The Application of Scientific Principles to Pharmaceutical Formulation Design Stephen R. Wicks PhD FAPS FRPharmS University of Greenwich Science and Formulation Design • The Team • Human Biology • The Drug • The Dosage Form Khartoum, November 2015 - Stephen Wicks 2 Science and Formulation Design • The Team • Human Biology • The Drug • The Dosage Form Khartoum, November 2015 - Stephen Wicks 3 Decision-making in the Pharmaceutical Industry Drug Safety Clinical Toxicology Stakeholders Patient Payer Shareholder Biology Clinical Development Research Sales/ Marketing API Pharmaceutical Science Process Chemistry Formulation Analytical Drug Metabolism Manufacturing Khartoum, November 2015 - Stephen Wicks 4 Critical Transactions in Successful Drug Development General Pharmacology Drug Safety Clinical Toxicology Patient Safety Biology Drug Design API Clinical Development Research Label Clinical Pharmacology Market Stakeholders Sales/ Research Patient Marketing Payer Shareholder Output Label Pharmaceutical Science Process Chemistry Formulation Manufacturing Analytical ‘Preformulation’ Drug Metabolism Technology Transfer Khartoum, November 2015 - Stephen Wicks 5 • Drug Development – Does the molecule have drug-like properties? – What is the mechanism of action in animal/in vitro models? • Main effect • Side effect – Can I formulate the molecule into a medicine? – Is my dosage form design relevant to clinical use? – Is the formulated molecule safe to give to humans? – Will the formulated molecule meet clinical need? • Is it safe in humans? – Can I mass produce the medicine? – Can the rate of manufacture meet demand? Khartoum, November 2015 - Stephen Wicks 6 Decision Making in Dosage Form Design Drug Safety Clinical Toxicology Biology Clinical Development Research Sales/ Marketing API design Pharmaceutical Science Process Chemistry Formulation Analytical Drug Metabolism Manufacturing Khartoum, November 2015 - Stephen Wicks 7 Stakeholders Patient Payer Shareholder Critical Transactions in Dosage Form Design Drug Product Safety Biology Drug Safety Clinical Toxicology Clinical Development Research Drug Delivery API Pharmaceutical Science Process Chemistry Formulation Analytical Drug Metabolism Sales/ Marketing Drug Product Design Manufacturing Mass Production Khartoum, November 2015 - Stephen Wicks 8 Stakeholders Patient Payer Shareholder • Dosage Form Design – Is my dosage form safe? – Does my dosage form express optimum biology? – Does my dosage form meet the needs of the market? • Unmet clinical need • Satisfactory dosage form – Can it be mass produced? • • • • • Quality Robust, well-understood process Consistent API and excipients Acceptable cost Manufacturing capital equipment available Khartoum, November 2015 - Stephen Wicks 9 Science and Formulation Design • The Team • Human Biology • The Drug • The Dosage Form Khartoum, November 2015 - Stephen Wicks 10 Reliable Once Daily ACE Inhibition: Addition of 1(methylsulphonyl)piperidine enhances angiotensin converting enzyme (ACE) inhibition EtO EtO O NH O NH O Me N CO2H Enalapril – Merck 60% oral bioavailablity O O S O N N CO2H UK-64,143 – Pfizer Not orally bioavailable UK-64,143 and enalapril structures from Peter Dunn and Michael Williams courtesy of Pfizer Ltd. Khartoum, November 2015 - Stephen Wicks 11 Drug-like Properties • • • • • • Compounds having MWs not exceeding 450 Da, cLogP values between 4.5 and 3.5 A maximum of four rings A maximum of ten non-terminal single bonds No more than five hydrogen-bond donors, and A maximum of eight hydrogen-bond acceptors Oprea TI: Current trends in lead discovery: Are we looking for the appropriate properties? J Comput Aided Mol Des (2002) 16(5-6):325-334. Khartoum, November 2015 - Stephen Wicks 12 Drug Absorption Physicochemical Properties Gut Anatomy and Physiology Cell Monolayer Permeability