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PHARMACOKINETIC PARAMETERS OF
     TWO COMPARTMENT OPEN MODEL




Seminar By
Ajmeera Divya
M. Pharmacy (Pharmaceutics)
St. Peter’s Institute of Pharmaceutical Sciences,
Hanmakonda.
                                                    1
CONTENTS
I. INTRODUCTION
II. TWO COMPARTMENT OPEN MODEL - IV BOLUS
III. TWO COMPARTMENT OPEN MODEL - IV INFUSION
IV. TWO COMPARTMENT OPEN MODEL - EXTRAVASCULAR
  ADMINISTRATION
V. CONCLUSION
VI. REFERENCES




                                                 2
INTRODUCTION

 PHARMACOKINETICS:

Pharmacon-Drug          Kinesis-Motion/ Change of Rate

‘‘Pharmacokinetics is the study of kinetics of absorption,
distribution, metabolism and excretion (ADME) of drugs and their
corresponding pharmacologic, therapeutic, or toxic responses in
man and animals’’ (American Pharmaceutical Association, 1972).



                                                                  3
PHARMACOKINETIC MODELS


              PHARMACOKINETIC
                  MODELS




COMPARTMENT   NONCOMPARTMENT    PHYSIOLOGICAL
   MODEL          MODEL            MODEL
COMPARTMENT MODELS


•Compartment models are classical pharmacokinetic models that
simulate the kinetic process of drug ,absorption, distribution and
elimination with little physiologic detail.


                  OPEN AND CLOSED MODEL

 Open: Administered drug dose is eliminated from the body by
 an excretory mechanism.
 Closed: The drug dose is not eliminated from the body.
COMPARTMENTS


                           Poorly
      Highly              Perfused
     Perfused              Tissue


                         Negligible
                         Perfused
    Fat group
                          Tissue
                          Group

(a) Classification of human body into
compartments

                                        6
COMPARTMENT MODELS


          COMPARTMENT
             MODEL


MAMMILLARY            CATERNARY
  MODEL                 MODEL

(B) Classification of compartment model
based on arrangement




                                          7
TWO-COMPARTMENT OPEN MODEL

CENTRAL COMPARTMENT:
• Blood, extracellular fluid, and highly perfused tissues.
• The drug distributes rapidly and uniformly in the central
compartment.


TISSUE OR PERIPHERAL COMPARTMENT:
• Tissues in which the drug equilibrates more slowly.
• Drug transfer between the two compartments is assumed to    take
place by first-order processes.
                                                              8
TWO-COMPARTMENT OPEN MODEL


                          K12           Peripheral
              Central
Model A:                              compartment
            compartment
                          K21
              KE


                          k12
              Central                   Peripheral
Model B:    compartment               compartment
                           k21
                                          kE

                           K12
              Central                   Peripheral
 Model C:   compartment               compartment
                                K21
               KE                        KE
TWO COMPARTMENT OPEN MODEL-IV BOLUS
              ADMINISTRATION:




                                  k12
                      1                   2
                    central               peripheral
                                  k21


                    kE

•After the iv bolus of a drug the decline in the plasma conc. is bi-
exponential.
•Two disposition processes- distribution and elimination.
Figure 1: Changes in the drug concentrations in the
central(plasma) and peripheral(tissue )compartment after
i.v. bolus of a drug that fits two-compartment model


                                                           11
•The rate of change in drug concentration in the central
compartment is given as:

          dCcdt = K21 Cp – K12 Cc – KE Cc             (1)


  Cc= drug concentration in central compartment
  Cp= drug concentration in peripheral compartment
  K12= first order distribution rate constant from central to
  peripheral compartment
  K21=FIRST order distribution rate constant from peripheral to
  central compartment
  KE= elimination rate constant from central compartment          12
• Extending the relationship      X= Vd C

  X=amount of drug in the body at any time t remaining to be
  eliminated

 C=drug concentration in plasma

 Vd =proportionality const apparent volume of distribution

      dCc = K21 Xp – K12 Xc – KE Xc
       dt Vp          Vc         Vc                            (2)



