Biopharmaceutics: GSDMSFI - BS Pharmacy 3

You might also like

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 11

Ms.

Cherry-Ann Faith Baruis

BIOPHARMACEUTICS Amil and Cirera

INTRODUCTION TO BIOPHARMACEUTICS

Drugs The importance of the drug substance and the drug


- These are substances intended for use in the formulation of absorption, and in vivo distribution of the
diagnosis, cure, mitigation, treatment or prevention of drug to the site of action, are described as a sequence of
diseases. events that precede elicitation of a drug’s therapeutic
- Drugs are given in a variety of dosage forms or drug effect.
products such as solids (tablets, capsules), semisolid,
liquids, suspensions, emulsion, etc., for systemic or local Critical Manufacturing Variables
activity. - The most important steps in manufacturing process.
- Drug product can be considered to be drug delivery
systems that release and deliver drug to the site of Biopharmaceutical Consideration in Drug Product
action that they produce the desired therapeutic effect Design
and are also designed specifically to meet the patient’s
needs including palatability, convenience and safety.

Drug Product Performance


- The release of drug substance from the drug product
either for local drug action or for drug absorption into the
plasma for systemic therapeutic activity.
- The release of the drug substance from the drug
product leading to bioavailability of the drug substance
and eventually leading to one or more pharmacologic
effect.

Bioavailability
- It refers to the measurement of the rate and extent of Biopharmaceutics Involves Factors That Influence
active drug that reaches the systemic circulation.
- means access to the bloodstream 1) The design of the drug product.
2) Stability of the drug within the drug product.
Biopharmaceutics (Bio – life & Pharmaceutics) 3) The manufacture of the drug product.
- Study concerned with the formulation, manufacture, 4) The release of the drug from the product.
stability and effectiveness of pharmaceutical dosage 5) The rate of dissolution/ release of the drug at the
forms. absorption site.
- Examines the interrelationship of the physical/ chemical 6) Delivery of drug to the site of action which may
properties of the drug, the dosage form (drug product) in involve targeting a localized area for action or
which the drug is given, and the route of administration systemic absorption of drug.
on the rate and extent of systemic drug absorption.
Pharmacodynamics
Sequence of Events
cvcv - It refers to the relationship between the drug
concentration at the site of action (receptor) and
pharmacologic response, including biochemical and
physiologic effects that influence the interaction of drug
with the receptor.
- What the drug does to the body

Toxicokinetics
- Application of pharmacokinetic principles to the design,
conduct and interpretation of drug safety evaluation

GSDMSFI | BS Pharmacy 3
studies and in validating dose-related exposure in - Dissolution
animals.

Clinical Toxicology 2. Absorption


- The study of adverse effects of drugs and toxic - Process of uptake from the site of administration into
substances (poisons) in the body. the systemic circulation.

Pharmacokinetics Factors related to drug absorption


- Is the science of the kinetics of drug absorption, 1. Physicochemical properties of the drug
distribution and elimination (metabolism and excretion) 2. Nature of drug product
- what does the body do to the drug 3.Anatomy & physiology of drug absorption site

NOTE: The study of pharmacokinetics involves both 3. Distribution


experimental and theoretical approaches. The - The drug’s movement to various sites after entering
experimental aspect of pharmacokinetics involves the systemic circulation.
development of biologic sampling techniques, analytical - It refers to the reversible transfer of a drug between the
methods for the measurement of drugs and metabolites, blood and the extra vascular fluids and tissues of the
and procedures that facilitate data collection and body (for example, fat, muscle, and brain tissue).
manipulation. The theoretical aspect of
pharmacokinetics involves the development of Factors affecting distribution
pharmacokinetic models that predict drug disposition A. Factor affecting RATE of distribution
after drug administration. The application of statistics is - Membrane permeability
an integral part of pharmacokinetic studies. Statistical - Blood perfusion - process of a body delivering blood to
methods are used for pharmacokinetic parameter a capillary bed in its biological tissue. The word is
estimation and data interpretation ultimately for the derived from the French verb "perfuser" meaning to
purpose of designing and predicting optimal dosing "pour over or through."
regimens for individuals or groups of patients.
B. Factors affecting EXTENT of distribution
Ladmer System
cvcv - Lipid solubility
- Ionization
L – liberation - Protein binding
A – absorption 4. Metabolism (Biotransformation)
D – distribution - Involves the conversion of the administered drug into
M – metabolism another substance.
E – excretion - Xenobiotics convert into form that are less active or
R – response inactive, less toxic or non-toxic and water soluble easily
T- Toxicity excreted form.
It can result in the formation of either an active or
LADMER system inactive metabolite
*Elimination = Metabolism + Excretion
*Disposition= Distribution + Elimination Parent Compound Metabolite (Active & Inactive)

