Beruflich Dokumente
Kultur Dokumente
Review
Product Development, Aurolife Pharma, LLC. 2400 Route 130 N, Dayton, NJ 08810, United States
Product Development, Frontage Laboratories, Inc. 75 E Uwchlan Ave, Exton, PA 19341, United States
a r t i c l e
i n f o
Article history:
Received 1 January 2011
Accepted 15 May 2011
Available online 7 July 2011
Keywords:
Preclinical
Physico-chemical properties
Formulation
Stability
In vivo models
a b s t r a c t
Preclinical proling for a New Chemical Entity (NCE), if carried out carefully, can be a good predictor of human
clinical outcome. Along with the pre-clinical study design a thorough understanding of the physico-chemical
properties of the drug candidate and a careful selection of the formulation development strategy are of high
importance.
The study scientist can experience various challenges in executing a pre-clinical study. This review article
provides an overview of the signicance of pre-formulation study parameters and their relevance to preclinical
studies. Various physico-chemical properties such as solubility, partition co-efcient, and permeability are
attributes critical to the performance of the drug substance. This article presents unique formulation
development strategies for the successful completion of pre-clinical studies. Formulation development approach
for a pre-clinical study involves taking into consideration various important factors such as duration of the study,
Biopharmaceutics Classication System (BCS) of the drug, intended duration of action and the desired route of
administration. These parameters play key role in the selection of solubilizers, surfactants, co-solvents and
optimum pH for the formulation. Two most common routes of administration in the early screening of
pharmaceuticals viz., oral and intravenous are emphasized. The article also describes recent advances in
preclinical formulation development including selected examples of in vivo preclinical models for anti-cancer,
anti-viral, anti-diabetic and anti-hypertensive drugs. Adherence to the regulatory requirement is also the key to
successful completion of the preclinical development. An overview of preclinical formulation development along
with basic concepts and the recent studies conducted in the past decade are presented in this review.
2011 Elsevier B.V. All rights reserved.
Contents
1.
2.
3.
4.
5.
Introduction . . . . . . . . . . . . . . . . . . . . . . . . .
1.1.
Challenges in preclinical formulation development . . .
1.2.
Stages of pre-clinical studies . . . . . . . . . . . . . .
Pre-formulation studies in preclinical development phase . . .
2.1.
Drug solubility . . . . . . . . . . . . . . . . . . . .
2.2.
Partition co-efcient and in vitro permeability . . . . .
2.3.
Dissociation constant . . . . . . . . . . . . . . . . .
2.4.
Physical form of the drug substance . . . . . . . . . .
Formulation development in pre-clinical development phase . .
Formulation development strategies . . . . . . . . . . . . .
4.1.
Duration of the study . . . . . . . . . . . . . . . . .
4.2.
Biopharmaceutics classication system of drug substance
4.3.
Desired route of administration . . . . . . . . . . . .
4.3.1.
Oral route . . . . . . . . . . . . . . . . . .
4.3.2.
Intravenous and intraperitoneal route . . . . .
4.4.
Intended duration of action . . . . . . . . . . . . . .
Stability of pre-clinical formulations . . . . . . . . . . . . .
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6.
A.K. Shah, S.A. Agnihotri / Journal of Controlled Release 156 (2011) 281296
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1. Introduction
Preclinical drug development is a phase of research that is
undertaken on appropriate animal models before clinical trials (testing
on humans) can actually begin. Preclinical studies are used to evaluate
the safety of a new compound so that the appropriate compounds are
brought into human trials. Compounds must be effective in the
treatment of disease, relatively free of unwanted side-effects and have
treatment regimens (dose, dosage form and frequency of administration) compatible with the target patient population and disease.
Preclinical drug development is a risk-based approach in which
nonhuman (animal model) safety and efcacy information is extrapolated to a potential human outcome. Actually, the preclinical
development agenda for many novel therapies is even more risky in
predicting clinical results when very limited data is available to support
the use of the animal model under study. In the end, results of preclinical
studies (nonhuman models) are validated by conducting clinical studies
(human studies). A thorough understanding of the pharmacological and
toxicological preclinical drug response with respect to dose, frequency,
and route of administration allows scientists to initiate and continue
human trials under rational and ethical conditions.
