WHO workshop on
description
Transcript of WHO workshop on
Theo Dekker -- Jiaxing, China --September 20072 |
WHO workshop on
Quality, good manufacturing practice and bioequivalence with a focus on antituberculotics
Jiaxing, China
5 to 9 November 2007
Comparative dissolution testingand applications
Theo Dekker, D.Sc.Research Institute for Industrial Pharmacy
North-West University, Potchefstroom, South Africa
Theo Dekker -- Jiaxing, China --September 20073 |
What is dissolution testing?Tablets and capsules (conventional IR)
It measures the portion (%) of the API that1. has been released from tablets/capsules and2. has dissolved in the dissolution medium during
controlled testing conditions within a defined period
– The tablet thus first disintegrates– Then the API will be able to dissolve– Slow disintegration ➜ slow dissolution– The % API dissolved is determined with an appropriate
validated method: UV/VIS, HPLC, AA, GC, etc
Theo Dekker -- Jiaxing, China --September 20074 |
Oral suspensions &powders for oral suspensions
Dissolution also applicable to the following oral preparations
Oral suspensions– Use unit dose (e.g. 5 ml) of well mixed suspenion– Example: Ibuprofen Oral Solution USP
Powders for oral suspensions– Sample: reconstituted suspension– Using unit dose of well-mixed reconstituted suspension
Principle– No disintegration (like tablets) - only rate of API dissolution– Important for APIs of low solubility (BCS)
Theo Dekker -- Jiaxing, China --September 20075 |
GlossarySolid oral dosage forms
Immediate release (IR) typically means that 75% of the API is dissolved within 45 minutes– Rapidly dissolving: ≥ 85% in ≤ 30 minutes– Very rapidly dissolving: ≥ 85% in ≤ 15 minutes
Modified-release dosage forms (consult IntPh, PhEur/BP, USP)– Formulation deliberately changes release (slows down)
• Extended-release (prolonged-release)Slower release throughout the gastro-intestinal tract
• Delayed-release (enteric coated tablets)Resists gastric fluid & disintegrates in intestinal fluid
– Not part of presentation
Theo Dekker -- Jiaxing, China --September 20076 |
What is multi-point dissolution?
In multipoint dissolution– multiple (≥ 3) samples are withdrawn from the dissolution
medium during dissolution testing– at pre-determined time points (intervals) and– each sample is analysed for the % API dissolved
A graph of % API dissolved against time= the dissolution profile
Theo Dekker -- Jiaxing, China --September 20077 |
Multi-point dissolutionExample of dissolution profile
ACTIVE INGREDIENT: CLARITHROMYCINMEDIUM: PHOSPHATE BUFFER pH 6.8
0
20
40
60
80
100
120
0 10 20 30 40 50
WITHDRAWAL TIME IN MINUTES
Dis
solu
tion
(%)
Clarithromycin 250 mg tablets
Theo Dekker -- Jiaxing, China --September 20078 |
Comparative dissolution testingThe principle
Two or more products or batches containing the same API are compared by means of multipoint dissolution
The strength of products / batches may or may not be the same (depending on purpose of test)
The dissolution conditions are similar, e.g.• Apparatus, medium, volume, rotation speed & temperature• Minimize possible experimental differences in conditions
Samples are taken at the same time points and the data (dissolution profiles) compared
Calculations: correct for volume change of dissolution medium
Theo Dekker -- Jiaxing, China --September 20079 |
Comparative dissolution testingExample
ACTIVE INGREDIENT: CLARITHROMYCINMEDIUM: PHOSPHATE BUFFER pH 6.8
0
20
40
60
80
100
120
0 10 20 30 40 50
WITHDRAWAL TIME IN MINUTES
Dis
solu
tion
(%)
PRODUCT B 500 mgPRODUCT B 250 mg
Theo Dekker -- Jiaxing, China --September 200710 |
Comparative dissolution testing
When are dissolution profiles similar?