Gastrointestinal Transit • Gastric emptying is unpredictable – – – • In humans, transit in the small intestine is constant – • Transit is 3 hours Although the colon is shorter, the transit time is much longer – • It depends on whether the subject is fed or has been fasting Objects less than 10mm can empty from a fed stomach Objects >20mm in size will be retained in the fed stomach Transit can be 20 hours or, in some cases, longer In the fasted state, a dosage form can reach the ileo-caecal junction in 4-5 hours Biopharmaceutical Evaluation • The starting point is generally a reference oral liquid formulation – – – – • • Late Phase I crossover studies with the oral liquid formulation and an evaluable Phase II dosage form, e.g. tablet or hard gelation capsule Absolute bioavailability – • • Ideal for rapid, low-cost entry into Phase I studies Based on solutions or oral suspensions, these systems avoid solid dosage form complications, e.g. disintegration and dissolution (solutions) API may be fluid energy milled (‘micronized’) if low solubility and dissolution rate is suspected. Caution: there are reports in the literature of oral liquid formulations being less bioavailable than tablets and capsules If an IV injection formulation is feasible Crossover studies if formulation changes are made Studies aimed to establish an in vivo-in vitro relationship or correlation Preformulation Studies • The Distribution Coefficient (Log D) and the Partition Coefficient (Log P) are important starting points: – Referenced to the octanol:water partition coefficient – Many alternative high-throughput methods now available, e.g. reverse phase HPLC – Public domain algorithms now available for reliable calculation • Solubility – Particularly pH-solubility relationships • • Dissolution rate Permeability studies in Caco-2 or other cell monolayers – The process can now be automated • Permeability and solubility estimates will allow determination of the Biopharmaceutics Classification System (BCS) profile Biopharmaceutics Classification System Khartoum, November 2015 - Stephen Wicks 17 The pH Partition Hypothesis Plasma Compartment Lipid Barrier Gut Compartment R – NH2 R – NH2 R – NH+ R – NH+ pH = 7.0 pH = 1.0 Khartoum, November 2015 - Stephen Wicks 18 The Caco-2 Monolayer and absorption EtO EtO O NH Me O Passive Active Transcellular Facilitate N NH O O S O O N N CO2H Passive Efflux Paracellular CO2H Gut Khartoum, November 2015 - Stephen Wicks Receptor Mediated 19 Physicochemical and Cell Monolayer Prediction Salicylate Cohort High Molecular Weight Cohort Drug Efflux Drug Transporters UK-64,143: Addition of 1-(methylsulphonyl)piperidine enhances angiotensin converting enzyme (ACE) inhibition EtO EtO O NH O NH O Me N CO2H Enalapril – Merck 60% oral bioavailablity O O S O N N CO2H UK-64,143 – Pfizer Not orally bioavailable UK-64,143 and enalapril structures from Peter Dunn and Michael Williams courtesy of Pfizer Ltd. Khartoum, November 2015 - Stephen Wicks 25 Differential Solubility, Stability and Absorption: The ‘Absorption Window’ • ‘Absorption windows’ can arise from a number of physiological and physical reasons – Environmental changes in the gut • – – – – • pH, gut enzymes, bile Active transporters Paracellular absorption Gut wall metabolism (Cytochrome P450 3A4) Efflux pumps, e.g. P-glycoprotein In general – – Drugs absorbed by passive diffusion can be absorbed from the small intestine and the colon Drugs absorbed via the paracellular route or by active transporters are absorbed from the small intestine only. i.e. they appear to have an absorption window of about 4-5 hours at which point absorption rates reduce dramatically or absorption ceases Absorption Windows Frustrate Controlled Release • • • • • • • • • • Acyclovir Bisphosphonates ACE inhibitors Frusemide Metformin Gabapentin Penicillin and