In-vitro dissolution testing: Method development and importance of ...
In-vitro dissolution testing: Method development and importance of ...
In-vitro dissolution testing: Method development and importance of ...
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<strong>In</strong>-<strong>vitro</strong> <strong>dissolution</strong> <strong>testing</strong>:<br />
<strong>Method</strong> <strong>development</strong> <strong>and</strong> <strong>importance</strong><br />
<strong>of</strong> biorelevant test conditions<br />
S<strong>and</strong>ra Klein<br />
Ernst Moritz Arndt University, Greifswald, Germany<br />
S<strong>and</strong>ra.Klein@uni-greifswald.de<br />
EUFEPS BABP Network Open Discussion Forum<br />
Revision <strong>of</strong> BE Requirements for Modified Release Products<br />
February 23‐24 • 2011 •Barcelona •Spain
Modified release (MR) formulations<br />
• intended to release drugs in a controlled <strong>and</strong> pre-determined<br />
fashion <strong>and</strong>/or to target to selective sites in the gastrointestinal<br />
(GI) tract<br />
• release drug over a long time period (12 hrs, 24 hrs, ..)<br />
• typically contain much higher doses than IR formulations<br />
• give release patterns which in turn can <strong>of</strong>fer a lot <strong>of</strong> benefits<br />
� dose dumping<br />
� insufficient drug release
Typical MR formulations<br />
Coated dosage forms<br />
1. Delayed release formulations<br />
2. Extended Release Formulations<br />
Matrix systems<br />
Extended Release Formulations<br />
⇒ erodible or non-erodible matrices<br />
Osmotic systems<br />
⇒ monolithic dosage forms vs. multiparticulates
Possible release pr<strong>of</strong>iles<br />
% Release<br />
time [h]
CPMP/QWP/604/96<br />
Development <strong>and</strong> validation <strong>of</strong> <strong>dissolution</strong> methods<br />
<strong>In</strong>-<strong>vitro</strong> <strong>dissolution</strong> test must be capable <strong>of</strong>:<br />
• discriminating between batches<br />
• showing batch to batch consistency<br />
• determining stability <strong>of</strong> the relevant release characteristics<br />
⇒ various conditions (media pH: 1-6.8/8; apparatus, agitation etc.)<br />
⇒ for additional details reference is made to Ph.Eur.<br />
⇒ sink conditions should be ensured<br />
⇒ as possible methods should be predictive for the in-vivo<br />
performance <strong>of</strong> the formulation
Test methods Ph.Eur.<br />
Ph. Eur.: 2.9.3 Drug release <strong>of</strong> solid dosage forms<br />
• Extended Release Articles<br />
• Delayed Release (Enteric Coated) Articles<br />
• Apparatus 1 (Basket)<br />
• Apparatus 2 (Paddle)<br />
• Apparatus 3 (Reciprocating Cylinder)<br />
• Apparatus 4 (Flow through cell)
Test conditions Ph.Eur.<br />
Extended Release Dosage Articles<br />
⇒ Apparatus 1 <strong>and</strong> Apparatus 2<br />
• simple buffer media
Specifications Ph.Eur.<br />
Extended Release Dosage Articles<br />
• Specification <strong>of</strong> drug release at 3 or more test-time points<br />
• Time point 1:<br />
to check for „dose dumping“, @ ~ 20-30 % drug released<br />
• Time point 2:<br />
to characterize the release pr<strong>of</strong>ile, @ ~ 50 % drug released<br />
• Time point 3:<br />
to check for complete drug release, @ > 80 % drug released
Test conditions Ph.Eur.<br />
Delayed-Release (Enteric Coated) Articles<br />
⇒ Apparatus 1 <strong>and</strong> Apparatus 2<br />
• Procedure:<br />
Unless otherwise directed in the individual monograph:<br />
<strong>Method</strong> A (Half change) or <strong>Method</strong> B (Full change)<br />
⇒ 2 hrs acid stage (pH 1)<br />
⇒ 45 min buffer stage (pH 6.8)
<strong>In</strong> <strong>vitro</strong> characterization <strong>of</strong> MR dosage forms<br />
Ph.Eur. methods<br />
• primarily use <strong>of</strong> apparatus I <strong>and</strong> II<br />
• simple <strong>dissolution</strong> media<br />
