7 BA<br />

studies<br />

Drug has significant first-pass metabolism<br />

Data from <strong>in</strong>tubation study <strong>in</strong>dicated <strong>in</strong>crease <strong>in</strong> systemic availability <strong>in</strong><br />

distal GI<br />

Correlation model developed us<strong>in</strong>g dissolution data<br />

directly as <strong>in</strong>put<br />

First derivative <strong>of</strong> Weibull Function


Model Parameters <strong>of</strong> Dissolution Data


Model <strong>of</strong> Fraction <strong>of</strong> Drug Absorbed


Validation <strong>of</strong> the Model


Validation <strong>of</strong> the Model


Dissolution <strong>of</strong> Drug


Conclusions-Benefits <strong>of</strong> <strong>IVIVC</strong><br />

Provides framework for formulation development<br />

Promotes prioritization <strong>of</strong> formulation efforts toward<br />

compounds with bioavailability problems and<br />

improves communication across discipl<strong>in</strong>es<br />

Places development <strong>of</strong> biorelevant dissolution method<br />

formally <strong>in</strong>to development process<br />

Def<strong>in</strong>es manufactur<strong>in</strong>g parameters at an early stage <strong>in</strong><br />

the development process and facilitates early transfer<br />

<strong>of</strong> formulation to manufactur<strong>in</strong>g site<br />

Reduces the risk <strong>of</strong> requir<strong>in</strong>g Phase III to market BE<br />

studies


<strong>IVIVC</strong>s – Lessons Learned<br />

FDA guidance is just that, not a regulation or<br />

requirement, but it is <strong>in</strong> the best <strong>in</strong>terest <strong>of</strong> sponsor to<br />

evaluate feasibility<br />

Term<strong>in</strong>ology <strong>in</strong> the guidance <strong>in</strong>dicates sponsors are<br />

allowed some flexibility <strong>in</strong> develop<strong>in</strong>g <strong>IVIVC</strong>s<br />

Collaboration among various functional groups a<br />

necessity (formulations, analytical, cl<strong>in</strong>ical, regulatory,<br />

biopharmaceutics)<br />

Tim<strong>in</strong>g<br />

“Develop<strong>in</strong>g <strong>IVIVC</strong>s is not a science, it is an art.”


Acknowledgements<br />

<br />

Pharmaceutical Sciences<br />

Rob<strong>in</strong> Enever<br />

<br />

Technical Services<br />

Stephen White<br />

Mike Dey<br />

John Pendregast<br />

<br />

Richard DeNeale<br />

Biopharmaceutics<br />

Sridhar Duvvuri<br />

<br />

Cl<strong>in</strong>ical<br />

Phil Mayer<br />

William McKeand<br />

<br />

<strong>Formulation</strong>s<br />

Alice Nichols<br />

Ron Warner<br />

Steven Troy<br />

John Michelucci<br />

Deborah Sherman<br />

<br />

Regulatory<br />

David Korman<br />

John Clark<br />

James Murphy<br />

Shaleish S<strong>in</strong>gh<br />

Simon Golec<br />

Chris Diorio<br />

Beth Kendsersky<br />

Ian Armstrong<br />

Chris Le<br />

<br />

Analytical Services<br />

Andy Beath<br />

Lusan Yao<br />

Patricia Mann<br />

Brian Spencer<br />

Marijo We<strong>in</strong>zierl<br />

<br />

Quality Operations<br />

Joe DeVito<br />

David Sheats<br />

Deborah Parker<br />

<br />

Consultants<br />

Lewis Leeson<br />

Scott Stevens<br />

William Barr<br />

William Jock<br />

Mario Gonzalez

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