Boddu Rajkumar, Vadla Harikiran Chary, Prathap Vamshi Ramana, Kothamasu Umamaheshwar, Rallabandi Balaramesha Chary, Gannu Ramesh
Product Development, AET Laboratories Pvt. Ltd, Sangareddy District, Telangana State, India
Clinical Department, AET Laboratories Pvt. Ltd, Sangareddy District, Telangana State, India
Turk J Pharm Sci. 2021 Apr 20;18(2):233-241. doi: 10.4274/tjps.galenos.2020.60863.
The objective of this study was to establish and validate an correlation (IVIVC). To investigate the safety of a fixed-dose combination (FDC) versus the reference formulations (Januvia 100 mg Filmtabletten co-administered with Glucophage SR 1000 mg prolonged-release tablets), a bioequivalence study was conducted in the fasted and fed states, and the data generated were used to establish the correlation.
The formulations used in the bioequivalence study were a FDC (sitagliptin hydrochloride equivalent to 100 mg of sitagliptin and metformin hydrochloride 1000 mg prolonged release) and Januvia 100 mg co-administered with Glucophage SR 1000 mg. The plasma profiles from the bioequivalence study and respective dissolution data were then utilized to establish "level A" IVIVC. The procedure comprises pharmacokinetic modeling to derive the empirical constants for further use in deconvolution and convolution procedures. Levy plots were constructed to understand the relationship between and properties. The internal and external predictabilities were evaluated by comparing the predicted pharmacokinetics with the observed values from the bioequivalence study.
The formulations showed approximately 91%-95% and 89%-91% dissolution, respectively in fasted and fed-state dissolution media for sitagliptin. The dissolution of metformin was 96%-98% and 89%-95%, respectively, in fasted and fed-state media. The regression coefficients of all the Levy plots were more than 0.900, indicating a linear correlation between release and parameters. The prediction error value of internal and external predictabilities was below 10 and met the US Food and Drug Administration criteria. Therefore, it can be stated that the correlation models are validated and can be used for predictions and to setting the dissolution specifications. The safety and tolerability of the FDC was found to be superior to those of the reference formulations, as fewer adverse events occurred following administration of the FDC.
Correlation models can be useful for the prediction of FDCs during the management life cycle of the product. The models can also serve as a surrogate for studies. The FDC was tolerable, and the adverse events were mild and similar to those observed with the reference products. Therefore, the FDC is safe for use in human subjects.
本研究的目的是建立并验证体内-体外相关性(IVIVC)。为了研究固定剂量复方制剂(FDC)与参比制剂(与1000mg缓释二甲双胍片联用的100mg捷诺维薄膜衣片)的安全性,在空腹和进食状态下进行了生物等效性研究,并利用所产生的数据来建立相关性。
生物等效性研究中使用的制剂为一种FDC(相当于100mg西他列汀的盐酸西他列汀和1000mg缓释二甲双胍)以及与1000mg缓释二甲双胍联用的100mg捷诺维。然后利用生物等效性研究的血浆图谱和各自的溶出数据来建立“A级”IVIVC。该程序包括药代动力学建模以推导经验常数,供后续在反卷积和卷积程序中使用。构建列维图以了解体外和体内性质之间的关系。通过将预测的药代动力学与生物等效性研究的观测值进行比较,评估内部和外部预测性。
在空腹和进食状态的溶出介质中,西他列汀的制剂溶出度分别约为91%-95%和89%-91%。二甲双胍在空腹和进食状态介质中的溶出度分别为96%-98%和89%-95%。所有列维图的回归系数均大于0.900,表明体外释放与体内参数之间呈线性相关。内部和外部预测性的预测误差值均低于10,符合美国食品药品监督管理局的标准。因此,可以认为相关性模型得到了验证,可用于预测和设定溶出度标准。发现FDC的安全性和耐受性优于参比制剂,因为服用FDC后发生的不良事件较少。
相关性模型在产品管理生命周期中对FDC的预测可能有用。这些模型也可作为体内研究的替代方法。FDC耐受性良好,不良事件轻微,与参比产品观察到的情况相似。因此,FDC用于人体受试者是安全的。