Hasan Alia,
Priya Ranjan Prasad Vermaa,
Sunil Kumar Dubeye,
Jayachandran Venkatesanc,
Youngwan Seod,
Se-Kwon Kim*cd and
Sandeep Kumar Singh*ab
aDepartment of Pharmaceutical Sciences and Technology, Birla Institute of Technology, Mesra, Ranchi-835215, Jharkhand, India. E-mail: dr.sandeep_pharmaceutics@yahoo.com; Tel: +91 092 3465 3731 Tel: +82 010 4356 2918
bMarine Bioprocess Research Centre and Department of Marine Bio-convergence Science, Pukyong National University, 365 Sinseon-ro, Nam-gu, Busan, 608739, Republic of Korea
cKolmar Korea Co., Ltd., 18, Saimdang-ro, Seocho-Gu, Seoul, 137876, Republic of Korea
dDepartment of Marine Life Sciences, Korean Maritime and Ocean University, 727 Taejong-ro, Yeongdo-Gu, Busan 49112, Republic of Korea
eDepartment of Pharmacy, Birla Institute of Technology and Science, Pilani, Rajasthan, India
First published on 3rd July 2017
In this work, we conducted pharmacokinetic studies and established the in vitro and in vivo correlation (IVIVC) of furosemide (FRS) loaded solid lipid nanoparticles (FSLN). A bioanalytical method using RP-HPLC was developed and validated to evaluate the pharmacokinetic properties of FSLN and FRS suspension (FSP). The pharmacokinetic parameters were analyzed using various pharmacokinetic compartment models (one, two and three) and non-compartmental analysis. The IVIVC was accomplished using numerical deconvolution (single Weibull and double Weibull), the Wagner-Nelson (one compartment model) and the Loo-Riegelman method (two and three compartment model) via GastroPlus™ software. The method was developed and successfully validated for the quantification of FRS in plasma. An enhancement in Cmax from 2261.7 ng mL−1 (FSP) to 3604.7 ng mL−1 FSLN, and AUC0→24 from 10130 ng h mL−1 (FSP) to 17077 ng h mL−1 (FSLN) indicated an enhancement in the oral bioavailability of FRS when given in the form of SLN. In the statistical analysis, the Loo-Riegelman method was found to be the best-fit deconvolution method for establishing the IVIVC of FSLN. As an innovative approach, having more restrictive and conclusive IVIVC, the entire plasma profile of the convoluted and observed was divided into three time phases, (i) 0 → 0.5 h, (ii) 0.5 → 3 h and (iii) 3 → 24 h, and statistically analyzed to demonstrate IVIVC. The study showed that FSLN could be a potential drug carrier for the delivery of FRS with improved bioavailability.
With the advent of nanomedicine, continuous research efforts are underway to minimize undesirable side effects and improve the therapeutic efficacy.3 A plethora of research approaches (e.g. polymeric nanoparticles, liposomes, nanocrystals, nanoemulsions, micelles and mixed micelles) have been employed to overcome problems associated with BCS II and IV drugs.3,4 However, deficiencies of harmless polymers with regulatory compliance and high price have restricted the extensive applications of polymeric nanoparticles in clinical medicine.5–7 To overcome these restrictions, lipids have been used as a material of choice for the development of solid lipid nanoparticles (SLN).8,9 Analogous to nanoemulsions, SLN make up a colloidal drug delivery system that employs solidified lipids, such as high melting fatty acids, glycerides or waxes.3,10 Furthermore, SLNs are stabilized by using surfactant(s) (natural/synthetic) that are biocompatible and biodegradable and belong to the generally recognized as safe (GRAS) category.3,11,12 Additionally, SLNs have some other advantages such as (i) enhanced bio-absorption of encapsulated drug, (ii) ability to modify the drug release behavior, (iii) improvement of tissue distribution and (iv) drug targeting via surface engineering.13,14
Furosemide (FRS) is a high ceiling diuretic given in the management of edema linked with cardiac, renal, and hepatic failure and the treatment of hypertension. It is a BCS class IV drug because of its low solubility and low permeability, which result in reduced bioavailability.15,16 FRS acts by inhibiting the reabsorption of sodium and chloride in the ascending loop of Henle and distal tubules. Peak plasma drug concentrations (Cmax) occur between 1 to 1.5 h, with variable bioavailability and low permeability, which result in reduced bioavailability.15–17 The dosage form, underlying disease conditions and food substantially influence the rate and extent of bioavailability following oral administration. The permeability and drug delivery related concerns of FRS have been addressed using various formulation maneuvers. The recent studies employing nanosuspensions,18 chitosan coated liposomes,19 colloidal carriers (niosome encapsulated self-microemulsifying drug delivery system),20 polyamidoamine dendrimer complexes,21 proniosomes,22 supramolecular complexes, solid dispersion, co-crystals, and micro-emulsions are well documented in literature.23–26
