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关于使用药典溶出度测试和生理药代动力学(PBPK)模型对口服剂型生物等效性进行前瞻性预测的评论与综述

Commentary and Review on Prospective Prediction of Bioequivalence of Oral Dosage Forms using Compendial Dissolution Testing and PBPK Modeling.

作者信息

Sagawa Kazuko, Thipsay Priyanka

机构信息

Pharmaceutical Science, Pfizer Worldwide Research and Development, 445 Eastern Point Road, Groton, Connecticut, 06340, USA.

出版信息

AAPS J. 2025 Sep 3;27(6):136. doi: 10.1208/s12248-025-01125-7.

Abstract

A virtual bioequivalence (VBE) approach utilizing physiologically based pharmacokinetic (PBPK) modeling presents a compelling alternative for pharmaceutical industries. This method can significantly reduce the time and cost associated with clinical bioequivalence (BE) trials while minimizing the risk of detecting a type II error (a false negative), as well as a type I error (a false positive). Additionally, it aligns with ethical considerations by obviating the need to expose healthy volunteers to investigational drugs. To secure a biowaiver through the VBE approach, it is essential to translate compendial in vitro dissolution data into pharmacokinetic (PK) parameters using PBPK modeling to evaluate BE. This article reflects three concepts: compendial dissolution test, PBPK modeling, and BE, reviewing their historical development and current research. It highlights the gaps and challenges and discusses potential future opportunities to strengthen clear linkage among three concepts. A deeper understanding of the mechanisms and mathematical translation of dosage form disintegration and API particle dissolution can enhance the prediction of dosage form performance in both in vivo and in vitro settings. Future advancement of PBPK modeling should incorporate these developments to improve confidence in correlating compendial dissolution data with quantitative risk assessments of BE outcomes.

摘要

一种利用基于生理的药代动力学(PBPK)建模的虚拟生物等效性(VBE)方法为制药行业提供了一种极具吸引力的替代方案。这种方法可以显著减少与临床生物等效性(BE)试验相关的时间和成本,同时将检测II类错误(假阴性)以及I类错误(假阳性)的风险降至最低。此外,它通过避免让健康志愿者接触试验药物符合伦理考量。要通过VBE方法获得生物豁免,使用PBPK建模将药典体外溶出数据转化为药代动力学(PK)参数以评估生物等效性至关重要。本文反映了三个概念:药典溶出度试验、PBPK建模和生物等效性,回顾了它们的历史发展和当前研究。它突出了差距和挑战,并讨论了加强这三个概念之间明确联系的潜在未来机遇。对剂型崩解和原料药颗粒溶解的机制及数学转化有更深入的理解,可以提高在体内和体外环境中对剂型性能的预测。PBPK建模的未来进展应纳入这些发展,以提高将药典溶出数据与生物等效性结果的定量风险评估相关联的可信度。

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