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Article history:
The aim of this paper is to propose a pharmaceutical risk assessment strategy that goes
beyond the usual characterisation of a clinical candidate molecule according to the bio-
pharmaceutical classication system (BCS). This strategy was evaluated for a new CNS drug
2005
with poor solubility and good permeability. In a rst step, GastroPlusTM was used to simulate
the absorption process based on preformulation data. These input data involved a physico-
chemical drug characterisation including drug solubility measurements in simulated physiological media, as well as permeability determination. Further computer simulations were
Keywords:
conducted to determine the sensitivity to changes of selected input values. Thus, oral
Simulation
bioavailability prediction was studied as a function of the particle size and drug solubility.
Bioavailability
The second part of the presented strategy for preclinical formulation development was to
Dog studies
test specially designed formulations in a 23 screening factorial plan using the dog as the
Factorial design
animal model. The factors were the dosage form, food effect and dose strength. One of the
Clinical formulation
two experimental formulations was a capsule lled with the micronised drug, whereas the
other formulation was a surfactant solution of the drug. Accordingly, a worst case formulation was compared with a best case drug solution over the clinically relevant dose range
in fasted and fed dogs. The results of the computer simulation indicated that a fraction of
the dose is dissolved in the stomach and precipitates partially in the small intestine. The
simulation predicted almost full drug absorption during the GI transit time. Interestingly,
the simulation implies that stomach drug solubility had little impact on overall fraction
absorbed. The results also showed that changes of particle size and reference solubility
within two orders of magnitude hardly affected the oral bioavailability. This in silico deduction was subsequently compared with the results of the dog studies. Indeed a surfactant drug
solution showed no clear biopharmaceutical superiority over a solid capsule formulation on
the average of both dose strengths in fasted and fed dogs. Despite the substantial variability
of the in vivo data, the factorial screening design indicated marginal signicant interaction
between the dose level and feeding status. This can be viewed as a ag for the planning of
further studies, since a potential effect of one factor may depend on the level of the other.
In summary, the GastroPlusTM simulation together with the statistically designed dog study
provided a thorough biopharmaceutical assessment of the new CNS drug. Based on these
ndings, it was decided to develop a standard granulate in capsules for phase I studies.
More sophisticated formulation options were abandoned and so the clinical formulation
development was conducted in a cost-efcient way.
2005 Elsevier B.V. All rights reserved.
Corresponding author. Tel.: +41 61 688 38 70; fax: +41 61 688 86 89.
E-mail address: martin.kuentz@roche.com (M. Kuentz).
0928-0987/$ see front matter 2005 Elsevier B.V. All rights reserved.
doi:10.1016/j.ejps.2005.08.011
92
1.
e u r o p e a n j o u r n a l o f p h a r m a c e u t i c a l s c i e n c e s 2 7 ( 2 0 0 6 ) 9199
Introduction
Fig. 1 shows when this assessment program should be conducted in the framework of other formulation activities. The
assessment directly affects the choice of the clinical development concepts. Depending on the development strategy one
can assign meaningful development resources about 1 year
before the rst human is dosed.
The biopharmaceutical assessment program consists of
two steps. The rst step is a computer simulation that should
help to elucidate the hurdles for oral bioavailability, as well as
identify critical parameters of a drug formulation. The simulation may also reveal some parameters that only have a limited
impact on the biopharmaceutical performance of a formulation, which is of equal importance. This rst step is only an
in silico model, but the physiology of the human situation is
simulated. The second part of the biopharmaceutical assessment is to test proof of concept formulations in statistically
designed pharmacokinetic experiments. This second step has
the limitations of the animal model, but this time in vivo data
are generated.
The eld of computer simulations with physiologically
based pharmacokinetic absorption models has been covered
in several articles (Yokoe et al., 2003; Agoram et al., 2001; Norris et al., 2000; Plusquellec et al., 1999). Recently, Dannenfelser
et al. (2004) reported the application of a computer simulation
for a clinical dosage form development. This prots from a better quality of input data in comparison to the discovery phase
since a rst pharmaceutical proling including BCS classica-
Fig. 1 Gantt chart of the relevant formulation development activities including the new additional biopharmaceutical
assessment program.
