Correlation of human and biorelevant media solubility for ... · Correlation of human and...

72
Correlation of human and biorelevant media solubility for poorly soluble compounds Patrick Augustijns Nottingham, September 12 2012

Transcript of Correlation of human and biorelevant media solubility for ... · Correlation of human and...

Page 1: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Correlation of human and biorelevant media solubility for poorly soluble compounds

Patrick AugustijnsNottingham, September 12 2012

Page 2: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Low solubility: a growing problem

More lipophilic

- HTS

- Combinatorial chemistry

- More lipophilic targets

More solubility issues

- Higher risk of failing during early or late development.- Appropriate solubility measurements necessary

Page 3: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

06/06/2012

Pharmaceutical profiling - Solubility

3

Van Herwaarden et al., Trends Pharmacol. Sci. 2009

Disintegration

Dissolution

Permeation

SolubilityAbsorption

Page 4: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Overview

• Intestinal drug behavior

Solubility

Supersaturation

Page 5: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Definition

• Solubility: The maximum quantity of a substance that can be completely dissolved in a given amount of solvent.

– Solvent used and its composition– Temperature– pH– Degradation– Solid state (polymorph type)– Aggregation– Counter ions (salts)– Ionic strength

Page 6: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Determination of thermodynamic solubility

• Thermodynamic solubility (equilibrium solubility):

– starting with crystalline material– equilibrium with solid compounds (time consuming)– 24-48h timescale

C

t

Disruption of Dissolution

crystal lattice

Page 7: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Determination of kinetic solubility

• Kinetic Solubility: precipitation from organic solvent

- Appropriate up to lead optimization- Solubility data are time-dependent- Likely to overpredict thermodynamic solubility

Supersaturation

Precipitation

C

t

- DMSO

- Ethanol

- Dimethoxyethane

Page 8: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

06/06/2012

Thermodynamic solubility• Crystalline material

• Equilibrium with solid form

• Shake flask method

Pharmaceutical profiling - Solubility

Put excess ofcompound in Eppendorftube

Add solvent Shake for 24hat 37°C

Centrifugefor 15min

at14000rpm

Analysesupernatans

withHPLC

8

C

t

Page 9: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Key questions

• Which solvent systems?

Page 10: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

0

1

2

3

4

5

6

7

8

9

10

µM

Phosphate Buffer pH = 6

SGF

pH = 1

FaSSIFFeSSIF

Fasted HIF

Solubility of Itraconazole in different solvent systems

Page 11: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Biorelevance of solubility assays

in vivo in vitro

BS

PL + LP DD

Page 12: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Intraluminal conditionsIntroduction

fasted ↔ fed state:

1)pH (↓)

2)Bile salts (↑)

3)Biliary Phospholipids (↑)

4)Dietary digestion products

• Lipolytic digestion products

=> Mixed micelles

Page 13: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Collection of HIF

Aspiration state (duodenum)

Fasted Fed Fat-enriched fed

Administration of liquid meal

250 ml water 400 ml Ensure Plus+ 250 ml water

300 ml Scandishake Mix+ 350 ml water

Fat content 30% 46%

Energy content 600 kcal 600 kcal

Collection period 2h 5h 5h

Used for:

characterizationin vitro solubility

Page 14: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

0 30 60 90 120 150 180 210 240 270 3002

4

6

8

10

collection time (min)

pH

pH

fasted

fat-enriched fed

fed

0 30 60 90 120 150 180 210 240 270 3002

4

6

8

10

collection time (min)

pH

0 30 60 90 1202

4

6

8

10

S1S2S3S4S5

collection time (min)

pH

Page 15: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Bile salts

0 30 60 90 1200

5

10

15

20

25

30

35

S1S2S3S4S5

collection time (min)

tota

l bile

sal

t con

c (m

M)

0 30 60 90 120 150 180 210 240 270 3000

5

10

15

20

25

30

35

collection time (min)

tota

l bile

sal

t con

c (m

M)

