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用于原位形成药物植入物的体外-体内相关模型。

Towards in vitro - In vivo correlation models for in situ forming drug implants.

机构信息

Department of Pharmaceutical Sciences, University of Connecticut, Storrs, CT 06269, USA.

Department of Neurology, Boston University School of Medicine, Boston, MA 02118, USA.

出版信息

J Control Release. 2024 Aug;372:648-660. doi: 10.1016/j.jconrel.2024.06.058. Epub 2024 Jun 29.

DOI:10.1016/j.jconrel.2024.06.058
PMID:38936743
Abstract

In vitro-In vivo correlation (IVIVC) is a main focus of the pharmaceutical industry, academia and the regulatory sectors, as this is an effective modelling tool to predict drug product in vivo performance based on in vitro release data and serve as a surrogate for bioequivalence studies, significantly reducing the need for clinical studies. Till now, IVIVCs have not been successfully developed for in situ forming implants due to the significantly different in vitro and in vivo drug release profiles that are typically achieved for these dosage forms. This is not unexpected considering the unique complexity of the drug release mechanisms of these products. Using risperidone in situ forming implants as a model, the current work focuses on: 1) identification of critical attributes of in vitro release testing methods that may contribute to differences in in vitro and in vivo drug release from in situ forming implants; and 2) optimization of the in vitro release method, with the aim of developing Level A IVIVCs for risperidone implants. Dissolution methods based on a novel Teflon shape controlling adapter along with a water non-dissolvable glass fiber membrane (GF/F) instead of a water dissolvable PVA film (named as GF/F-Teflon adapter and PVA-Teflon adapter, respectively), and an in-house fabricated Glass slide adapter were used to investigate the impact of: the surface-to-volume ratio, water uptake ratio, phase separation rate (measured by NMP release in 24 h post injection in vitro or in vivo), and mechanical pressure on the drug release patterns. The surface-to-volume ratio and water uptake were shown to be more critical in vitro release testing method attributes compared to the phase separation rate and mechanical pressure. The Glass slide adapter-based dissolution method, which allowed for the formation of depots with bio-mimicking surface-to-volume ratios and sufficient water uptake, has the ability to generate bio-relevant degradation profiles as well as in vitro release profiles for risperidone implants. For the first time, a Level A IVIVC (rabbit model) has been successfully developed for in situ forming implants. Release data for implant formulations with slightly different PLGA molecular weights (MWs) were used to develop the IVIVC. The predictability of the model passed external validation using the reference listed drug (RLD), Perseris®. IVIVC could not be developed when formulations with different PLGA molar ratios of lactic acid to glycolic acid (L/G) were included. The present work provides a comprehensive understanding of the impact of the testing method attributes on drug release from in situ forming implants, which is a valuable practice for level A IVIVC development.

摘要

体外-体内相关性(IVIVC)是制药行业、学术界和监管部门的主要关注点,因为这是一种有效的建模工具,可以根据体外释放数据预测药物产品的体内性能,并作为生物等效性研究的替代方法,显著减少对临床研究的需求。到目前为止,由于原位形成植入物通常实现的体外和体内药物释放曲线显著不同,因此尚未成功开发用于原位形成植入物的 IVIVC。考虑到这些产品的药物释放机制的独特复杂性,这并不意外。本文以利培酮原位形成植入物为模型,重点关注:1)确定体外释放测试方法的关键属性,这些属性可能导致原位形成植入物的体外和体内药物释放存在差异;2)优化体外释放方法,旨在为利培酮植入物开发 A 级 IVIVC。基于新型聚四氟乙烯形状控制适配器和水不可溶玻璃纤维膜(GF/F)而不是水可溶聚乙烯醇膜(分别命名为 GF/F-聚四氟乙烯适配器和 PVA-聚四氟乙烯适配器)的溶解方法,以及内部制造的玻璃载玻片适配器,用于研究:表面积与体积比、吸水率、相分离速率(通过体外或体内注射后 24 小时内 NMP 的释放来测量)和机械压力对药物释放模式的影响。与相分离速率和机械压力相比,表面积与体积比和吸水率被证明是更关键的体外释放测试方法属性。基于玻璃载玻片适配器的溶解方法能够形成具有生物模拟表面积与体积比和足够吸水率的药库,因此能够产生与生物相关的降解曲线以及利培酮植入物的体外释放曲线。首次成功地为原位形成植入物开发了 A 级 IVIVC(兔模型)。使用稍微不同的 PLGA 分子量(MW)的植入物配方的释放数据来开发 IVIVC。该模型的可预测性通过使用参考上市药物(RLD),Perseris®进行的外部验证得到了验证。当包含不同乳酸与羟基乙酸摩尔比(L/G)的 PLGA 的制剂时,无法开发 IVIVC。本工作全面了解了测试方法属性对原位形成植入物药物释放的影响,这对于 A 级 IVIVC 开发是一种有价值的实践。

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