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tion is normally available. The underlying model in Dannenfelsers work as well as in the present paper goes back to the
compartmental absorption and transit model (CAT) (Yu et al.,
1996a,b) a more versatile model than the single-tank mixing
model (Sinko et al., 1991). The CAT model predicts absorption
through the intestinal tract and takes into account the ow
of the drug through the digestive tract, which is divided into
a set of compartments. The model was further developed to
the so-called advanced CAT (ACAT) model (Agoram et al., 2001)
and implemented in a commercially available software package called GastroPlusTM .
Based on GastroPlusTM computer simulations a biopharmaceutical evaluation can be made as to which factors could
have an impact on the oral bioavailability. The results should
lead to the design of experimental formulations. This second step of the proposed strategy should roughly assess the
difference between a good formulation and a rather poor
formulation in vivo using the dog as pharmacokinetic model.
A recent paper emphasizes the use of design of experiment
techniques (DoE) to gain maximal information from a minimal number of animals (Kuentz et al., 2003). It allows in the
present case to study the effect of the galenical formulation
on pharmacokinetic parameters depending on the dose and
feeding status of the animals. The results of using both, computer simulation and DoE in preclinical bioavailability testing
are discussed with special emphasis on further planning of
the clinical formulation activities.
2.
2.1.
Cremophor
RH40 (%)
Tween
20 (%)
Solutol
HS 15
(%)
PVP
K30
(%)
1
2
3
4
5
6
7
8
9
10
11
3.5
7
3.5
0
0
3.5
7
7
0
7
0
3.5
0
3.5
7
0
3.5
0
7
0
7
7
3.5
7
3.5
0
7
3.5
0
0
0
7
7
2.5
0
2.5
0
5
2.5
0
5
5
5
0
Propylene
glycol (%)
5
10
5
10
0
5
0
0
10
10
0
2.2.
Materials and manufacture of the experimental
formulations
The drug R1315 was synthesized by the chemical development department of F. Hoffmann-LaRoche Ltd. in Basel. The
excipients Cremophor RH40 (polyoxyl 40 hydrogenated castor), Solutol HS 15 (polyethylene-660-hydroxystearate) and
Kollidon 30 (polyvinylpyrrolidone, PVP K30) were obtained
from BASF (Germany), whereas the Tween 20 (polysorbate 20
or polyethylene-20-sorbitan-monolaurat) was purchased from
Fluka (Switzerland). The surfactants are all non-ionic and all
excipients were used as received.
The excipients were tested with the drug base of R1315
in a quarter fraction 252 statistical design to achieve maximal drug solubilisation. The different compositions can be
inferred from Table 1. The nally selected surfactant solution
contained 5% Cremophor RH40 with the two concentrations
of 1 and 2 mg/mL drug base of R1315.
For the solid dosage form the drug was manually lled in
hard gelatine capsules of size No. 0 (Capsugel, France). All capsules were prepared and weighed on the same day of animal
dosing.
2.3.
Solubility measurements and analytical HPLC
method
The formulation samples for solubility measurements were
equilibrated at 25 1 C during 24 h, ltrated (Millipore 0.22 m
pore size) and consecutively analyzed by HPLC (Waters
Alliance) with a reversed phase column (Symmetry C18 5 m
from Waters). The column temperature was 40 C. A gradient method was used with a mobile phase consisting of 50%
50 mM Tris in water at pH 7.0 (adjusted with HCl) and 50% acetonitrile. The second eluent consisted of 50% 50 mM Tris in
water at pH 7.0 (adjusted with HCl) and 70% acetonitrile. The
ow rate was 1 mL/min and UV detection was at 245 nm.
2.4.
Computer simulation of absorption using
GastroPlusTM
Computer simulations were performed with the software
GastroPlusTM V.4.0 (Simulations Plus Inc., Lancaster, USA),
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C s Cl
rT
where is the NoyesWhitney diffusion coefcient, the density of the drug particle, r the radius, T the diffusion layer
thickness, Cs the solubility and Cl is the lumen concentration.
The diffusion layer thickness was taken as equal to the particle
radius.
Table 2 Input variables and accepted default values for the GastroPlusTM simulation
General simulation and compound parameters
Physiological parameters
Pharmacokinetics
Body weight: 70 kg
First pass extraction (xed): 12.5%
Blood to plasma concentration ratio = 1
Clearance: 0.15 L/(h kg)
Vc: 1.9 L/kg
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95
Formulation
Dose level
(mg/kg)
Feed status
1
2
3
4
5
6
7
8
Capsule
Capsule
Solution
Capsule
Solution
Solution
Capsule
Solution
2
2
2
4
4
2
4
4
Fed
Fasted
Fasted
Fed
Fasted
Fed
Fasted
Fed
2.5.