0 30 60 90 120 150 180 210 240 270 3000

5

10

15

20

25

30

35

collection time (min)

tota

l bile

sal

t con

c (m

M)

fasted

fat-enriched fed

fed

Page 16: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Phospholipids

0 30 60 90 1200

2

4

6

8

10

S1S2S3S4S5

collection time (min)

tota

l pho

spho

lipid

con

c (m

M)

0 30 60 90 120 150 180 210 240 270 3000

2

4

6

8

10

collection time (min)

tota

l pho

spho

lipid

con

c (m

M)

0 30 60 90 120 150 180 210 240 270 3000

2

4

6

8

10

collection time (min)

tota

l pho

spho

lipid

con

c (m

M)

fasted

fat-enriched fed

fed

Page 17: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

0 30 60 90 120 150 180 210 240 270 3000

5000

10000

15000

time (min)

solu

bilit

y (µ

M)

Solubility indomethacin

fasted

fat-enriched fed

fed

0 30 60 90 1200

5000

10000

15000

S1S2S3S4S5

time (min)

solu

bilit

y (µ

M)

0 30 60 90 120 150 180 210 240 270 3000

5000

10000

15000

time (min)

solu

bilit

y (µ

M)

Indomethacin: acid, pKa = 4.6, logP = 3.4

Page 18: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Correlations - pH

• Indomethacin (acid, pKa = 4.6, logP = 3.4)

0 2 4 6 80

1

2

3

4

5

fastedfedenriched

pH

log

(sol

ubili

ty) (

µM)

pKa

R² = 0.86

Page 19: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Correlations – BS, PL

• Danazol (neutral, logP = 4.2)

0 2 4 6 8 100

100

200

300

400

phospholipids (mM)

solu

bilit

y (µ

M)

0 10 20 30 400

100

200

300

400

fastedfedenriched

bile salts (mM)

solu

bilit

y (µ

M)

Page 20: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Correlations – LP

• Diazepam (basic, pKa = 3.3, logP = 2.9)

0 5 10 15 200

2000

4000

6000

8000

fastedfedenriched

lipolytic products (mg/ml)

solu

bilit

y (µ

M)

Page 21: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Biorelevant Conditions

• in-vitro surrogate medium

Composition Fassif Updated Fassif FessifNa Taurocholate (mM) 3 3 15Lecithine (mM) 0.75 0.2 3.75pH 6.5 6.5 5

Maleic Acid (mM) / 19.12 /

Sodium Hydroxide (mM) 8.7 34.8 101

Sodium Chloride (mM) 105.7 68.62 203

Osmolality (mosmol/kg) 270 180 ± 10 670

Page 22: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Intestinal drug solubility

solubility of 17 model drugs withdifferent physicochemical characteristics were investigated:

-1.0 -0.5 0.0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 5.0 5.5 6.0

ritonavirprednisolone

glipizide

furosemide

cinnarizine

sulfasalazine

carbamazepine

danazol

quinidine

diazepam

indomethacin

loviride

glibenclamide

fenofibrate

nifedipine

ketoconazole

hydrochlorothiazide

logP

in: - HIF- SIF- d-α-tocopheryl polyethyleneglycol 1000 succinate (TPGS)in phosphate buffer

Page 23: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Mean solubility in fasted HIF versus FaSSIF

y = 5,4x0,79

R2 = 0,91

1

10

100

1000

10000

1 10 100 1000 10000

solu

bilty

in fa

sted

HIF

(µM

)

solubility in FaSSIFc (µM)

Page 24: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Fold error between solubility in FaSSIF, corrected solubility in FaSSIF and solubility in fed HIF.

Page 25: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Mean solubility in fed HIF versus FeSSIF

y = 4,3x0,86

R2 = 0,86

1

10

100

1000

10000

1 10 100 1000 10000

solu

bilit

y in

fed

HIF

(µM

)

solubility in FeSSIFc (µM)

Page 26: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Fold error between solubility in FeSSIF, corrected solubility in FeSSIFc and solubility in fed HIF.