NOTE: The description of drug distribution and First Pass


cvcv Effect
elimination is often termed drug disposition.
Characterization of drug disposition is an important - Hepatic first-pass effect may occur following P.O. and
prerequisite for determination or modification of dosing deep rectal administration.
regimens for individuals and groups of patients. - Routes which by-pass the GIT degradation and hepatic
metabolism:
1. Liberation (Drug Release) 1) IV
- Delivery of the active ingredient from a dosage form 2) Sublingual
into solution. 3) Buccal
- Rate-limiting step
- Disintegration Intensive FPE = Lower Bioavailability

GSDMSFI | BS Pharmacy 3
- According to this model, the cell membrane consists of
5. Excretion globular proteins embedded in a dynamic fluid, lipid
- The removal of the intact drug bilayer matrix. These proteins provide a pathway for the
- The process whereby drugs or metabolites are selective transfer of certain polar molecules and charged
irreversibly transferred from internal to external ions through the lipid barrier.
environment through renal or non-renal route. - “protein icebergs in an oily sea”

Types of Excretion
cvcv Cell Membrane Function

1) Renal excretion A semi-permeable partition that acts as selective barrier


2) Non renal excretion for the passage of molecules:
- Biliary excretion. - water
- Pulmonary excretion. - some selected small molecules
- Salivary excretion. - lipid-soluble molecules
- Mammary excretion.
- Skin / Dermal excretion. Water, some selected small molecules, and lipid-soluble
- Gastrointestinal excretion. molecules pass through such membranes, whereas
- Genital excretion. highly charged molecules and large molecules, such as
proteins and protein-bound drugs, do not.
Requirements for Drug Molecules for Them to Be
Absorbed and Reach Intracellular Targets Cell Membrane Characteristics

1) Non-ionized/Non-polar - Generally thin, approximately 70 to 100 Å in thickness


2) Small Molecular weight - Composed primarily of phospholipids
3) In aqueous solution
Modes of Drug Transport
Cell Membrane
1. Passive diffusion
- Major structures in cells, surrounding the entire cell and - The process by which molecules spontaneously diffuse
acting as a boundary between the cell and the interstitial from a region of higher solute concentration to a region
fluid. of lower solute concentration
- Transcellular absorption is the process of drug - Drugs must be small and should be lipid soluble for
movement across a cell. Some polar molecules may not transport across the bilipid layer.
be able to traverse the cell membrane but, instead, go - Non-energy requiring
through gaps or tight junctions between cells, a process - Driving force – concentration difference
known as paracellular drug absorption. - The major absorption process for most drugs (but it is
also the slowest)

Theories Regarding Plasma Membrane 2. Passive diffusion


- Osmosis: movement of solvent to the area of low
Lipid bilayer or unit membrane theory concentration to the area of high concentration.
- Originally proposed by American anatomist, physician - Factors affecting Passive diffusion can be explained by
and biochemist  James David Robertson Fick’s Law of Diffusion:
- It considers the plasma membrane to be composed of
two layers of phospholipid between two surface layers of dQ (flux) = (C1-C2) (SA) (Diffusion coefficient)
proteins, with the hydrophilic "head" groups of the dt (membrane thickness)
phospholipids facing the protein layers and the
hydrophobic "tail" groups of the phospholipids aligned in Factors affecting Passive Diffusion
the interior.
Concentration difference
Fluid mosaic model - The higher the difference between two
- S.J. Singer and G.L. Nicolson compartments, the higher rate of molecule
movement.

