application strategy of pbpk for generic drugs and its

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Application Strategy of PBPK for Generic Drugs and Its Current Challenges BUILD A PHARMACEUTICAL COMPANY June 18, 2017 1 Bo Liu

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Page 1: Application Strategy of PBPK for Generic Drugs and Its

Application Strategy of PBPK for Generic Drugs

and Its Current Challenges

BUILD A PHARMACEUTICAL COMPANY

June 18, 2017

1

Bo Liu

Page 2: Application Strategy of PBPK for Generic Drugs and Its

PuraCap Global Presence

HumanwellHealthcare Group

Humanwell

PuraCap Pharma,

Wuhan,China

EPIC

New York PuraCap

Laboratories

LLC, Kentucky

PuraCap

Pharmaceutical

LLC.

New Jersey

PuraCap Caribe LLC.,

Peurto Rico

Yichang

Humanwell

Pharma,

Yichang,China

We have 5 facilities which

are US FDA inspected

and ALL products are

excellent quality for US/

EU markets

Page 3: Application Strategy of PBPK for Generic Drugs and Its

3

Page 3

R&D ---Reaching Global Resource

Well Equipped

R&D Labs &

Research Institute

Puerto

Rico

New

Jersey Kentucky

Wuhan,

China

New

York

Wuhan,

China

4 research

centers globally

to support our

R&D projects

Page 4: Application Strategy of PBPK for Generic Drugs and Its

4

Generic Drugs for US & EU Market

Currently Own FDA Approved ANDAs for US

market

Filed another ANDAs & NDA under FDA

review

Other pipeline products includes ANDAs &

NDA

Over 140 Generic Drugs in our portfolio

Page 5: Application Strategy of PBPK for Generic Drugs and Its

PBPK

Difference between Generic and New Drug

5

New Drug Too many uncertainties

Generic Drug Absorption unknown

Project

Initiate Preclinical

Phase

Ⅰto Ⅲ

Project

Approve

Post

Launch Product

Enhancement

Project

Initiate

Product

Development

Exhibit

Batches

Pivotal BE/ Clinical

Trial

Product

Approve

Post Approve

Change

Page 6: Application Strategy of PBPK for Generic Drugs and Its

In vivo

In vitro PBPK

Preparation for Applying PBPK in

Generic Drug Development

6

Page 7: Application Strategy of PBPK for Generic Drugs and Its

In vivo

In vitro PBPK

Preparation for Applying PBPK in

Generic Drug Development

7

Page 8: Application Strategy of PBPK for Generic Drugs and Its

8

Preparation for Applying PBPK in

Generic Drug Development

Page 9: Application Strategy of PBPK for Generic Drugs and Its

PBPK Application Strategy

9

RLD

Formulation screen

Prior BE study

Post BE study

Page 10: Application Strategy of PBPK for Generic Drugs and Its

10

RLD and Formulation Screen Stage

Page 11: Application Strategy of PBPK for Generic Drugs and Its

11

Application of Virtual Bioequivalence-

Safe Space Design Building

The optimum values of the α and β Weibull parameters were estimated on the basis of the virtual

trials ensuring BE (Cmax and AUC within 80 - 125% of the Target formulation)

Page 12: Application Strategy of PBPK for Generic Drugs and Its

Prior BE stage

12

Page 13: Application Strategy of PBPK for Generic Drugs and Its

13

Mechanistic

In vitro Modelling

USP 2 Paddle 75RPM

5 mM Phosphate buffer

pH 6.7

Microclimate pH Model

Particle radius estimated (PE)

Lumped scalar (salts) (PE)

Ibuprofen

Free Acid

Ibuprofen Salt

Dis

solu

tio

n%

Time (h)

100

0 0 0.8

In vitro Dissolution Profiles (USP 2)

)tCt(Sthtatath

DNSDR(t) bulksurfaceeff

eff

eff)()()()()(4

)(

Ibuprofen

Page 14: Application Strategy of PBPK for Generic Drugs and Its

14

Time course in hypothetical Effect Compartment was simulated. PD Endpoint – Dental Pain Relief Score PBPK Virtual BE studies (fasted) crossover design – IBU salt vs free form

Mechanistic understanding

and modelling

Scientifically-based criteria for

demonstrating therapeutic equivalence

Page 15: Application Strategy of PBPK for Generic Drugs and Its

Post BE stage

15

Page 16: Application Strategy of PBPK for Generic Drugs and Its

16

Drug C BCS 2 drug

Dose: 400 mg

Acid

Soft Capsule

USP method In house method

Post BE stage

No commercial software is used in this case.

