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Journal of Bioequivalence & Bioavailability最新文献

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Bioequivalence Guidelines Requirements for Orally Administered Generics (IR Products) in Gulf Cooperation Council Countries, European Union and United States of America 海湾合作委员会国家、欧盟和美利坚合众国口服非专利药(IR产品)的生物等效性指南要求
Pub Date : 2019-01-01 DOI: 10.35248/0975-0851.19.11.387
E. Elangovan
The importance of the bioequivalence requirements is increasing in the GCC (Gulf Cooperation Council) region pertaining towards the growth of generic drug market. GCC bioequivalence guidelines describes the requirements for bioequivalence study as per this region regulatory requirements. This review article mainly focuses on bioequivalence study requirements in the Gulf Cooperation Council countries, European union countries and the United States of America that needs to be fulfilled in order to successfully submit a generic application. This comparison includes the bioequivalence approaches such as study design, sample size, study condition, pharmacokinetic parameters, statistical analysis, narrow therapeutic index drugs, highly variable drug products and BCS based bio waiver requirements. The rationale for this article is to give prompt overview on the bioequivalence requirements in these region and in comparison with well-established regulatory such as USFDA and EMA. In addition, it also highlights the possibilities for harmonization.
随着仿制药市场的增长,海湾合作委员会区域生物等效性要求的重要性正在增加。GCC生物等效性指南描述了根据该地区法规要求进行生物等效性研究的要求。这篇综述文章主要关注海湾合作委员会国家、欧盟国家和美国的生物等效性研究要求,这些要求需要满足才能成功提交仿制药申请。这种比较包括生物等效性方法,如研究设计、样本量、研究条件、药代动力学参数、统计分析、窄治疗指数药物、高度可变的药物产品和基于BCS的生物豁免要求。本文的基本原理是及时概述这些地区的生物等效性要求,并与USFDA和EMA等完善的监管机构进行比较。此外,它还强调了协调的可能性。
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引用次数: 4
Biopharmaceutics Classification System (BCS) Based Biowaiver Studies of Lenalidomide Capsules (25 mg) – An Alternative to In vivo Bioequivalence Studies for Generic Oncology Drug Products 基于生物制药分类系统(BCS)的来那度胺胶囊(25mg)的生物释放研究——非专利肿瘤药物体内生物等效性研究的替代方案
Pub Date : 2019-01-01 DOI: 10.4172/0975-0851.1000386
AlSwisi Mahmoud, Boujbel Lassaad, Boujbel Mohamed Amine
Lenalidomide, commercialized as Revlimid®, is an immunomodulatory drug, approved as a therapy for Multiple Myeloma and deletion 5q Myelodysplastic syndromes. This molecule shows a promising therapeutic potential in other hematologic malignancies. According to the European Medicines Agency (EMA), lenalidomide is considered as a fully absorbed drug substance, however, there is no sufficient data on solubility that enables its BCS classification. Therefore, as per the International Council for Harmonization (ICH) guideline, a solubility study has been done by Les Laboratoires Medis to prove that lenalidomide is a highly soluble compound. This demonstration requires the investigation in different buffer solutions within the range of pH 1- 6.8 (including pKa) at 37 ± 1°C and we have proceeded with a nominal concentration (1.0 mg/ml) which represent ten times the target concentration (0.1 mg/ml). The main reason of conducting this study is to evaluate the possibility of a BCS-based biowaiver for the consent of a generic oncology drug product unescorted by any further in vivo bioequivalence (BE) studies, also, to prove that Lenalidomide can be classified as highly soluble and highly permeable, i.e., BCS class I. The objective of establishing the BCS-based biowaiver procedure is to minimize the need for in vivo BE studies, that would reduce the exposure of healthy volunteers to oncology drugs such as lenalidomide, to prove BE. The test product and Revlimid were evaluated by in vitro methods as stated by ICH guidelines in three dissolution buffers: pH 1.2, 4.5, and 6.8, and QC release medium. The obtained results revealed that both, the test product and Revlimid have exhibited a very rapid dissolution rate (i.e. >85% in 15 min) in all dissolution buffers which infers that the test product complies with the similarity requirements for comparative dissolution testing versus the reference product. It is concluded that lenalidomide 25 mg capsules test product is bioequivalent to reference product using BCS biowaiver.