GSDMSFI | BS Pharmacy 3
Surface Area
- The greater the surface area =  flux 3. Carrier-mediated transport
- Small intestines > Stomach a) Active transport
Diffusion Coefficient b) Facilitated diffusion
- Affected by Permeability barrier

1. Particle size = smaller particle size occupies greater


SA
2. High Lipid solubility = High Diffusion coefficient

Lipid solubility determinants:


1) Degree of dissociation of drug (ionization)
- Greater ratio of non-ionized= Flux ionized
drug
2) Lipid-water partition coefficient

Ionization

Many drugs are weak acids or weak bases and can exist
in either nonionized or ionized forms in equilibrium,
depending on the pH of the environment and their pKa
(the pH at which the molecule is 50% ionized and 50%
nonionized). Only the NONIONIZED (uncharged) form of
a drug crosses biomembranes.

- Ionized = Water soluble


- Non-ionized, non-polar = lipid soluble

The percentage of ionization is determined by the


HENDERSON – HASSELBALCH equation.

- For weak acids: pH-pKa = log [I]/[UI] Similar Properties


- For weak bases: pH-pKa = log [UI]/[I] 1) Selectivity / specificity
2) Subject to competition
- For weak acids: ph – pKa = log - drugs with higher affinity to the carrier displace
[ionized]/[nonionized] drugs of lower affinity from the carrier
- For weak bases: pH – pka = log 3) Subject to saturability
[nonionized]/[ionized] - Because of the limited number of carrier
molecules
Primary Principles - Saturation kinetics

Ionization increases renal clearance of drugs Drug permeation is dependent on:


- Only free, unbound drug is filtered. 1) Solubility
- Both ionized and nonionized forms of a drug are 2) Concentration gradient
filtered. 3) Surface area and vascularity
- Only nonionized forms undergo active secretion and
active or passive reabsorption. 5. Vesicular transport
- Ionized forms of drugs are “trapped” in the filtrate. - does not require drug to be in aqueous form
- Pinocytosis – cell drinking
Lipid water partition coefficient - Phagocytosis – cell eating
- Ratio of the concentration of a given drug dissolved in
Lipid (octanol) layer to the amount of the same drug 6. Long pair
dissolved in water. - Formation of neutral ion pair complexes with
endogenous materials
GSDMSFI | BS Pharmacy 3
- Absorbed by passive diffusion
7. AUC (Area under the Curve) – related to the amount
7. Convective transport of drug absorbed systematically.
- Passing through channels in the cell membrane (pores)
8. Therapeutic Index/ Range - the ratio of the dose that
Measurement of Drug Concentrations elicits a lethal response in 50 percent of treated
individuals (LD50) divided by the dose that elicits a
Biologic samples that can be used: therapeutic response in 50 percent of the treated
1) Milk individuals (TD50).
2) Saliva
3) Plasma T.I. = LD50
4) Urine ED50
Sampling of Biologic Specimens
Invasive methods – include sampling blood, spinal fluid, < 2 = toxic drug (narrow TI)
synovial fluid, tissue biopsy, or any biologic material that > 2 = Safe
requires parenteral or surgical intervention in the patient.
Drug Response Curve
Non-invasive Methods – sampling of urine, saliva, feces, - The interaction between drug and its receptor can be
expired air, or any biologic material that can be obtained described by a curve called as drug response curve
without parenteral or surgical intervention. - Vertical axis there is response of drug
- Horizontal axis there is concentration of dose
- Plasma perfuses all the tissues of the body, including
the cellular elements in the blood. Assuming that a drug - The magnitude of drug effect depends on drug
in the plasma is in dynamic equilibrium with the tissues, concentration at receptor site and this availability and
then changes in the drug concentration in plasma will concentration of drug at receptor is determined by both
reflect changes in tissue drug concentrations. dose of drug administered and by drug pharmacokinetics
(ADME)
Plasma-Level Time Curve
- generated by obtaining the drug concentration in - When no drug is added then no effect is produced.
plasma samples taken at various time intervals after a - When some drug is added then we get response
drug product is administered. - By adding more drugs we get maximum response
- A time will reach on which adding more drug will not
1. MEC (Minimum Effective Concentration) – the cause increase in response because we have reached
minimum concentration of the drug needed at the to maximum effect
receptors to produce the desired pharmacologic effect.
 EC50 - Is concentration of drug needed to get
2. MTC (Minimum Toxic Concentration) – the drug half of the maximum effect
concentration needed to just barely produce a toxic
effect. Two important properties of drug can be found by dose
response curve
3. Onset Time – the time required for the drug to reach  Efficacy
MEC.  Potency