Page 27: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

y = 5,2x0,79

R2 = 0,84

1

10

100

1000

10000

1 10 100 1000 10000

solubility in 0,1% TPGS (µM)

solu

bilit

y in

fast

ed H

IF (µ

M)

y = 0,098x1,20

R2 = 0,84

1

10

100

1000

10000

1 10 100 1000 10000

solubility in 2% TPGS (µM)so

lubi

lity

in fe

d H

IF (µ

M)

Page 28: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Overview

• Intestinal drug behavior

Solubility

Supersaturation

Page 29: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Beyond solubility: supersaturation

Supersaturation refers to a solution that contains more of the dissolved material than could be dissolved by the solvent under normal circumstances.

Page 30: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Concept of supersaturation

Con

cent

ratio

n

Time

Equilibrium solubility

Supersaturation zone

Page 31: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

PH-Shift method

• Only useful for basic compounds (80%)

Stomach Low pH

GI Tract

Good Solubilitythrough ionization

+H3N

Poor solubilitydue to neutralization

NH2

Similar results compared to solvent shift method for itraconazole

Stomach Low pH

Page 32: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Wat

erba

th @

37°C

Test Medium

Super-saturated

Concentrated drug solution

0 30 60 90 1200

5

10

15

20

25

Time (min)

Degr

ee o

f su

pers

atur

atio

n (D

S)

medium test in solubilityt

tCDS =

Supersaturation Assay

5 Poorly soluble model drugs

Initial DS of 20

Page 33: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Itraconazole Supersaturation in FaSSIF

Supersaturation profile of Itraconazole

0,02,04,06,08,0

10,012,014,016,018,020,0

0 50 100 150 200 250 300Time (min)

Deg

ree

of s

uper

satu

ratio

n Fassif

Page 34: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Itraconazole Supersaturation in FeSSIF

Supersaturation profile of Itraconazole

0,0

5,0

10,0

15,0

20,0

25,0

0 50 100 150 200 250 300Time (min)

Deg

ree

of s

uper

satu

ratio

n

FessifFassif

Page 35: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Human intestinal Fluids?

What about supersaturation in human intestinal fluids ?

Page 36: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Itraconazole supersaturation in Fasted State Human Intestinal Fluids

Fasted HIF V1

0,0

2,0

4,0

6,0

8,0

10,0

12,0

14,0

0 20 40 60 80 100 120 140

Time (min)

Deg

ree

of S

uper

satu

ratio

n

Page 37: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Itraconazole supersaturation in Fed State Human Intestinal Fluids

Fed HIF V3

0,0

1,0

2,0

3,0

4,0

5,0

6,0

7,0

8,0

9,0

10,0

0 20 40 60 80 100 120

time (min)

Deg

ree

of s

uper

satu

ratio

n

Page 38: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

0 20 40 60 80 100 1200

2

4

6

8

10

12

14

16

18

20

22

A

B

C

Time (min)

Degr

ee o

f sup

ersa

tura

tion

factoration Supersatur 2h-0 ABA+

=

DS 1 (solubility)

Impact of medium on precipitation

Page 39: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Etravirine Ritonavir Loviride Danazol Fenofibrate0

1

2

3

4

5

6

7

8

9

10

11

12 FaHIF

Supe

rsat

urat

ion

Fact

or0-

2h

Increasing solubilityBevernage et al, 2010, J Pha Sci 99:4525

Impact of medium on precipitation

Page 40: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Etravirine Ritonavir Loviride Danazol Fenofibrate0

1

2

3

4

5

6

7

8

9

10

11

12 FaHIF FeHIF

Supe

rsat

urat

ion

Fact

or0-

2h

Bevernage et al, 2010, J Pha Sci 99:4525

Impact of medium on precipitation

Page 41: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Etravirine Ritonavir Loviride Danazol Fenofibrate0

1

2

3

4

5

6

7

8

9

10

11

12 FaHIFFaSSIF

FeHIFFeSSIF

Supe

rsat

urat

ion

Fact

or0-

2h

Bevernage et al, 2010, J Pha Sci 99:4525

Impact of medium on precipitation

Page 42: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Etravirine Ritonavir Loviride Danazol Fenofibrate0