The first objective of this investigation was to develop and validate a bioanalytical method to estimate the pharmacokinetics of FRS loaded SLN (FSLN) and FRS suspensions (FSP) using the RP-HPLC method. The second objective was to compare the pharmacokinetics of FSLN and FSP and select the appropriate pharmacokinetic model, followed by in vitro and in vivo correlation (IVIVC). We used the GastroPlus™ software to evaluate the pharmacokinetic parameters of FSLN and FSP. Furthermore, the IVIVCPlus™ module of the GastroPlus™ software was used to estimate the correlation function to select the best-fit IVIVC model employing various deconvolution methods. The plasma drug concentration–time profile was reconstructed from in vitro drug release data and then predicted in order to establish the correlation between in vitro drug release and systemic availability (convolution).
Fig. 1 Transmission electron microscopic image (A) and size distribution curve of FRSM loaded SLN (B) [reproduced with permission10]. |
Furthermore, it was observed that at elevated temperature, the turbid pre-emulsion (w/o) inverts to the stable emulsion (o/w). In this study, initially, a turbid pre-emulsion was obtained by heating and then slowly cooling to room temperature, by using a non-ionic ethoxylated surfactant (CRH40), whose surface interfacial characteristics at the globule interface are considerably temperature dependent.10 Generally, with increasing temperature, ethoxylated surfactant molecules have the tendency for dehydration of the polyethylene oxide chain.32,33 The SLN produced from the PIT method showed good physical properties and stability over time.10
Increasing the concentration of buffer (>20 mM) led to the peak tailing, eventually resulting in poor resolution. In contrast to this, using reduced concentrations (<20 mM) of buffer decreased the sensitivity in this setting. The optimum concentration of phosphate buffer was found to be 20 mM, which gave better resolution with enhanced sensitivity. A variable effect of pH was also observed. On increasing the pH of the mobile phase, a negative charge was increased on the stationary phase, which decreased the retention of FRS, causing faster elution. On the other hand, decreasing the pH caused a reduction of negative charge on the stationary phase, which resulted in a decrease in the elution of the analyte. A suitable pH of 4 was set after many trials and errors; finally, the optimized mobile phase was found to be 35:65 (PBS:ACN). In this experiment, venlafaxine HCl (IS) was eluted first, followed by FRS, with the retention times of 3.5 min and 5.5 min, respectively, and a runtime of 6 minutes. The flow rate was maintained at 1 mL min−1 and absorbance was observed at 229 nm. Recovery of the analyte was carried out by solid phase extraction; therefore, the optimized extraction procedure should exhibit consistent recovery at all QC levels without any interference from endogenous components. Columns used in HPLC are produced in a variety of length and internal diameter combinations, with various particle sizes. HPLC column dimensions (length and internal diameter) generally affect the sensitivity, speed of analysis, and consequently the efficiency. The selection of column by taking dimensions into consideration wholly depends on the application, analysis, preparative methods, and the number of analytes present in the single analysate; hence, the column with the required dimensions to achieve an efficient, sensitive and fast analysis should be selected.34,35 The length of the column has an important effect on the efficiency of chromatographic separation, i.e., the efficiency increases with column length; a two fold increase in the column length enhances the resolution by a factor of 1.4. Short column length will give short run times with diminished backpressure, which has limited applications. Longer columns generally exhibit better resolution, but with increased analysis time and the excess use of mobile phase (solvents), resulting in the higher cost of analysis.34,35 In this study, a 15 cm column was used, which showed good resolution and less retention time (Fig. 2). Particle size is of prime importance when selecting the stationary phase. On reducing the particle size, the efficiency of the column increases. Smaller particle size contributes to improved separation, but at the cost of increased column backpressure. Larger particles reduce the efficiency of the column, which results in poor separation. Herein, a column with 5 μm particle size was employed in order to achieve better efficiency by avoiding the issues related to backpressure.34,35 Columns with small internal diameters show high sensitivity, but with an increase in back pressure. On the other hand, larger diameter columns require higher flow rates, resulting in the use of the larger volume of the mobile phase. To troubleshoot the problem of back pressure and wastage of solvents, a column with internal diameter of 4.6 mm was selected for better sensitivity. In an effort to increase the sensitivity of the method, different wavelengths were used, 235, 254 and 280 nm, for detection purposes.36 In our study, the better sensitivity with lower interference for FRS was achieved at wavelength 229 nm. The performance of the HPLC assay was assessed by selectivity, linearity, precision, accuracy, sensitivity, extraction recovery, and freeze–thaw stability of extracts.