Theo Dekker -- Jiaxing, China --September 200711 |
Comparative dissolution testingProfile similarity determination
1. If both the test and reference product show more than 85% dissolution within 15 minutes,– the profiles are considered to be similar
• No calculations are required
If this is not the case, apply point 2
2. Calculate the f2 value (similarity factor): – If f2 ≥ 50
• the profiles are regarded similar
Theo Dekker -- Jiaxing, China --September 200712 |
Comparative dissolution testingSimilarity factor f2
n = number of time points
Rt = % API dissolved of reference product at time point x
Tt = % API dissolved of test product at time point x Minimum of 3 time points (zero excluded) 12 units (one / vessel) for each batch (for “official” purposes) Only one measurement should be considered after the comparator
product has reached 85 % dissolution (or asymptote is reached) RSD: ≤ 20% at early time point &
≤ 10% at higher time points
Theo Dekker -- Jiaxing, China --September 200713 |
Comparative dissolution testingf2 calculation – spread-sheet design
Theo Dekker -- Jiaxing, China --September 200714 |
Comparative dissolution testingDissolution conditions (study design)
Apparatus(choice)
• Paddle, 75 (or 50) rpm or • Basket, 100 rpm
Dissolution media(All three media for full comparison)
1. pH 6.8 phosphate buffer2. pH 4.5 acetate buffer3. Buffer pH 1.2 or 0.1 M HCl
Volume of media900 ml or less
Temperature37°C ± 0.5°C
Sampling points10, 15, 20, 30, 45, (60, 120) min. (short intervals)
Units (individual)12 for “official” studies
Theo Dekker -- Jiaxing, China --September 200715 |
Typical time pointsImmediate release tablets (capsules)
Rationale:
1. Condition 1– ≥ 85% dissolution of both products within 15 min.– 15 minute time point thus essential
2. Condition 2, for calculation of f2– a minimum of 3 points are required– Only one measurement should be considered after
85 % dissolution– 20 minute time point thus first possible one
(if 15 minute fails 1st condition)
PointTime
110
215
320
430
545
Theo Dekker -- Jiaxing, China --September 200716 |
Comparative dissolution testingComparison of products
When are the dissolution properties of two products (batches) regarded similar?
When the dissolution profiles are similar– in all three media
• Statements of instability or insolubility are not acceptable, but should be demonstrated / justified (literature?)
Theo Dekker -- Jiaxing, China --September 200717 |
Example 1Determination of similarity of profiles
Example 1-B% API dissolved
Time(min)
Tablet D (Ref)
Tablet E (Test)
10555715727820859130971004510210060102101
f2 required?Yesf2 (n = 3 ?)64 (similar)
Example 1-A% API dissolved
Time(min)
Tablet A (Ref)
Tablet B (Test)
108794159699209999301009945101996010199
f2 required?No, ≥ 85% in 15 minf2 (n = N/A ?)profiles similar
Theo Dekker -- Jiaxing, China --September 200718 |
Example 1 Determination of similarity of profiles (cont.)
Example 1-D% API dissolved
Time(min)
Tablet D(Ref)
Tablet A (Test)
10558715729620859930971004510210160102101
f2 required?Yesf2 (n = 3 ?)31 (not similar)
Example 1-C% API dissolved
Time(min)
Tablet X(Ref)
Tablet Y(Test)
102934153841204750306364458079609591
f2 required?Yesf2 (n = 6 ?)74 (similar)
Theo Dekker -- Jiaxing, China --September 200719 |
Example 2Ciprofloxacin: two batches of same product
Apparatus paddle at 50 rpmMedia: 1 pH 1.2 HCl solution (900 ml)
2 pH 4.5 acetate buffer (900 ml) 3 pH 6.8 phosphate buffer (900 ml)
Temp.: 37°C ± 0.5°C (start, middle, end)Units: Twelve tablets per medium, each batchSampling: Manual, through in-line filter (0.45 μm PVDF)
at 10, 15, 20, 30 and 45 minutesAnalysis: HPLC
ProductManufacturerBatch NrExpiry dateStatusCipro 500ABC Ltdxxx06/2008TestCipro 500ABC Ltdzzz07/2008Reference
Theo Dekker -- Jiaxing, China --September 200720 |
Example 2Ciprofloxacin: two batches (cont.)
Conclusion: The profiles in all three media can be regardedsimilar / not similar, since …………
Medium►pH 1.2Buffer pH 4.5Buffer pH 6.8% dissolved% dissolved% dissolved
Time (min)b/n xxxb/n zzzb/n xxxb/n zzzb/n xxxb/n zzz10838093962831
15959297993436209997991003839301021011001003940451021021021013941
similarity ?n = 5 ?
≥ 85%in 15 min.