来那度胺(Lenalidomide)是一种免疫调节药物,被批准用于治疗多发性骨髓瘤和缺失5q骨髓增生异常综合征。该分子在其他血液系统恶性肿瘤中显示出良好的治疗潜力。根据欧洲药品管理局(EMA),来那度胺被认为是一种完全吸收的药物物质,然而,没有足够的溶解度数据来支持其BCS分类。因此,根据国际协调理事会(ICH)的指导方针,Les Laboratoires Medis进行了一项溶解度研究,以证明来那度胺是一种高可溶性化合物。该演示需要在37±1°C的pH 1- 6.8(包括pKa)范围内的不同缓冲溶液中进行研究,我们使用标称浓度(1.0 mg/ml)进行研究,该浓度代表目标浓度(0.1 mg/ml)的十倍。开展本研究的主要原因是评估在没有进一步体内生物等效性(BE)研究的情况下,以BCS为基础的生物豁免剂获得肿瘤仿制药批准的可能性,同时证明来那度胺可以被归类为高溶性和高渗透性,即BCS i类。建立BCS为基础的生物豁免程序的目的是最大限度地减少体内BE研究的需要。这将减少健康志愿者对肿瘤药物的暴露,如来那度胺,以证明BE。根据ICH指南,在pH为1.2、4.5和6.8的三种溶出缓冲液和QC释放介质中,通过体外方法对测试品和Revlimid进行评估。获得的结果显示,测试产品和Revlimid在所有溶出缓冲液中都表现出非常快的溶出率(即15分钟内达到85%),这表明测试产品与参比产品符合比较溶出度测试的相似性要求。结论来那度胺25mg胶囊试验品与对照品具有生物等效性。
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引用次数: 0
Single Dose Bioequivalence Study of Two Rivaroxaban Tablet Formulations, Administered Orally after Being Crushed and Suspended in Apple Puree 两种利伐沙班片在苹果泥中粉碎悬浮后口服的单剂量生物等效性研究
Pub Date : 2019-01-01 DOI: 10.35248/0975-0851.19.11.388
Simona Nicoleta Duna, Adrian Ghita, Adelina Ciuciuleaca, Irene Manzanera, David Puibert, S. Rizea‐Savu
The bioavailability of an active substance might be altered when a solid oral dosage form (SODF) is crushed or disintegrated and mixed with fluids or food in order to assist swallowing. In consequence, the current European Medicines Agency (EMA) practice is to request comparative bioavailability testing for bridging safety and efficacy data from a formulation administered whole to the same product administered crushed. Specific criteria for waiving in vivo testing of crushed products are available only for BCS Class I and Class III drugs. Since rivaroxaban is a Class II drug which can be administered crushed and mixed with fluids, any generic formulation has to be tested against the originator in this setting. Therefore, an open label, randomized, single dose, two-period, two-sequence, crossover bioequivalence study with administration of rivaroxaban 10 mg crushed tablets suspended in apple puree was conducted in 24 fasting healthy volunteers. Both rivaroxaban treatments were well tolerated by the study subjects. A standardized, dose efficient and fully reproducible protocol for grinding, mixing and administering investigational medicinal products was developed and applied. Assessment of bioequivalence was based on plasma concentrations of parent rivaroxaban, quantified using a validated HPLC/ MS/MS method. The 90% confidence intervals for Cmax and AUC0-t least square mean T/R ratios were within the bioequivalence acceptance range of 80% to 125%. Results from the present study reinforced the bioequivalence conclusion reached for the same test and reference products following administration of whole tablets in fasting state. No notable changes in bioavailability occurred when rivaroxaban tablets were crushed, immediately dispensed in 70 mL apple puree and quantitatively (entire dose recovered) administered to fasting volunteers.
当固体口服剂型(SODF)被压碎或分解并与液体或食物混合以辅助吞咽时,活性物质的生物利用度可能会改变。因此,目前欧洲药品管理局(EMA)的做法是要求进行比较生物利用度测试,以连接从整体给药到同一产品碾碎给药的安全性和有效性数据。放弃粉碎产品体内试验的具体标准仅适用于BCS I类和III类药物。由于利伐沙班是II类药物,可以粉碎并与液体混合使用,因此任何仿制制剂都必须在这种情况下与原研药进行对照试验。因此,在24名空腹健康志愿者中进行了一项开放标签、随机、单剂量、两期、两顺序、交叉的利伐沙班10 mg苹果泥混悬碎片生物等效性研究。研究对象对两种利伐沙班治疗均有良好的耐受性。制定并应用了标准的、剂量有效的和完全可复制的研磨、混合和给药试验药品的方案。生物等效性评估基于母体利伐沙班的血浆浓度,采用高效液相色谱/质谱/质谱法定量。Cmax和AUC0-t最小二乘平均T/R比的90%置信区间在80% ~ 125%的生物等效性可接受范围内。本研究的结果加强了同一试验品和参比品在禁食状态下服用整片后的生物等效性结论。将利伐沙班片压碎后,立即配入70ml苹果泥中,定量(全剂量回收)给空腹志愿者服用,生物利用度无明显变化。
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引用次数: 2
A Semi-physiologically Based Model for Methylphenidate Pharmacokinetics in Adult Humans 成人哌甲酯药代动力学的半生理学模型
Pub Date : 2019-01-01 DOI: 10.35248/0975-0851.19.11.390
A. Jackson