• useful for quality control purposes<br />
• not useful for examining biopharmaceutical properties <strong>of</strong> the<br />
dosage form<br />
• <strong>of</strong>ten not predictive for the in vivo performance <strong>of</strong> a MR dosage<br />
form
CPMP/QWP/604/96<br />
Development <strong>and</strong> validation <strong>of</strong> <strong>dissolution</strong> methods<br />
<strong>In</strong>-<strong>vitro</strong> <strong>dissolution</strong> test must be capable <strong>of</strong>:<br />
• discriminating between batches<br />
• showing batch to batch consistency<br />
• determining stability <strong>of</strong> the relevant release characteristics<br />
⇒ various conditions (media pH: 1-6.8/8; apparatus, agitation etc.)<br />
⇒ for additional details reference is made to Ph.Eur.<br />
⇒ sink conditions should be ensured<br />
⇒ as possible methods should be predictive for the in-vivo<br />
performance <strong>of</strong> the formulation
<strong>In</strong> <strong>vitro</strong> characterization <strong>of</strong> MR dosage forms<br />
Biorelevant <strong>dissolution</strong> tests<br />
• simulation <strong>of</strong> the gastrointestinal passage <strong>of</strong> the dosage form<br />
• prediction <strong>of</strong> in vivo absorption using in <strong>vitro</strong> data<br />
How to simulate a gastrointestinal passage ???
GI passage<br />
Stomach<br />
• pH: fasted: 1-3 fasted<br />
fed: 3-7<br />
• passage time: fasted: 0.5-2h<br />
fed: several hours
GI passage<br />
Duodenum<br />
• pH = 4-6<br />
• bile- <strong>and</strong> pancreatic secretion<br />
• short passage time (< 10 min)
GI passage<br />
Jejunum<br />
• pH = 6-7
GI passage<br />
Ileum<br />
• pH = 7-7.5<br />
• quantitative absorption <strong>of</strong> bile salts<br />
(active transport)
GI passage<br />
Colon<br />
• pH = 5-7<br />
• great number <strong>and</strong> variety <strong>of</strong> bacteria<br />
• individual passage times differ largely
Criteria for <strong>dissolution</strong> test design<br />
Media to simulate gastrointestinal passage<br />
• pH-value / pH pr<strong>of</strong>iles<br />
• volume<br />
• composition<br />
Dissolution equipment<br />
• apparatus<br />
• hydrodynamic conditions<br />
Passage times<br />
• multiple units ↔ single unit dosage form<br />
Food effects<br />
• fasted ↔ fed state conditions
Dissolution equipment<br />
Flow through cell Reciprocating cylinder / BioDis<br />
• a series <strong>of</strong> media can be used → variable pH–values<br />
• variable passage times<br />
• variable motility patterns<br />
• variable hydrodynamics / flow rates<br />
• complex media → food effects
Case examples<br />
Impact <strong>of</strong> gastrointestinal pH on drug release<br />
⇒ pH gradient<br />
• site <strong>and</strong> extent <strong>of</strong> drug release from Mesalazin DR formulations<br />
Impact <strong>of</strong> gastrointestinal contents on drug release<br />
⇒ biorelevant media gradient<br />
• food effects on drug release from Theophyllin ER formulations
Site specific drug delivery<br />
Therapy <strong>of</strong> <strong>of</strong> inflammatory bowel diseases<br />
• oral mesalazin treatment<br />
⇒ high concentrations <strong>of</strong> drug at the inflamed areas<br />
⇒ avoid drug release <strong>and</strong> absorption in the proximal GI tract<br />
• mesalazin is not absorbed in the colon<br />
Crohn´s disease Ulcerative colitis
Formulation concepts <strong>of</strong> marketed dosage<br />
forms<br />
Product Dosage from Polymer type* Polymer<br />
br<strong>and</strong> name<br />
Release pH<br />
Claversal ® coated tablet MA:MM (1:1) Eudragit ® L > pH 6<br />
Sal<strong>of</strong>alk ® coated tablet MA:MM (1:1) Eudragit ® L > pH 6<br />
Asacolitin ® coated tablet MA:MM (1:2) Eudragit ® S > pH 7<br />
Pentasa ® IR tablet containing<br />
coated microgranules<br />