 Xc and Xp=amt of drug in C1 and C2

 Vc and Vp=apparent volumes of C1 and C2
• The rate of change in drug concentration in the peripheral
  component is given by:

   dCp/dt=K12 Cc – K21 Cp                                      (3)

   =K12 Xc/ Vc – K21 Xp/Vp                                     (4)

• Integration of the equations (3) and (4) gives conc of drug in
  central and peripheral compartments at any given time t :

   Cc = Xo/Vc [(K21 – α/ β-α ) e-αt + (K21- β/β-α) e-βt]       (5)



   Cp = Xo/ Vc [( K21 – α/β – α )e-αt + (K12 – b/α– β )e-βt]   (6)

   Xo = iv bolus dose
   α and β = hybrid first order constants for rapid dissolution phase
    and slow elimination phase respectively.
In simplified form

  Cc = A e-αt + Be-βt
where,
  A = X0/ Vc [K21 – α/ (β-α) ]

  = Co/Vc [K21 – α/ (α-β)]


and

 B = X0 /Vc [K21 – β/(α-β)]

  = Co/Vc [K21 – β/(α-β)]

 Co = plasma drug concentration immediately after
 i.v. injection
                                                    15
ASSESMENT OF TWO COMPARTMENT MODEL



METHOD OF RESIDUALS

    C = A e-αt + B e-βt

    C = B e-βt

    log C = log B – βt/2.303




    Figure 2: Resolution of the Bi exponential plasma concentration time curve by
    this method of residual for a drug that follows two compartment kinetics on16
                                                                                i.v
    administration.
PHARMACOKINETIC PARAMETERS


1. AREA UNDER THE CURVE
2. VOLUME OF DISTRIBUTION
3. RATE CONSTANTS OF DRUG
  TRANSFER
4. HALF LIFE
5. CLEARANCE
6. ELIMINATION CONSTANT


                                       17
• By proper substitution of the following values, the above
  listed parameters can be evaluated:



          C0 = A + B

          KE =    αβC0
                 A β + Bα

          K12 = A B (β - α)2
               C0 (A β + B α)

          K21 = A β + B α
                  C0
• Area Under the Curve :

      (AUC) = A + B
              α β
• Apparent volume of Central compartment :

      Vc = X0/ C0 = X0/KE(AUC)



• Apparent volume of Peripheral compartment :

      VP= VcK12/K21



• Apparent volume of distribution at steady state or equilibrium :

      Vd,ss = VC +VP                                            19
• Apparent volume of distribution from area :

      Vd,area =     X0

                   βAUC

• Haif life :

      t1/2=0.693/β



• Total systemic Clearence :

      ClT = β Vd

• Renal Clearence :

      ClR =dXU /dt = KE VC
                                                20
TWO-COMPARTMENT OPEN MODEL
              INTRAVENOUS INFUSION


          R0     1           K12          2
                 Central
                                      Peripheral
                                K21
                     KE

• The plasma or central compartment concentration of a drug
  when administered as constant rate (zero order) i.v.infusion is
  given as:

   C = R0 [1+(KE -β)e-αt +(KE - α)e-βt]
      VC KE   β–α         α- β
• At steady state (i.e.at time infinity) the second and the third term
  in the bracket becomes zero and the equation reduces to:
    Css = R0
         VC KE
 Now
    VC KE = Vd β

     CSS = R0 = R0
          Vdβ ClT

• The loading dose

     X0,L = Css Vc = R0/KE
TWO-COMPARTMENT OPEN MODEL-
             EXTRAVASCULAR ADMINISTRATION


        Ka            1          K12         2
                   Central                   peripheral
                                  K21
                   KE
• The plasma concentration at any time t for a drug that enters the
body by a first-order absorption process and distributed according
to two compartment model is given by :
             C = N e-kαt + L e-at + M e-βt
         C = Absorption + Distribution + Elimination
              exponent exponent          exponent
Where
•Ka is the first order absorption constant
•α and β are hybrid first order constants for the rapid
distribution phase and slow elimination phase respectively
•L,M,N are hypothetical coefficients.