≥ 85%in 15 min.
f2 = 83(≥ 50)
Theo Dekker -- Jiaxing, China --September 200721 |
Example 2Ciprofloxacin: two batches (cont.)
ACTIVE INGREDIENT: CIPROFLOXACINMEDIUM: ACETATE BUFFER pH 4.5
0
20
40
60
80
100
120
0 5 10 15 20 25 30 35 40 45 50
WITHDRAWAL TIME IN MINUTES
Dis
solu
tion
(%)
BATCH NO: zzz
BATCH NO: xxx
ACTIVE INGREDIENT: CIPROFLOXACINMEDIUM: pH 1.2
0
20
40
60
80
100
120
0 5 10 15 20 25 30 35 40 45 50
WITHDRAWAL TIME IN MINUTES
Dis
solu
tion
(%)
BATCH NO: zzz
BATCH NO: xxx
pH 1.2Acetate buffer pH 6.8
Theo Dekker -- Jiaxing, China --September 200722 |
Example 2Ciprofloxacin: two batches (cont.)
ACTIVE INGREDIENT: CIPROFLOXACINMEDIUM: PHOSPHATE BUFFER pH 6.8
0
20
40
60
80
100
120
0 5 10 15 20 25 30 35 40 45
WITHDRAWAL TIME IN MINUTES
Dis
solu
tion
(%)
BATCH NO: zzz
BATCH NO: xxx
Phosphate buffer pH 6.8
Why is only 40% dissolution
reached in buffer pH 6.8?
Theo Dekker -- Jiaxing, China --September 200723 |
Questions:1. May change in particle size affect the dissolution rate at pH
6.8?2. What dissolution level should ciprofloxacin 250 mg tablets be able to
reach in pH 6.8 medium?
X. Yu et al. Pharm. Research, 11, 522-527 (1994)
Ciprofloxacin (cont.)Solubility is pH dependent:
“Highly soluble” at pH < 6 100% dissolution obtained in pH
4.5 and pH 1.16
At pH 6.8 and 40°C the solubility is about 0.2 mg/ml this explains 40% dissolution for
500 mg dose !!
40°C ▼
Theo Dekker -- Jiaxing, China --September 200724 |
Example 3Clarithromycin tablets – Proportional formulations 2 strengths prepared
from same granulate
f2 = 31
Profiles not similar !
Solubility of the API in buffer pH 6.8 “low” according to BCS
Do you expect that particle size or polymorphism may have effect on the profiles?
ACTIVE INGREDIENT: CLARITHROMYCINMEDIUM: PHOSPHATE BUFFER pH 6.8
0
20
40
60
80
100
120
0 10 20 30 40 50
WITHDRAWAL TIME IN MINUTES
Dis
solu
tion
(%)
PRODUCT B 500 mgPRODUCT B 250 mg
Theo Dekker -- Jiaxing, China --September 200725 |
Example 4Isoniazid/Ethambutol tablets
Purpose of study– Part of quality testing according to PhInt monograph
Samples studied– Note that the Product A is double strength
• (though it has fastest dissolution rate !)