Fig. 2 Representative chromatograms of (A) blank plasma, (B) FSLN in plasma, (C) FRS suspension in plasma at 1.5 h and (D) FRSM peak in plasma at LLOQ. |
To prepare a standard curve in the range of 105.6 ng mL−1 to 5000 ng mL−1, FRS concentration was plotted against peak area ratio of FRS to IS (area of analyte/area of IS). The standard curve was depicted by the linear equation, y = 0.0006x + 0.0353, with the correlation coefficient R2 = 0.997. The lower limit of quantification (LLOQ) of the developed method was 105.6 ng mL−1. The intra-day accuracy of FRS ranged from 90.74% to 105.35%, at four QC levels (LLOQC, LQC, MQC and HQC) with the precision varying from 0.54% to 6.22% (Table 1). Furthermore, the inter-day accuracy of FRS varied from 97.03% to 104.58%, of the same QC levels with the precision in the range of 0.65–5.66% (Table 1). The outcomes of the tested plasma samples were in good agreement and within the acceptable limits of accuracy and precision as per the USFDA and EMEA guidelines for bioanalytical method validation. The average concentration must be less than 15% of the nominal values for the QC samples, except for the LLOQ, which must be less than 20% of the nominal value as per the USFDA and EMEA guidelines for bioanalytical method validation.28,29 In this method, the achieved LLOQ of 105.6 ng mL−1 was validated to match the sensitivity requirements. The precision value obtained was less than 10%, and the accuracy value was less than ±5%, which is in good agreement with that of USFDA guidelines.28
Levels | Spiked concentration (ng mL−1) | Mean concentration found (ng mL−1) ± SD | Accuracy (%) | % bias | Precision (% CV) |
---|---|---|---|---|---|
Intra-day | |||||
LLOQC | 105.6 | 108.80 ± 6.77 | 103.03 | 3.03 | 6.22 |
LQC | 302 | 310.83 ± 12.78 | 102.92 | 2.92 | 4.11 |
MQC | 2520 | 2286.83 ± 25.08 | 90.74 | −9.25 | 1.10 |
HQC | 4200 | 4424.56 ± 24.01 | 105.35 | 5.35 | 0.54 |
Inter-day | |||||
LLOQC | 105.6 | 108.63 ± 5.37 | 102.87 | 2.86 | 4.94 |
LQC | 302 | 297.11 ± 16.83 | 98.38 | −1.62 | 5.66 |
MQC | 2520 | 2445.35 ± 27.54 | 97.03 | −2.96 | 1.12 |
HQC | 4200 | 4392.16 ± 28.61 | 104.58 | 4.58 | 0.65 |
Various plasma extraction methods were assessed to obtain clean plasma samples in order to avoid probable interferences. The protein precipitation procedure offers a simple and rapid method of extraction with clean plasma, but exhibits a considerable degree of unacceptability, due to high levels of noise.30 The liquid–liquid extraction (LLE) method, however, resulted in a clean sample with comparatively less noise, but the extraction method was tedious, involving multiple steps of extraction. Moreover, in the present work, rat plasma was used as a biological sample, where the volume of plasma for the study was low; therefore, the LLE technique was not adopted. The solid phase extraction (SPE) method was employed, having the advantages of extracts with considerably lower lipid levels (which is an important cause of noise and interference in chromatograms), and higher and consistent extraction recovery of the analyte and IS. The solid phase extraction (SPE) method, when used for the extraction of plasma samples using Oasis HLB cartridges, unquestionably gives comparatively clean extracts with very low noise, and shows high sensitivity with low plasma volume. The cartridge used consisted of hydrophilic–lipophilic balanced water-wettable reversed phase sorbent for a wide spectrum of