Cephalosporin antibiotics Levodopa Baclofen Ciprofloxacin ACE Inhibitors Name Activity Hepatic Metabolism Excretion F t1/2 (hr) Captopril Active Yes Renal 70-75% 1.9 Enalaprilat Active Yes Renal Nil 11.0 Enalapril Enalaprilat prodrug Yes Renal 60% n/a Lisinopril Active No Renal unchanged 25% (6-60%) 12.0 Science and Formulation Design • The Team • Human Biology • The Drug • The Dosage Form Khartoum, November 2015 - Stephen Wicks 31 Polymorphism: a philosophy of science problem • Fewer, smaller API batches being manufactured due to minimalism • Poor analytical characterisation – Limited to IR spectroscopy and thermal analysis • Understanding of the importance of polymorphism • Lack of control – Manage the problem when it happens – Damage limitation Khartoum, November 2015 - Stephen Wicks 32 Norvir® • 1998 — Abbott Laboratories announced that it was experiencing manufacturing difficulties with the capsule formulation of its HIV protease inhibitor, Norvir®. • "We have encountered an undesired formation of a Norvir® (Ritonavir) crystalline structure (Form II) that affects how the capsule form of Norvir® dissolves” • “In Form II all of the strong hydrogen bond donors and acceptors have been satisfied and are strong….Since the strength and completeness of the hydrogen bonding has attained the maximum possible in the Form II lattice, it is not thought possible that another undiscovered polymorph of ritonavir would exist with equivalent or lower solubility than that of Form II’’ • In 2003, it was reported that 2000 high throughput crystallisations had identified two new solvates plus an additional anhydrous form. Chemburkar, et al. (2000) Org. Process Res. Dev. 4(5), 413. Bauer, et al. (2001) Pharm. Res. 18(6), 859. Morissette, et al. (2003) PNAS. 100, 2180. Khartoum, November 2015 - Stephen Wicks 33 Conventional Solid State Unit Processing Compression Mixing and Granulation Coating Khartoum, November 2015 - Stephen Wicks 34 Structural Frequency Analysis Solid Form Data Mining 2.415 Å 2.454 Å Crystallisation Experiments • 3-Centred interaction absent from the database 2.241 Å • Linear Interaction more common and shorter • First Form Crystallised • A more stable form predicted • Second Form Crystallised • Weak H-Bonding • Stronger, Linear H-Bonding • ‘3-Centred’ Architecture • More stable form Khartoum, November 2015 - Stephen Wicks 35 Courtesy – R. Docherty, Pfizer Ltd Robotic Screening Solids Dosing Robot Sitting Drop Robot Polymorph/Hydrate hunting- Robot Crystallisation Robustness Robot Image Analysis From 10 to 100 to 1000 crystallisations Increase in diversity of experiments (robustness) Khartoum, November 2015 - Stephen Wicks 36 Courtesy – R. Docherty, Pfizer Ltd Optimisation of Properties • Met demands of dynamic fast moving program • Solubility/Stability Lead and CAN Nomination DS Technology Embraced the technology opportunity Science Of Scale Tablet Dosage Form Design Solid Form Selection Solid Form Screening Informatics Clinical Commercial Manufacture Expert Systems 120.00 100.00 % Theory 80.00 T1 T2 60.00 T3 T4 T5 40.00 T6 20.00 0.00 0 5 10 15 20 25 30 35 40 45 50 Time (mins) Khartoum, November 2015 - Stephen Wicks 37 Courtesy – R. Docherty, Pfizer Ltd Pharmaceutical Materials Science Crystal structure Crystallization, spray drying, lyophilization QUANTUM MOLECULAR (CRYSTAL) PARTICULATE Scale-up Blending, granulation, compression SINGLE TABLET Khartoum, November 2015 - Stephen Wicks BULK TABLET 38 Courtesy – R. Docherty, Pfizer Ltd Select crystal form 2.415 Å Model crystal form Modify Physical properties Maraviroc: Putting it all together Manufacturing simulation Data mine test for precedence Robotic screening Courtesy : Pfizer Ltd; Cambridge Crystallographic Database Khartoum, November 2015 - Stephen Wicks 39 2.454 Å Thank You Khartoum, November 2015 - Stephen Wicks 40