Bioavailability Dr. Basavaraj K. Nanjwade M. Pharm., Ph. D Department of Pharmaceutics Faculty of Pharmacy Omer Al-Mukhtar University Tobruk, Libya. E-mail: [email protected] 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk,
Download ReportTranscript Bioavailability Dr. Basavaraj K. Nanjwade M. Pharm., Ph. D Department of Pharmaceutics Faculty of Pharmacy Omer Al-Mukhtar University Tobruk, Libya. E-mail: [email protected] 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk,
Bioavailability Dr. Basavaraj K. Nanjwade M. Pharm., Ph. D Department of Pharmaceutics Faculty of Pharmacy Omer Al-Mukhtar University Tobruk, Libya. E-mail: [email protected] 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 1 CONTENTS 1. Concept and terminology. 2. Methods of assessing bioavailability. 3. Evaluation and design of a single dose bioequivalency study. 4. Determination of bioavailability and bioequivalency in multiple dose regimen. 5. References. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 2 What is Bioavailability • Bioavailability, Indicates measurement of the rate and extent (amount) of therapeutically active drug that reaches the systemic circulation and is available at the site of action. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 3 Concept of Bioavailability • Rate and extent at which therapeutically active drug reaches systemic circulation. • The fraction of administered dose that reaches the systemic circulation in contrast to that stated on label. • Rate & extent of absorption of unchanged drug from its dosage form. • A measure relative to some standard of rate & amount of drug, which reaches the systemic circulation unchanged following the administration of dosage form. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 4 Why bioavailability studies • FDA requires that the drug product is safe and effective. • Measure of bioavailability: AUC/dose. • Absolute availability: Absolute availability for drugs with approved NDA, bioavailability studies are required for new drug formulations-bioequivalence to the reference formulation. • Relative availability: Relative availability for drugs without full NDA, bioequivalence to the reference drug in the standard formulation. • For determining safety and efficacy of drug product. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 5 Types of Bioavailability Absolute Bioavailability :If the systemic availability of a drug administered orally is determined by doing its comparison with I.V. administration, it is known as absolute bioavailability. AUC extravascular Dose int ravenous F AUC int ravenous Dose extravascular 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 6 Types of Bioavailability Relative Bioavailability :If the systemic availability of a drug administered orally is determined by doing its comparison with that of an oral standard of the same drug, it is known as a relative bioavailability. AUC extravascular1 Dose extravascular 2 Frel AUC extravascular 2 Dose extravascular1 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 7 Types of Bioavailability Range of Bioavailability – 0 to 1. It is usually expressed as percentages (%). An absolute bioavailability of 1 (or 100%) indicates complete absorption. Relative bioavailability of 1 (or 100%) implies that the bioavailability of drug from both the dosage forms is the same but does not indicate the completeness of the systemic drug absorption. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 8 Types of Bioavailability Bioavailability of drug from dosage form depends upon following. Route of administration Patient related factors Physicochemical properties of the drug Characteristics of the dosage form 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 9 Bioavailability • The influence of route of administration on drug’s bioavailability is generally in the following order Parenteral > Oral > Rectal > Topical • Most drugs are administered orally, for reason of stability and convenience. • The dose available to patient – Bioavailable dose. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 10 Plasma concentration Bioavailability i.v. route oral route Time (hours) 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 11 11 Methods of assessing bioavailability • Pharmacokinetic methods ( indirect ) 1. Blood analysis 2. Urinary excretion data • Pharmacodynamic methods ( direct ) 1. Acute pharmacological response 2. Therapeutic response 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 12 Pharmacokinetic methods ( indirect ) 1. Blood analysis • Plasma level time studies or The plasma concentration – time curve or blood level curve. • A direct relationship exists concentration of drug at the site of action & concentration of drug in the plasma. • Serial blood samples are taken after drug administration & analyzed for drug concentration. • A typical blood level curve obtained after oral administration of drug. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 13 Pharmacokinetic methods ( indirect ) 2. Urinary excretion data • The method of determination bioavailability provided that the active ingredient is excreted unchanged in the significant quantity of urine. • The cumulative amount of active drug excreted in urine is directly proportional to extent of systemic drug absorption. • The rate of drug excretion is directly proportional to rate of systemic drug absorption. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 14 Pharmacodynamic methods ( direct ) 1. Acute pharmacological response • Bioavailability can be determined from the acute pharmacologic effect – time curve as well as from dose response graph. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 15 Pharmacodynamic methods ( direct ) 2. Therapeutic response • This method is based on the observing the clinical response to a drug formulation given to a patients suffering from disease for which it is intended to be used. Eg. Anti inflammatory drugs, the reduction in the inflammation is determined. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 16 Pharmacokinetic and Pharmacodynamic Parameters 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 17 Parameters determined Pharmacokinetic parameters • Peak Plasma Concentration (Cmax) • Time of Peak concentration (tmax). • Area Under Curve (AUC) Pharmacodynamics parameters • Minimum Effective Concentration (MEC) / Minimum Inhibitory Concentration (MIC). • Maximum Safe Concentration (MSC) / Maximum Safe Dose (MSD). • Duration of action • Onset of action. • Intensity of action. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 18 AUC or Extent of absorption can be measured by 3 methods 1.Planimeter Instrument for mechanically measuring the area 2. Cut & weigh method AUC is cut & weighed on analytical balance. The weight obtained is converted to proper unit by dividing it by the wt of a unit area of same paper. 3. Trapezoidal method 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 19 AUC or Extent of absorption can be measured by 3 methods 3. Trapezoidal method AUC = ½ ( C1 + C2) (t2 – t1) + ½ (C2 + C3) (t3 – t2) +……. ½ (C n-1 + C n ) (tn – tn-1 ) C = Concentration t = time subscript= sample number AUC = Area Under Curve 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 20 Methods of assessing bioavailability • AUC-Area under curve • Cmax - Maximum concentration • Tmax -Time to maximum concentration 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 21 Bioequivalence - Bioequivalence means pharmaceutical equivalents or pharmaceutical alternatives whose rate and extent of absorption do not show a significant difference when administered at the same molar dose of the therapeutic moiety under similar experimental conditions. - Bioequivalence studies are usually performed to compare the rate and/or extent of absorption of a new drug product or a generic equivalent with that of a recognized standard. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 22 Evaluation and design of a single dose bioequivalency study Dosage forms that are to be evaluated only for bioequivalence purpose. Dosage forms meant for a single dose administration for a therapeutic benefit such as analgesic for relief of headache. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 23 Evaluation and design of a single dose bioequivalency study 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 24 Determination of bioavailability and bioequivalency in multiple dose regimen Dosage forms designed to achieve special release profiles. e.g. time-release products, enteric-coated preparations. Drugs undergoing first pass metabolism. Special dosage regimens such as loading dose. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 25 Determination of bioavailability and bioequivalency in multiple dose regimen Dosage forms designed to achieve special release profiles. e.g. time-release products, enteric-coated preparations. Drugs undergoing first pass metabolism. Special dosage regimens such as loading dose. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 26 Bioavailability and Bioequivalence Two dosage forms are bioequivalent: 2014/03/15 Two dosage forms are not bioequivalent: Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 27 References • “Biopharmaceutics & Pharmacokinetics”, D. M. Brahmankar & Sunil B. Jaiswal, Vallabh Prakashan. • “Text book of Biopharmaceutics & pharmacokinetics”, Dr. Shobharani R. Hiramath. • “Applied Biopharmaceutics & pharmacokinetics”, Leon Shargel & Andrew B.C. • www.google.com 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 28 THANK YOU E-mail: [email protected] 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 29