requirements. It was made from a definite ratio of two monomers, the lipophilic divinyl benzene and hydrophilic N-vinyl pyrrolidone, which offer better reversed phase capacity with neutral polar hook for enhanced retention of polar analytes. Additional advantages of the HLB cartridge are that it can be employed at extremes of pH and in a wide range of solvents. Furthermore, the water wettable sorbent in the cartridge showed better retention capacity for a broad range of analytes, despite the sorbent bed running dry during conditioning and/or sample loading, leading to the conclusion that this SPE method is more robust and rugged, avoiding the need for repeat preparation. The advantages of the HLB cartridge also include higher retention capacity; i.e., more analytes are retained with fewer breakthroughs, further improving the reproducibility of the extraction procedure. As per the USFDA guidelines, the recovery need not be 100%, but the level of recovery of the analyte must be reproducible and consistent at all QC levels (LQC, MQC, and HQC).28 The method of extraction explained in the present work provides a rapid technique for separating the analytes from the plasma sample. Here, the proposed method demonstrates consistent recovery of FRS from the rat plasma sample. The mean absolute recovery ranged from 43.9–58.6% for FRS at three QC levels (LQC, MQC, and HQC), with the precision varying from 3.5% to 5.1% (Table 2).
Extraction recovery | ||
---|---|---|
Levels | % mean recovery (±SD) | % CV |
LQC | 47.30 (±1.66) | 3.5 |
MQC | 43.90 (±2.15) | 4.9 |
HQC | 58.60 (±3.00) | 5.1 |
Freeze thaw stability | ||||||||
---|---|---|---|---|---|---|---|---|
Levels | Spiked concentration (ng mL−1) | Initial mean concentration found (ng mL−1) ± SD | % CV | % accuracy | Final mean concentration found (ng mL−1) ± SD | % CV | % accuracy | % absolute stability |
LQC | 302 | 306.23 (8.94) | 2.92 | 101.40 | 301.17 (10.23) | 3.40 | 99.72 | 98.35 |
MQC | 2520 | 2496.12 (25.51) | 1.02 | 99.05 | 2415.54 (39.84) | 1.65 | 95.85 | 96.77 |
HQC | 4200 | 4261.46 (23.83) | 0.60 | 101.46 | 4194.83 (28.34) | 0.68 | 99.87 | 98.44 |
The analyte stability is an important parameter in plasma samples, which should be assessed by the developed bioanalytical method and must mimic the analysis conditions that could be faced during handling and sample preparation.30 The absolute stability of the FRS at LQC, MQC, and HQC, covering the freeze/thaw conditions, is shown in Table 2. The FRS spiked in rat plasma was stable after three freeze–thaw cycles over time. The freshly prepared QC samples showed acceptable accuracy in the range of 99.05–101.46%, and precision from 2.92% to 0.60% (Table 2). Freshly prepared QC samples were then compared with the sample after freeze–thawing; the accuracy ranged from of 95.85–99.87%, with the precision from 3.4% to 0.68% (Table 2). The percent absolute stability after freeze–thawing was in the range of 96.77–98.44%.
This method was demonstrated to be reproducible and accurate for the estimation of FRS in rat plasma.
The developed and validated bioanalytical method was fruitfully implemented to evaluate the pharmacokinetic parameters after oral administration of FSLN and FSP. The comparative plasma drug concentration–time profile of FSLN and FSP is depicted in Fig. 3. Furthermore, the pharmacokinetic parameters evaluated by non-compartmental and compartmental analysis (one, two and three) are tabulated in Table 3.
