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Clinical Ocular Exposure Extrapolation for a Complex Ophthalmic Suspension Using Physiologically Based
Maxime Le Merdy1, Jessica Spires1, Ming-Liang Tan2
1Simulations Plus, Inc., 42505 10th Street West, Lancaster, CA 93534, USA.
Developing generic ophthalmic drugs is complex. Ocular physiologically based pharmacokinetic (O-PBPK) models can predict drug exposure in the eye, aiding generic ophthalmic product development.
Area of Science:
- Ophthalmology
- Pharmacokinetics
- Drug Development
Background:
- Developing generic ophthalmic drugs with complex formulations presents significant challenges.
- The ocular system's complexity and limited testing methods hinder the evaluation of drug-physiological interactions.
- Ocular physiologically based pharmacokinetic (O-PBPK) models offer a solution for understanding drug distribution in inaccessible eye tissues.
Purpose of the Study:
- To demonstrate the utility of an O-PBPK model in predicting human ocular drug exposure.
- To utilize Besifloxacin (Bes) ophthalmic suspension as a case study for model validation.
- To assess the model's capability in predicting exposure from complex ophthalmic formulations.
Main Methods:
- An O-PBPK model was developed for Bes ophthalmic suspension, incorporating nasolacrimal drainage, particle dissolution, and ocular absorption/distribution.
- The model accounted for the effect of a controlled release formulation (Durasite®) on drug retention.
- Rabbit ocular data was used to validate the model, followed by adjustment of physiological parameters for human extrapolation.
Main Results:
- O-PBPK model simulations accurately described observed Bes concentrations in rabbit eye tissues.
- The model successfully predicted Bes exposure in the human eye after topical administration.
- Extrapolation to human ocular exposure was achieved by adjusting physiological parameters.
Conclusions:
- O-PBPK models are valuable tools for predicting drug exposure in the eye for ophthalmic generic drug development.
- This study validates the use of O-PBPK modeling for complex ophthalmic suspensions.
- The developed model facilitates regulatory assessment and development of generic ophthalmic products.
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