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渗透泵产品的基于生理学的药代动力学和吸收建模。

Physiologically Based Pharmacokinetic and Absorption Modeling for Osmotic Pump Products.

机构信息

Division of Quantitative Methods and Modeling, Office of Research and Standards, Office of Generic Drugs, US Food and Drug Administration, Silver Spring, Maryland, USA.

, 10903 New Hampshire Ave., Bldg. 75, Room 4690, Silver Spring, Maryland, 20993, USA.

出版信息

AAPS J. 2017 Jul;19(4):1045-1053. doi: 10.1208/s12248-017-0075-7. Epub 2017 Mar 29.

Abstract

Physiologically based pharmacokinetic (PBPK) and absorption modeling approaches were employed for oral extended-release (ER) drug products based on an osmotic drug delivery system (osmotic pumps). The purpose was to systemically evaluate the in vivo relevance of in vitro dissolution for this type of formulation. As expected, in vitro dissolution appeared to be generally predictive of in vivo PK profiles, because of the unique feature of this delivery system that the in vitro and in vivo release of osmotic pump drug products is less susceptible to surrounding environment in the gastrointestinal (GI) tract such as pH, hydrodynamic, and food effects. The present study considered BCS (Biopharmaceutics Classification System) class 1, 2, and 3 drug products with half-lives ranging from 2 to greater than 24 h. In some cases, the colonic absorption models needed to be adjusted to account for absorption in the colon. C (maximum plasma concentration) and AUCt (area under the concentration curve) of the studied drug products were sensitive to changes in colon permeability and segmental GI transit times in a drug product-dependent manner. While improvement of the methodology is still warranted for more precise prediction (e.g., colonic absorption and dynamic movement in the GI tract), the results from the present study further emphasized the advantage of using PBPK modeling in addressing product-specific questions arising from regulatory review and drug development.

摘要

基于渗透药物递送系统(渗透泵)的口服控释(ER)药物,采用基于生理学的药代动力学(PBPK)和吸收建模方法。目的是系统评估该类制剂的体外溶出度与体内相关性。由于这种给药系统的独特特性,体外和体内渗透泵药物的释放较少受到胃肠道(GI)环境中 pH 值、流体力学和食物等因素的影响,因此体外溶出度似乎通常可以预测体内 PK 曲线,这符合预期。本研究考虑了生物药剂学分类系统(BCS)类别 1、2 和 3 的药物,半衰期范围为 2 至 24 小时以上。在某些情况下,需要调整结肠吸收模型以考虑结肠吸收。研究药物的 C max (最大血浆浓度)和 AUC t (浓度曲线下面积)对结肠通透性和药物在胃肠道中的分段转运时间的变化敏感,以药物依赖性方式。虽然仍需要改进该方法以进行更精确的预测(例如,结肠吸收和在胃肠道中的动态运动),但本研究的结果进一步强调了在解决监管审查和药物开发中出现的特定产品问题时使用 PBPK 建模的优势。

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