                                                             24
True plasma
                       conc
          log N                                 Back extrapolated
log L                                           distribution curve
          log M
                                           First residual
                                           curve         Back extra polated
                                                         elimination
        log C


                                 Slope =-Ka/2.303

                              t
          figure3:Semi log plot of C versus t of a drug
          with two compartment characteristics if
          administered extravascularly



                                                                              25
CONCLUSION

• Pharmacokinetic models predict drug disposition after drug
administration.

•Statistical methods are used for the estimation and data
interpretation of pharmacokinetic parameters

• Useful in Drug formulation and treatment regimen

• The drug behaviour within the body might be able to fit different
compartmental models depending upon the route of drug
administration.
                                                                26
REFERENCES
•Milo Gibaldi, Donald Perrier,pharmacokinetics, 2nd Edition, 1-89

•Leon Shargel, Susanna W.U Pong, Andrew Bc.Yu, Applied Bio-
Pharmaceutics And Pharmacokinetics, 5th Edition ,51-105

•M.Blomhoj, T.H.Kjeldsen,j.Ottensen, Compartmental Modeling,1-32

•Sunil S. Jambamkar, Sunil. B. Jaiswal , Basic Pharmacokinetis
( Pharmaceutical Press) ,185- 289

•Aldo Rescigno , Foundations of The Pharmacokinetics, 135 -149

•P.L.Madan, Biopharmaceutics And Pharmacokinetics, 1st Edition ,
173 -282
                                                                 27
•Steven B Heymfield, Steven Litchman, Richard. N. Baumgartner, Jack
Wong, Body Compositions Of Human, American Journal Of Clinical
Nutrition, 52-59

•Joseph T.Dipiro, William, Spruill, concepts In Clinical
Pharmacokinetics, 4th Edition, 19-45

• V. Venkateswar Rao, Fundamentals of Biopharmaceutics And
Pharmacokinetics, 109-196

•H.P.Tipnis, Amritha Bajaj, Principles And Application Of
Biopharmaceutics And Pharmacokinetics, 213-259

•Dm.Brahmamkhar, Sunil.B.Jaiswal, Biopharmaceutics And
Pharmacokinetics : A Treatise, 212-272
•J.S Kulakarni. Ap .Pawar, Vp Shedbalkar, Biopharmaceutics And
Pharmacokinetics Cbs Publisher, 165-193                        28
29

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Pharmacokinetic parameters of two compartment open model

