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Bioavailability
Dr. Basavaraj K. Nanjwade M. Pharm., Ph. D
Department of Pharmaceutics
Faculty of Pharmacy
Omer Al-Mukhtar University
Tobruk, Libya.
E-mail: nanjwadebk@gmail.com
2014/03/15 1
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
CONTENTS
1. Concept and terminology.
2. Methods of assessing bioavailability.
3. Evaluation and design of a single dose
bioequivalency study.
4. Determination of bioavailability and
bioequivalency in multiple dose regimen.
5. References.
2014/03/15 2
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
What is Bioavailability
• Bioavailability, Indicates measurement of the
rate and extent (amount) of therapeutically
active drug that reaches the systemic
circulation and is available at the site of
action.
2014/03/15 3
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Concept of Bioavailability
• Rate and extent at which therapeutically active drug
reaches systemic circulation.
• The fraction of administered dose that reaches the
systemic circulation in contrast to that stated on
label.
• Rate & extent of absorption of unchanged drug from
its dosage form.
• A measure relative to some standard of rate &
amount of drug, which reaches the systemic
circulation unchanged following the administration
of dosage form.
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar
University, Tobruk, Libya.
4
Why bioavailability studies
• FDA requires that the drug product is safe and
effective.
• Measure of bioavailability: AUC/dose.
• Absolute availability: Absolute availability for drugs
with approved NDA, bioavailability studies are
required for new drug formulations-bioequivalence to
the reference formulation.
• Relative availability: Relative availability for drugs
without full NDA, bioequivalence to the reference drug
in the standard formulation.
• For determining safety and efficacy of drug product.
2014/03/15 5
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Types of Bioavailability
 Absolute Bioavailability :-
If the systemic availability of a drug administered
orally is determined by doing its comparison with I.V.
administration, it is known as absolute
bioavailability.
2014/03/15 6
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
larextravascu
ravenousint
ravenousint
larextravascu
Dose
Dose
AUC
AUC
F ×=
Types of Bioavailability
 Relative Bioavailability :-
If the systemic availability of a drug
administered orally is determined by doing its
comparison with that of an oral standard of
the same drug, it is known as a relative
bioavailability.
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar
University, Tobruk, Libya.
7
1larextravascu
2larextravascu
2larextravascu
1larextravascu
rel
Dose
Dose
AUC
AUC
F ×=
Types of Bioavailability
 Range of Bioavailability – 0 to 1.
 It is usually expressed as percentages (%).
 An absolute bioavailability of 1 (or 100%) indicates
complete absorption.
 Relative bioavailability of 1 (or 100%) implies that the
bioavailability of drug from both the dosage forms is
the same but does not indicate the completeness of
the systemic drug absorption.
2014/03/15 8
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
 Bioavailability of drug from dosage form
depends upon following.
 Route of administration
 Patient related factors
 Physicochemical properties of the drug
 Characteristics of the dosage form
2014/03/15 9
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Types of Bioavailability
Bioavailability
• The influence of route of administration on
drug’s bioavailability is generally in the
following order
Parenteral > Oral > Rectal > Topical
• Most drugs are administered orally, for reason
of stability and convenience.
• The dose available to patient – Bioavailable
dose.
2014/03/15 10
Faculty of Pharmacy, Omer Al-Mukhtar
University, Tobruk, Libya.
Plasmaconcentration
Time (hours)
i.v. route
oral route
11
2014/03/15 11
Faculty of Pharmacy, Omer Al-Mukhtar
University, Tobruk, Libya.
Bioavailability
Methods of assessing
bioavailability
• Pharmacokinetic methods ( indirect )
1. Blood analysis
2. Urinary excretion data
• Pharmacodynamic methods ( direct )
1. Acute pharmacological response
2. Therapeutic response
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
12
Pharmacokinetic methods
( indirect )
1. Blood analysis
• Plasma level time studies or The plasma
concentration – time curve or blood level curve.
• A direct relationship exists concentration of drug at
the site of action & concentration of drug in the
plasma.
• Serial blood samples are taken after drug
administration & analyzed for drug concentration.
• A typical blood level curve obtained after oral
administration of drug.