To determine if a literature-sourced physiological model for immediate-release (IR) methylphenidate (MPH), with addition of parameters for extended-release (ER) absorption can be adapted for NONMEM analysis to describe extended-release MPH drug products (i.e., Concerta® ER 54 mg tablets and Ritalin-LA® 40 mg capsules) pharmacokinetics (PK) in adults. This semi-physiological model will provide a platform to allow more accurate determination of Cmax in the analysis of methylphenidate plasma data from formulations with complex absorption. Adult reference data for total MPH plasma levels (summation of d- and l- enantiomers) were generated using individual subject parameters from a published NONMEM model for ER MPH (individual subject parameter generated data was used because the true experimental data is proprietary with only the previously-published summary parameters available for public use). The IR physiological model required analysis of both d- and l-MPH enantiomers which were estimated at each time point for the data by calculating the d/l enantiomer ratio from total MPH plasma concentration levels, based upon literature ratio estimates. Absorption was characterized by a fast zero-order and a delayed slow first-order release. Consistent with the literature IR model, two duplicate physiological models were used to describe the d- and l-MPH enantiomers. The mean and variability ratios for the individual subject parameter-generated data/true experimental data were very close to 1.0. The predictive performance of the absorption-modified physiological model and its disposition parameters were demonstrated, as they described both the Concerta® and Ritalin LA® PK and Cmax values very well. The bias was less than 6% for Concerta® peaks while peak 1 for d-Ritalin LA® was 12.9% and peak 2, 7.5%. The IR MPH physiological model, adapted for NONMEM analyses of the ER MPH drug products Concerta® and Ritalin LA® described the individual parameter-generated reference data well for both formulations.
为了确定文献来源的盐酸哌甲酯(MPH)速释(IR)生理模型,以及添加的缓释(ER)吸收参数是否适用于NONMEM分析,以描述盐酸哌甲酯缓释产品(即Concerta®ER 54 mg片剂和Ritalin-LA®40 mg胶囊)在成人中的药代动力学(PK)。该半生理模型将提供一个平台,允许更准确地测定Cmax,以分析复方哌甲酯血浆数据。总MPH血浆水平的成人参考数据(d-和l-对映体的总和)是使用来自已发表的ER MPH NONMEM模型的个体受试者参数生成的(使用个体受试者参数生成的数据是因为真实的实验数据是专有的,只有先前发表的摘要参数可供公众使用)。红外生理模型需要分析d-和l-MPH对映体,这些对映体在每个时间点的数据通过计算总MPH血浆浓度水平的d/l对映体比率来估计,基于文献比率估计。吸收的特点是快速的零阶释放和延迟的一阶缓慢释放。与文献IR模型一致,我们使用了两个重复的生理模型来描述d-和l-MPH对映体。个体受试者参数生成数据/真实实验数据的平均值和变异性比率非常接近1.0。吸收修饰生理模型及其配置参数的预测性能得到了证明,因为它们可以很好地描述Concerta®和Ritalin LA®的PK和Cmax值。Concerta®峰的偏倚小于6%,而d-Ritalin LA®峰1的偏倚为12.9%,峰2的偏倚为7.5%。红外MPH生理模型适用于ermph药物产品Concerta®和Ritalin LA®的NONMEM分析,该模型很好地描述了两种制剂的单个参数生成的参考数据。
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引用次数: 0
Biobetters vs. Biosimilars: Opportunities, threats & strategic implications 生物改良药与生物仿制药:机遇、威胁和战略影响
Pub Date : 2018-12-14 DOI: 10.4172/0975-0851-c2-035
G. Bell
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引用次数: 0
Pharmacists role in helping patients with biosimilars, education, adherence, and appropriate monitoring 药剂师在帮助患者使用生物仿制药、教育、依从性和适当监测方面的作用
Pub Date : 2018-12-14 DOI: 10.4172/0975-0851-C2-036
P. Iqbal, Mahmood Ahmadp
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引用次数: 0
Relative bioavailability of Rolapitant tablets compared with Rolapitant capsules and the effect of food on Rolapitant pharmacokinetics in healthy subjects 罗拉匹坦片剂与胶囊的相对生物利用度比较及食物对健康受试者罗拉匹坦药代动力学的影响
Pub Date : 2018-05-04 DOI: 10.4172/0975-0851-C1-032
Xiaodong Wang
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引用次数: 0
Heuristic approaches for IVIVC Level A IVIVC A级的启发式方法
Pub Date : 2018-05-04 DOI: 10.4172/0975-0851-C1-033
Aleks, er Mendyk
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引用次数: 0
Investigation of Intestinal Absorption Enhancers: Individual vs. Blends with the Carbamoylphosphonate JS403 肠道吸收促进剂的研究:单独与与氨基甲酰膦酸盐JS403混合
Pub Date : 2018-03-06 DOI: 10.4172/0975-0851.1000372
