In Vitro-In Vivo Correlations Observed With Indacaterol-Based Formulations Delivered with the Breezhaler®

J Aerosol Med Pulm Drug Deliv. 2015 Aug;28(4):268-80. doi: 10.1089/jamp.2014.1178. Epub 2014 Dec 17.

Abstract

Background: Establishing robust in vitro-in vivo correlations (IVIVC) between aerosol performance, pharmacokinetics, and clinical efficacy is critical in developing bioequivalent drug-device combination products. Recent studies have demonstrated that realistic throat models tested under realistic test conditions may provide good IVIVC with respect to total lung deposition.

Methods: The Alberta idealized throat (AIT) model was utilized with mean peak inspiratory flow rates determined from patient breathing studies. Various formulations of indacaterol (e.g., lactose blends, fixed dose combinations, engineered PulmoSphere™ particles) were tested in the AIT model and in clinical pharmacokinetic studies.

Results: Good IVIVC were observed with respect to total lung deposition, systemic delivery, and the contribution of oral absorption to systemic delivery, with percentage differences from the mean in vivo measurements <15%, with most comparisons <5%.

Conclusions: Anatomical throat models represent an exciting tool to aid in formulation development of pharmaceutical aerosols.

Keywords: Alberta Idealized Throat; IVIVC; PulmoSphere™.

Publication types

  • Comparative Study

MeSH terms

  • Administration, Inhalation
  • Adrenergic beta-2 Receptor Agonists / administration & dosage*
  • Adrenergic beta-2 Receptor Agonists / chemistry
  • Adrenergic beta-2 Receptor Agonists / pharmacokinetics
  • Aerosols
  • Biological Availability
  • Bronchodilator Agents / administration & dosage*
  • Bronchodilator Agents / chemistry
  • Bronchodilator Agents / pharmacokinetics
  • Chemistry, Pharmaceutical
  • Drug Carriers / chemistry
  • Drug Combinations
  • Drug Delivery Systems / instrumentation*
  • Dry Powder Inhalers*
  • Equipment Design
  • Glycopyrrolate / administration & dosage
  • Humans
  • Indans / administration & dosage*
  • Indans / chemistry
  • Indans / pharmacokinetics
  • Lactose / chemistry
  • Models, Anatomic*
  • Models, Biological*
  • Muscarinic Antagonists / administration & dosage
  • Particle Size
  • Pharynx / anatomy & histology*
  • Powders
  • Quinolones / administration & dosage*
  • Quinolones / chemistry
  • Quinolones / pharmacokinetics
  • Therapeutic Equivalency
  • Tissue Distribution

Substances

  • Adrenergic beta-2 Receptor Agonists
  • Aerosols
  • Bronchodilator Agents
  • Drug Carriers
  • Drug Combinations
  • Indans
  • Muscarinic Antagonists
  • Powders
  • Quinolones
  • indacaterol
  • Lactose
  • Glycopyrrolate