Male beagle dogs (weighing 1014 kg, obtained from the Roche
in-house colony) were used for the oral bioavailability studies. The dosing was performed according to a randomized 23
factorial design outlined in Table 3. Two doses 2 and 4 mg/kg
were administered orally as drug in a capsule as well as a drug
solution under both, fed and fasted conditions. In the fed condition, the animals received 200 g commercially available dog
food 30 min prior to the administration of the test article. In the
fasted condition, food was withdrawn overnight before dosing
and was not given during the experiment.
Blood samples (approximately 1 mL each) were drawn from
the cephalic vein at predose, and 0.5, 1, 1.5, 2, 3, 4, 6, 8 and
24 h postdose. Collection tubes contained EDTA as anticoagulant. Plasma was obtained by centrifugation and stored
deep-frozen at approximately 20 C until analysis. A selective
LCMS/MS method was used for the quantication of R1315.
The drug R1315 and an internal standard were isolated from
plasma samples after protein precipitation by on-line solid
phase extraction and separated from other constituents of the
sample by narrow-bore HPLC. Detection was accomplished
utilising ion spray MS/MS in positive ion selected reaction
monitoring mode. The limit of quantication was 1 ng/mL. The
assay performance was monitored using quality control samples spiked with known concentrations of R1315.
AUC0-inf (area under the plasma concentrationtime curve)
was estimated by non-compartmental analysis (applying the
linear trapezoidal rule), using the pharmacokinetic evaluation
program WinNonlin Pro . Extrapolation to innity was performed from the last measurable concentration using the rate
constant of the apparent terminal plasma level prole.
and so a degree of freedom of ve was obtained for the estimate of the total error.
A Pareto chart was selected to rank the estimated effects in
decreasing order of magnitude (Fig. 2). The length of each bar
is proportional to the standardised effect. This standardised
effect is the estimated effect divided by its standard error. The
vertical line of the plot marks those effects that are statistically signicant. Bars that extend beyond the line correspond
to effects that are statistically signicant at the 95% condence
level.
Screening designs were proposed before for preclinical
tests in animals (Kuentz et al., 2003). In the current study, a 23
full factorial design was conducted in a single block. The effect
of the formulation, the clinical dose, as well as the food effect
was evaluated in parallel. The full factorial design allowed further to estimate the interactions of the different factors (none
of the effects or rst order interactions are confounded corresponding to a resolution V). This detection of interactions is
an advantage of the full factorial design that has on the other
hand here only a rather low degree of freedom (d.f.) for estimation of the total error, so that the statistical power of this study
plan is rather low. The evaluation was therefore conducted on
a 90% signicance level to obtain an acceptable probability for
. The calculated power curve shows that a true effect would
have to be at least seven to eight times greater than its standard deviation to have adequate probability of effect detection.
Thus, only marked effects can show signicance in this design.
The statistical evaluations were calculated using the software
package Stagraphics Plus V. 5.0 (Manugistics Inc.).
3.
2.6.
Statistical design of experiment techniques and
evaluation of the data
3.1.
The development of a drug solution exhibiting maximal solubility was carried out as a part of the toxicological formulation
development. Initial solubilisation studies used the drug base.
Different surfactants were evaluated regarding their potential to get the best drug solubility. Fig. 2 shows the effects of
the different excipients on drug solubilisation. The presence
of Cremophor RH40 enabled highest drug concentrations in
solution, whereas Solutol HS15 and Tween 20 displayed
lower solubilisation capacities. The three non-ionic surfactants incorporate the drug mainly in micelles. The extent of
solubilisation is affected by the nature of the surfactant as well
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3.2.
Results from the physiologically based computer
simulation
The validity of any computer modelling is dependent on the
quality of both the model and of the input data. In view of
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bioavailability was hardly affected by reference solubility values (pH 6.5) in the range of 0.0020.2 mg/mL. Thus, higher
solubility values may increase the rate of absorption, but not
its extent. We further repeated single simulations at a 160
and 320 mg dose at 0.02 and 0.2 mg/mL reference solubility
to study the dissolution and absorption process analogues
to Figs. 4 and 5. The amount of dissolved drug was greatly
increased and complete absorption was reached at an earlier
time point so that almost no colonic absorption was predicted.
