Facultad de Farmacia, Universidad Complutense de Madrid, Madrid, Spain.
J Pharm Sci. 2011 Jun;100(6):2343-9. doi: 10.1002/jps.22472. Epub 2011 Jan 14.
The aim of the study was to investigate the ability of in vitro dissolution to ensure bioequivalence of ibuprofen products. Ibuprofen is a Biopharmaceutics Classification System (BCS) class II drug with low solubility at pH 1.2 and 4.5 and high solubility at pH 6.8. The possibility of extending the "BCS biowaivers" to weak acidic compounds has been suggested. Three ibuprofen formulations were compared in vitro and in vivo with the reference. Dissolution profiles in several pH buffers showed similarity at 75 and 50 rpm. However, the bioequivalence studies showed that two formulations were not equivalent in C(max) because of a statistically significant difference. Conversely, another formulation was bioequivalent both in AUC and C(max) in a pilot study (n = 10) and a final study (n = 18), demonstrating that the previous failures were not due to lack of statistical power, but due to a different absorption rate that cannot be detected in vitro. In conclusion, "biowaivers" for this type of class II drugs are not feasible because the dissolution tests do not detect differences in absorption rate. Differences in absorption rate cannot be neglected, not only because absorption rate has clinical relevance but also because the clinical importance of the differences cannot be assessed if they are not quantified.
本研究旨在考察体外溶出度是否能确保布洛芬产品的生物等效性。布洛芬属于生物药剂分类系统(BCS)Ⅱ类药物,在 pH1.2 和 4.5 时溶解度低,在 pH6.8 时溶解度高。有人提出,对于弱酸性化合物,是否可以扩大“BCS 豁免生物等效性”的范围。本研究比较了三种布洛芬制剂与参比制剂的体外和体内情况。在几种 pH 缓冲液中的溶出曲线在 75 和 50rpm 时具有相似性。然而,生物等效性研究表明,由于存在统计学差异,两种制剂在 Cmax 方面不等效。相反,另一种制剂在初步研究(n=10)和最终研究(n=18)中均在 AUC 和 Cmax 方面具有生物等效性,这表明之前的失败并非由于缺乏统计学功效,而是由于吸收速率不同,体外无法检测到。总之,对于这类Ⅱ类药物,“豁免生物等效性”是不可行的,因为溶出度试验无法检测到吸收速率的差异。吸收速率的差异不容忽视,这不仅是因为吸收速率具有临床相关性,还因为如果不进行量化,就无法评估差异的临床重要性。