Drug Product Science and Technology, Bristol-Myers Squibb, New Brunswick, New Jersey 08901, USA.
J Pharm Sci. 2012 May;101(5):1773-82. doi: 10.1002/jps.23063. Epub 2012 Feb 14.
The dependency of metformin in vivo disposition on the rate and extent of dissolution was studied. The analysis includes the use of fundamental principles of drug input, permeability, and intestinal transit time within the framework of a compartmental absorption transit model to predict key pharmacokinetic (PK) parameters and then compare the results to clinical data. The simulations show that the maximum plasma concentration (C(max) ) and area under the curve (AUC) are not significantly affected when 100% of drug is released within 2 h of oral dosing, which was confirmed with corresponding human PK data. Furthermore, in vitro dissolution profiles measured in aqueous buffers at pH values of 1.2, 4.5, and 6.8 were slower than in vivo release profiles generated by deconvolution of metformin products that were bioequivalent. On the basis of this work, formulations of metformin that release 100% in vitro in a time period equal to or less than two hours are indicated to be bioequivalent. The use of modeling offers a mechanistic-based approach for demonstrating acceptable bioperformance for metformin formulations without having to resort to in vivo bioequivalence studies and may be more robust than statistical comparison of in vitro release profiles. This work further provides a strategy for considering Biopharmaceutics Classification System (BCS) Class 3 compounds to be included under biowaiver guidelines as for BCS Class 1 compounds.
本研究考察了二甲双胍体内处置对药物溶解速率和程度的依赖性。该分析采用药物输入、渗透性和肠转运时间的基本原理,在房室吸收转运模型的框架内进行预测,以获得关键的药代动力学(PK)参数,然后将预测结果与临床数据进行比较。模拟结果表明,当口服给药后 2 小时内 100%的药物释放时,最大血浆浓度(C(max))和曲线下面积(AUC)不会受到显著影响,这与相应的人体 PK 数据一致。此外,在 pH 值为 1.2、4.5 和 6.8 的水性缓冲液中测量的体外溶解曲线比通过去卷积生成的生物等效二甲双胍产品的体内释放曲线慢。基于这项工作,如果某种二甲双胍制剂的体外释放曲线在等于或小于两小时的时间内 100%释放,则表明其具有生物等效性。该模型的应用为证明二甲双胍制剂具有可接受的生物性能提供了一种基于机制的方法,而无需进行体内生物等效性研究,并且可能比体外释放曲线的统计学比较更稳健。这项工作进一步为考虑将生物药剂学分类系统(BCS)第 3 类化合物纳入生物豁免指南作为 BCS 第 1 类化合物提供了一种策略。