Pharmaceutical Dosage Forms

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Hence, the rate of Dissolution is related to Bioavailability. ... >Drug dissolution (for many dosage forms) .... published in Dissolution Technologies 13(3), 2006.
IPC-USP 7th Annual Scientific Meeting February 6 - 7, 2008 Hyderabad International Convention Center Hyderabad, India

Performance Verification Testing

William F. Koch, Ph.D. Chief Reference Materials Officer

Drug Product Performance

Formulation performance is defined as the release of the drug substance from the drug product leading to bioavailability of the drug substance and eventually leading to one or more pharmacologic effects, both desirable and undesirable.

Dale Conner, PharmD, FDA/OGD, 2004

Rate Process in Drug Bioavailability Bioavailability is the rate and extent to which the active ingredient or active moiety is absorbed from the drug product and becomes available at the site of action

Hence, the rate of Dissolution is related to Bioavailability.

Drug Product Attributes: Quality and Performance ‹

Product quality, as measured by: Chemistry, manufacturing and controls (CMC) Microbiology Identity, strength, quality, purity and potency of drug product

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Product performance, as indicated by: Drug dissolution (for many dosage forms)

Goals of Dissolution Testing ‹

Prediction of bioavailability, the surrogateparameter of therapeutic efficacy

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Evaluation of the drug product’s robustness, as a parameter of the drug product-related safety

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Evaluation of critical manufacturing variables

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Evaluation of uniformity and stability  Manufacturing  Storage

Pharmaceutical Dosage Forms Terminology 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14.

Aerosols Boluses Capsules Concentrate for DIP Creams Elixirs Emulsions Extracts & Fluid Extracts Gels Implants Infusions, Intramammary Inhalations Injections Irrigations

15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28.

Lotions Lozenges Ointments Ophthalmic Prep. Pastes Pellets Powders Premixes Solutions Suppositories Suspensions Syrups Systems Tablets

Classification of Pharmaceutical Dosage Forms

Three-Tier System Delivery Route

Dosage Form

Release Category

Pharmaceutical Dosage Form Taxonomy ‹

First Tier: classification by route of delivery  oral dosage forms  topical/transdermal  parenterals (by injection)  mucosal or other membranes  Inhalation

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Second Tier: classification by physical state  solid  liquid  gaseous  Mixed

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Third Tier: classification by release pattern  conventional  modified

First Tier of Pharmaceutical Dosage Forms FIRST TIER CATEGORY: DELIVERY ROUTE - based on region of the body to which active delivered Mucosal Membranes

Gastro-intestinal Tract Body Tissues or Fluids [by injection]

IV IM

Lungs Skin surface

etc

SC

otic

nasal

vaginal transdermal dermal

oral

rectal orophary ngeal

ophthalmic

urethral

topical

SECOND TIER CATEGORY: DOSAGE FORM [i.e. based on the general type of dosage form]

Tiers 2 & 3 of Mucosal Dosage Forms Mucosal Membranes oropharyngeal

SECOND TIER CATEGORY

solids

semi-solids

rectal

DOSAGE FORM [i.e. based on the general type of dosage form]

liquids

liquids

solids powders

gels

suppositories

suspensions

pastes gums semi-solids tablets chewable tablets

THIRD TIER CATEGORY

solutions

solutions

TYPE OF RELEASE [i.e. based on the RELEASE PATTERN OF THE ACTIVE]

Tiers 2 & 3 of Oral Dosage Forms Oral Dosage Forms

Solid oral dosage forms

Immediate Release

Extended Release

Liquid oral dosage forms

Modified Release

Delayed Release

Compendial Use of the Dissolution Test

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The Dissolution Test provides the compendial correlation to Drug Product Performance for the following dosage forms:  Solid oral dosage forms  Topical, dermals  Mucosal  Injectables – parenterals

USP Chapters , USP apparati  Apparatus 1 (basket)  Apparatus 2 (paddle)

solid oral dosage forms

 Apparatus 3 (reciprocating cylinder)  Apparatus 4 (flow-through cell)

various dosage forms

 Apparatus 5 (paddle over disk)  Apparatus 6 (cylinder)  Apparatus 7 (reciprocating holder)

topical dosage forms

Critical Elements of Dissolution Testing

‹ ‹ ‹

‹ ‹ ‹

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Relevant Predictive Discriminating

influenced by the design of the method, procedure, and dissolution equipment

Reproducible Transferable Rugged

influenced also by the performance of the dissolution equipment and execution of the procedure

Hence, there is a need for verification of the performance of the entire system

USP Performance Verification Tests ‹

USP General Chapter Dissolution  Apparatus 1 and 2 • Disintegrating Tablets for USP Dissolution Performance Verification Test: Prednisone RS Tablets, lot P0E203 • USP Dissolution Calibrator, Non-disintegrating Type: Salicylic Acid Tablets RS, lot Q0D200

