University of Connecticut, School of Pharmacy, Storrs, CT 06269, USA.
University of Connecticut, School of Pharmacy, Storrs, CT 06269, USA.
Int J Pharm. 2022 Jun 25;622:121840. doi: 10.1016/j.ijpharm.2022.121840. Epub 2022 May 17.
Long-acting injectable (LAI) suspensions are complex parenterals intended to control drug release over a duration of weeks to months. Any unpredictive drug release behavior may cause serious side effects. Therefore, it is important to understand the in vitro and in vivo performance, as well as the in vitro-in vivo correlation (IVIVC) of these products. There are some US FDA recommended in vitro release testing methods for LAI suspensions. However, the release duration of all the recommended methods is less than two days which may not be appropriate for the establishment of IVIVCs for LAIs considering that their in vivo efficacies range from weeks to months. To develop in vitro release testing methods that may better correlate with in vivo release with longer durations, three compositionally equivalent medroxyprogesterone acetate suspensions were prepared with different particle size, using Depo-SubQ Provera 104® as the reference listed drug (RLD). Four different methods based on USP apparatus 2 (with dialysis sacs, enhancer cells or in-house designed devices) and USP apparatus 4 (with semisolid adapters) were utilized. USP apparatus 2 with enhancer cells and USP apparatus 4 with semisolid adapters showed the best discriminatory ability and reproducibility for the LAI suspensions investigated.
长效注射混悬剂(LAI)是一种复杂的注射剂,旨在控制药物在数周到数月的时间内释放。任何不可预测的药物释放行为都可能导致严重的副作用。因此,了解这些产品的体外和体内性能以及体外-体内相关性(IVIVC)非常重要。美国 FDA 推荐了一些用于 LAI 混悬剂的体外释放测试方法。然而,所有推荐方法的释放持续时间都不到两天,对于建立 LAI 的 IVIVC 来说可能不太合适,因为它们的体内疗效范围为数周到数月。为了开发与体内释放具有更长持续时间更好相关的体外释放测试方法,使用 Depo-SubQ Provera 104®作为参比制剂(RLD),制备了三种组成等效的醋酸甲羟孕酮混悬剂,粒径不同。使用 USP 仪器 2(带透析袋、增强细胞或内部设计的装置)和 USP 仪器 4(带半固体适配器)的四种不同方法进行了研究。USP 仪器 2 带增强细胞和 USP 仪器 4 带半固体适配器对所研究的 LAI 混悬剂显示出最佳的区分能力和重现性。