Typical pre-clinical conditions contain a starting dose and a dose
frequency that produces an intended level of pharmacologic response,
a safe dose escalation scheme which permits differentiation of
response as a function of drug exposure, an understanding of when
potential toxicity may outweigh potential pharmacologic benet, and
an information of pharmacokinetics and response variability [1]. The
nonhuman model will generate a body of evidence and condence
whether the drug candidate is worthy of further development or
whether it should be terminated from the development pipeline. A
thorough understanding of any nonhuman model is fundamentally
important so that drug-related outcomes can be separated from
normal, endogenous variability or other processes unrelated to the
drug. Rodents, canines, and nonhuman primates have become
common preclinical models because of the established understanding
of these animals and their underlying physiology [24].
Understanding of similarities and differences between nonhuman
and human physiological systems is vital to acquire quality information
from preclinical agenda. Virtually every study and every decision to be
made on the development of a drug candidate will be predicated on the
assumption that preclinical models are a predictor of human exposure.
Ultimately, the understanding of preclinical drug disposition (distribution, metabolism, and excretion) coupled with an understanding of cell
or tissue specic activity/toxicity completes the knowledge base for a
drug candidate to move into and through clinical evaluation.
Testing of new drugs in humans cannot begin until there is profound
evidence that the drug (or the drug product) can be used with
reasonable safety in humans [5]. The basic goal of preclinical
development phase is to assess potential therapeutic effects of the
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A.K. Shah, S.A. Agnihotri / Journal of Controlled Release 156 (2011) 281296
Drug
Discovery
Preclinical
Development
Clinical
Trial
API
Manufacturing
Formulation
Analytical/
Bioanalytical
283
IND
PK/PD/ADME
Toxicity/
Safety
GMP/GLP/CTM
Fig. 1. A general preclinical development program. IND, Investigational new drug; GMP,
Good manufacturing practice; GLP, Good laboratory practice; CTM, Clinical trial
material.
284
A.K. Shah, S.A. Agnihotri / Journal of Controlled Release 156 (2011) 281296
Table 1
High-throughput solubility determination techniques (reproduced from Ref. [14]).
Organization/ Technique
inventor
Description
Symyx
Automated solubility
determination
platform
ReactarrayTM
Nanostream CL
pION
pH metric technique
Chen et al.
UV plate reader
Chen and
Venkatesh
Miniature device
Secondly, Kow plays an important role in determining the hydrophobicity of the molecule, and subsequently it's partitioning into the
biological membrane. This, in turn, affects the bioavailability and
biological response of the drug candidate. Partition coefcient is also a
A.K. Shah, S.A. Agnihotri / Journal of Controlled Release 156 (2011) 281296
Table 2
Commonly used pre-clinical excipients for oral and i.v. use along with their LD50 values.
Excipient
Route of
Functional
administration category
LD50
Gelucire
44/14
Oral
PEG 400
Oral/i.v.
0.9% NaCl
i.v.
Labrasol
Oral, i.v.
Hydroxy
Oral, i.v.
Propyl -Cyclodextrin
Labral 1944CS
Oral, i.v.
Polysorbate 80
Oral, i.v.
Cremophor RH 40
Oral
Cremophor EL
i.v.
Soluphor P
Oral, i.v.
Solutol HS15
i.v.
Vitamin E TPGS
Oral
Transcutol HP
Ethanol
Propylene glycol
Labrafac
Oral
Oral, iv
Oral, i.v.
