Division of Biopharmaceutics, Office of New Drug Products, Office of Pharmaceutical Quality (OPQ), Center for Drug Evaluation and Research, Food and Drug Administration (FDA), Silver Spring, Maryland, USA.
New Modalities and Parenteral Development, Pharmaceutical Technology & Development, Operations, AstraZeneca, Macclesfield, UK.
Pharm Res. 2022 Aug;39(8):1681-1700. doi: 10.1007/s11095-022-03280-4. Epub 2022 May 18.
The use of physiologically based pharmacokinetic (PBPK) modeling to support the drug product quality attributes, also known as physiologically based biopharmaceutics modeling (PBBM) is an evolving field and the interest in using PBBM is increasing. The US-FDA has emphasized on the use of patient centric quality standards and clinically relevant drug product specifications over the years. Establishing an in vitro in vivo link is an important step towards achieving the goal of patient centric quality standard. Such a link can aid in constructing a bioequivalence safe space and establishing clinically relevant drug product specifications. PBBM is an important tool to construct a safe space which can be used during the drug product development and lifecycle management. There are several advantages of using the PBBM approach, though there are also a few challenges, both with in vitro methods and in vivo understanding of drug absorption and disposition, that preclude using this approach and therefore further improvements are needed. In this review we have provided an overview of experience gained so far and the current perspective from regulatory and industry point of view. Collaboration between scientists from regulatory, industry and academic fields can further help to advance this field and deliver on promises that PBBM can offer towards establishing patient centric quality standards.
将基于生理学的药代动力学(PBPK)建模用于支持药物产品质量属性,也称为基于生理学的生物药剂学建模(PBBM),是一个不断发展的领域,人们对使用 PBBM 的兴趣日益增加。多年来,美国 FDA 一直强调使用以患者为中心的质量标准和与临床相关的药物产品规格。建立体内外关联是实现以患者为中心的质量标准目标的重要步骤。这种关联有助于构建生物等效性安全空间并建立与临床相关的药物产品规格。PBBM 是构建安全空间的重要工具,可用于药物产品开发和生命周期管理。尽管在体外方法和体内药物吸收和处置的理解方面存在一些挑战,但使用这种方法也存在一些优势,因此需要进一步改进。在这篇综述中,我们提供了迄今为止获得的经验概述,以及监管机构和行业目前的观点。来自监管、行业和学术界的科学家之间的合作可以进一步帮助推进这一领域的发展,并实现 PBBM 在建立以患者为中心的质量标准方面所能提供的承诺。