Sal<strong>of</strong>alk ®<br />
Granustix ®<br />
Claversal ®<br />
Micropellets<br />
coated microgranules coating: MA:MM (1:1)<br />
core: MM neutral esters<br />
Surelease ® pHindependent<br />
Eudragit ® L<br />
Eudragit ® NE<br />
coated microgranules coating: MA/MM (1:1 & 1:2) Eudragit ® L<br />
Eudragit ® S<br />
*MA = methaycrylic acid, MM = methacrylate esters<br />
> pH 6<br />
> pH 6-7<br />
S. Klein et al., J. Pharm. Pharmacol. 2005: 57 (6) 709-720
Compendial method: SIF pH 6.8 vs. pH 7.5<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
Claversal 500 mg<br />
Sal<strong>of</strong>alk 500 mg<br />
Asacolitin 400 mg<br />
pH 6.8 pH 7.5<br />
0 60 120 180 240 300<br />
Time [min]<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
Claversal 500 mg<br />
Sal<strong>of</strong>alk 500 mg<br />
Asacolitin 400 mg<br />
0 60 120 180 240 300<br />
Time [min]<br />
S. Klein et al., J. Pharm. Pharmacol. 2005: 57 (6) 709-720
pH-gradient „prepr<strong>and</strong>ial“<br />
GI-segment pH Media<br />
single unit<br />
dosage forms<br />
multiple unit<br />
dosage forms<br />
Stomach 1.8 Simulated Gastric Fluid (SGFsp)* 60 min 30 min<br />
Proximal Jejunum 6.5 Phosphatpuffer pH 6.5 15 min 45 min<br />
Distal Jejunum 6.8 Simulated intestinal fluid pH 6.8 (SIFsp) USP 24 15 min 45 min<br />
Proximal Ileum 7.2 Phosphatpuffer pH 7.2 R (Ph. Eur 1997) 30 min 45 min<br />
Distal Ileum 7.5 Simulated intestinal fluid pH 6.8 (SIFsp) USP 23 120 min 45 min<br />
Proximal Colon 6.5 Phosphatpuffer pH 6.5 360 min 360 min<br />
Proximal Colon 6.5 Phosphatpuffer pH 6.5 240 min 240 min<br />
Distal Colon 6.8 Simulated intestinal fluid pH 6.8 (SIFsp) USP 24 360 min 360 min<br />
Distal Colon 6.8 Simulated intestinal fluid pH 6.8 (SIFsp) USP 24 240 min 270 min<br />
* pH modified<br />
Passage time<br />
S. Klein et al., J. Pharm. Pharmacol. 2005: 57 (6) 709-720
pH-gradient<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
0 60 120 180 240 300 360 420 480<br />
Time [min]<br />
Claversal 500 mg<br />
Sal<strong>of</strong>alk 500 mg<br />
Asacolitin 400 mg<br />
S. Klein et al., J. Pharm. Pharmacol. 2005: 57 (6) 709-720
Colonic delivery<br />
pH- <strong>and</strong> time-based multi-unit colonic delivery system<br />
� oral therapy <strong>of</strong> Ulcerative colitis <strong>and</strong> other colon related<br />
diseases<br />
Outer layer: Eudragit FS<br />
<strong>In</strong>ner layer: Eudragit RL+RS<br />
Mesalazin / Caffein core<br />
M.W. Rudolph et al., Eur J Pharm Biopharm 2001: 51(3) 183-190
“Fraction released”<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
0 60 120 180 240 300 360 420 480<br />
Time [min]<br />
Sal<strong>of</strong>alk 500 mg<br />
Asacolitin 400<br />
mg<br />
Sal<strong>of</strong>alk<br />
Granustix 500<br />
mg<br />
Prototype<br />
S. Klein et al., J. Contr. Rel. 2008, 130: 216-219
Plasma pr<strong>of</strong>ile � “fraction absorbed”<br />
Plasmakonzentration [µmol/L]<br />
9<br />
8<br />
7<br />
6<br />
5<br />
4<br />
3<br />
2<br />
1<br />
0<br />
0 2 4 6 8 10 12 14 16 18 20 22 24<br />
Zeit [h]<br />
Calculation<br />
Fraction absorbed [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
0 120 240 360 480<br />
Zeit [min]<br />
S. Klein et al., J. Contr. Rel. 2008, 130: 216-219
LEVY-Plot<br />
fraction absorbed [%]<br />
100<br />
� prospective IVIVC<br />
� predictive in-<strong>vitro</strong> method<br />
80<br />
60<br />
40<br />
20<br />
0<br />
y = 0,6104x + 1,4488<br />
R 2 = 0,9948<br />
0 20 40 60 80 100<br />
fraction released [%]<br />
S. Klein et al., J. Contr. Rel. 2008, 130: 216-219
„Extended release“ formulations<br />
Theophylline<br />
• treatment <strong>of</strong> chronic asthma<br />
• narrow therapeutic index<br />
Therapeutic requirements<br />
• plasma levels in the therapeutic range<br />
• reduce serum level fluctuations<br />
⇒ risk for dose dumping?<br />
⇒ impact <strong>of</strong> food on drug release?