4. Duration of Action – the difference between the Efficay and Potency


onset time and the time before the drug to decline back - Efficacy or Ability of a drug to elicit a response when it
to MEC. interacts with a receptor
- Efficacy is dependent on;
5. tmax (Time of peak plasma level) – the time of  The number of drug-receptor complexes formed
maximum drug concentration in the plasma and is the  Efficiency of the coupling of receptor activation
rough marker of average rate of drug absorption. to cellular responses.

6. cmax (Peak plasma level) – maximum drug - Maximal efficacy of a drug assumes that all receptors
concentration are response will be observed.
GSDMSFI | BS Pharmacy 3
- Maximal response (efficacy) is more important than level is a responsive method of monitoring the course of
drug potency. therapy.
- A drug with greater efficacy is more therapeutically - Monitoring the concentration of drugs in the blood or
beneficial than the one that is more potent. plasma ascertains that the calculated dose actually
delivers the plasma level required for therapeutic effect.
Drug Concentration in Tissue - Pharmacokinetic models allow more accurate
- Drug concentrations in tissue biopsies may not reflect interpretation of the relationship between plasma drug
drug concentration in other tissues nor the drug levels and pharmacologic response.
concentration in all parts of the tissue from which the In the absence of pharmacokinetic information, plasma
biopsy material was removed. drug levels are relatively useless for dosage adjustment.
- The measurement of the drug concentration in tissue
biopsy material may be used to ascertain if the drug - Monitoring of plasma drug concentrations allows for the
reached the tissues and reached the proper adjustment of the drug dosage in order to individualize
concentration within the tissue. and optimize therapeutic drug regimens.
- In many cases, the pharmacodynamic response to the
Drug Concentration in Urine and Feces drug may be more important to measure than just the
- Measurement of drug in urine is an indirect method to plasma drug concentration.
ascertain the bioavailability of a drug. The rate and - For drugs that act irreversibly at the receptor site,
extent of drug excreted in the urine reflects the rate and plasma drug concentrations may not accurately predict
extent of systemic drug absorption. pharmacodynamic response.
- Measurement of drug in feces may reflect drug that has
not been absorbed after an oral dose or may reflect drug Basic Pharmacokinetics and Pharmacokinetic
that has been expelled by biliary secretion after systemic Models
absorption.
- Drugs are in a dynamic state within the body as they
Drug Concentration in Saliva move between tissues and fluids, bind with plasma or
- Saliva drug concentrations have been reviewed for cellular components, or are metabolized. The biologic
many drugs for therapeutic drug monitoring (). Because nature of drug distribution and disposition is complex,
only free drug diffuses into the saliva, saliva drug levels and drug events often happen simultaneously. Yet such
tend to approximate free drug rather than total plasma factors must be considered when designing drug therapy
drug concentration. regimens. The inherent and infinite complexity of these
events requires the use of mathematical models and
statistics to estimate drug dosing and to predict the time
course of drug efficacy for a given dose.
Forensic Drug Measurement
- Forensic science is the application of science to - A model is a hypothesis using mathematical terms to
personal injury, murder, and other legal proceedings. describe quantitative relationships concisely. The
Drug measurements in tissues obtained at autopsy or in predictive capability of a model lies in the proper
other bodily fluids such as saliva, urine, and blood may selection and development of mathematical function(s)
be useful if a suspect or victim has taken an overdose of that parameterize the essential factors governing the
a legal medication, has been poisoned, or has been kinetic process.
using drugs of abuse such as opiates (eg, heroin), The key parameters in a process are commonly
cocaine, or marijuana. estimated by fitting the model to the experimental data,
- These drugs may be eliminated rapidly, making it more known as variables. A pharmacokinetic parameter is a
difficult to prove that the subject has been using drugs of constant for the drug that is estimated from the
abuse experimental data.

