Definitions • In vitro dissolution: It is a process of release of drug from dosage form as measured in an in vitro dissolution apparatus • In vivo dissolution: A process of dissolution of drug in the GI tract. • Correlation: A relationship between in vitro dissolution rate and in vivo absorption rate as used in bio-equivalence guidance • An in vitro – in vivo correlation (IVIVC) is defined as a predictive mathematical model describing the relationship between the in vitro property of an oral dosage form and relevant in vivo response • In IVIVC, "C" denotes "Correlation", which means "the degree of relationship between two variables". • Correlation deals with the "tightness" in how two variables vary together. • This term does not limit a relationship to only the linear type, but allows for non-linear relationships as well • IVIVC is more an in vitro–in vivo relationship than a strict correlation. In-vitro-in-vivo correlation (IVIVC) establishes a relationship between
1- Biological property of the drug
Pharmacodynamic effect. Plasma drug concentration. 2- Physicochemical property of the drug Dissolution rate.
• In order to have an IVIVC, some property of the drug release from the drug product in vitro , under specified conditions, must relate to in-vivo drug performance. • Dissolution tests should differentiate formulation factors that may affect bioavailability of the drug. IVIVC have been reported for modified-release drug products, but have been difficult to predict for immediate-release drug products. • In some cases, dissolution tests for immediate- release solid oral drug products may bias or unfair and a clinically acceptable product might perform poorly in the dissolution test. When a proper dissolution method is chosen, The rate of dissolution of the product may be correlated to the rate of absorption of the drug into the body. An IVIVC should be evaluated to demonstrate • Predictability of in-vivo performance of a drug product perceived from its in-vitro dissolution characteristics. • It should be maintained over a range of in-vitro dissolution release rates and manufacturing changes. Parameters for correlations IN VITRO INVIVO
1 Dissolution rate Absorption rate or
absorption time 2 Percent drug dissolved Percent of drug absorbed
3 Amount of drug dissolved Maximum plasma
concentration, Cmax Cp The in-vitro dissolution characteristics are dependent on
1- The physical properties of the active
pharmaceutical ingredient (API), 2- The drug formulation, 3- The hydrodynamics of the dissolution apparatus, 4- The dissolution medium. • USP-NF has separate and distinct dissolution test requirements for two different phenytoin sodium capsules. • For extended-release phenytoin sodium capsules, USP-NF states that • not more than 35% in 30 minutes • between 30% and 70% in 60 minutes and • not less than 85% 120 minutes of the labeled amount of C15 H11 N2 NaO2 in the Extended Capsules dissolves in, under the specified dissolution conditions." • In contrast, about tolerances for conventional Phenytoin Sodium Capsules, • USP states "not less than 85% of the labeled amount of C15 H11 N2 NaO2 in the Prompt Capsules dissolves in 30 minutes." Importance of IVIVC • Correlations between in vitro and in vivo data (IVIVC) are often used during pharmaceutical development in order to 1-Reduce development time 2- Optimize the formulation with the fewest possible trials in man. Reduce the requirement of animals & human for bioavailability testing 3-For predicting in vivo results based on in vitro data 4- Fixes dissolution acceptance criteria. 5-Replacement for further bioequivalence studies; 6-Useful for establishing upper and lower dissolution specs for a solid oral dosage form. 7- Supports or validates the use of dissolution method and specification. 8- Serves as the replacement of in vivo phenomena 9- Assist quality control during manufacturing and selecting appropriate formulation. 10- To minimize the bioequivalence studies performed during the initial approval process and during the scaling up and post approval changes . categories of dissolution showing different degrees of correlation to invivo data.