Theophylline ER beads – food effect<br />
Medium-fat breakfast High-fat breakfast<br />
A. Karim et al., Clin. Pharmacol. Ther. 38, 642-647 (1985)
Theophylline ER tablets – food effect<br />
High-fat breakfast<br />
A. Karim et al., Clin. Pharmacol. Ther. 38, 642-647 (1985)
Compendial method: Paddle – SIF pH 6.8<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
Contiphyllin 300 mg<br />
Tromphyllin 300 mg<br />
0 60 120 180 240 300 360 420 480<br />
Time [min]
Dissolution media<br />
1. Simulation <strong>of</strong> pH-conditions in the upper GI tract<br />
• buffer solutions – pH gradient<br />
2. Simulation <strong>of</strong> the physiological GI contents<br />
• biorelevant <strong>dissolution</strong> media – biorelevant pH gradient<br />
Stomach<br />
Small<br />
intestine<br />
Colon<br />
prepr<strong>and</strong>ial<br />
FaSSGF<br />
FaSSIF<br />
SCoF<br />
postpr<strong>and</strong>ial<br />
Milk, Ensure ® Plus<br />
FeSSIF<br />
SCoF
Fasted State Simulated Gastric Fluid<br />
„Biorelevant“ conditions in the fasted stomach<br />
Na taurocholate 80 µmol/L<br />
Lecithin 20 µmol/L<br />
Pepsin 0.1 mg/mL<br />
NaCl 34.2 mmol/L<br />
HCl conc. ad pH 1.6<br />
Demineralized water ad 1000 mL<br />
pH 1.6<br />
Surface tension 42.6 mN/m<br />
Osmolality 121 mOsm/kg<br />
M Vertzoni et al. Eur J Pharm Biopharm. 60:413-417 (2005)
Milk<br />
Objective: Simulation <strong>of</strong> the initial gastric conditions after a light<br />
breakfast<br />
Whole milk, 3,5 % fat<br />
(per 100 g)<br />
269 kJ<br />
64 kcal<br />
3,5 g fat<br />
3,3 g proteins<br />
4,7 g carbohydrates<br />
Ref.: CMA (www.cma.de)<br />
P. Macheras et al. <strong>In</strong>t. J. Pharm. 33: 125-136 (1986)<br />
S. Klein et al. J. Pharm. Pharmacol. 56: 605-610 (2004)
Ensure ® Plus<br />
Objective: to simulate initial composition after a st<strong>and</strong>ardized<br />
st<strong>and</strong>ardized (FDA) high fat breakfast „worst case“<br />
St<strong>and</strong>ard Breakfast FDA Division <strong>of</strong> Biopharmaceutics<br />
2 slices <strong>of</strong> toasted white bread with butter<br />
2 eggs fried in butter<br />
2 slices <strong>of</strong> bacon<br />
2 ounces <strong>of</strong> hash-browned ( fried shradded ) potatoes = 56,7 g<br />
8 ounces <strong>of</strong> whole milk<br />
Carbohydrate: 58g, 232 kcal, 972 kJ, 24 %<br />
Protein: 33g, 132 kcal, 552 kJ, 14 %<br />
Fat: 67 g, 603 kcal, 2533 kJ, 62 %<br />
Klein et al. J. Pharm. Pharmacol. 56: 605-610 (2004)
Fed State Simulated Gastric Fluid<br />
„Biorelevant“ conditions in the fed stomach some time after a meal<br />
NaCl 237.02 mmol/L<br />
Acetic acid 17.12 mmol/L<br />
Sodium acetate 29.75 mmol/L<br />
Demineralized water ad 1000 mL<br />
Milk:acetate buffer 1:1<br />
HCl conc. ad pH 5.0<br />
pH 5.0<br />
Osmolality 400 mOsm/kg<br />
Buffer capacity 25 mEq/L/pH<br />
E Jantratid et al. Pharm Res. 25 (7):1663–76 (2008)
Fasted State Simulated <strong>In</strong>testinal Fluid<br />
NaH 2 PO 4<br />
3.438 g<br />
Na taurocholat 3 mmol/L<br />
Lecithin 0.75 mmol/L<br />
NaCl 6.186 g<br />
NaOH ad pH 6.5<br />
Demineralized water ad 1 Liter<br />
pH 6.5<br />