Significance of Measuring Plasma Drug - Such mathematical models can be devised to simulate
Concentration the rate processes of drug absorption, distribution, and
elimination to describe and predict drug concentrations
- Because most of the tissue cells are richly perfused in the body as a function of time. Pharmacokinetic
with tissue fluids or plasma, measuring the plasma drug models are used to:

GSDMSFI | BS Pharmacy 3
1. Predict plasma, tissue, and urine drug levels blood flow or perfusion models, are pharmacokinetic
with any dosage regimen models based on known anatomic and physiologic data.
2. Calculate the optimum dosage regimen for each - The model would potentially predict realistic tissue drug
patient individually concentrations, which the two-compartment model fails
3. Estimate the possible accumulation of drugs to do.
and/or metabolites
4. Correlate drug concentrations with Major differences are described:
pharmacologic or toxicologic activity - First, no data fitting is required in the perfusion model.
5. Evaluate differences in the rate or extent of Drug concentrations in the various tissues are predicted
availability between formulations by organ tissue size, blood flow, and experimentally
(bioequivalence) determined drug tissue–blood ratios (ie, partition of drug
6. Describe how changes in physiology or disease between tissue and blood).
affect the absorption, distribution, or elimination - Second, blood flow, tissue size, and the drug tissue–
of the drug blood ratios may vary due to certain pathophysiologic
7. Explain drug interactions conditions. Thus, the effect of these variations on drug
distribution must be taken into account in physiologic
Compartment Models pharmacokinetic models.
Third, and most important of all, physiologically based
- Physiologic pharmacokinetic models are frequently pharmacokinetic models can be applied to several
used in describing drug distribution in animals, because species, and, for some drugs, human data may be
tissue samples are easily available for assay. On the extrapolated.
other hand, tissue samples are often not available for
human subjects, so most physiological models assume The number of tissue compartments in a perfusion
an average set of blood flow for individual subjects. model varies with the drug. Typically, the tissues or
- In contrast, because of the vast complexity of the body, organs that have no drug penetration are excluded from
drug kinetics in the body are frequently simplified to be consideration. Thus, such organs as the brain, the
represented by one or more tanks, or compartments, bones, and other parts of the central nervous system are
that communicate reversibly with each other. A often excluded, as most drugs have little penetration into
compartment is not a real physiologic or anatomic region these organs. To describe each organ separately with a
but is considered as a tissue or group of tissues that differential equation would make the model very complex
have similar blood flow and drug affinity. Within each and mathematically difficult. A simpler but equally good
compartment, the drug is considered to be uniformly approach is to group all the tissues with similar blood
distributed. perfusion properties into a single compartment.
Mammillary Model
- The mammillary model is the most common MATHEMATICAL FUNDAMENTAL IN
compartment model used in pharmacokinetics. The PHARMACOKINETICS
mammillary model is a strongly connected system,
because one can estimate the amount of drug in any - Pharmacokinetic models consider drugs in the body to
compartment of the system after drug is introduced into be in the dynamic state. Calculus is an important
a given compartment. mathematical tool for analyzing drug movement
quantitatively.
Catenary Model *Note: Differential Equations are used to relate the
- The catenary model consists of compartments joined to concentration of drugs in various body organs over time.
one another like the compartments of a train (). In Integrated equation is frequently used to model the
contrast, the mammillary model consists of one or more cumulative therapeutic or toxic responses of drug in the
compartments around a central compartment like body.
satellites. Because the catenary model does not apply to
the way most functional organs in the body are directly Pharmacokinetics
connected to the plasma, it is not used as often as the
mammillary model. - Pharmacokinetics is currently defined as the study of
the time course of drug absorption, distribution,
Physiologic Pharmacokinetic Model (Flow Model) metabolism, and excretion.
- Physiologic pharmacokinetic models, also known as

