Bioequivalence and Bioavailability Forum 11:18 CET

Hi ElMaestro!

» […] if you deliberately shortened sampling time for some reason (PI opinion, ethics, ADME-tox properties) then please give a little further info and let's see.

No sure what you mean by ↑ that. Shortening the sampling wouldn’t help.

Dear All,

This is interesting topic as I too have had similar situation where in the ratio of AUC0-t / AUC0-inf was less than 80% in several cases.

Can anyone clear my doubt on this, does this apply to the untransformed or Ln transformed data

The ratios were fine with the Ln transformed data.

Regards
Chirag

Dear all,

replying myself to clarify things. Starter: Scheerans et al. (2008).¹ t_max in a monoexponential model is the root of the first derivative of the concentration-time curve and given by

ln(k_a/k_el)/(k_a-k_el)

The inflection point t_inpt where the sign of the curvature changes (or the tangent moves from above to below the curve) is the root of the second derivative and given by

2·ln(k_a/k_el)/(k_a-k_el)

If you want to play around yourself I suggest to convert the Bateman-function to a sum of expo­nen­tials, i.e.,

ƒ(x) = A(ℯ^–kel·x – ℯ^–ka·x).

The derivatives are

ƒ’(x) = A(–k_el·ℯ^–kel·x + k_a·ℯ^–ka·x) and
ƒ”(x) = A(k_el²·ℯ^–kel·x – k_a²·ℯ^–ka·x).

The percentage absorbed is given by

% abs = 100(1 – ℯ^–ka·x)

AUC in the interval [0, a] is given as the definite integral of ƒ(x) by

A((ℯ^–ka·x – 1)/k_a – (ℯ^–kel·x – 1)/k_el)

Example: A 400, k_a 1.3863 (t_½a 0.5), k_el 0.6931 (t_½el 1). Although Scheerans et al. recom­mended their procedure for k_a ≥ 3k_el in order to avoid problems with flip-flop PK (which is unlikely for IR formulations) I used a ratio of 2 in order to get nice numbers.

At t_max 75% are absorbed (AUC_t/AUC_∞ 25%) and at t_inpt already 93.75% (AUC_t/AUC_∞ 56.25%). When do we have a ratio of 80%? At 3.244 (where 98.89% are absorbed). That’s a very, very conservative value. Note that t_inpt equals four absorption half-lives (alternative method for the calculation of % absorbed: 100 – 100/2^4·t½a = 93.75%). If one wants to be more conservative and follow the logic of the GL (wash-out, saturation to steady state) and use five half-lives one could stop at 2.5.

tlast        % abs  % AUC∞
1.0 = tmax   75.00  25.00
2.0 = tinpt  93.75  56.25
2.161        95.00  60.28
2.5 = 5×t½a  96.88  67.77
3.244        98.89  80.00
3.322        99.00  81.00

So why a cut-off of 80%?* Since t_inpt is a reasonable starting point for the estimation of λ_z (forget max. R²_adj including earlier time points since elimination is contaminated by absorption) it should be possible to have ≥3 data points in the interval [t_inpt, t_last]. We can expect to get a reliable estimate of λ_z. But what’s the use of it? EMA’s metric for extent of absorption is AUC_t. We could reliably estimate it with an earlier cut-off as well!² Are we comparing λ_z of test and reference? No. On the contrary – we assume identical inter-occasion clearances (or V + k_el if you belong to the other church).
IMHO the cut-off of 80% is scientifically not justified for monoexponential models (including ones with a lag-time: homework). Would only make sense if we would use AUCs corrected by k_el,³ which seems not to be acceptable by EMA (at least). It’s strange to judge the validity of a study based on eli­mi­na­tion rather than essentially complete absorption.

Unfortunately it is not that easy for multicompartimental models – or even worse – profiles with multiple peaks, though absorption will follow the same time course. MR (CR in particular) is another pot of tea. We might be in flip-flop limbo and personally I would not use AUC_t as the main metric at all. I’m curious what the draft MR GL will tell us… I would suggest AUC_∞ with an extrapolated area of well below 20%.

@Ratnakar: If you want help it would be a good idea to answer all of the questions in my previous post (see the Forum’s policy).

---

References:
1. Scheerans C, Derendorf H, Kloft C. Proposal for a Standardised Identification of the Mono-Exponential Terminal Phase for Orally Administered Drugs. Biopharm Drug Dispos. 2008;29:145–57. doi:10.1002/bdd.596
   
2. Midha KK, Hubbard JW, Rawson MJ. Retrospective evaluation of relative extent of absorption by the use of partial areas under plasma concentration versus time curves in bioequivalence studies on conventional release products. Europ J Pharm Sci. 1996;4:381–4. doi:10.1016/0928-0987(95)00166-2
   
3. Abdallah HY. An Area Correction Method To Reduce Intrasubject Variability In Bioequivalence Studies. J Pharm Pharmaceut Sci. 1998;1(2):60–5. free online

• Note that the FDA – although both AUC_t and AUC_∞ are required – doesn’t have such a cut-off.