Oral
285
Solubilizer, coemulsier,
bioavailability
enhancer
Solubilizer
Solubilizer,
tonicity
adjustor
Solubilizer,
bioavailability
enhancer
Solubilizer,
stabilizer
Solubilizer, coemulsier,
bioavailability
enhancer
Surfactant
Solubilizer,
emulsifying
agent
Solubilizer,
emulsifying
agent
Solubilizer,
permeation
enhancer
Solubilizer,
surfactant
Solubilizer,
emulsier,
bioavailability
enhancer
Solubilizer
Co-solvent
Solubilizer
Oily co-solvent
Rat
Rat
Rat
Rat
design may require the use of excipients which have minimal safety
records. Use of these excipients can add signicant risk to the product
development process which may require additional preclinical and
clinical studies. All the excipients can have toxicity effect on the
studied species, some more than other. As a result, the rst approach
in developing a formulation should be a simple solution. However, if
the drug is not soluble in water the formulation strategies described in
the paper can be followed. A list of excipients that can be used for oral
and i.v. administration is provided in Table 2 along with their LD50
values [3742].
The following sections provide a detailed description on various
formulation development strategies that can help the pharmaceutical
scientist to develop successful formulation for pre-clinical studies.
4.1. Duration of the study
Most commonly used animal models for pre-clinical studies
include mouse, rat, rabbit, and dog. Each species reacts differently to
commonly used excipients. The response generated upon administration of these excipients is variable depending on the route of
administration. Tolerance to these excipients administered by
different routes also depends on the functional class of excipient
such as solubilizer, surfactant, co-solvent, etc. A good example of this
case is a comparison of poly (ethylene glycol) 400 (PEG400) with
286
A.K. Shah, S.A. Agnihotri / Journal of Controlled Release 156 (2011) 281296
NOEL
100
Number of doses per day Dose per day
4
Where, NOEL is no observable effect level (g/kg/day) and dose/day
is maximum amount of dose to be administered in one day.
In addition to the LD50 values, possible synergistic effect of the
excipient should also be evaluated to ensure that these excipients do
not produce any toxic effects for the duration of the study.
4.2. Biopharmaceutics classication system of drug substance
Knowledge of the Biopharmaceutics Classication System (BCS) of
the drug substance is very important to determine the formulation
development strategy. For highly soluble and highly permeable drug
substance (BCS Class I) with immediate release dosage form, and a
narrow therapeutic index, it is very likely to exceed the maximum
toxic dose (MTD) upon administration. Therefore, in this particular
case it is necessary to retard the drug release from the formulation. As
a result a controlled release or modied release dosage form is highly
desirable. For this particular scenario, formulation for non-human
study can be developed by using matrix type of tablet formulation,
hot-melt wax granulation, or barrier system. Each type of formulation
approach has its own advantage and disadvantage. A matrix tablet
formulation is relatively easy to process without use of any specialized
equipment; however, it is less exible in terms of modifying or
altering the release prole. For hot-melt wax granulation technique
with identical amounts of controlled release agent the release prole
can be curtailed to the desired rate by preparing different size
granules. In the case of bead coating, beads can be coated with various
release retarding polymers and subsequently can be mixed in various
proportions to obtain the desired release prole. The only limitation of
hot-melt granulation and bead coating technique is that these
processes require specialized equipment which may not be costeffective in early stage of drug development.
Considering an alternate scenario, for highly soluble but poorly
permeable drug substance (BCS Class III) incorporation of surfactant
or bioavailability enhancers is essential to enhance the systemic effect.
These excipients play a major role in modifying the bioavailability of
the drug. Certain excipients have been reported to enhance the
bioavailability of the drug substance. Vitamin E TPGS has been
hypothesized to increase the bioavailability of certain drugs by
enhancing the solubility of the API and by acting as a weak P-gp
inhibitor [4345]. Studies have shown that Polyethylene Glycol (PEG)
can either increase or decrease the oral absorption of drugs. Similar to
Vitamin E TPGS, PEG-300 at a concentration of 20% inhibited P-gp in in
vitro cell studies of Caco-2 monolayer and MDR1-MDCK cells [46].
However, contrary to this study, a dose of 10 g of PEG 400 have shown
to reduce the oral bioavailability of ranitidine in humans due to
reduction in small intestinal transit time and probably due to inux of
uid into the gut lumen due to the osmotic effect of PEG [47]. As a
result a thorough understanding of the properties of the drug
A.K. Shah, S.A. Agnihotri / Journal of Controlled Release 156 (2011) 281296
287
solubility enhancement properties, surfactants may produce substantial effect on the absorption and metabolism of the drug substance.