ProductIsoniazid / Ethambutol 2HClA300mg / 800mgB150mg / 400mgC150mg / 400mgD150mg / 400mg
Theo Dekker -- Jiaxing, China --September 200726 |
Example 4Isoniazid/Ethambutol tablets
Conditions and requirement according to– Monograph for Isoniazid and Ethambutol hydrochloride tablets in– International Pharmacopoeia (PhInt)
ApparatusPaddle, 75 rpm Dissolution mediumpH 6.8 phosphate bufferVolume of medium500 mlDegassed?No (undegassed)Temperature37°C ± 0.5°CSampling points10, 15, 20, 30, 45, an 60Requirement≥ 85% of label claim dissolved in 30 min
Theo Dekker -- Jiaxing, China --September 200727 |
Isoniazid/Ethambutol tablets (1)Medium: pH 6.8 phosphate buffer
Product B
0
20
40
60
80
100
120
0 10 20 30 40 50 60 70
Withdrawal time in minutesD
isso
lutio
n (%
)
Ethambutol HClIsoniazid
Product A
0
20
40
60
80
100
120
0 10 20 30 40 50 60 70
Withdrawal time in minutes
Dis
solu
tion
(%)
Ethambutol HCl
Isoniazid
Theo Dekker -- Jiaxing, China --September 200728 |
Isoniazid/Ethambutol tablets (2)Medium: pH 6.8 phosphate buffer
Product C
0
20
40
60
80
100
120
0 10 20 30 40 50 60 70
Withdrawal time in minutes
Dis
solu
tion
(%)
Ethambutol HCl
Isoniazid
Product D
0
20
40
60
80
100
120
0 10 20 30 40 50 60 70
Withdrawal time in minutesD
isso
lutio
n (%
)
Ethambutol HCl
Isoniazid
fails requirement: <85%
Theo Dekker -- Jiaxing, China --September 200729 |
Isoniazid/Ethambutol tablets (3)Medium: pH 6.8 phosphate buffer
All 4 productsAPI: Isoniazid
0
20
40
60
80
100
120
0 10 20 30 40 50 60 70
Withdrawal time in minutes
Dis
solu
tion
(%)
All 4 productsAPI: Ethambutol
0
20
40
60
80
100
120
0 10 20 30 40 50 60 70
Withdrawal time in minutesD
isso
lutio
n (%
)
A
C
D
B
Theo Dekker -- Jiaxing, China --September 200730 |
Isoniazid/Ethambutol tablets (4)Discussion of results
The dissolution profiles of the 2 APIs in a particular product are similar (this is true for all 4 products)– Both APIs are highly soluble (BCS definition)
The products show different dissolution rates– Dissolution rate A > B ≈ C >> D– Disintegration (min) 7 11 11 21– Dissolution rate related to disintegration time– f2 values show that B & C have similar profiles– Dissolution method discriminating
Typical type of results during pharmaceutical R&D
Theo Dekker -- Jiaxing, China --September 200731 |
Example 54FDC TB tablets
Rifampicin/Isoniazid/Pyrazinamide/Ethambutol 150mg/75mg/400mg/275mg
Dissolution conditions (USP)– 900 ml pH 6.8 phosphate buffer (not degassed)– paddle, 100 rpm– 37°C ± 0.5°C– Sampling points: 10, 15, 20, 30 and 45 minutes– USP requirement: 75% (Q) in 45 minutes (all APIs)
Rifampicin stability– Good in pH 6.8 buffer (reason for choice)– Poor at lower pH
Theo Dekker -- Jiaxing, China --September 200732 |
Example 54FDC TB tablets (2)
Similar dissolution profiles Isoniazid, pyrazinamide &
ethambutol hydrochloride– high solubility (BCS) –
expected to be similar
Rifampicin shows slower dissolution rate
– Low solubility (BCS)
DISSOLUTION OF 4FDC TB TABLETSMEDIUM: pH 6.8 phosphate buffer
0
20
40
60
80
100
120
0 7.5 15 22.5 30 37.5 45
WITHDRAWAL TIME IN MINUTES
Dis
solu
tion
(%)
Rifampicin
Isoniazid
Pyrazinamide
Ethambutol
Theo Dekker -- Jiaxing, China --September 200733 |
Example 54FDC TB tablets (3)
WHO Technical Report Series 937, page 8:– The Expert Committee “agreed that rifampicin should serve as
the marker for dissolution testing in the relevant FDCs, as it was the least soluble substance.”
– This data supports the decision
Theo Dekker -- Jiaxing, China --September 200734 |
Example 6Rifamicin powder
Rifampicin exist in 3 solid state forms:– Polymorph I– Polymorph II– Amorphous form
Commercial material contains:– Polymorph II (predominantly) or– Mixture of polymorph II and amorphous form
Five commercial samples (A to E) testedSamples A, B & E: Form II Samples C & D: Form II + amorphous form
Theo Dekker -- Jiaxing, China --September 200735 |
Example 6Rifamicin powder (2)
Medium: Water
– Profiles A, B & E are similar (f2 ≥ 50)– Profiles C & D are similar (f2 ≥ 50) - dissolution incomplete– Profiles A, B, E dissimilar from profiles C,D (f2 < 50)
A, B, E(form II)
C, D(form II + amorph)
Theo Dekker -- Jiaxing, China --September 200736 |
Example 6Rifamicin powder (3)
1. Presence of amorphous form slows down dissolution of raw material powder at higher pH (f2 test)– Reason: Agglomeration / wettability