PK parameters | FSLN | FSP | ||||||
---|---|---|---|---|---|---|---|---|
NCA | One Comp | Two Comp | Three Comp | NCA | One Comp | Two Comp | Three Comp | |
Cmax (ng mL−1) | 3604.7 | — | — | — | 2261.7 | — | — | — |
tmax (h) | 0.5 | — | — | — | 1 | — | — | — |
AUC0–t (ng h mL−1) | 17077 | — | — | — | 10130 | — | — | — |
AUC0–∞ (ng h mL−1) | 19200 | — | — | — | 11400 | — | — | — |
AUMC (ng h2 mL−1) | 190100 | — | — | — | 106400 | — | — | — |
t1/2 (h) | — | 6.222 | 7.61 | 38.79 | — | 5.103 | 8.233 | 27.77 |
MRT (h) | 9.903 | — | — | — | 9.333 | — | — | — |
Kel (h−1) | 0.081 | — | — | — | 0.073 | — | — | — |
CL (L h−1) | 0.234 | 0.174 | 0.24 | 0.193 | 1.754 | 1.388 | 1.801 | 1.548 |
Vd (L) | — | 1.564 | — | — | — | 10.22 | — | — |
Vc (L) | — | — | 0.96 | 0.808 | — | — | 2.859 | 3.205 |
Vss (L) | 2.322 | — | — | — | 16.37 | — | — | — |
Ka (h−1) | — | 7.34 × 104 | 5.733 | 4.491 | — | 334.2 | 1.504 | 1.728 |
K10 (h−1) | — | 0.111 | 0.25 | 0.239 | — | 0.136 | 0.630 | 0.483 |
K12 (h−1) | — | — | 0.625 | 0.992 | — | — | 1.004 | 0.821 |
K21 (h−1) | — | — | 0.449 | 0.711 | — | — | 0.239 | 0.348 |
K13 (h−1) | — | — | — | 0.107 | — | — | — | 0.211 |
K31 (h−1) | — | — | — | 0.028 | — | — | — | 0.038 |
R2 | — | 0.7401 | 0.9834 | 0.9867 | — | 0.756 | 0.971 | 0.9699 |
AIC | — | −21.84 | −53.15 | −53.92 | — | −19.03 | −43.98 | −42.48 |
SC | — | −20.65 | −51.16 | −51.13 | — | −17.84 | −41.99 | −39.69 |
The non-compartmental method is more versatile, in that it does not assume any specific compartmental model and produces accurate outcomes. This method is widely used in bioequivalence studies that have the advantage of minimal assumptions about the data-generating process, which has been collected in a very structured way.38 The pharmacokinetic compartment modeling consists of a description of the fate of a drug with respect to time. The benefit of compartmental over some non-compartmental analyses is the ability to predict the concentration at any given time point. In the one compartment model, the time course of plasma drug concentration, estimated after the administration can be adequately explained by considering the body as a single kinetically homogenous unit, which has no barriers to the movement of the drug, with a first order disposition process (Fig. 4A). In the two and three compartment models, the drug concentration is estimated as function of time, after assuming the body as comprised of highly vascular organs/tissue (central compartment) or less vascular organs (peripheral compartment) after the extravascular/intravascular administration (Fig. 4B and C). Fig. 4 demonstrates the relative comparison and fitness of superposition between true and simulated plasma drug concentrations (using one, two and three compartment models) and the respective compartment models are displayed in the inset of Fig. 4. The drug molecules generally leave the site of administration (after absorption) to come into the central compartment; from there they are transported to the peripheral compartment and exchanged (distribution) and then eliminated irreversibly (excreted and metabolized). This movement of drug from one compartment to another compartment is characterized by transfer rate constants (micro-constants).30 An increase in Cmax from 2261.7 ng mL−1 (FSP) to 3604.7 ng mL−1 (FSLN) (1.59 fold), and AUC0→24 from 10130 ng h mL−1 (FSP) to 17077 ng h mL−1 (FSLN) (1.69 fold) confirmed an enhancement in the oral bioavailability of FRS when ferried via SLNs. The obvious explanation for the bioavailability enhancement of FRS is the developed carrier system (SLN), containing lipid as the main constituent. Lipids are usually known for the enhancement of oral absorption of the drug, and can be formulated in the carriers with low particle size.39 However, factors like enzymes, pH of GIT, ionic strength, ingested food materials, residence time, absorption window, solubility and rate of dissolution also influence the delivery of the drug.40 Other than these factors, SLN play an active role in the augmentation of oral uptake after bringing the drug in the solubilized form into the GIT subsequent to the formation of micelles, because of the breakdown of the triglycerides into the surface active mono- and diacylglycerols with the action of lipases, which further stimulate the bile salt secretion endogenously.41,42 Other factors contributing to enhanced oral bioavailability can be linked to the reduction of particle size, which facilitates the absorption rate of the drug. Various researchers have demonstrated that an increase in the surface area associated with a decrease in particle size leads to adequate and consistent absorption in the GIT.43–45 In a previous study, AUC0→24 and Cmax values of FRS nanosuspension were approximately 1.38- and 1.68-fold greater than that of the pure drug, respectively.18 In addition to the micellar pathway, the oral uptake of drug molecules might be synergized by the absorption mechanism of fatty acids, di- and monoacylglycerols, which are incorporated into the SLN inherently, or formed after the degradation of triglycerides by GI lipases. In addition to the solubilization, the presence of surfactants in the formulation may also provide an adequate environment for the enhancement of bioavailability. Cremophor RH40 (ethoxylated hydrogenated castor oil), the surfactant employed in the synthesis of SLN, is known to enhance the absorption by inhibiting the P-glycoprotein efflux pump.46