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar
University, Tobruk, Libya.
13
Pharmacokinetic methods
( indirect )
2. Urinary excretion data
• The method of determination bioavailability
provided that the active ingredient is excreted
unchanged in the significant quantity of urine.
• The cumulative amount of active drug excreted in
urine is directly proportional to extent of systemic
drug absorption.
• The rate of drug excretion is directly proportional to
rate of systemic drug absorption.
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
14
Pharmacodynamic methods
( direct )
1. Acute pharmacological response
• Bioavailability can be determined from the acute
pharmacologic effect – time curve as well as from
dose response graph.
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
15
Pharmacodynamic methods
( direct )
2. Therapeutic response
• This method is based on the observing the clinical
response to a drug formulation given to a patients
suffering from disease for which it is intended to be
used.
Eg. Anti inflammatory drugs, the reduction in the
inflammation is determined.
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
16
Pharmacokinetic and
Pharmacodynamic Parameters
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
17
Parameters determined
Pharmacokinetic parameters
• Peak Plasma Concentration (Cmax)
• Time of Peak concentration (tmax).
• Area Under Curve (AUC)
Pharmacodynamics parameters
• Minimum Effective Concentration (MEC) / Minimum
Inhibitory Concentration (MIC).
• Maximum Safe Concentration (MSC) / Maximum Safe Dose
(MSD).
• Duration of action
• Onset of action.
• Intensity of action.2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
18
AUC or Extent of absorption
can be measured by 3 methods
1.Planimeter
Instrument for mechanically measuring the area
2. Cut & weigh method
AUC is cut & weighed on analytical balance. The
weight obtained is converted to proper unit by
dividing it by the wt of a unit area of same paper.
3. Trapezoidal method
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
19
AUC or Extent of absorption
can be measured by 3 methods
3. Trapezoidal method
AUC = ½ ( C1 + C2) (t2 – t1) + ½ (C2 + C3) (t3 – t2) +…….
½ (C n-1 + C n ) (tn – tn-1 )
C = Concentration
t = time
subscript= sample number
AUC = Area Under Curve
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
20
• AUC-Area under curve
• Cmax- Maximum concentration
• Tmax -Time to maximum concentration
2014/03/15 21
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Methods of assessing
bioavailability
Bioequivalence
- Bioequivalence means pharmaceutical equivalents or
pharmaceutical alternatives whose rate and extent
of absorption do not show a significant difference
when administered at the same molar dose of the
therapeutic moiety under similar experimental
conditions.
- Bioequivalence studies are usually performed to
compare the rate and/or extent of absorption of a
new drug product or a generic equivalent with that
of a recognized standard.
2014/03/15 22
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Dosage forms that are to be evaluated only
for bioequivalence purpose.
Dosage forms meant for a single dose
administration for a therapeutic benefit such
as analgesic for relief of headache.
Evaluation and design of a single
dose bioequivalency study
2014/03/15 23
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Evaluation and design of a single
dose bioequivalency study
2014/03/15 24
Faculty of Pharmacy, Omer Al-Mukhtar
University, Tobruk, Libya.
Determination of bioavailability and
bioequivalency in multiple dose regimen
Dosage forms designed to achieve special
release profiles. e.g. time-release products,
enteric-coated preparations.
Drugs undergoing first pass metabolism.
Special dosage regimens such as loading dose.
2014/03/15 25
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Dosage forms designed to achieve special
release profiles. e.g. time-release products,
enteric-coated preparations.
Drugs undergoing first pass metabolism.
Special dosage regimens such as loading dose.
Determination of bioavailability and
bioequivalency in multiple dose regimen
2014/03/15 26
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
Bioavailability and Bioequivalence
Two dosage forms are Two dosage forms are
bioequivalent: not bioequivalent:
2014/03/15 27
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
References
• “Biopharmaceutics & Pharmacokinetics”, D. M.
Brahmankar & Sunil B. Jaiswal, Vallabh Prakashan.
• “Text book of Biopharmaceutics & pharmacokinetics”,
Dr. Shobharani R. Hiramath.
• “Applied Biopharmaceutics & pharmacokinetics”,
Leon Shargel & Andrew B.C.