This may subsequently affect the pharmacodynamic and pharmacokinetic outcome. Bittner et al. investigated the effect of oral predosing of inactive ingredient Solutol HS15 on the pharmacokinetic
prole of intravenously administered Colchicine in rats [57]. It was
found that after oral pre-treatment with Solutol HS15, colchicine
plasma clearance decreased by a factor of two and its maximum
plasma concentration increased almost two-fold in comparison to the
control group. It was concluded that absorption of Solutol HS15
and/or its degradation products into the systemic circulation seems to
be a major contributor to the observed effects. A similar study [58]
evaluated the impact of the surface-active formulation ingredients
Cremophor EL, Tween 80 and Solutol HS15 on the intrinsic
clearance of Midazolam in rat hepatocytes and microsomes. It was
concluded that cytochrome P450 3A mediated metabolism of
Midazolam seemed to be prevented by all the above surfactants at
concentrations above 0.03%.
A review [59] of pharmacological effects of Cremophor EL and
Tween 80 have also been demonstrated to inuence the disposition
of solubilized drugs that are administered intravenously. The overall
resulting effect is a highly increased systemic drug exposure and a
simultaneously decreased clearance, leading to alteration in the
pharmacodynamic characteristics of the solubilized drug. Pharmacokinetic experiments revealed that this effect is primarily caused due to
reduced cellular uptake of the drug from large spherical micellar-like
structures with a highly hydrophobic interior, which act as the
principal carrier of circulating drug. Within the central blood
compartment, this results in a profound alteration of drug accumulation in erythrocytes, thereby reducing the free drug fraction
available for cellular partitioning and inuencing drug distribution
as well as elimination routes.
Generally, high amounts of surfactants are required to disperse or
dissolve hydrophobic drug molecules. The tolerability of such
solubilizing aids or vehicles is particularly an issue for pre-clinical
studies, in which formulations with much higher concentrations and
volumes (mg/kg) are administered compared to clinical formulations.
Vehicles are generally tested in a control group to verify their
tolerability, but sometimes a vehicle interacts with the drug, e.g. the
toxic effects of a drug can depend on the vehicle used. Such
confounded effects may also be a problem for studies of metabolism,
pharmacodynamics or pharmacokinetics [60]. These examples highlight the need for thorough characterization of excipients in view of
their potential interference with pre-clinical studies. These examples
also emphasize the need for new excipients which are inactive or
posses lower biological activity in comparison to the commonly used
surfactants.
4.3.2. Intravenous and intraperitoneal route
4.3.2.1. I.V. solution. For early animal studies intravenous administration is popular route second to oral administration. Solutions (pH
adjusted) or co-solvent systems are highly desirable and are easy to
compound. It is relatively easy to compound an IV formulation of a
drug substance available in HCl or acetate or any other salt form. For
these drug substances the general strategy should be to compound
them in phosphate buffered saline (PBS) solution. After solubilizing
the compound at a desired concentration, it is necessary to adjust the
pH preferably between 47 and osmolality to about 290 mOsm/kg
respectively. The pH adjustment should be carried out using weak
base or a salt of weak acid such as NaHCO3 of low molar strength so
that the ionic strength of the nal product is not high, which may
cause irritation upon administration. Compounding the formulation
in PBS ensures the correct osmolality of the formulation for IV
administration. Solution dosage form is highly desirable, however,
due to limited solubility and higher log P of recently developed
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289
Table 3
Endotoxin limits for drugs for Pre-clinical Research for commonly used animal models
(Adopted from reference [92]).