Page 17: Application Strategy of PBPK for Generic Drugs and Its

17

PBPK simulation

Post BE stage

Item Ratio Geometric mean Confidence interval

Prediction based on

USP method (N=40)

Cmax (%) 102.3 98.9 115.5

AUC (%) 94.2 91.5 106.0

Prediction based on in

house method (N=40)

Cmax (%) 79.9 77.6 89.2

AUC (%) 94.1 91.2 100.0

Observed value

(N=33)

Cmax (%) 88.1 78.5 99.1

AUC (%) 97.9 92.4 103.5

AUC ratio Cmax ratio

Page 18: Application Strategy of PBPK for Generic Drugs and Its

18

The effect of BE on the DDI

Page 19: Application Strategy of PBPK for Generic Drugs and Its

Ketoconazole

19 Liu, B. et al. 2016, Biopharmaceutics & Drug Disposition Volume 38 Issue 3 260-270

Pla

sma C

on

cen

trati

on

of

KT

Z (

mg/m

l)

0

2

4

6

8

10

0 3 6 9 12 15

0

2

4

6

8

10

0 3 6 9 12 15

Time ( h )

Page 20: Application Strategy of PBPK for Generic Drugs and Its

20

Pla

sma C

on

cen

trati

on

of

KT

Z (

µg/m

l)

A. KTZ 100 mg

Time (h)

B. KTZ 200 mg

C. KTZ 400 mg

A. KTZ 100 mg

B. KTZ 200 mg

C. KTZ 400 mg

Time (h)

Ketoconazole

Page 21: Application Strategy of PBPK for Generic Drugs and Its

21

Time (h) Time (h)

Pla

sma C

on

cen

trati

on

of

MD

Z (

µg/m

l)

Ketoconazole & Midazolam

Page 22: Application Strategy of PBPK for Generic Drugs and Its

22

0

0.5

1

1.5

2

A B C

Pre

. A

UC

ra

tio

/ O

bs. A

UC

ra

tio

0

0.5

1

1.5

2

A B C

Pre

. C

max r

atio

/ O

bs. C

max r

atio

Ketoconazole & Midazolam

Page 23: Application Strategy of PBPK for Generic Drugs and Its

23

Pla

sma C

on

cen

trati

on

of

MD

Z (

ng/m

l)

Time (h) [Relative to MDZ Administration] Time (h) [Relative to MDZ Administration]

Ketoconazole & Midazolam

Page 24: Application Strategy of PBPK for Generic Drugs and Its

24

0

100

200

300

400

500

600

700

800

900

A B C D E

AU

C (

ng/m

l.h)

Observed Simcyp Default Simcyp Optimized

0

100

200

300

400

500

600

700

800

900

A B C D E

AU

C (

ng/m

l.h)

Observed Simcyp Default Simcyp Optimized

Ketoconazole & Midazolam

Page 25: Application Strategy of PBPK for Generic Drugs and Its

Desired State (ANDA)

25

Paul Seo, 2015 Gpha Fall Techinical Conference

Page 26: Application Strategy of PBPK for Generic Drugs and Its

Final Goal for ANDA

26

And by

Page 27: Application Strategy of PBPK for Generic Drugs and Its

Challenge and Opportunity

27

1. Knowledge preparation: in vitro , in vivo and in silico.

2. Develop effective bio-relevant dissolution method

rather than use the USP method (In house method)

3. Pay the attention to the input data (Data Quality)

4. Using PBPK model to define the Clinical Relevant in

vitro Acceptance Criteria,

5. Consider to use PBPK/PD simulation

6. Bridging the clinical trial and in vitro studies

7. The strategy recommended here can effectively

accelerate ANDA development and ensure the BE

success rate.

Page 28: Application Strategy of PBPK for Generic Drugs and Its

28

BUILD A PHARMACEUTICAL COMPANY