 Apparatus 3 • USP Drug Release Calibrator for Apparatus 3: USP Chlorpheniramine Maleate Extended Release Tablets RS lot G0B259

 Apparatus 4 • to come

 Apparatus 5, 6 and 7 • to be specified

Dissolution Test Variability – Apparatus 2

Maria Glasgow et al.: The USP Performance Verification Test Part II: Collaborative Study of USP’s Lot P Prednisone Tablets, Pharm. Res. 2007

Dissolution Test - Causes Of Variability ‹

The drug product under investigation

‹

Dissolution equipment, apparatus and assembly

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Environmental conditions

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Dissolution procedure

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Analytical method and procedure

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Analyst

Experimental Variables Contributing to Dissolution Variance Statistical Analysis Summary for Apparatus 2 CV% Residual as 95% Geometric Assembly Confidence Between Between Between Residual Total % of Total Mean Limits Analyst Position Experiment Variance Alpha

58.7

(51.1–67.4)

6.6%

11.1%

1.6%

11.8% 17.7%

45.0%

Beta

48.4

(46.5–50.3)

0.0%

3.7%

1.0%

11.6% 12.3%

90.3%

Gamma

44.9

(41.4–48.6)

6.3%

1.0%

0.7%

4.3%

7.8%

30.8%

Delta

48.0

(43.2–53.3)

6.2%

2.3%

2.3%

8.1% 10.7%

57.4%

Epsilon

46.9

(43.0–51.0)

5.4%

3.9%

0.3%

8.7% 11.0%

63.2%

Gang D, et. al.: The USP Performance Verification Test Part I: USP Lot P Prednisone Tablets – Quality Attributes and Experimental Variables Contributing to Dissolution Variance, Pharm. Res. 2007

Variability of Different Assemblies Individual results obtained with Apparatus 2 on two different assemblies Apparatus 2 - Assembly Gamma 85

85 80 75 70 65 60 55 50 45 40 35 30 25

Min Max Mean

Prednisone Dissolved Percent (%)

Prednisone Dissolved Percent (%)

Apparatus 2 - Assembly Alpha

80 75 70 65 60 55 50 45 40 35

Min Max Mean

30 25

0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 Experiment #

0 1 2 3 4 5 6 7 8 9 10111213141516171819202122232425262728293031 Experiment #

Gang D, et. al.: The USP Performance Verification Test Part I: USP Lot P Prednisone Tablets – Quality Attributes and Experimental Variables Contributing to Dissolution Variance, Pharm. Res. 2007

Variability due to Dissolution Vessels

Mark Liddell et al.: Dissolution Testing Variability: Effect of Using Vessels from Different Commercial Sources, American Pharm. Review, Vol. 10(6) Sept./Oct. 2007

USP Research on other Sources of Variability in Dissolution Testing ‹

Dissolved gases (e.g. oxygen)

published in Dissolution Technologies 13(3), 2006 ‹

Geometry of the dissolution vessels

published in Dissolution Technologies 14(1), 2007 ‹

Stirring rate

published in Dissolution Technologies 14(1), 2007

USP Research on Sources of Variability in Dissolution Testing - Conclusions

Based on USP research, data and statistical analysis, it is the USP position that:  the variability due to the Prednisone Tablets contributes no more than 5% to the total variability  the suitability of the Prednisone Tablets RS for the Performance Verification Test (PVT) for the Apparatus 2 (paddle) has been demonstrated

Draft FDA Guidance issued October 2007

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The Use of Mechanical Calibration of Dissolution Apparatus 1 and 2 - Current Good Manufacturing Practice (CGMP)  The draft Guidance argues that only mechanical calibration without PVT is needed http://www.fda.gov/cder/guidance/7232dft.htm

USP Response to Draft FDA Guidance USP maintains that: ‹ Both PVT and mechanical calibration are critical to the dissolution procedure, and ‹ Mechanical calibration alone cannot ensure the validity of dissolution results. USP emphasizes: ‹ That mechanical calibration is a necessary but not sufficient means of ensuring consistency and comparability of measurements obtained with a dissolution test system. ‹ The importance of a periodic performance verification test (PVT) together with careful mechanical calibration to ensure that the combined experimental study yields consistent results. USP acknowledges that: ‹ Improvements to the mechanical specifications are required. ‹ New approaches to assess drug product performance in vitro are needed.

Current Activities at USP: Oral Dosage Forms ‹

Investigations on the influence of vibration on the PVT results

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Revision of the General Chapter regarding the specifications of some instrument parameters

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Manufacturing and evaluating a new batch of Prednisone Tablets RS

Future Research Directions at USP

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Investigate the “ideal” Reference Standard for oral dosage form PVTs

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Develop Performance Verification Tests (PVT) and Reference Standards for other dosage forms and apparati.    

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Topical/transdermal Parenterals (by injection) Mucosal or other membranes Inhalation

Investigate new approaches to assess drug product performance in vitro