• www.google.com
2014/03/15 28
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
THANK YOUE-mail: nanjwadbk@gmail.com
2014/03/15
Faculty of Pharmacy, Omer Al-Mukhtar University,
Tobruk, Libya.
29

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Bioavailability

  • 1. Bioavailability Dr. Basavaraj K. Nanjwade M. Pharm., Ph. D Department of Pharmaceutics Faculty of Pharmacy Omer Al-Mukhtar University Tobruk, Libya. E-mail: nanjwadebk@gmail.com 2014/03/15 1 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 2. CONTENTS 1. Concept and terminology. 2. Methods of assessing bioavailability. 3. Evaluation and design of a single dose bioequivalency study. 4. Determination of bioavailability and bioequivalency in multiple dose regimen. 5. References. 2014/03/15 2 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 3. What is Bioavailability • Bioavailability, Indicates measurement of the rate and extent (amount) of therapeutically active drug that reaches the systemic circulation and is available at the site of action. 2014/03/15 3 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 4. Concept of Bioavailability • Rate and extent at which therapeutically active drug reaches systemic circulation. • The fraction of administered dose that reaches the systemic circulation in contrast to that stated on label. • Rate & extent of absorption of unchanged drug from its dosage form. • A measure relative to some standard of rate & amount of drug, which reaches the systemic circulation unchanged following the administration of dosage form. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 4
  • 5. Why bioavailability studies • FDA requires that the drug product is safe and effective. • Measure of bioavailability: AUC/dose. • Absolute availability: Absolute availability for drugs with approved NDA, bioavailability studies are required for new drug formulations-bioequivalence to the reference formulation. • Relative availability: Relative availability for drugs without full NDA, bioequivalence to the reference drug in the standard formulation. • For determining safety and efficacy of drug product. 2014/03/15 5 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 6. Types of Bioavailability  Absolute Bioavailability :- If the systemic availability of a drug administered orally is determined by doing its comparison with I.V. administration, it is known as absolute bioavailability. 2014/03/15 6 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. larextravascu ravenousint ravenousint larextravascu Dose Dose AUC AUC F ×=
  • 7. Types of Bioavailability  Relative Bioavailability :- If the systemic availability of a drug administered orally is determined by doing its comparison with that of an oral standard of the same drug, it is known as a relative bioavailability. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 7 1larextravascu 2larextravascu 2larextravascu 1larextravascu rel Dose Dose AUC AUC F ×=
  • 8. Types of Bioavailability  Range of Bioavailability – 0 to 1.  It is usually expressed as percentages (%).  An absolute bioavailability of 1 (or 100%) indicates complete absorption.  Relative bioavailability of 1 (or 100%) implies that the bioavailability of drug from both the dosage forms is the same but does not indicate the completeness of the systemic drug absorption. 2014/03/15 8 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 9.  Bioavailability of drug from dosage form depends upon following.  Route of administration  Patient related factors  Physicochemical properties of the drug  Characteristics of the dosage form 2014/03/15 9 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. Types of Bioavailability
  • 10. Bioavailability • The influence of route of administration on drug’s bioavailability is generally in the following order Parenteral > Oral > Rectal > Topical • Most drugs are administered orally, for reason of stability and convenience. • The dose available to patient – Bioavailable dose. 2014/03/15 10 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 11. Plasmaconcentration Time (hours) i.v. route oral route 11 2014/03/15 11 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. Bioavailability
  • 12. Methods of assessing bioavailability • Pharmacokinetic methods ( indirect ) 1. Blood analysis 2. Urinary excretion data • Pharmacodynamic methods ( direct ) 1. Acute pharmacological response 2. Therapeutic response 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 12
  • 13. Pharmacokinetic methods ( indirect ) 1. Blood analysis • Plasma level time studies or The plasma concentration – time curve or blood level curve. • A direct relationship exists concentration of drug at the site of action & concentration of drug in the plasma. • Serial blood samples are taken after drug administration & analyzed for drug concentration. • A typical blood level curve obtained after oral administration of drug. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 13
