Tmax and T½ [NCA / SHAM]

posted by Helmut Homepage – Vienna, Austria, 2008-07-11 19:08 (5761 d 03:44 ago) – Posting: # 2016
Views: 19,627

Dear Alhas!

❝ can any one clarify that, …


Hopefully! :-D

❝ … is there any relation between Tmax and t1/2.


The regulatory definition of BE contains the phrase "… rate and extent of absorption …".
Unfortunately the rate-constant of absorption (different names: ka, kin, k01, …) often is difficult to estimate even with compartmental modeling. In NCA for a one-compartment model one can start with the Wagner-Nelson method. tmax is a rather insensitive metric of the rate of absorption (as shown by László Endrényi about 15 years ago). That’s the reason it’s only supportive (based on clinical grounds) in some regulations and partial AUCs are preferred by the FDA instead.
For an IR formulation the ‘slow’ phase kel, k10, …) is assumed to be the elimination of drug.
Let’s have a look at the simple one-compartment open model:$$C(t)=\frac{D\times F_{\textrm{a}}}{V_{\textrm{d}}}\times \frac{k_{01}}{k_{01}-k_{01}}\times\left (\exp (-k_{10}\times t)-\exp(-k_{01}\times t) \right ) \tag{1}$$We can calculate Cmax and tmax in the following way:
  1. The slope of the function is positive before tmax (increasing values), zero at tmax, and negative (decreasing) afterwards.
  2. Differentiate the function.
  3. Find the root (i.e., the intersection of the derivative with the abscissa). This is tmax.
Formulas:$$t_{\textrm{max}}=\frac{1}{k_{01}-k_{10}}\times \log_{e}(k_{01}/k_{10}) \tag{2}$$and by substituting \(t\) in \((1)\) with \((2)\) after some rearrangement (not shown)$$C_{\textrm{max}}=\frac{D\times F_{\textrm{a}}}{V_{\textrm{d}}}\times(k_{01}/k_{10})^{k_{10}/(k_{10}-k_{01})}\tag{3}$$Unfortunately it is not possible to differentiate functions of higher compartment models (more than two exponential terms). In other words, there’s no analytical solution – curve fitting programs approximate the solution by numeric integration of the differential equations by means of variants of the Gauss-Newton algorithm. So it’s nothing for M$Excel (unless you trust in the ‘Solver’-Add-In – which you shouldn’t).

❝ for some products the Tmax found to be very close to t1/2. how it is possible?


[image]Chance?
I prepared an example:
D = 100
Vd = 5
Fa = 1
k01 = 2
k10 = 0.025 – 1.999

If the elimination is slow (k10 = 0.050) we get tmax 1.89 and t½ 13.9, if the elimination approaches the absorption (k10 = 1.999), we get tmax 0.500 and t½ 0.347…

Only for k10 = 1 we get tmax = t½ = 0.693 – which is loge(2)…

Therefore only for drugs with relatively fast elimination (as compared to absorption) tmax ~ t½;
\(t_\textrm{max}=t_{1/2}\; \leftrightarrow\; k_{10}=k_{01}/2\: \small{\square}\)

[image]

For drugs with a biphasic elimination similar t½ and tmax are almost impossible.

[image]A further remark on the insensitivity of tmax to changes in the absorption rate: essentially the same example as above, but the elimination kept constant with k10 = 0.15 and the absorption varies between 0.50 and 1.999.

Setting a k01 of 1.0 as the reference value (tmax 2.23), a 10% change (k01 1.1) results in a 6% decrease in tmax (to 2.10).
If we increase k01 further by 50% to 1.5, tmax decreases only by 24% to 1.71.

That’s why we use tmax as a PK metric in BE only if unavoidable. :cool:

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