1

2

3

4

5

6

7

8

9

10

11

12 FaHIFFaSSIF

FeHIFFeSSIF

Buffer

Supe

rsat

urat

ion

Fact

or0-

2h

Bevernage et al, 2010, J Pha Sci 99:4525

Impact of medium on precipitation

Page 43: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Influence solubility on supersaturation

f

0

5

10

15

20

25

0 50 100 150 200 250 300Time (min)

Deg

ree

of s

uper

satu

ratio

n

ItraconazoleEtravirineLoviride

0,00

1,00

2,00

3,00

4,00

5,00

6,00

7,00

8,00

9,00

10,00

1

ItraconazoleEtravirineLoviride

Page 44: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Absorption assessment: Caco-2

OMS formulation (1)

crystalline itraconazole (2)

(1)

(2)

Page 45: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

In vivo exposure (rats)

Itraconazole

0 4 8 12 16 20 240

400

800

Time (hrs)

Plas

ma

conc

entr

atio

n (n

M)

OH-itraconazole

0 4 8 12 16 20 240

400

800

1200

Time (hrs)Pl

asm

a co

ncen

trat

ion

(nM

) Crystalline ITZITZ:SBA-15 1:4Sporanox

Page 46: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Precipitation inhibition in human gastric fluid: excipient effects

Con

cent

ratio

n

Time

solubility

+ excipient

HPMC E5

Eudragit® E-PO

PVP K25

Page 47: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Effect of HPMC on ITZ precipitation in FaSSIF (pH 6.5)

3 µg/ml

0 60 120 180 2400

1

2

3 FaSSIFFaSSIF + 0.05% HPMC

Time (min)

Con

c (µ

g/m

l)

Page 48: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

In vivo exposureEffect of HPMC

Itraconazole

0 4 8 12 16 20 240

400

800

Time (hrs)

Plas

ma

conc

entr

atio

n (n

M)

OH-itraconazole

0 4 8 12 16 20 240

400

800

1200

Time (hrs)

Plas

ma

conc

entr

atio

n (n

M) Crystalline

ITZ:SBA-15 1:4SporanoxITZ:SBA-15:HPMC 1:4:1.5ITZ:SBA-15:HPMC 1:4:6

Page 49: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Con

cent

ratio

n

Time

Intestine

Con

cent

ratio

n

Time

Plasma

solubility

Solubility-limited absorptionJ = P ⋅ C

Page 50: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Con

cent

ratio

n

Time

Intestine

Con

cent

ratio

n

Time

Plasma

solubility

Supersaturation J = P ⋅ C

Page 51: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Con

cent

ratio

n

Time

Intestine

Con

cent

ratio

n

Time

Plasma

solubility

Supersaturation + precipitationJ = P ⋅ C

Page 52: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Con

cent

ratio

n

Time

Intestine

Con

cent

ratio

n

Time

Plasma

solubility

Supersaturation + precipitation:low permeability J = P ⋅ C

Page 53: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Con

cent

ratio

n

Time

Intestine

Con

cent

ratio

n

Time

Plasma

solubility

J = P ⋅ CSupersaturation + precipitation:high permeability

Page 54: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

06/06/2012 54

Solu

bilit

y(µ

M)

Solubility profiling of HIV-PI

Page 55: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

55

Solubility profiling of HIV-PI

Page 56: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

56

Solubility profiling of HIV-PI

Page 57: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Prediction of food-effects

57

Solubility profiling of HIV-PI

Page 58: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Conclusions

• High intra/inter subject variability

• FaSSIF & FeSSIF: adequate solvent systems for:• Solubility estimation• Supersaturation evaluation• Prediction of food effects

Page 59: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Acknowledgements

• Laboratory for Pharmacotechnology & Biopharmacy, KU Leuven

Jan BevernageMichiel Van SpeybroeckNico HolmstockRandy MellaertsJoachim Brouwers

• Center for Gastroenterology, University Hospitals LeuvenRita Vos, Jan Tack

• FundingResearch Foundation Flanders (‘FWO’); Agency for Innovation by

Science and Technology (‘IWT’); KU Leuven

Page 60: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Overview

• Intestinal drug behavior

Solubility

Supersaturation

• Gastric drug behavior:

