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Dissolution profile comparison using different statistical approaches – f 2 bootstrapping Paulo Paixão Faculdade de Farmácia, Univ. Lisboa BioBridges 2019 [email protected]

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Page 1: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Dissolution profile comparison using different

statistical approaches – f2 bootstrapping

Paulo Paixão

Faculdade de Farmácia, Univ. Lisboa

BioBridges 2019 [email protected]

Page 2: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Dissolution of oral tablets

Page 3: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

In vitro dissolution

Quím. Nova vol.33 no.2 São Paulo 2010http://dx.doi.org/10.1590/S0100-40422010000200042

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Utility of in vitro dissolution

Development and Quality

For selection of the formulation in the development phase

Selection of the dissolution specifications for product release & stability purposes

Regulatory

Comparative dissolution data between the bio-batch and innovator batch

Demonstration of in vivo bioequivalence for several strength(s) of a Finished Pharmaceutical Product may be waived

Fundamental part on the BCS based waiving concept

Post-approval amendment applications

Page 5: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Dissolution in bioequivalence in the EMA

guideline for BE

In vitro dissolution tests complementary to bioequivalence

studies

The results of in vitro dissolution tests at three different buffers

(normally pH 1.2, 4.5 and 6.8) and the media intended for drug

product release (QC media), obtained with the batches of test and

reference products that were used in the bioequivalence study

In vitro dissolution tests in support of biowaiver of strengths

Appropriate in vitro dissolution should confirm the adequacy of

waiving additional in vivo bioequivalence testing.

In vitro Dissolution for BCS-based Biowaivers

either very rapid (> 85 % within 15 min) or similarly rapid (85 %

within 30 min ) in vitro dissolution characteristics for BCS class I and

III

Page 6: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Similarity of dissolution profiles

Where more than 85% of the drug is dissolved within 15

minutes, dissolution profiles may be accepted as similar

without further mathematical evaluation.

In case more than 85% is not dissolved at 15 minutes,

dissolution similarity may be determined using the ƒ2

statistic.

Page 7: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

The ƒ2 statistic

A minimum of three time points (zero

excluded)

The time points should be the same

for the two formulations

Not more than one mean value of >

85% dissolved for any of the

formulations.

Twelve individual values for every time

point for each formulation

The relative standard deviation or

coefficient of variation of any product

should be less than 20% for the first

point and less than 10% from second

to last time point.

An f2 value between 50 and 100

suggests that the two dissolution

profiles are similar.

Page 8: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

The ƒ2 statistic

A minimum of three time points (zero

excluded)

The time points should be the same

for the two formulations

Not more than one mean value of >

85% dissolved for any of the

formulations.

Twelve individual values for every time

point for each formulation

The relative standard deviation or

coefficient of variation of any product

should be less than 20% for the first

point and less than 10% from second

to last time point.

An f2 value between 50 and 100

suggests that the two dissolution

profiles are similar.

Page 9: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

The ƒ2 statistic

0

10

20

30

40

50

60

70

80

90

100

0 10 20 30 40 50 60

% D

isso

lve

d /

f2

valu

e

Time (min)

A

B

f2

Page 10: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

The ƒ2 statistic

A minimum of three time points (zero

excluded)

The time points should be the same

for the two formulations

Not more than one mean value of >

85% dissolved for any of the

formulations.

Twelve individual values for every time

point for each formulation

The relative standard deviation or

coefficient of variation of any product

should be less than 20% for the first

point and less than 10% from second

to last time point.

An f2 value between 50 and 100

suggests that the two dissolution

profiles are similar.

Page 11: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

The ƒ2 statistic

A minimum of three time points (zero

excluded)

The time points should be the same

for the two formulations

Not more than one mean value of >

85% dissolved for any of the

formulations.

Twelve individual values for every time

point for each formulation

The relative standard deviation or

coefficient of variation of any product

should be less than 20% for the first

point and less than 10% from second

to last time point.

An f2 value between 50 and 100

suggests that the two dissolution

profiles are similar.

When the ƒ2 statistic is not suitable, then the similarity may be compared using model-

dependent or model-independent methods

Page 12: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Model Dependent Methods

Model Equation

Zero order Release F(%) = k × t

First order Release F(%) = 100 × [1-e(-kt)]

Hixson-Crowell cube root

lawF(%) = 100 × [1-(1-kt)3]

Weibull F(%) = 100 x {1 – e [- (t – T1)b/a]}

Korsemeyar and Peppas F(%) = ktn

Page 13: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Model Dependent Methods

To allow application of these models to comparison of

dissolution profiles, the following procedures are suggested:

1. Select the most appropriate model for the

dissolution profiles from the standard, pre-change,

approved batches. A model with no more than three

parameters is recommended.

2. Using data for the profile generated for each unit,

fit the data to the most appropriate model.

3. Compare the statistical distance among the

model parameters.

Page 14: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Model Independent Methods - Ratio Tests

Percent dissolved drug

AUC

MDT

Similarity concluded by the evaluation of the 90%CI of the

ratios

𝐴𝑈𝐶 =

𝑖=1

𝑛𝐹𝑖 + 𝐹𝑖+1

2𝑡𝑖+1 − 𝑡𝑖

𝑀𝐷𝑇 =σ𝑖=1𝑛 Ƹ𝑡𝑖∆𝐹𝑖σ𝑖=1𝑛 ∆𝐹𝑖

Page 15: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Model Independent Methods - Pair-Wise

Difference factor

Similar dissolution if values are lower than 15. Similar critics to the f2metric

Bootstrap f2

Lower bound of the non-parametric bootstrapping

confidence interval (90%) for f2 index. Similar

dissolution if higher than 50.