2. Comparative powder dissolution powerful tool for– selection of API manufacturer and– even in-house specification ?
Dissolution method for API powders– overcome floating on medium
see reference below
Reference: S.Q Henwood et al. Drug Dev. & Ind. Pharm. 26, 403-408 (2000) (RIIP)
amorphous form
Theo Dekker -- Jiaxing, China --September 200737 |
Applications
1. Comparative dissolution: basic tool for selection of the formulation during product development– By comparison of the dissolution profiles of comparator
product with those of development batches• Optimise, to get similar profiles
– Hint: start with comparator product before development• To get dissolution profiles required for the generic product• Disintegration testing can aid in the early phases
– Maximize the chances of bioequivalence– Integral part of development report
• dossier and PQIF
Theo Dekker -- Jiaxing, China --September 200738 |
Applications (cont.)
2. Scale up from development (pivotal) to production batches– To demonstrate in vitro similarity of such batches
• This is considered essential for retention of efficacy and quality• Note that bioequivalence studies are done normally only once on a bio-
batch during development• It must be demonstrated that the product retains the dissolution
characteristics up to production scale– The studies should be submitted in dossier as part of the FPP
development report
Theo Dekker -- Jiaxing, China --September 200739 |
Applications (cont.)
3. Selection of the dissolution specifications for product release & stability purposes1. Conditions and acceptance criteria to be set2. The dissolution profiles of the bio-batch should be used for this
purpose3. A dissolution specification should be able to detect inadequate
release properties of the commercial batches• A “generous” dissolution limit has no quality selectivity
4. Example: Isoniazid/Ethambutol hydrochloride tablets
Theo Dekker -- Jiaxing, China --September 200740 |
Applications (cont.)
4. Demonstration of in vivo bioequivalence of one or more of the lower strength(s) of an FPP may be waived based on1. an acceptable in vivo BE study of the highest strength against
the comparator product2. demonstration of similarity of dissolution profiles between the
higher (bio-batch) and lower strength 3. if the lower strength is proportionally similar in formula to the
higher strength (bio-batch)4. if all pharmacokinetic requirements are met
• Consult the bio-guideline, also for reverse situation
Theo Dekker -- Jiaxing, China --September 200741 |
Applications (cont.)
6. Post-approval amendment application– A requirement of a particular change may be to demonstrate
that the profiles of the amendment batch and the current batch are similar• Consult guideline on variations
Theo Dekker -- Jiaxing, China --September 200742 |
Reporting Comparative dissolution data
Full report, including1. Purpose of study2. Products / batches information
• Batch number, manufacturing/expiry date, packaging, etc.• CoA & size for “own” batches (and BMR for bio-studies report)
3. Dissolution conditions and method4. Analytical method or reference to part of dossier5. Results (% API dissolved)
• Tabulated• Graphically• Similarity determination / calculation
6. Conclusion
Theo Dekker -- Jiaxing, China --September 200743 |
Comparative dissolution testingGuidelines
Multisource (generic) pharmaceutical products: guidelines on registration requirements to establish interchangeability– Paragraph 9: In vitro testing (dissolution)– WHO Technical Report Series 937, Annex 7 (2006)
Dissolution testing. Supplement 1 to– Guideline on Submission of Documentation for Prequalification
of Multi-source (Generic) Finished Pharmaceutical Products (FPPs) Used in the Treatment of HIV/AIDS, Malaria and Tuberculosis• (Generic guideline)
Theo Dekker -- Jiaxing, China --September 200744 |
Comparative dissolution testingRelevant training material
WHO/FIP Training Workshop on Dissolution, Pharmaceutical Product Interchangeability and Biopharmaceuticals Classification System (BCS)– Kiev, Ukraine, 25 - 27 June 2007– On WHO Prequalification website
Strongly recommended
Theo Dekker -- Jiaxing, China --September 200745 |
Closing remarks Comparative dissolution plays an important role in:
– product development– up-scaling from development to production – setting of quality dissolution specifications– waiving of BE studies in proportionally similar formulations– post-approval changes (variations)
Manufacturers should– understand the basic requirements of conducting comparative
dissolution testing– know how and where to apply it– be able to determine similarity of profiles
All data in presentation generated at the RIIP
Theo Dekker -- Jiaxing, China --September 200746 |
Multipoint dissolutionExample of (fast) manual sample pulling