GSDMSFI | BS Pharmacy 3
Clinical pharmacokinetics

- is the application of pharmacokinetic principles to the Rates and orders of reaction


safe and effective therapeutic management of drugs in
an individual patient. Rate
*Note: Primary goals of clinical pharmacokinetics -The rate of a chemical reaction of process is the
include enhancing efficacy and decreasing toxicity of a velocity with which the reaction occurs.
patient’s drug therapy. The development of strong
correlations between drug concentrations and their Rate Constant
pharmacologic responses has enabled clinicians to -The order of a reaction refers to the way in which the
apply pharmacokinetic principles to actual patient concentration of drug or reactants influences the rate of
situations. Kinetic homogeneity describes the predictable a chemical reaction or process.
relationship between plasma drug concentration and
concentration at the receptor site where a given drug
produces its therapeutic effect (Figure 1-2). Changes in
the plasma drug concentration reflect changes in drug
concentrations at the receptor site, as well as in other
tissues. As the concentration of drug in plasma
increases, the concentration of drug in most tissues will
increase proportionally.

Unit for Expressing Blood Concentration

- Drug concentrations or drug levels should be


expressed as mass/volume. The expressions mcg/mL,
g/mL, and mg/L are equivalent and are commonly
reported in the literature. Drug concentrations may also
be reported as mg% or mg/dL, both of which indicate
milligrams of drug per 100 mL (deciliter). The accurate
interconversion of units is often necessary to prevent Units in Pharmacokinetics
confusion and misinterpretation.
*Note: Various units have been used in pharmacology, Two Important Pharmacokinetic Order
toxicology, and the clinical laboratory to express drug 1. Zero-Order Kinetics
concentrations in blood, plasma, or serum. 2. First Order Kinetics
Practical Focus
Determination of Order
-Significant differences in plasma drug concentrations
may result if the dose is based on a different method. Substitution Method
Drug concentrations may also be different if a dose is - When the equation is found in which the calculated k
injected rapidly versus infused over a period of time. values remain constant within the limits of experimental
variation, the reaction if considered to be of that order.
-Most potent drugs are dosed precisely for the individual
patient, and the body weight of the patient should be Graphic method
known. - If a straight line results when concentration is plotted
against t the reaction is zero order. The reaction is first
-For drugs with a narrow therapeutic index and potential order if the graph yields a nonlinear.
for side effects, dosing based on body surface is
common.

Chemical kinetics

-branch of chemistry which addresses the question:


"how fast do reactions go?"

GSDMSFI | BS Pharmacy 3
Zero Order
Zero- Order First Order
Reaction Reaction - One that proceeds over time (t) independent
from the concentration of the drug (c).
Effect of time on Zero-order rate is First order rate will
rate constant with change with - Does not consider the remaining concentration
respect to time respect to time as of drug and excrete the drug in a constant
concentration manner.
changes.
-
Effect of time on Rate constant with Rate constant Ex:
rate constant respect to time remains constant
changes as the with respect to
concentration time
changes
Drug concentration Drug Drug concentration
versus time- concentrations decline nonlinearly
plotted on decline linearly for for a first-order rate
rectangular a zero- order rate process.
coordinates process
Drug Drug Drug concentration
Concentration concentrations decline linearly for
versus time plotted decline nonlinearly a single first-order
on a semi for a zero-order rate process.
logarithmic graph rate process

Comparison of Zero and First Order Reaction

Aspirin, Phenytoin, Ethanol

Time Zero-Order First Order


Concentration Concentration
(mg/mL) (mg/mL)
0 100 100
1 80 50 *Note: Negative signs for the rat indicates that the
concentration of the drug decrease overtime
2 60 25
3 50 12.5 Formula for Zero Order

GSDMSFI | BS Pharmacy 3
First Order

- A reaction is first order if the rate of the reaction varies


directly with the concentration of the reactant. If the
reaction doubles, the rate of reaction also doubles.
- The rate of reaction is dependent on the remaining
concentration.

Formula of First Order

GSDMSFI | BS Pharmacy 3
2.303
2.303

GSDMSFI | BS Pharmacy 3

You might also like