𝑓1 =σ𝑖=1𝑛 𝑅𝑖 − 𝑇𝑖σ𝑖=1𝑛 𝑅𝑖

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Model Independent Methods - Pair-Wise

Rescigno Index - 𝜉𝑖 𝑖 = 1,2

𝜉𝑖 =0𝑡𝑙𝑎𝑠𝑡 𝐹𝑅 𝑡 − 𝐹𝑇(𝑡)

𝑖𝑑𝑡

0𝑡𝑙𝑎𝑠𝑡 𝐹𝑅 𝑡 + 𝐹𝑇(𝑡)

𝑖𝑑𝑡

1/𝑖

The indices lie between zero and one. The value of ξi close to

zero indicates similarity between mean dissolution profiles.

Page 17: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Model Independent Methods

Mahalanobis Statistical Distance (MSD)

𝐷𝑀 = (𝑹𝑡 − 𝑻𝑡)′ Σ𝑝𝑜𝑜𝑙𝑒𝑑−1(𝑹𝑡 − 𝑻𝑡)

Σ𝑝𝑜𝑜𝑙𝑒𝑑 =Σ𝑡𝑒𝑠𝑡+Σ𝑟𝑒𝑓

2, 𝑹𝑡= 𝑅1, … . 𝑅𝑡

′ , 𝑻𝑡 = (𝑇1, … . 𝑇𝑡)′

Acceptance by calculating the Upper Bound (Dmu) of the 90% 2-

sided confidence interval (Tsong et. al. 1996) and DMu < ΔDM with

∆𝐷𝑀= 𝑚 ´(∑𝑝𝑜𝑜𝑙𝑒𝑑)−1 𝑚 (m=10; 15),

or ∆𝐷𝑀 = higher historical DMu

Page 18: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Use on regulatory grounds

In the past, f2 was generally accepted as non-applicable

conditions were uncommon.

In present times, the requirement of:

Multiple pHs conditions,

Limitations on use of surfactants

Limitations on the increase of RPM

Resulted on increase in number of dissolution profiles not

suitable to be evaluated based on the f2 metric.

Typically, the MSD method was used by the applicants

Page 19: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Some simulations…

An immediate release tablet formulation was considered, and the drug release/dissolution model included 1) an initial tablet disintegration period with lag time and 2) the dissolution of the drug particles after disintegration was assumed to follow the Nernst-Brunner equation.

1)

2)

Each formulation parameter was considered to vary with an exponential error. An additive residual error was also included.

Models were implemented in Berkeley-Madonna

Page 20: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Formulation parameters

f2 100 75 65 55 52.5 50 47.5 45 40

Dosage (mg) 100

kdisint (min-1) 1

tlag (min) 2

Zd (mL mg-1 min-1) 0.090 0.081 0.076 0.069 0.066 0.064 0.061 0.059 0.052

V (mL) 900

sol (mg/mL) 1

Page 21: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Variability Parameters

EXP 1 2 3 4

Dosage (CV) 0.05

Kdisnt (CV) 0.2

Tlag (CV) 0.05 0.25 0.05 0.25

kd (CV) 0.05 0.05 0.25 0.25

Experimental (SD) 0.001

Page 22: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Calculations

For theoretical f2 = 100, a total of 12.024 tablets were

simulated in each Experimental Condition

Ref A = 1-12; Ref B = 13-24

For theoretical f2 < 100, a total of 12.000 tablets were

simulated in each Experimental Condition

f2 values were calculated between RefA,B and remaining cases

(n=12, total of 1000 comparisons) in each theoretical f2 and

experimental condition

Bootstrap f2 (90% CI) was calculated between RefA,B and

tablets 25-36 in each theoretical f2 and experimental condition

MSD was evaluated between RefA,B and remaining cases in

each theoretical f2 and experimental condition

Page 23: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Results EXP 1

f2 MSD

Page 24: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Results EXP 1

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

A

f2 = 98.4

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

B

f2 = 93.4

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Results EXP 2

f2 MSD

Page 26: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Results EXP 2

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

C

f2 = 94.8

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

D

f2 = 96.4

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Results EXP 3

f2 MSD

Page 28: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Results EXP 3

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

G

f2 = 95.2

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

H

f2 = 90.6

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Results EXP 4

f2 MSD

Page 30: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Results EXP 4

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

E

f2 = 83.7

0

25

50

75

100

100 75 65 55 52.5 50 47.5 45 40

F

f2 = 95.2

Page 31: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Published works on the matter

Page 32: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Follow-Up Discussions

Page 33: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Current EMA position

Page 34: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Conclusions

f2 metrics are a convenient way to evaluate the similarity

of dissolution profiles

f2 metrics are not suitable for data with high variability (as

expected)

MSD is also not suitable for the same conditions

f2 Bootstrapping is a convenient way to evaluate similarity

in dissolution profiles with high variability

Current Regulatory view proposes the use of f2Bootstrapping for high variability conditions.

Page 35: Dissolution profile comparison using different statistical ... · Dissolution in bioequivalence in the EMA guideline for BE In vitro dissolution tests complementary to bioequivalence

Thank you

Paulo Paixão

Faculdade de Farmácia, Univ. Lisboa

[email protected]