• Bases on the type of data used to establish the
relationship, three main levels are defined by the FDA: Level A
• Level A is the highest level of correlation,
• a 1:1 relationship between in-vitro dissolution and in-vivo bioavailability is demonstrated. • Included in Level A are extended-release dosage forms that demonstrate an in-vitro drug release essentially independent of the dissolution medium. • In this case, the in-vitro dissolution curve is compared directly to the percentage of drug absorbed calculated from the plasma drug concentration-time curve using a pharmacokinetic model or a model-independent method. • Generally, the percentage of drug absorbed may be calculated by direct mathematical computational method, a process of mathematical resolution of blood level into an input (absorption) and an output (disposition) component . in vitro release profiles of three complex parenteral formulations with different release characteristic step 4 shows a one-to-one linear correlation. Whatever the method used to establish a Level A IVIVC, The model should predict the entire in vivo time course from the in vitro data. Advantage of a Level A correlation
• The quality control procedure of the in-vitro
dissolution/drug release test is predictive of drug product performance in vivo . • A correlation of this type is generally linear and represents a point-to-point relationship between in vitro dissolution and the in vivo input rate. • In a linear correlation, the in vitro dissolution and in vivo input curves may be directly super imposable or may be made to be super imposable by the use of a scaling factor. • Nonlinear correlations uncommon, may also be appropriate. Level B
• Level B IVIVC uses the principles of statistical
moment analysis. • The mean in vitro dissolution time is compared either to the mean residence time or to the mean in vivo dissolution time . DISADVANTAGES
• Level B correlation does not uniquely reflect the
actual in vivo plasma level curve, because a number of different in vivo curves will produce similar mean residence time values. • Level B is the least useful for regulatory purposes because it does not reflect the actual in vivo plasma level curves. • In vitro data from a Level B correlation cannot be used to justify the extremes of quality control. Level C
• Level C IVIVC establishes a single point
relationship between a dissolution parameter, • For example, t 50 ,percent dissolved in 4 hours % and a pharmacokinetic parameter e.g. AUC, Cmax, Tmax. DISADVATAGE
• Level C correlation does not reflect the complete shape
of the plasma concentration-time curve, which is the critical factor that defines the performance of ER products. Multiple level C
• A multiple Level C correlation relates one or
several pharmacokinetic parameters of interest to the amount of drug dissolved at several time points of the dissolution profile. • Level A correlations use all the information of the dissolution and absorption curves, in contrast to levels B or C. Dissolution Rate versus Absorption Rate • If dissolution of the drug is NOT a rate limiting, a faster dissolution rate may result in a faster rate of appearance of the drug in the plasma. • It may be possible to establish a correlation between rate of dissolution and rate of absorption of the drug. • The absorption rate is usually more difficult to determine than peak absorption time. • Therefore, the absorption time may be used in correlating dissolution data to absorption data. • In the analysis of in-vitro, in-vivo drug correlation, rapid drug dissolution may be distinguished from the slower drug absorption by observation of the absorption time for the preparation. • The absorption time refers to the time for a constant amount of drug to be absorbed. Sustained-release aspirin products • In one study involving three sustained-release aspirin products , the dissolution time for the preparations were linearly correlated to the absorption times . • The results from this study demonstrated that aspirin was rapidly absorbed and was very much dependent on the dissolution rate for absorption. Correlation between time required for a given amount of drug to be absorbed and time required for the same amount of drug to be dissolved in vitro for three sustained-release aspirin products Study of Percent of Drug Dissolved versus Percent of Drug Absorbed • If a drug is absorbed completely after dissolution, a linear correlation may be obtained by comparing the percentage of drug absorbed to the percentage of drug dissolved. • An appropriate dissolution medium should be selected and use a slow dissolution stirring rate so that in-vivo dissolution is approximated. • Aspirin is absorbed rapidly, and a slight change in formulation may be reflected in a change in the amount and rate of drug absorption during the period of observation. • If the drug is absorbed slowly, which occurs when absorption is the rate-limiting step, a difference in dissolution rate of the product may not be observed. • In this case, the drug would be absorbed very slowly independent of the dissolution rate. Limitations
• It is limited to a certain drug product.
• It can be used only that particular formulation. • Cannot be used across the drug product with different release pattern. • It is unable to accurately estimate the rate of drug absorption ,Cmax, prediction error will found to be 20%. Biopharmaceutics Classification System of Drugs
The Biopharmaceutics Classification System is a
system to differentiate the drugs on the basis of their solubility and permeability. Class 1 drug
• High absorption. • High dissolution. • Rate limiting step is drug dissolution or gastric empting time. e.g. metoprolol • IVIVC IS EXPECTED Class 2 drugs
• Have low solubility
• High permeability • Ivivc expected • e.g-phenytoin Class 3 drug
• Permeability is rate controlling step.
• Rapid dissolution is particularly desirable in order to maximize the contact time between dissolve drug and absorption mucosa. • Eg. cimetidine • Limited or NO IVIVC expected Class 4 drug
• They have low solubility
• Low permeability and significant problem in oral dosage form. • Limited or NO IVIVC expected e.g. Bifonazole (imidazole, antifungal drug)