  • 1. PHARMACOKINETIC PARAMETERS OF TWO COMPARTMENT OPEN MODEL Seminar By Ajmeera Divya M. Pharmacy (Pharmaceutics) St. Peter’s Institute of Pharmaceutical Sciences, Hanmakonda. 1
  • 2. CONTENTS I. INTRODUCTION II. TWO COMPARTMENT OPEN MODEL - IV BOLUS III. TWO COMPARTMENT OPEN MODEL - IV INFUSION IV. TWO COMPARTMENT OPEN MODEL - EXTRAVASCULAR ADMINISTRATION V. CONCLUSION VI. REFERENCES 2
  • 3. INTRODUCTION PHARMACOKINETICS: Pharmacon-Drug Kinesis-Motion/ Change of Rate ‘‘Pharmacokinetics is the study of kinetics of absorption, distribution, metabolism and excretion (ADME) of drugs and their corresponding pharmacologic, therapeutic, or toxic responses in man and animals’’ (American Pharmaceutical Association, 1972). 3
  • 4. PHARMACOKINETIC MODELS PHARMACOKINETIC MODELS COMPARTMENT NONCOMPARTMENT PHYSIOLOGICAL MODEL MODEL MODEL
  • 5. COMPARTMENT MODELS •Compartment models are classical pharmacokinetic models that simulate the kinetic process of drug ,absorption, distribution and elimination with little physiologic detail. OPEN AND CLOSED MODEL Open: Administered drug dose is eliminated from the body by an excretory mechanism. Closed: The drug dose is not eliminated from the body.
  • 6. COMPARTMENTS Poorly Highly Perfused Perfused Tissue Negligible Perfused Fat group Tissue Group (a) Classification of human body into compartments 6
  • 7. COMPARTMENT MODELS COMPARTMENT MODEL MAMMILLARY CATERNARY MODEL MODEL (B) Classification of compartment model based on arrangement 7
  • 8. TWO-COMPARTMENT OPEN MODEL CENTRAL COMPARTMENT: • Blood, extracellular fluid, and highly perfused tissues. • The drug distributes rapidly and uniformly in the central compartment. TISSUE OR PERIPHERAL COMPARTMENT: • Tissues in which the drug equilibrates more slowly. • Drug transfer between the two compartments is assumed to take place by first-order processes. 8
  • 9. TWO-COMPARTMENT OPEN MODEL K12 Peripheral Central Model A: compartment compartment K21 KE k12 Central Peripheral Model B: compartment compartment k21 kE K12 Central Peripheral Model C: compartment compartment K21 KE KE
  • 10. TWO COMPARTMENT OPEN MODEL-IV BOLUS ADMINISTRATION: k12 1 2 central peripheral k21 kE •After the iv bolus of a drug the decline in the plasma conc. is bi- exponential. •Two disposition processes- distribution and elimination.
  • 11. Figure 1: Changes in the drug concentrations in the central(plasma) and peripheral(tissue )compartment after i.v. bolus of a drug that fits two-compartment model 11
  • 12. •The rate of change in drug concentration in the central compartment is given as: dCcdt = K21 Cp – K12 Cc – KE Cc (1) Cc= drug concentration in central compartment Cp= drug concentration in peripheral compartment K12= first order distribution rate constant from central to peripheral compartment K21=FIRST order distribution rate constant from peripheral to central compartment KE= elimination rate constant from central compartment 12
  • 13. • Extending the relationship X= Vd C X=amount of drug in the body at any time t remaining to be eliminated C=drug concentration in plasma Vd =proportionality const apparent volume of distribution dCc = K21 Xp – K12 Xc – KE Xc dt Vp Vc Vc (2) Xc and Xp=amt of drug in C1 and C2 Vc and Vp=apparent volumes of C1 and C2
  • 14. • The rate of change in drug concentration in the peripheral component is given by: dCp/dt=K12 Cc – K21 Cp (3) =K12 Xc/ Vc – K21 Xp/Vp (4) • Integration of the equations (3) and (4) gives conc of drug in central and peripheral compartments at any given time t : Cc = Xo/Vc [(K21 – α/ β-α ) e-αt + (K21- β/β-α) e-βt] (5) Cp = Xo/ Vc [( K21 – α/β – α )e-αt + (K12 – b/α– β )e-βt] (6) Xo = iv bolus dose α and β = hybrid first order constants for rapid dissolution phase and slow elimination phase respectively.
  • 15. In simplified form Cc = A e-αt + Be-βt where, A = X0/ Vc [K21 – α/ (β-α) ] = Co/Vc [K21 – α/ (α-β)] and B = X0 /Vc [K21 – β/(α-β)] = Co/Vc [K21 – β/(α-β)] Co = plasma drug concentration immediately after i.v. injection 15