Case study posaconazole

Page 61: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole in the lab

• XLogP = 4.6• aqueous solubilty < 1 µg/ml• high permeability• BCS II• weak base (pKa 3.6 and 4.6)

Page 62: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole: influence of gastric conditions

Posaconazole pharmacokinetics and gastrointestinal behavior

– crossover study (5 healthy volunteers)

– oral administration of a single dose (400 mg) of Noxafil®

– posaconazole concentration-time assessment

• plasma

• gastric fluid

• intestinal fluid

– 4 different conditions

• water

• PPI / water

• PPI / cola

• cola

Page 63: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole & PPI

Stomach

0 30 60 90 120 150 180 210 240 270 3000

2

4

6

8

Water PPI - Water

Time (min)

pH

0 30 60 90 120 150 180 210 240 270 3000

100

200

300

400

500

Time (min)

Posa

cona

zole

(µM

)

Page 64: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole & PPI

Plasma

0 6 12 18 24 30 36 42 480.00

0.05

0.10

0.15

0.20 WaterPPI - Water

Time (h)

Posa

cona

zole

(µM

)

Page 65: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole & PPI & Cola

Stomach

0 30 60 90 120 150 180 210 240 270 3000

2

4

6

8

Water PPI - Water PPI - Cola

Time (min)

pH

0 30 60 90 120 150 180 210 240 270 3000

100

200

300

400

500

Time (min)

Posa

cona

zole

(µM

)

Page 66: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole & PPI & Cola

Plasma

0 6 12 18 24 30 36 42 480.00

0.05

0.10

0.15

0.20 WaterPPI - WaterPPI - Cola

Time (h)

Posa

cona

zole

(µM

)

Page 67: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole & Cola

Plasma

0 6 12 18 24 30 36 42 480.0

0.1

0.2

0.3

0.4 WaterCola

Time (h)

Posa

cona

zole

(µM

)

Page 68: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole & Cola

Stomach

0 30 60 90 120 150 180 210 240 270 3000

2

4

6

8

Water Cola

Time (min)

pH

0 30 60 90 120 150 180 210 240 270 3000

200

400

600

800

1000

Time (min)

Posa

cona

zole

(µM

)

Page 69: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Posaconazole & Cola: effects of cola

Solubilization

0 30 60 90 120 150 180 210 240 270 3000

200

400

600

800

1000WaterCola

Time (min)

Posa

cona

zole

(µM

)

pH 1.2 pH 2.5 pH 6.50

20

40

60800

1600

2400 ColaSGFFaSSIF

Posa

cona

zole

sol

ubili

ty (µ

M)

Increased gastric dissolution time

normal gastric pH: dissolution-limited absorption

Page 70: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Summary: gastric conditions & fasted state posaconazole absorption

• Gastric dissolution affects posaconazole absorption

• Clinically: coadminister posaconazole with cola– with PPI: partially restored fasted state absorption– without PPI: improved fasted state absorption

• Posaconazole formulation improvements are desirable– dissolution rate / solubility

• Mechanistically: effect of cola– pH-dependent increase in solubility (in case of abnormal gastric pH

levels)– pH-independent increase in solubility– increased gastric dissolution time

Page 71: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

y = 64,4x0,55

R2 = 0,75

1

10

100

1000

10000

0,1 1 10 100 1000 10000

solubility in blank FeSSIF (µM)so

lubi

lity

in fe

d H

IF (µ

M)

y = 34,3x0,56

R2 = 0,81

1

10

100

1000

10000

0,1 1 10 100 1000 10000

solubility in blank FaSSIF (µM)

solu

bilit

y in

fast

ed H

IF (µ

M)

Page 72: Correlation of human and biorelevant media solubility for ... · Correlation of human and biorelevant media solubility for poorly soluble compounds ... • Intestinal drug behavior

Conclusions

• High intra/inter subject variability

• FaSSIF & FeSSIF: adequate solvent systems for:• Solubility estimation• Supersaturation evaluation

• Conditioning environment of the stomach

Preparation room Waiting room