Department of Pharmaceutical Sciences, School of Pharmacy, University of Maryland, Baltimore, MD, USA.
Oral Product Development, Pharmaceutical Technology & Development, Operations AstraZeneca, Gothenburg, Sweden.
J Pharm Sci. 2021 Apr;110(4):1513-1526. doi: 10.1016/j.xphs.2021.01.011. Epub 2021 Jan 13.
Data are examined regarding possible waiver of in vivo bioequivalence testing (i.e. biowaiver) for approval of metformin hydrochloride (metformin) immediate-release solid oral dosage forms. Data include metformin's Biopharmaceutics Classification System (BCS) properties, including potential excipient interactions. Metformin is a prototypical transporter-mediated drug and is highly soluble, but only 50% of an orally administered dose is absorbed from the gut. Therefore, metformin is a BCS Class III substance. A BCS-based approval approach for major changes to marketed products and new generics is admissible if test and reference dosage forms have the identical active pharmaceutical ingredient and if in vitro dissolution from both are very rapid (i.e. at least 85% within 15 min at pH 1.2, 4.5, and 6.8). Recent International Council for Harmonisation BCS guidance indicates all excipients for Class III biowaivers are recommended to be qualitatively the same and quantitatively similar (except for preservatives, flavor agents, colorant, or capsule shell or film coating excipients). However, despite metformin being a prototypical transporter-mediated drug, there is no evidence that commonly used excipients impact metformin absorption, such that this restriction on excipients for BCS III drugs merits regulatory relief. Commonly used excipients in usual amounts are not likely to impact metformin absorption.
正在审查是否可以免除盐酸二甲双胍(二甲双胍)即释固体制剂批准的体内生物等效性试验(即生物豁免)的数据。这些数据包括二甲双胍的生物药剂学分类系统(BCS)特性,包括潜在辅料相互作用。二甲双胍是一种典型的转运体介导的药物,高度可溶性,但从肠道吸收的口服剂量只有 50%。因此,二甲双胍是 BCS 分类 III 类物质。如果测试和参比制剂具有相同的活性药物成分,并且两者的体外溶出度都非常快(即在 pH 值为 1.2、4.5 和 6.8 时至少在 15 分钟内至少有 85%),则基于 BCS 的上市产品和新仿制药重大变更的批准方法是可行的。最近的国际人用药品注册协调会 BCS 指南表明,建议所有用于 III 类生物豁免的辅料在质量上相同,在数量上相似(防腐剂、调味剂、着色剂或胶囊壳或薄膜包衣辅料除外)。然而,尽管二甲双胍是一种典型的转运体介导的药物,但没有证据表明常用辅料会影响二甲双胍的吸收,因此,BCS III 类药物辅料的这种限制值得监管部门放宽。常用辅料在通常用量下不太可能影响二甲双胍的吸收。