Furthermore, an increase in the absorption rate constant (Ka) from 1.504 h−1 (FSP) to 5.733 h−1 (FSLN) (3.81 fold), confirmed the enhanced rate of absorption of FRS when ferried through SLN. It is the rate of absorption that determines the time required for the administered drug to attain an effective plasma concentration and may therefore influence the onset time of the drug effect. Hence, the rate of absorption affects both the peak plasma concentration (Cmax) and the time it takes to reach this peak (tmax). Another important pharmacokinetic parameter, the mean residence time (MRT), is the arithmetic mean of the amount of time that a drug molecule exists in the body before being eliminated. The reason behind the estimation of the mean residence time is that each molecule spends a different amount of time in the body, with some molecules lasting for a very short period and others lasting longer.47 In this study, the MRT of FSLN was 9.903 h, while FSP exhibited 9.333 h (Table 3), probably due to the protein binding of SLN, which creates a more hydrophilic particle surface and thus prolongs the circulation time.48 On the basis of statistical analysis, (R2 closer to 1.0, and smaller AIC and SC), the one compartment model was found to be poorly fitted to describe the pharmacokinetics of FSLN as well as FRS. The R2, AIC and SC of one the compartment model for FSLN and FSP were found to be 0.7401, −21.84, −20.65 and 0.756, −19.03, −17.84, respectively (Table 3), implying non dependence on one compartment and suggesting the movement of the drug across less vascular organs (peripheral compartments) from plasma. This was also confirmed by the non-superimposable observed and simulated plasma concentration profile of FSLN (Fig. 4A). The fitted compartment model corresponded to two and three, as can be observed by the superposition of observed and simulated plasma concentration profiles (Fig. 4B and C) as well as from statistical analysis (Table 3). The R2, AIC and SC of the two compartment model for FSLN and FSP were found to be 0.9834, −53.15, −51.16 and 0.971, −43.98, −41.99, respectively (Table 3). Similarly, the R2, AIC and SC of the three compartment model for FSLN and FSP were found to be 0.9867, −53.92, −51.13 and 0.9699, −42.48, −39.69, respectively (Table 3).
For the estimation of the plasma drug concentrations (output function), if dissolution data (input function) is available, the procedure is known as convolution; on the other hand, i.e., obtaining a fraction absorbed in vivo, if plasma drug concentrations are provided, the procedure will be called deconvolution.30,31 On the basis of in vitro drug release profiles and pharmacokinetic data of the FSLN, the IVIVC was evaluated using GastroPlus™ (IVIVCPlus™ module). The deconvolution approaches used were WN1C, LR2C, LR3C, NDSW and NDDW to calculate the fraction of drug absorbed. Fig. 5 demonstrates the extent of superposition between observed and convoluted plasma drug concentration–time profile, along with the relation between AUC and time using WN1C (Fig. 5A), LR2C (Fig. 5B), LR3C (Fig. 5C), NDSW (Fig. 5D) and NDDW (Fig. 5E). The correlation function associated with each deconvolution approach with percent prediction error (PPE) between observed and predicted values of Cmax and AUC0→t is tabulated in Table 4. The statistics of reconstructed plasma drug concentration–time profiles from convolution are demonstrated by R2, SEP, and MAE (Table 4). The Wagner-Nelson method (one-compartment pharmacokinetic model) is depicted by the equation, , where, ‘Fa(T)’ is the fraction of drug bioavailable at time (T), ‘Xa(T)’ and ‘Xa(∞)’ are cumulative amounts of drug absorbed up to time ‘T’ and infinity, ‘C’ is the concentration of drug in the central compartment at time ‘T’, and ‘k’ is the first order elimination rate constant. Here, the power correlation function was best fitted as demonstrated by the equation y = 0.805(x)5.74×10−6 where, x = fraction released in vitro and y = fraction absorbed in vivo. The observed and predicted Cmax using WN1C was found to be 3604.7 ng mL−1 and 2157.0 ng mL−1, respectively, with the PPE of 40.17 (Table 4). PPE was calculated according to the following equation: .
