Bioequivalence (1) Flashcards
This model predicts oral absorption based on dissolution
Biopharmaceutics Classification System
How does the American FDA’s def’n of BIOAVAILABILITY differ from that of Canada’s TPD (Therapeutic Products Directorate) def’n?
FDA doesn’t directly state that it relates to the drug’s plasma concentration.
TPD’s def’n implies that bioavailability of a drug is directly related to its conc in the blood (Cp)
T or F: Generics drive healthcare costs up.
F
Down
T or F: Following the “Hatch-Waxman Act”, generics had to prove efficacy of their products.
F
Efficacy was proven by the inventor company. All that generic companies had to prove was bioequivalence between their drug and and brand name drug.
What was thalidomide used to treat?
Morning sickness in pregnant women.
F =
[AUC(oral)/AUC(IV)][Dose(IV)/Dose oral]
Absolute bioavailability
In single dose evaluation of bioavailability, what parameters characterize rate and extent of bioavailability?
AUC(0-∞), Cmax, and tmax
What is considered highly soluble under the Biopharmaceutics Classification System?
Soluble in < or = 250 mL aqueous media over pH 1.2-6.8 @ 37ºC
This model correlates in vitro dissolution w/ in vivo BA
Biopharmaceutics Classification System
Do generics have the same API as the innovator drug?
Yes
What aspect of their drugs did generic companies have to prove after the Hatch-Waxman Act?
Pharmaceutical equivalence and BE (bioequivalence)
What aspect of BA is described by AUC?
EXTENT of absorption
What fraction needs to be absorbed in order to be considered to have good permeability (according to the Biopharmaceutics Classification System)?
> or = 80%
What is considered rapid dissolution under the Biopharmaceutics Classification System?
> 85% of drug dissolves within 30 mins using USP Apparatus I or II
In in vitro studies, drugs are classified according to what 3 criteria in the Biopharmaceutics Classification System?
- Aqueous solubility
- Dissolution rate
- Intestinal permeability
How many solubility-permeability drug classes are there in the Biopharmaceutics Classification System?
4
According to the Biopharmaceutics Classification System, two drugs will have the same rate and extent of absorption when… (2)
- they have the same C vs. t profile at intestinal membrane surface
- they have the same in vivo dissolution profile under all luminal conditions
Can we say that two drugs are BE based on AUC data only?
NO, b/c while the extent of absorption may be equivalent, we know nothing about the rate of absorption
What are generic drugs?
Copies of brand-name drugs
T or F: Generics drive healthcare costs down.
T
They are exact versions of the innovator product (made with same ingredients from same factory). They only differ in packaging
Pseudo-generics
What did the “Hatch-Waxman Act” establish?
ANDA (abbreviated new drug application procedure)