Reut Bitton, Marina Tsuriel, R. Suresh, E. Breuer, R. Reich, A. Hoffman
JS403 is a carbamoylphosphonate (CPO) molecule that showed anti-metastatic properties in mice. Since JS403 is intended to be a chronic prophylactic drug, the preferred route of administration should be oral. However, it exhibits poor oral bioavailability of less than 1%. The poor intestinal permeability and high solubility implies its classification as BCS class III drug. The aim of this study was to overcome the limited intestinal permeation of JS403 that is regarded as an unmet need in the pharmaceutical industry for this class of drugs. Therefore, the impact of acceptable absorption enhancers on the intestinal permeability of JS403 were examined using established experimental models. The absorption enhancers were: I) sodium caprate (C10), II) sodium deoxycholate (SDC) and III) mono-carboxymethylated chitosan (MCC). The effect of each enhancer was examined alone and also in combinations. In-vitro permeability through enterocytes monolayer was studied using the Caco-2 model, while the oral bioavailability was determined by using the freely moving rat model. The results of this investigation showed that while the use of a single absorption enhancer had no effect on JS403 permeability, the combination of C10 and sodium deoxycholate increased the permeability of JS403 by 10-fold in the in-vitro model. In addition, this blend showed a 2-fold elevation in JS403 oral bioavailability. Both in-vitro and in-vivo results highlight the synergistic potential of the combined enhancers C10 and sodium deoxycholate in enhancing oral bioavailability of BCS class III medications.
JS403是一种氨基甲酰膦酸盐(CPO)分子,在小鼠中显示出抗转移特性。由于JS403是一种慢性预防药物,首选的给药途径应该是口服。然而,口服生物利用度不足1%。其肠通透性差,溶解度高,属于BCS III类药物。本研究的目的是克服JS403有限的肠道渗透,这被认为是制药行业对该类药物的未满足需求。因此,我们使用已建立的实验模型来检测可接受吸收促进剂对JS403肠道通透性的影响。吸收促进剂为:1)癸酸钠(C10), 2)脱氧胆酸钠(SDC)和3)单羧甲基化壳聚糖(MCC)。每种增强剂的作用分别被单独和联合检测。采用Caco-2模型研究其通过肠细胞单层的体外渗透性,采用自由活动大鼠模型测定其口服生物利用度。本研究结果显示,使用单一吸收增强剂对JS403的通透性没有影响,而C10和脱氧胆酸钠联合使用可使体外模型JS403的通透性提高10倍。此外,该混合物的JS403口服生物利用度提高了2倍。体外和体内实验结果均显示了C10和脱氧胆酸钠联合增强剂在提高BCS III类药物口服生物利用度方面的协同潜力。
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引用次数: 3
Analgesic Action by Neuroleptics in Diabetic State 抗精神病药对糖尿病患者的镇痛作用
Pub Date : 2018-03-05 DOI: 10.4172/0975-0851.1000373
S. Kashif, S. Naeem, Nausheen Alam Sarosh, M. Khan
Purpose: To assess the analgesic role of neuroleptics in hyperglycemic state. Methods: Amytryptiline and carbamazepine were selected for study. This study was carried out at Pharmacology lab, Institute of Research Pharmaceutical sciences, University of Karachi, and comprised of male and female mice, half of which were made diabetic by giving Alloxan. The objective of this study is to monitor the effects of neuroactive agents on analgesic activity in hyperglycemic mice. Results: It was observed that Amytryptiline exhibited highly significant analgesic effect in normal as compared to diabetic subjects. It was also observed that both amytryptiline and carbamazepine produce more rapid onset of action and longer duration of action in normal animals when compared with diabetic animals. Conclusion: The present work on normal and diabetic animals show that both Carbamazepine and Amytryptiline in normal animals produce rapid onset and longer duration of action when compared with diabetic animals.
目的:探讨抗精神病药对高血糖状态的镇痛作用。方法:选择Amytryptiline和卡马西平进行研究。本研究在卡拉奇大学药物科学研究所药理学实验室进行,由雄性和雌性小鼠组成,其中一半小鼠通过给予四氧嘧啶使其患上糖尿病。本研究的目的是监测神经活性药物对高血糖小鼠镇痛活性的影响。结果:正常人与糖尿病人相比,Amytryptiline具有非常显著的镇痛作用。还观察到,与糖尿病动物相比,amytryptiline和carbamazepine在正常动物中产生更快的起效和更长的作用持续时间。结论:目前对正常动物和糖尿病动物的研究表明,卡马西平和Amytryptiline在正常动物中均比糖尿病动物起效快,作用时间长。
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引用次数: 0
期刊
Journal of Bioequivalence & Bioavailability
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