Osmolality 270 + 10 mOsm/kg<br />
Buffer capacity 10 + 2 mEq/L/pH
Fed State Simulated <strong>In</strong>testinal Fluid<br />
Glacial acetic acid 8.65 g<br />
Na taurocholate 15 mmol/L<br />
Lecithin 3.75 mmol/L<br />
NaCl 11.874 g<br />
NaOH ad pH 5.0<br />
Demineralized water ad 1 Liter<br />
pH 5.0<br />
Osmolality 635 + 10 mOsm/kg<br />
Buffer capacity 76 + 2 mEq/L/pH
Simulated Colonic Fluid<br />
Simulation <strong>of</strong> the pH-values <strong>and</strong> ions in the proximal colon<br />
1 molar acetic acid solution 170 mL<br />
1 molar NaOH solution 157 mL<br />
Demineralized water ad 1 Liter<br />
pH 5.8<br />
Osmolality 295 mOsm/kg<br />
Buffer capacity 29 mEq/L/pH<br />
Fotaki et al , Eur. J. Pharm. Sci. 24 : 115-122, 2005
Dissolution media<br />
1. Compendial buffers<br />
• Simulation <strong>of</strong> the pH conditions in the GI tract<br />
2. Biorelevant media<br />
• Simulation <strong>of</strong> the physiological GI milieu<br />
� Fasted state<br />
Stomach: FaSSGF<br />
Small intestine: FaSSIF<br />
Colon: SCoF<br />
� Fed State<br />
→ FaSSIF–Gradient<br />
Stomach: Milk / Ensure ® Plus<br />
Small intestine: FeSSIF → FeSSIF–Gradient<br />
Colon: SCoF<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
FaSSIF / FeSSIF gradients<br />
Concentration <strong>of</strong> bile components: FaSSIF gradient<br />
GI-section pH Biorelevant media Sodium taurocholate Lecithin<br />
Proximal Jejunum 6.5 FaSSIF 3 mmol/l 0.75 mmol/l<br />
Distal Jejunum 6.8 FaSSIF a,b<br />
3 mmol/l 0.75 mmol/l<br />
Proximal Ileum 7.2 FaSSIF a,b<br />
1.5 mmol/l 0.375 mmol/l<br />
Distal Ileum 7.5 Blank FaSSIF a<br />
-------- --------<br />
a pH modified, b Concentration <strong>of</strong> bile components modified<br />
Concentration <strong>of</strong> bile components: FeSSIF gradient<br />
GI-section pH Biorelevant media Sodium taurocholate Lecithin<br />
Proximal Jejunum 5.0 FeSSIF 15 mmol/l 3.75 mmol/l<br />
Distal Jejunum 6.5 FeSSIF a,b<br />
15 mmol/l 3.75 mmol/l<br />
Proximal Ileum 6.5 FeSSIF a,b<br />
7.5 mmol/l 1.875 mmol/l<br />
Distal Ileum 7.5 Blank FaSSIF a<br />
-------- --------<br />
a pH modified, b Concentration <strong>of</strong> bile components modified,<br />
c Phosphate buffer<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Biorelevant pH-gradient methods<br />
GI-section<br />
GI-section<br />
Compendial media pH Biorelevant media pH Tablets Pellets<br />
Stomach SGFsp* 1.8 FaSSGF 1.8 60 30<br />
Proximal Jejunum Blank FaSSIF 6.5 FaSSIF 6.5 15 45<br />
Distal Jejunum Blank FaSSIF 6.8 FaSSIF* 6.5 15 45<br />
Proximal Ileum Blank FaSSIF 7.2 FaSSIF*/** 7.2 30 45<br />
Distal Ileum Blank FaSSIF* 7.5 Blank FaSSIF* 7.5 120 45<br />
Proximal Colon SCoF 5.8 SCoF 5.8 240 240<br />
* pH modified, ** Concentration <strong>of</strong> bile components modified<br />
Compendial media pH Biorelevant media pH Tablets Pellets<br />
Stomach Acetate buffer / SGFsp*5.0 / 2.0<br />
®<br />
Ensure Plus (Milk) 6.5 (120/120) 240 120<br />
Proximal Jejunum Blank FeSSIF 5.0 FeSSIF 5.0 45 45<br />
Distal Jejunum Blank FaSSIF 6.5 FeSSIF* 6.5 45 45<br />
Proximal Ileum Blank FaSSIF 6.5 FeSSIF*/** 6.5 45 45<br />
