Biopharmaceutics & Pharmacokinetics Prof. Sayed I. Abdel-Rahman Boudy Lecture 1 General Introduction & Definitions Course Description • This course will introduce you to the basic concepts and principles in biopharmaceutics and pharmacokinetics. • Biopharmaceutics describes the role of dosage form in the absorption of drugs in the body. • Pharmacokinetics describes the processes involved in the Absorption of a drug (in part determined by biopharmaceutics) from its site of administration into the blood circulation, Distribution of the drug to its sites of action, Metabolism of the drug, and subsequent Excretion of the drug from the body (ADME). • Processes that influence the pharmacokinetics of drugs, including formulation, physico-chemical and physiological factors will be discussed. The use of mathematical equations to describe the pharmacokinetic concepts are introduced. Biopharm&PK Lec1 Sayed Abdel-Rahman 2 Course Goals and Objective Course Goals: The goals of this course is to provide the student with: 1. An understanding of the fundamental concepts of biopharmaceutics and pharmacokinetics in humans 2. Knowledge about the application of biopharmaceutics in drug product evaluation (Bioavailability and Bioequivalence) 3. The Course is considered as a prerequisite for Clinical Pharmacokinetics which concerns the application of pharmacokinetics in disease state for dosage regimen design and therapeutic drug monitoring Couse objective You will gain an understanding of bioavailability and bioequivalence of drug products and the principles of the ADME processes of a drug in the body Biopharm&PK Lec1 Sayed Abdel-Rahman 3 General Introduction & Definitions(1) Pharmaceutics The science which deals with the formulation of drugs and the in vitro performance of the dosage forms. Biopharmaceutics Biopharmaceutics is the study of the factors influencing the bioavailability of a drug in man and animals and the use of this information to optimize pharmacological and therapeutic activity of drug products’’. Biopharm&PK Lec1 Sayed Abdel-Rahman 4 General Introduction & Definitions (2) Another definition is; it is the study of physicochemical properties of drugs & dosage forms and effects of routes of administration on the rate and extent of drug absorption. Examples of some factors include: 1. Chemical nature of a drug (e.g., weak acid or weak base) 2. Inert excipients used in the formulation of a dosage form (e.g. diluents, binding agents, disintegrating agents, coloring agents, etc.) 3. Method of manufacture (dry granulation and/or wet granulation) physicochemical properties of drugs (pKa, particle size and size distribution, partition coefficient, polymorphism, etc.). Biopharm&PK Lec1 Sayed Abdel-Rahman 5 General Introduction & Definitions (3) Generally, the goal of biopharmaceutical studies is to develop a dosage form that will provide consistent bioavailability at a desirable rate. The importance of a consistent bioavailability can be very well appreciated if a drug has a narrow therapeutic range (e.g. digoxin) where small variations in blood concentrations may result in toxic or sub-therapeutic concentrations. Pharmacokinetics (in Greek: “pharmacon” meaning drug and “kinetikos” meaning putting in motion, sometimes abbreviated as “PK”). It is the kinetic study of ADME (Absorption, Distribution, Metabolism and Elimination) of the drug. Biopharm&PK Lec1 Sayed Abdel-Rahman 6 General Introduction & Definitions (4) Clinical Pharmacokinetics The application of pharmacokinetic data to the most effective and safe therapeutic management to the individual patient. Pharmacodynamics It refers to the relationship between the drug concentration at the site of action (receptors) and the pharmacologic response), i.e., study of the biologic and therapeutic effects of the drugs. It is the major concern of pharmacology. Therefore, drug administration is divided into 2 phases: a. A pharmacokinetic phase that relates dose, frequency and route of administration to drug level-time relationship in the body, and b. A pharmacodynamic phase that relates the concentration of the drug at the site(s) of action to the magnitude of the effect(s) produced. 7 Biopharm&PK Lec1 Sayed Abdel-Rahman General Introduction & Definitions (5) Biopharm&PK Lec1 Sayed Abdel-Rahman 8 General Introduction & Definitions (6) • Thus, pharmacodynamics explores what a drug does to the body, whereas pharmacokinetics explores what the body does to the drug. • Pharmacokinetics is divided into several areas which includes the extent and rate of Absorption, Distribution, Metabolism and Excretion. This is commonly referred to as the ADME. • Absorption is the process of a substance entering the body. • Distribution is the dispersion or dissemination of substances throughout the fluids and tissues of the body. Biopharm&PK Lec1 Sayed Abdel-Rahman 9 General Introduction & Definitions (7) • Metabolism is the irreversible transformation of parent compounds into metabolites. • Excretion is the elimination of the substances from the body. • Disposition: Once a drug is in the systemic circulation (immediately for intravenous administration and after the absorption step in extravascular administration),it is distributed simultaneously to all tissues including the organs responsible for its elimination. Biopharm&PK Lec1 Sayed Abdel-Rahman 10 General Introduction & Definitions (8) The distinction between elimination and distribution is often difficult. When such a distinction is either not desired or is difficult to obtain, disposition is the term used. In other words, disposition is defined as all the processes that occur subsequent to the absorption of the drug. Hence, by definition, the components of the disposition phase are distribution and elimination • Elimination is the irreversible loss of drug from the site of measurement (blood, serum, plasma). Elimination of drugs occur by one or both of: metabolism & excretion Biopharm&PK Lec1 Sayed Abdel-Rahman 11 Blood Plasma & blood Serum • Blood plasma is the liquid component of blood, in which the blood cells are suspended. It makes up about 55% of total blood volume. Blood plasma is prepared simply by spinn12ing a tube of fresh blood in a centrifuge until the blood cells fall to the bottom of the tube. The blood plasma is then decanted. • blood serum is the clear liquid that separates from blood when it is allowed to clot completely, and is therefore blood plasma from which fibrinogen has been removed during clotting. Biopharm&PK Lec1 Sayed Abdel-Rahman 12 Drug plasma level-time curve (1) Figure 1. A typical plot (rectilinear paper) of plasma concentration versus time following the administration of a drug by an extravascular route. MTC, minimum toxic concentration; MEC, minimum effective concentration. Biopharm&PK Lec1 Sayed Abdel-Rahman 13 Drug plasma level-time curve (2) • Onset of action It is the time at which the administered drug reaches the therapeutic range and begins to produce the effect. • Duration of action It is the time span from the beginning of the onset of action up to the termination of action. • Termination of action Is the time at which the drug concentration in the plasma falls below the minimum effective concentration (MEC). Biopharm&PK Lec1 Sayed Abdel-Rahman 14 Drug plasma level-time curve (3) • Therapeutic range Is the plasma or serum concentration (e.g. µgml-1) range within which the drug is likely to produce the therapeutic activity or effect. Table 1.1 provides, as an example, the therapeutic range of selected drugs. Biopharm&PK Lec1 Sayed Abdel-Rahman 15 Pharmacokinetic Parameters (1) There are data and parameters • The data are set experimentally as time (independent variable on the X access of the curve) and concentration (dependant variable on the Y- access) • The parameters are obtained from the curve. They are either PK or PD parameters. Biopharm&PK Lec1 Sayed Abdel-Rahman 16 Pharmacokinetic Parameters (2) PK parameters: 1. Peak plasma concentration, C max: The maximum plasma conc. Which is related to the dose, rate of absorption(ka) and rate of elimination (K) 2. Time of peak conc, tmax: the time taken to reach Cmax 3. Area under the curve. AUC: This is equal to the total amount of drug absorbed after administration Biopharm&PK Lec1 Sayed Abdel-Rahman 17