Applications of IVIVC in Formulation Development - PQRI
Applications of IVIVC in Formulation Development - PQRI
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