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基于生理的生物药剂学模型用于 Gefapixant IR 制剂的开发和定义生物等效性溶出安全范围。

Physiologically Based Biopharmaceutics Modeling for Gefapixant IR Formulation Development and Defining the Bioequivalence Dissolution Safe Space.

机构信息

Pharmaceutical Sciences, MRL, Merck & Co., Inc, Rahway, NJ, 07065, USA.

Clinical Pharmacology and Pharmacometrics, Janssen Research & Development, Raritan, NJ, USA.

出版信息

AAPS J. 2024 Jun 11;26(4):69. doi: 10.1208/s12248-024-00938-2.

Abstract

Gefapixant is a weakly basic drug which has been formulated as an immediate release tablet for oral administration. A physiologically based biopharmaceutics model (PBBM) was developed based on gefapixant physicochemical properties and clinical pharmacokinetics to aid formulation selection, bioequivalence safe space assessment and dissolution specification settings. In vitro dissolution profiles of different free base and citrate salt formulations were used as an input to the model. The model was validated against the results of independent studies, which included a bioequivalence and a relative bioavailability study, as well as a human ADME study, all meeting acceptance criteria of prediction errors ≤ 20% for both Cmax and AUC.  PBBM was also applied to evaluate gastric pH-mediated drug-drug-interaction potential with co-administration of a proton pump inhibitor (PPI), omeprazole. Model results showed good agreement with clinical data in which omeprazole lowered gefapixant exposure for the free base formulation but did not significantly alter gefapixant pharmacokinetics for the citrate based commercial drug product. An extended virtual dissolution bioequivalence safe space was established.  Gefapixant drug product batches are anticipated to be bioequivalent with the clinical reference batch when their dissolution is > 80% in 60 minutes. PBBM established a wide dissolution bioequivalence space as part of assuring product quality.

摘要

格非帕昔特是一种弱碱性药物,已被制成口服的即释片剂。根据格非帕昔特的理化性质和临床药代动力学特征,建立了生理相关的生物药剂学模型(PBBM),以辅助选择制剂、评估生物等效性安全范围和制定溶出度规格。不同游离碱和柠檬酸盐制剂的体外溶出曲线被用作模型的输入。该模型通过独立研究的结果进行了验证,这些研究包括生物等效性和相对生物利用度研究以及人体 ADME 研究,所有这些研究的预测误差均符合接受标准,即 Cmax 和 AUC 的预测误差均≤20%。PBBM 还用于评估质子泵抑制剂(PPI)奥美拉唑与格非帕昔特共给药时的胃内 pH 介导的药物相互作用潜力。模型结果与临床数据吻合良好,奥美拉唑降低了游离碱制剂的格非帕昔特暴露,但对基于柠檬酸盐的商业药物产品的格非帕昔特药代动力学没有显著影响。建立了扩展的虚拟溶出度生物等效性安全范围。当药物产品的溶出度在 60 分钟内超过 80%时,预计与临床参考批次具有生物等效性。PBBM 建立了广泛的溶出度生物等效性范围,作为确保产品质量的一部分。

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