  • 16. ASSESMENT OF TWO COMPARTMENT MODEL METHOD OF RESIDUALS C = A e-αt + B e-βt C = B e-βt log C = log B – βt/2.303 Figure 2: Resolution of the Bi exponential plasma concentration time curve by this method of residual for a drug that follows two compartment kinetics on16 i.v administration.
  • 17. PHARMACOKINETIC PARAMETERS 1. AREA UNDER THE CURVE 2. VOLUME OF DISTRIBUTION 3. RATE CONSTANTS OF DRUG TRANSFER 4. HALF LIFE 5. CLEARANCE 6. ELIMINATION CONSTANT 17
  • 18. • By proper substitution of the following values, the above listed parameters can be evaluated: C0 = A + B KE = αβC0 A β + Bα K12 = A B (β - α)2 C0 (A β + B α) K21 = A β + B α C0
  • 19. • Area Under the Curve : (AUC) = A + B α β • Apparent volume of Central compartment : Vc = X0/ C0 = X0/KE(AUC) • Apparent volume of Peripheral compartment : VP= VcK12/K21 • Apparent volume of distribution at steady state or equilibrium : Vd,ss = VC +VP 19
  • 20. • Apparent volume of distribution from area : Vd,area = X0 βAUC • Haif life : t1/2=0.693/β • Total systemic Clearence : ClT = β Vd • Renal Clearence : ClR =dXU /dt = KE VC 20
  • 21. TWO-COMPARTMENT OPEN MODEL INTRAVENOUS INFUSION R0 1 K12 2 Central Peripheral K21 KE • The plasma or central compartment concentration of a drug when administered as constant rate (zero order) i.v.infusion is given as: C = R0 [1+(KE -β)e-αt +(KE - α)e-βt] VC KE β–α α- β
  • 22. • At steady state (i.e.at time infinity) the second and the third term in the bracket becomes zero and the equation reduces to: Css = R0 VC KE Now VC KE = Vd β CSS = R0 = R0 Vdβ ClT • The loading dose X0,L = Css Vc = R0/KE
  • 23. TWO-COMPARTMENT OPEN MODEL- EXTRAVASCULAR ADMINISTRATION Ka 1 K12 2 Central peripheral K21 KE • The plasma concentration at any time t for a drug that enters the body by a first-order absorption process and distributed according to two compartment model is given by : C = N e-kαt + L e-at + M e-βt C = Absorption + Distribution + Elimination exponent exponent exponent
  • 24. Where •Ka is the first order absorption constant •α and β are hybrid first order constants for the rapid distribution phase and slow elimination phase respectively •L,M,N are hypothetical coefficients. 24
  • 25. True plasma conc log N Back extrapolated log L distribution curve log M First residual curve Back extra polated elimination log C Slope =-Ka/2.303 t figure3:Semi log plot of C versus t of a drug with two compartment characteristics if administered extravascularly 25
  • 26. CONCLUSION • Pharmacokinetic models predict drug disposition after drug administration. •Statistical methods are used for the estimation and data interpretation of pharmacokinetic parameters • Useful in Drug formulation and treatment regimen • The drug behaviour within the body might be able to fit different compartmental models depending upon the route of drug administration. 26
  • 27. REFERENCES •Milo Gibaldi, Donald Perrier,pharmacokinetics, 2nd Edition, 1-89 •Leon Shargel, Susanna W.U Pong, Andrew Bc.Yu, Applied Bio- Pharmaceutics And Pharmacokinetics, 5th Edition ,51-105 •M.Blomhoj, T.H.Kjeldsen,j.Ottensen, Compartmental Modeling,1-32 •Sunil S. Jambamkar, Sunil. B. Jaiswal , Basic Pharmacokinetis ( Pharmaceutical Press) ,185- 289 •Aldo Rescigno , Foundations of The Pharmacokinetics, 135 -149 •P.L.Madan, Biopharmaceutics And Pharmacokinetics, 1st Edition , 173 -282 27
  • 28. •Steven B Heymfield, Steven Litchman, Richard. N. Baumgartner, Jack Wong, Body Compositions Of Human, American Journal Of Clinical Nutrition, 52-59 •Joseph T.Dipiro, William, Spruill, concepts In Clinical Pharmacokinetics, 4th Edition, 19-45 • V. Venkateswar Rao, Fundamentals of Biopharmaceutics And Pharmacokinetics, 109-196 •H.P.Tipnis, Amritha Bajaj, Principles And Application Of Biopharmaceutics And Pharmacokinetics, 213-259 •Dm.Brahmamkhar, Sunil.B.Jaiswal, Biopharmaceutics And Pharmacokinetics : A Treatise, 212-272 •J.S Kulakarni. Ap .Pawar, Vp Shedbalkar, Biopharmaceutics And Pharmacokinetics Cbs Publisher, 165-193 28
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Notes de l'éditeur

  1. APPLICATION
  2. METHOD OF RESIDUALS