IVIVC methods | Correlation function | Pharmacokinetic parameter | Statistical analysis | |||||||
---|---|---|---|---|---|---|---|---|---|---|
Cmax (ng mL−1) | AUC0–t (ng h mL−1) | R2 | SEP | MAE | ||||||
Obs. | Pred. | PPE | Obs. | Pred. | PPE | |||||
Wagner-Nelson method (one compartment) | Power | 3604.7 | 2157 | 40.17 | 17077 | 15600 | 8.65 | 0.38 | 1064.2 | 541.5 |
Numerical deconvolution single Weibull | 3rd order polynomial | 624 | 82.69 | 7039 | 58.78 | 0.336 | 1618.5 | 1123.9 | ||
Numerical deconvolution double Weibull | Power | 932 | 74.15 | 8393 | 50.85 | 0.327 | 1619.2 | 1182.3 | ||
Loo-Riegelman method (two compartment) | Power | 3069 | 14.87 | 14400 | 15.67 | 0.555 | 851.5 | 484.7 | ||
Loo-Riegelman method (three compartment) | Power | 3150 | 12.62 | 14300 | 16.26 | 0.587 | 804.5 | 454.5 |
Similarly, the observed and predicted AUC0→24 of FSLN using the same method were 17077 ng h mL−1 and 15600 ng h mL−1, respectively, with the PPE of 8.65% (Table 4). Furthermore, statistics of reconstructed plasma drug concentration–time profile showed poor fitting, indicated by small R2 (0.38), and large SEP (1064.2) and MAE (541.5) (Table 4). The poor IVIVC exhibited by the WN1C deconvolution approach is readily understood, since the pharmacokinetic profile of optimized formulation of FRS showed the two/three compartment model fit rather than the one compartment model. However, considering the small PPE of 8.65% for AUC using WN1C, it becomes difficult to conclude that IVIVC is acceptable in terms of AUC alone. Hence, in order to be more restrictive and conclusive, we divided the entire profile into three time phases, (i) 0 → 0.5 h, (ii) 0.5 → 3 h and (iii) 3 → 24 h, for both convoluted and observed plasma concentration profiles with respective time intervals, and AUC was calculated for each phase. In order to avoid any confusion, we did not describe these phases as absorption phase, distributive phase, and elimination phase, because the Wagner-Nelson method is applicable to one compartment kinetics without any distributive phase assumption (no peripheral compartment). In addition, care was taken to include the same number of time points (according to the experimentally collected plasma time points) to avoid any bias. This was essential because when there are many time points within the given range, the AUC calculated using trapezoidal rule gives a much better approximation. This is because when there are many time points, the consecutive distance between two points becomes more linear, rather than a curve, which fits the geometry of a trapezoid, where all sides are linear. It is worth noting that we have digitized the convoluted profile and we had the liberty to select ‘n’ plasma time points. However, we selected time points that corresponded only to the actual collected time intervals for the obvious reason stated above. PPE for each phase was calculated and analyzed (Table 5). The PPE of AUC0→0.5, AUC0.5→3 and AUC3→24 using WN1C were found to be 49.23, 3.71 and 16.63, respectively, suggesting only AUC0.5→3 was best approximated to the observed AUC (PPE = 3.71) within time limits from 0.5 to 3 hours. The analysis precludes the PPE of 8.65 of overall AUC0→24 on the basis of higher PPE for both AUC0→0.5 (PPE = 49.23) and AUC3→24 (PPE = 16.63).
