Department of Pharmaceutical Sciences, University of Connecticut, CT 06269, USA.
Office of Research and Standards, Office of Generic Drugs, Center for Drug Evaluation and Research, FDA, Silver Spring, MD 20993, USA.
J Control Release. 2019 Aug 28;308:1-13. doi: 10.1016/j.jconrel.2019.07.013. Epub 2019 Jul 10.
Peptide loaded PLGA microsphere products are more complex in terms of manufacturing, drug release characteristics as well as release mechanism compared to small molecule loaded PLGA microsphere products. This is due to the complex structure of peptides, their hydrophilicity, charged state, large size and potential for instability. Moreover, therapeutic peptides are highly potent and therefore, any unintended change in the microsphere release profile may lead to undesirable side effects and toxicity. Accordingly, the objectives of the present work were: 1) to evaluate the impact of minor manufacturing changes on the quality and performance of peptide microspheres; and 2) to investigate the feasibility of developing Level A in vitro-in vivo correlations (IVIVCs) for peptide microspheres. Compositionally equivalent leuprolide acetate (LA) microspheres prepared with minor manufacturing changes (solvent system/homogenization speed) showed significant differences in their physicochemical properties (such as pore size, total porosity, particle size and surface distribution of peptide on the prepared microspheres). This, in turn, resulted in significant alteration in the release characteristics. Peptide-polymer interaction, in vitro degradation and microsphere morphology studies were conducted to facilitate understanding of the differences in the drug release characteristics. A rabbit model was used to determine the pharmacokinetic profiles of all the prepared formulations. The obtained in vivo release profiles showed the same rank order as the in vitro release profiles but with low burst release and overall faster in vivo release rates. The low in vivo burst release is considered to be due to the masking effect of the absorption phase from the intramuscular site, and this complicated the development of an IVIVC. Despite these challenges, an affirmative Level A IVIVC over the entire release profile was successfully developed in a rabbit model for peptide microspheres for the first time. The developed IVIVC was also predictive of the RLD product, Lupron Depot® This work highlights the feasibility of developing IVIVCs for complex parenteral drug products such as peptide microspheres. In conclusion, these results indicate the sensitivity of peptide release, and hence, the safety and efficacy of highly potent peptide microspheres, to minor manufacturing changes. Accordingly, development of IVIVCs for such complex drug products is highly desirable.
与小分子负载的 PLGA 微球产品相比,肽负载的 PLGA 微球产品在制造、药物释放特性和释放机制方面更为复杂。这是由于肽的复杂结构、其亲水性、荷电性、较大的尺寸和潜在的不稳定性。此外,治疗肽具有很高的效力,因此,微球释放曲线的任何意外变化都可能导致不良的副作用和毒性。因此,本工作的目的是:1)评估微小制造变化对肽微球质量和性能的影响;2)研究开发肽微球的一级体内-体外相关性(IVIVC)的可行性。用微小制造变化(溶剂系统/均化速度)制备的组成相当的醋酸亮丙瑞林(LA)微球在其物理化学性质(如孔径、总孔隙率、粒径和肽在制备微球上的表面分布)方面表现出显著差异。这反过来又导致释放特性的显著改变。进行了肽-聚合物相互作用、体外降解和微球形态学研究,以帮助理解药物释放特性的差异。使用兔模型来确定所有制备制剂的药代动力学曲线。体内释放曲线与体外释放曲线具有相同的等级顺序,但突释较低,体内释放速率总体较快。体内低突释被认为是由于肌肉内部位的吸收阶段的掩蔽效应,这使得 IVIVC 的开发复杂化。尽管存在这些挑战,但首次成功地在兔模型中为肽微球开发了一个肯定的 A 级整个释放曲线的 IVIVC。所开发的 IVIVC 也可预测 RLD 产品,即 Lupron Depot®。这项工作强调了为肽微球等复杂的注射药物产品开发 IVIVC 的可行性。总之,这些结果表明,肽释放的敏感性,以及因此,高效力的肽微球的安全性和有效性,对微小的制造变化很敏感。因此,对于此类复杂药物产品,开发 IVIVC 是非常可取的。