Distal Ileum Blank FaSSIF* 7.5 Blank FaSSIF* 7.5 45 45<br />
Proximal Colon SCoF 5.8 SCoF 5.8 --- 240<br />
* pH modified, ** Concentration <strong>of</strong> bile components modified<br />
Media <strong>and</strong> pH-values prepr<strong>and</strong>ial pH-Gradient<br />
Media <strong>and</strong> pH-values postpr<strong>and</strong>ial pH-Gradient<br />
Passage time [min]<br />
Passage time [min]<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Contiphyllin 300 mg tablets<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
0 60 120 180 240 300 360 420 480<br />
Time [min]<br />
Prepr<strong>and</strong>ial pH pr<strong>of</strong>ile: � = compendial buffers, � = biorelevant media<br />
Postpr<strong>and</strong>ial pH pr<strong>of</strong>ile: � = compendial buffers, � = biorelevant media<br />
biorelevant<br />
media<br />
compendial<br />
media<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Tromphyllin 300 mg tablets<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
?<br />
0 60 120 180 240 300 360 420 480<br />
Time [min]<br />
Prepr<strong>and</strong>ial pH pr<strong>of</strong>ile: � = compendial buffers, � = biorelevant media<br />
Postpr<strong>and</strong>ial pH pr<strong>of</strong>ile: � = compendial buffers, � = biorelevant media<br />
biorelevant<br />
media<br />
compendial<br />
media<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Drug release in the postpr<strong>and</strong>ial stomach<br />
Release [%]<br />
120<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
Tromphyllin 300 mg fed state stomach<br />
Contiphyllin 300 mg fed state stomach<br />
High-fat breakfast<br />
17,48<br />
15,62<br />
40,81<br />
30,35<br />
60,89<br />
39,51<br />
77,76<br />
43,70<br />
0 60 120 180 240<br />
Time [min]<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Drug release in the postpr<strong>and</strong>ial state<br />
Release [%]<br />
100<br />
80<br />
60<br />
40<br />
20<br />
0<br />
Contiphyllin 300 mg fed state milk<br />
Tromphyllin 300 mg fed state milk<br />
Light breakfast<br />
0 60 120 180 240<br />
Time [min]<br />
300 360 420 480<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Drug release in the postpr<strong>and</strong>ial state<br />
Milk <strong>and</strong> simple buffer media<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Drug release in the postpr<strong>and</strong>ial state<br />
Ensure ®<br />
Plus<br />
Milk<br />
Klein S. , Dissolution Technologies, 16 (3): 28-40, 2009
Importance <strong>of</strong> biorelevant test conditions<br />
• pH-gradient <strong>and</strong> biorelevant pH-gradient methods allow a<br />
better prediction <strong>of</strong> the potential in-vivo behaviour <strong>of</strong> MR<br />
dosage forms<br />
• pH values <strong>and</strong> passage times can be easily adapted to<br />
different patient subgroups or a best / worst case scenario<br />
• composition <strong>of</strong> media can be even better adapted to<br />
physiological conditions<br />
• methods can be adapted to check for alcohol-dependent<br />
dose dumping<br />
• hydrodynamic conditions need to be examined in more detail
Thank you !!!