Deconvolution method | AUC(0→0.5) | AUC(0.5→3) | AUC(3→24) | |||
---|---|---|---|---|---|---|
Observed | Convoluted | Observed | Convoluted | Observed | Convoluted | |
Wagner-Nelson method (one compartment) | 1206.50 | 612.50 | 4860.91 | 5041.13 | 11009.97 | 9179.04 |
PPE | 49.23 | 3.71 | 16.63 | |||
Loo-Reigelman (two compartment) | 1206.50 | 553.23 | 4860.91 | 4911.29 | 11009.97 | 9483.86 |
PPE | 54.15 | 1.04 | 13.86 | |||
Loo-Reigelman (three compartment) | 1206.50 | 584.28 | 4860.91 | 4990.33 | 11009.97 | 9280.65 |
PPE | 51.57 | 2.66 | 15.71 |
The correlation functions of LR2C and LR3C were exhibited by power functions and were mathematically represented as y = 1.195 × x0.163 and y = 1.186 × x0.163, respectively. As can be observed in the equation, the power term associated with ‘x’ is same in both the equations, while the coefficient terms vary only in second and third decimals, suggesting no significant difference. The predicted Cmax using LR2C and LR3C were found to be 3069 ng mL−1 and 3150 ng mL−1, respectively, with PPE less than 15.0 as compared to the observed Cmax (Table 4) (PPE using LR2C and LR3C for Cmax were 14.87 and 12.62, respectively). Similarly, the predicted AUC using LR2C and LR3C were found to be 14400 ng h mL−1 and 14300 ng h mL−1, respectively, with PPE of 15.67 and 16.26, respectively. The PPE of AUC0→0.5, AUC0.5→3 and AUC3→24 using LR2C and LR3C was found to be 54.15, 1.04, 13.86 and 51.57, 2.66, 15.71, respectively. If we correspond AUC0→0.5, AUC0.5→3 and AUC3→24 to absorption, distribution and elimination phase (which is more suited in Loo-Reigelman method as compared to Wagner-Nelson, which includes the provision of peripheral compartments), than it can be interpreted that for both LR2C and LR3C, observed and predicted AUC within the absorption phase was not correlated (on the basis of high PPE of > 50). This may be because of the smaller number of plasma drug concentration–time points (at 0.5 and 1.0 h) taken during the absorption phase. The convoluted AUC during the distribution and elimination phase for LR2C were 4911.29 ng h mL−1 and 9483.86 ng h mL−1, respectively, with PPE less than 15.0 (PPE of AUC during the distribution and elimination phases were 1.04 and 13.86, respectively) (Table 5). Similarly, the convoluted AUC of the distribution and elimination phases for (LR3C were 4990.33 ng h mL−1 and 9280.65 ng h mL−1, with PPE of 2.66 and 15.71, respectively) (Table 5). The statistics for the reconstructed plasma drug concentration–time profile represented by R2, SEP, and MAE for LR2C and LR3C ranging between 0.555 and 0.587, 804.5–851.5, 454.5–484.7 (Table 4) suggesting marginally small difference between LR2C and LR3C. This can also be observed by better superposition of the convoluted and observed plasma concentration–time profile (except for absorption phase). However, if we strictly compare only the AUC of the distribution and elimination phase, LR2C seems to have an edge over LR3C, on the basis of the least PPE of 1.04 and 13.86 (for LR2C) vis-à-vis PPE of 2.66 and 15.71 (for LR3C).
In the present study, we also explored NDSW and NDDW for possible IVIVC methodology, however, both these models were not appropriate, as observed by the non-superposition of observed and convoluted plasma drug concentration profiles (Fig. 5D and E). NDSW and NDDW were expressed by a 3rd order polynomial function; (y = −0.042 + 1.2 × 10−3 × x + 2.086 × x2 − 1.096 × x3) and power function; y = 1.042 × x1.646, respectively (Table 4). The numerical deconvolution method uses the inverse operation of the convolution integral and the principle of superposition, which states that the response is dose proportional and time invariant, to calculate an input rate function.51,52 The PPE of Cmax and AUC for NDSW and NDDW ranged between 74.15–82.69 and 50.85–58.78, respectively, suggesting the model's inconclusive reliability. The observation is further bolstered by the poor statistical analysis of reconstructed plasma drug concentration–time profile (R2: 0.327–0.336; SEP: 1618.5–1619.2; MAE: 1123.9–1182.3) for LR2C and LR3C.
LR2C and LR3C were the preferred deconvolution approaches to establish the IVIVC of optimized FSLN on the basis of the overall PPE, SEP, MAE and R2.
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