This is different from the results at the lower reference solubility 0.002 mg/mL (Figs. 4 and 5) where absorption in the colon
played a role.
The parameter sensitivity analysis was repeated with varying mean effective particle sizes ranging from 0.5 to 50.0 m.
A similar bioavailability prediction was obtained with the different particle sizes (Fig. 6). However, there is a tendency
towards slightly reduced bioavailability at the lower drug solubility of 0.002 mg/mL and the upper 50.0 m particle size, but
within the examined ranges the bioavailability was not greatly
affected. The parameter sensitivity analysis was repeated with
a doubled dose of 320 mg R1315. A similar picture was observed
as displayed for the lower dose by Fig. 6. We further varied the
precipitation time between 180 and 18 000 s at a dose of 320 mg
and found again that oral bioavailability was hardly affected.
This indicates that even at a relatively fast precipitation of
drug, the re-dissolution and permeation are fast enough to
make the given dose bioavailable.
The set of simulations was completed by varying the effective permeability from 0.44 to 44 104 cm s1 . A nearly constant bioavailability was predicted with a slight decrease at
the lower permeability limit, which was comparable to that
displayed by Fig. 6. Accordingly, permeability seems not to be
an issue for the given drug in the examined high permeability
range.
The observed insensitivity of input parameters on oral
bioavailability holds of course only within the inspected limits. However, the examined ranges of solubility, precipitation time and particle size are of technological relevance.
Also the doses of R1315 simply reect the clinically relevant
range, as it spans the anticipated doses in the planned human
studies.
97
3.3.
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AUC0-inf ng h/mL
19.1
160.6
18.6
109.6
55.4
205.1
31.1 (0.649)
31.1 (0.122)
31.1 (0.657)
31.1 (0.176)
31.1 (0.326)
31.1 (0.096)
Standard errors are based on the total error (from ANOVA) with 1d.f.
The P-values from the ANOVA are displayed in brackets.
beagle dog was chosen for the tests of experimental formulations. There are certainly differences in drug absorption and
especially metabolism between dog and man. Sutton (2004)
recently reviewed these physiological differences in view of a
dosage form performance. The importance of factors like GI
transit times or pH clearly depend on the drug candidate and
its dose. However, the scope of using the present animal model
was primarily to learn about relative effects in vivo.
Fig. 7 shows the experimental plasma levels as a function of
time from the dogs that received the drug solution, i.e. the dogs
no. 3, 5, 6 and 8 (Table 3). These plasma versus time proles
can be compared with those from dogs where a capsule was
administered (Fig. 8).
There is great variability in the data and a clear difference
between the two formulations cannot be directly noticed. The
statistical evaluation conrms that there is on the average
not a signicant difference between the drug solution and the
capsule formulation (Table 4). This absence of a marked formulation effect in the dog model can be compared with the
results of the computer simulation. The in silico experiments
4.
Conclusions
The new CNS drug R1315 was initially proled to have poor solubility and high permeability. Such a rst biopharmaceutical
assessment has usually a direct impact on the selection of the
formulation strategy for phase I clinical trials. In the present
work, an alternative procedure was followed. Prior to initiating
a resource intensive formulation development, we opted for a
more detailed biopharmaceutical assessment. A GastroPlusTM
computer simulation was conducted in view of dosage form
performance. Drug solubility and particle size appeared to be
hardly relevant for the oral bioavailability within two orders of
magnitude. This conclusion emphasises the importance of a
more thorough biopharmaceutical view than just the assignment of the BCS class. Based on the poor solubility, the drug
R1315 would a priori be expected to show dependence of the
oral bioavailability on parameters like the particle size or solubility. It is, however, crucial to know about such dependence in
a range that can be inuenced by technological means. Therefore, two experimental formulations were manufactured that
Acknowledgements
The authors wish to thank Dr. R. Moog for providing the preformulation data of R1315, Dr. N. Burki for the analytical support,
Dr. B. Lausecker for the measurement of plasma levels, Mr.
P. Schrag for conducting the dog experiments, as well as J.M.
Clavey for the preparation of the drug formulations.
references
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99