Model
Dose (mg/h)
EU/mg
Mouse
0.03
Gerbil
0.09
Rat
0.45
Rabbit
Monkey
Baboon
12
0.001
0.010
0.025
0.001
0.010
0.025
0.001
0.010
0.025
0.010
0.025
0.050
0.250
0.500
0.100
0.250
0.500
0.100
150
15
6
450
45
18
2250
225
90
2000
800
400
160
80
40
240
120
60
were 6.19 1.19 mg min/mL and 5.65 0.65 mg min/mL respectively. The results suggest that the magnitudes of systemic exposure were
similar for these two modes of administration. However, the overall
magnitudes of glucose lowering effect described by AUEC were 22.7
9.0 mg min/dL and 53.2 18.4 mg min/dL for i.v. and p.o bolus doses
respectively. These results suggest that the glucose lowering effect for
the p.o. dose is almost twice that of the i.v. bolus dose. A PK/PD
modeling study indicated that the magnitude of the glucose lowering
effect of metformin in liver is related to the drug concentration in the
portal vein [95]. Metformin exhibits a ip-op pharmacokinetics, i.e.
the rate of absorption is slower than the renal elimination rate which
may have lead to higher portal drug concentration for a longer period
for oral administration. The study suggested that for intraduodenal
bolus and infusion a higher portal vein concentration was achieved for
metformin which subsequently enhanced the exposure of liver/portal
biophase to Metformin in comparison to i.v. infusion. Based on the
comparison of the glucose lowering effect of intraportal and the
intraduodenal administration the authors also demonstrated that in
addition to elevated portal exposure, GI administration of metformin
also leads to a higher exposure of the GI biophase of the drug.
Metformin has poor colonic absorption [96,97] as a result a
gastroretentive dosage form was developed to demonstrate the
importance of pharmacokinetic and pharmacodynamic properties in
comparison to other modes of administration [98]. As a result it is
extremely important to understand the physicochemical properties of
the drug substance and the target product prole.
5. Stability of pre-clinical formulations
In order to ensure proper dose administration, it is important to
establish the stability data for the formulation used in the study. The
formulations prepared in the laboratory for animal dosing must have
adequate stability until completion of the study. The drug must be
stable in the formulation during the following situations: (i) During
compounding/manufacturing which may require heating the excipients up to 60C to solubilize the drug, (ii) If the formulation is
prepared at a site other than the testing facility the formulation must
be stable during transportation/shipping of the product, and (iii) For
the duration of the study. Short-term stability of 2448 h for a single
dose study, however, long-term stability is essential for a 14-day or a
28-day toxicity study at the recommended storage condition.
Physical and chemical instability of formulation can occur due to
oxidation, hydrolysis, pH sensitivity, or excipient incompatibility.
These processes may occur individually or in combination with one or
more pathways. All these degradation processes can be accelerated at
290
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feedback
pharmacokinetics
drug
delivery
input
7.1. Anti-cancer
Historically, cancer drug development has been a roller coaster.
Numerous agents have shown exciting activity in preclinical models
and yet have had minimal activity clinically. These disappointments
have led to reasonable skepticism about the true value of both
syngeneic and xenograft rodent tumor models in accurately identifying agents that will have important clinical utility.
drug
elimination
output
-----------------
291
drug
concentration
in
plasma
b
i
o
p
h
a
s
e
pharmacodynamics
drug
effects
pathophysiology
disease
parameters
Fig. 2. Schematic representation of the relationship between the drug dose, plasma
concentration (pharmacokinetic), drug effect (pharmacodynamic) and clinical effect
(Adopted from reference [112]).
292
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293
toxicology screening, however overlaps with other areas of pharmacokinetics [9]. The primary objective of the toxicity study is to
determine the systemic absorption of the administered compound.
However, in addition to quantifying the active, quantitation of
metabolite becomes critical in the following circumstances [124].
1. If the drug metabolizes in to a pharmacologically or toxicologically
active metabolite.
2. If the administered drug is a pro-drug which metabolizes to form
an active moiety.
3. If the administered drug metabolizes extensively and measurement of the metabolite is the only means of quantifying the drug
following its administration.
Generally, various parameters that are measured during a nonclinical study [9] are Cmax, tmax, area under the curve (AUC) and half
life (t1/2).
