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卡马西平速释片溶出度数据与健康志愿者药代动力学数据的体外/体内相关性

In vitro/in vivo correlations of dissolution data of carbamazepine immediate release tablets with pharmacokinetic data obtained in healthy volunteers.

作者信息

Lake O A, Olling M, Barends D M

机构信息

National Institute of Public Health and the Environment, Bilthoven, The Netherlands.

出版信息

Eur J Pharm Biopharm. 1999 Jul;48(1):13-9. doi: 10.1016/s0939-6411(99)00016-8.

Abstract

The aim of the study was to select a dissolution test method for carbamazepine (CBZ) immediate release tablets, giving the best in vitro/in vivo correlations (IVIVC) and to determine the potential of this method as an estimate for bioequivalence testing. Four 200 mg CBZ products which are sold on the Dutch market, covering the innovator and three generic products, were selected. They had been tested in a randomised, fourway cross-over bioavailability study in healthy volunteers. Their dissolution rate behaviour in vitro was investigated in two dissolution media: (1) 1% sodium lauryl sulphate in water (SLS), in accordance with the United States Pharmacopeia (USP); (2) 0.1 mol/l Hydrochloric acid in water (HC). In the bioavailability study these products had shown no large differences in the extent of absorption (AUC(0-infinity);) but large differences in absorption rate. The products now also showed large differences in dissolution rate in vitro in both dissolution media, the rank order being the same as for the absorption rate. It was concluded that the absorption rate in vivo depends on the dissolution rate in vivo. 'Level C' IVIVC according to the USP were optimised by plotting percentages dissolved on selected time points (D values) or their reciprocals (1/D values), against several pharmacokinetic parameters primarily related to the absorption phase and against AUC(0-infinity). In this way for each IVIVC the optimum D or 1/D value, was calculated. For both media no meaningful IVIVC were obtained with AUC(0-infinity), but favourable IVIVC were obtained with the parameters primarily related to the absorption phase. In the bioavailability study indicated above it was found that, among the pharmacokinetic characteristics primarily related to the absorption phase, C(max) is the most promising in expressing rate of absorption in bioequivalence testing in single dose studies with CBZ immediate release tablets. Consequently, C(max) was selected for expressing rate of absorption. The most favourable IVIVC were obtained with D(20) in SLS versus C(max). From this IVIVC and the requirements for bioequivalence (AUC(0-infinity): 0.8-1.25 and C(max) : 0.75-1.35; 90% confidence interval), a specification for dissolution testing in SLS was calculated as follows: 'after 20 minutes, 34-99% dissolved'. Owing to the fact that the rate of absorption in vivo depends on i.a. the dissolution rate in vivo, it can be concluded that with this specification bioequivalence with respect to both rate of absorption and extent of absorption is ensured. As this specification is comparable with the USP specification: 'not less than 75% dissolved after 1 h', it is concluded that the USP specification is suitable to ensure bioequivalence of CBZ immediate release tablets.

摘要

本研究的目的是为卡马西平(CBZ)速释片选择一种溶出度测试方法,以获得最佳的体外/体内相关性(IVIVC),并确定该方法作为生物等效性测试评估方法的潜力。选择了在荷兰市场上销售的四种200 mg CBZ产品,包括创新产品和三种仿制药。它们已在健康志愿者中进行了随机、四交叉生物利用度研究。在两种溶出介质中研究了它们的体外溶出速率行为:(1)按照美国药典(USP),在水中的1%十二烷基硫酸钠(SLS);(2)在水中的0.1 mol/l盐酸(HC)。在生物利用度研究中,这些产品在吸收程度(AUC(0-无穷大))方面没有显示出很大差异,但在吸收速率方面有很大差异。这些产品在两种溶出介质中的体外溶出速率现在也显示出很大差异,排序与吸收速率相同。得出的结论是,体内吸收速率取决于体内溶出速率。根据USP的“C级”IVIVC通过绘制选定时间点的溶解百分比(D值)或其倒数(1/D值),与几个主要与吸收阶段相关的药代动力学参数以及与AUC(0-无穷大)相对比来进行优化。通过这种方式,为每个IVIVC计算出最佳的D或1/D值。对于两种介质,与AUC(0-无穷大)未获得有意义的IVIVC,但与主要与吸收阶段相关的参数获得了良好的IVIVC。在上述生物利用度研究中发现,在主要与吸收阶段相关的药代动力学特征中,C(max)在CBZ速释片单剂量研究的生物等效性测试中表达吸收速率方面最有前景。因此,选择C(max)来表达吸收速率。在SLS中D(20)与C(max)相比获得了最有利的IVIVC。根据此IVIVC和生物等效性要求(AUC(0-无穷大):0.8 - 1.25和C(max):0.75 - 1.35;90%置信区间),计算出在SLS中溶出度测试的规格如下:“20分钟后,34 - 99%溶解”。由于体内吸收速率部分取决于体内溶出速率,可以得出结论,该规格确保了在吸收速率和吸收程度方面的生物等效性。由于该规格与USP规格“1小时后不少于75%溶解”相当,得出结论,USP规格适用于确保CBZ速释片的生物等效性。

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