  • 14. Pharmacokinetic methods ( indirect ) 2. Urinary excretion data • The method of determination bioavailability provided that the active ingredient is excreted unchanged in the significant quantity of urine. • The cumulative amount of active drug excreted in urine is directly proportional to extent of systemic drug absorption. • The rate of drug excretion is directly proportional to rate of systemic drug absorption. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 14
  • 15. Pharmacodynamic methods ( direct ) 1. Acute pharmacological response • Bioavailability can be determined from the acute pharmacologic effect – time curve as well as from dose response graph. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 15
  • 16. Pharmacodynamic methods ( direct ) 2. Therapeutic response • This method is based on the observing the clinical response to a drug formulation given to a patients suffering from disease for which it is intended to be used. Eg. Anti inflammatory drugs, the reduction in the inflammation is determined. 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 16
  • 17. Pharmacokinetic and Pharmacodynamic Parameters 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 17
  • 18. Parameters determined Pharmacokinetic parameters • Peak Plasma Concentration (Cmax) • Time of Peak concentration (tmax). • Area Under Curve (AUC) Pharmacodynamics parameters • Minimum Effective Concentration (MEC) / Minimum Inhibitory Concentration (MIC). • Maximum Safe Concentration (MSC) / Maximum Safe Dose (MSD). • Duration of action • Onset of action. • Intensity of action.2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 18
  • 19. AUC or Extent of absorption can be measured by 3 methods 1.Planimeter Instrument for mechanically measuring the area 2. Cut & weigh method AUC is cut & weighed on analytical balance. The weight obtained is converted to proper unit by dividing it by the wt of a unit area of same paper. 3. Trapezoidal method 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 19
  • 20. AUC or Extent of absorption can be measured by 3 methods 3. Trapezoidal method AUC = ½ ( C1 + C2) (t2 – t1) + ½ (C2 + C3) (t3 – t2) +……. ½ (C n-1 + C n ) (tn – tn-1 ) C = Concentration t = time subscript= sample number AUC = Area Under Curve 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 20
  • 21. • AUC-Area under curve • Cmax- Maximum concentration • Tmax -Time to maximum concentration 2014/03/15 21 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. Methods of assessing bioavailability
  • 22. Bioequivalence - Bioequivalence means pharmaceutical equivalents or pharmaceutical alternatives whose rate and extent of absorption do not show a significant difference when administered at the same molar dose of the therapeutic moiety under similar experimental conditions. - Bioequivalence studies are usually performed to compare the rate and/or extent of absorption of a new drug product or a generic equivalent with that of a recognized standard. 2014/03/15 22 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 23. Dosage forms that are to be evaluated only for bioequivalence purpose. Dosage forms meant for a single dose administration for a therapeutic benefit such as analgesic for relief of headache. Evaluation and design of a single dose bioequivalency study 2014/03/15 23 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 24. Evaluation and design of a single dose bioequivalency study 2014/03/15 24 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 25. Determination of bioavailability and bioequivalency in multiple dose regimen Dosage forms designed to achieve special release profiles. e.g. time-release products, enteric-coated preparations. Drugs undergoing first pass metabolism. Special dosage regimens such as loading dose. 2014/03/15 25 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 26. Dosage forms designed to achieve special release profiles. e.g. time-release products, enteric-coated preparations. Drugs undergoing first pass metabolism. Special dosage regimens such as loading dose. Determination of bioavailability and bioequivalency in multiple dose regimen 2014/03/15 26 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 27. Bioavailability and Bioequivalence Two dosage forms are Two dosage forms are bioequivalent: not bioequivalent: 2014/03/15 27 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 28. References • “Biopharmaceutics & Pharmacokinetics”, D. M. Brahmankar & Sunil B. Jaiswal, Vallabh Prakashan. • “Text book of Biopharmaceutics & pharmacokinetics”, Dr. Shobharani R. Hiramath. • “Applied Biopharmaceutics & pharmacokinetics”, Leon Shargel & Andrew B.C. • www.google.com 2014/03/15 28 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya.
  • 29. THANK YOUE-mail: nanjwadbk@gmail.com 2014/03/15 Faculty of Pharmacy, Omer Al-Mukhtar University, Tobruk, Libya. 29