Generally, acute toxicity information is obtained from single dose
toxicity studies in two mammalian species using both the clinical and
parenteral route of administration [128]. However, such information
can also be obtained from dose escalation or short duration dose
ranging studies if carried out appropriately [129,130] . Other equally
appropriate studies include the studies that can achieve large
exposure, achieve saturation of exposure, or use the maximum
feasible dose. Availability of this acute toxicity information does not
require the scientist to perform separate single dose studies. The
repeated dose toxicity study should also be conducted in two
mammalian species (one non-rodent) and the duration of this study
should be derived from the duration, therapeutic indication and the
scope of the proposed clinical trial [128].
10. Analytical testing in pre-clinical studies
Various analytical techniques are used in analyzing the test
samples for pre-clinical studies. Formulation samples can be analyzed
using techniques such as HPLC coupled with various detectors such as
UV, PDA, uorescence, or refractive index. Some samples can also be
analyzed by wet chemistry methodology such as titration. Testing of
plasma and blood samples from animal models can be performed
using techniques such as LC, LC-MS, LC-MS-MS, Q-Tof. The analytical
methodologies used to test samples for toxicology studies must be
validated. The method should be specic to quantitate the analyte in
the matrix which is usually blood, plasma, or tissue. This matrix
should not produce interference during quantication of the drug
substance. Various parameters such as method linearity, accuracy,
precision and sensitivity must be established prior to analyzing the
samples. The limit of quantitation (LOQ) and limit of detection (LOD)
must be established.
Surfactant and bioavailability enhancers used in the formulation
can pose a challenge in the development of analytical method of the
active. The reason being that the most commonly used extraction
solvents such as methanol and acetonitrile are unable to extract the
hydrophobic active from the surfactant/lipid matrix. One of such
excipient is Cremophor EL, which is a commonly used solvents in
pre-clinical drug product development. It is also present in several
marketed products such as Taxol and Vumon . Cremophor EL
consists of a mixture of hydrophobic and hydrophilic groups. Because
of the presence of both hydrophobic and hydrophilic groups it acts as
excellent solubilizer for hydrophobic drugs. However, Cremophor EL
poses a challenge in the quantitation of the active and the impurities
in the drug products via HPLC-UV analysis. Huizing et al.[131] have
shown that Cremophor EL reduces the sensitivity and also interferes
with the resolution of derivatized paclitaxel as well as some
impurities. The authors carried out a Solid Phase Extraction to remove
Cremophor EL prior to analyzing paclitaxel and its metabolites. In
another study Cremophor EL was precipitated and removed from
294
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11. Conclusion
The importance of early formulation development should not be
underestimated. It enables the right selection and optimization of new
drug candidates at different preclinical stages. Pre-formulation study
and formulation development is the key to successful completion of
pre-clinical study which can provide meaningful data and expedites
the evaluation process. A thorough understanding of the physicochemical properties of the drug substance can provide valuable
information to establish the formulation development strategy as well
as crucial to select ideal excipients. The formulation scientist must be
aware of the purpose and evaluate the study specic challenges prior
to initiating formulation development efforts. The formulation
scientist must consider the stage of the preclinical study i.e.
pharmacokinetic, toxicology or dose ranging study, to determine the
maximum amount of inactive ingredients that can be used without
causing adverse effects due to the excipient.
Novel formulations should be explored when conventional
systems are inappropriate in addressing the need for in vivo exposure.
Developing novel formulations requires signicant resources and
time but often prove to be critical in advancing the study. Formulators
need to overcome challenges due to limited availability of drug
substance and tight timelines in order to achieve the aspired goal.
Consideration should be also given to additional parameters such as
the BCS class of the drug and route of administration as well as the
regulatory requirement for the study. Computer simulation is an
upcoming eld for predicting in vivo behavior of the drug substance,
however, for a NCE at least one pre-clinical study must be carried out
to evaluate the accuracy of the computer predictions. A systematic
approach to preclinical study can provide substantial data which can
predict the outcome of the human clinical study, avoid number of
animal studies, shorten development times and lead to lower costs.
Teamwork and excellent coordination between different functional
groups such as pharmacology, DMPK, toxicology, and pharmaceutical
departments is mandatory for the success of the study.
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