PMID- 32805361 OWN - NLM STAT- MEDLINE DCOM- 20210707 LR - 20210707 IS - 1873-3441 (Electronic) IS - 0939-6411 (Linking) VI - 156 DP - 2020 Nov TI - IMI - Oral biopharmaceutics tools project - Evaluation of bottom-up PBPK prediction success part 4: Prediction accuracy and software comparisons with improved data and modelling strategies. PG - 50-63 LID - S0939-6411(20)30241-1 [pii] LID - 10.1016/j.ejpb.2020.08.006 [doi] AB - Oral drug absorption is a complex process depending on many factors, including the physicochemical properties of the drug, formulation characteristics and their interplay with gastrointestinal physiology and biology. Physiological-based pharmacokinetic (PBPK) models integrate all available information on gastro-intestinal system with drug and formulation data to predict oral drug absorption. The latter together with in vitro-in vivo extrapolation and other preclinical data on drug disposition can be used to predict plasma concentration-time profiles in silico. Despite recent successes of PBPK in many areas of drug development, an improvement in their utility for evaluating oral absorption is much needed. Current status of predictive performance, within the confinement of commonly available in vitro data on drugs and formulations alongside systems information, were tested using 3 PBPK software packages (GI-Sim (ver.4.1), Simcyp(R) Simulator (ver.15.0.86.0), and GastroPlus (ver.9.0.00xx)). This was part of the Innovative Medicines Initiative (IMI) Oral Biopharmaceutics Tools (OrBiTo) project. Fifty eight active pharmaceutical ingredients (APIs) were qualified from the OrBiTo database to be part of the investigation based on a priori set criteria on availability of minimum necessary information to allow modelling exercise. The set entailed over 200 human clinical studies with over 700 study arms. These were simulated using input parameters which had been harmonised by a panel of experts across different software packages prior to conduct of any simulation. Overall prediction performance and software packages comparison were evaluated based on performance indicators (Fold error (FE), Average fold error (AFE) and absolute average fold error (AAFE)) of pharmacokinetic (PK) parameters. On average, PK parameters (Area Under the Concentration-time curve (AUC(0-tlast)), Maximal concentration (C(max)), half-life (t(1/2))) were predicted with AFE values between 1.11 and 1.97. Variability in FEs of these PK parameters was relatively high with AAFE values ranging from 2.08 to 2.74. Around half of the simulations were within the 2-fold error for AUC(0-tlast) and around 90% of the simulations were within 10-fold error for AUC(0-tlast). Oral bioavailability (F(oral)) predictions, which were limited to 19 APIs having intravenous (i.v.) human data, showed AFE and AAFE of values 1.37 and 1.75 respectively. Across different APIs, AFE of AUC(0-tlast) predictions were between 0.22 and 22.76 with 70% of the APIs showing an AFE > 1. When compared across different formulations and routes of administration, AUC(0-tlast) for oral controlled release and i.v. administration were better predicted than that for oral immediate release formulations. Average predictive performance did not clearly differ between software packages but some APIs showed a high level of variability in predictive performance across different software packages. This variability could be related to several factors such as compound specific properties, the quality and availability of information, and errors in scaling from in vitro and preclinical in vivo data to human in vivo behaviour which will be explored further. Results were compared with previous similar exercise when the input data selection was carried by the modeller rather than a panel of experts on each in vitro test. Overall, average predictive performance was increased as reflected in smaller AAFE value of 2.8 as compared to AAFE value of 3.8 in case of previous exercise. CI - Copyright (c) 2020 Elsevier B.V. All rights reserved. FAU - Ahmad, Amais AU - Ahmad A AD - University of Manchester, United Kingdom. Electronic address: amais.ahmed@manchester.ac.uk. FAU - Pepin, Xavier AU - Pepin X AD - AstraZeneca, United Kingdom. FAU - Aarons, Leon AU - Aarons L AD - University of Manchester, United Kingdom. FAU - Wang, Yuya AU - Wang Y AD - University of Manchester, United Kingdom. FAU - Darwich, Adam S AU - Darwich AS AD - Royal Institute of Technology, Stockholm, Sweden. FAU - Wood, J Matthew AU - Wood JM AD - AstraZeneca, United Kingdom. FAU - Tannergren, Christer AU - Tannergren C AD - AstraZeneca, United Kingdom. FAU - Karlsson, Eva AU - Karlsson E AD - AstraZeneca, United Kingdom. FAU - Patterson, Claire AU - Patterson C AD - AstraZeneca, United Kingdom. FAU - Thorn, Helena AU - Thorn H AD - AstraZeneca, United Kingdom. FAU - Ruston, Linette AU - Ruston L AD - AstraZeneca, United Kingdom. FAU - Mattinson, Alex AU - Mattinson A AD - AstraZeneca, United Kingdom. FAU - Carlert, Sara AU - Carlert S AD - AstraZeneca, United Kingdom. FAU - Berg, Staffan AU - Berg S AD - AstraZeneca, United Kingdom. FAU - Murphy, Donal AU - Murphy D AD - AstraZeneca, United Kingdom. FAU - Engman, Helena AU - Engman H AD - AstraZeneca, United Kingdom. FAU - Laru, Johanna AU - Laru J AD - AstraZeneca, United Kingdom. FAU - Barker, Richard AU - Barker R AD - AstraZeneca, United Kingdom. FAU - Flanagan, Talia AU - Flanagan T AD - AstraZeneca, United Kingdom. FAU - Abrahamsson, Bertil AU - Abrahamsson B AD - AstraZeneca, United Kingdom. FAU - Budhdeo, Shanoo AU - Budhdeo S AD - AstraZeneca, United Kingdom. FAU - Franek, Frans AU - Franek F AD - AstraZeneca, United Kingdom. FAU - Moir, Andrea AU - Moir A AD - AstraZeneca, United Kingdom. FAU - Hanisch, Gunilla AU - Hanisch G AD - AstraZeneca, United Kingdom. FAU - Pathak, Shriram M AU - Pathak SM AD - Certara, Simcyp Division, United Kingdom. FAU - Turner, David AU - Turner D AD - Certara, Simcyp Division, United Kingdom. FAU - Jamei, Masoud AU - Jamei M AD - Certara, Simcyp Division, United Kingdom. FAU - Brown, Jonathan AU - Brown J AD - Bristol-Myers Squibb, United Kingdom. FAU - Good, David AU - Good D AD - Bristol-Myers Squibb, United Kingdom. FAU - Vaidhyanathan, Shruthi AU - Vaidhyanathan S AD - Bristol-Myers Squibb, United Kingdom. FAU - Jackson, Claire AU - Jackson C AD - Bristol-Myers Squibb, United Kingdom. FAU - Nicolas, Olivier AU - Nicolas O AD - Sanofi, United States. FAU - Beilles, Stephane AU - Beilles S AD - Sanofi, United States. FAU - Nguefack, Jean-Flaubert AU - Nguefack JF AD - Sanofi, United States. FAU - Louit, Guillaume AU - Louit G AD - Sanofi, United States. FAU - Henrion, Louis AU - Henrion L AD - Sanofi, United States. FAU - Ollier, Celine AU - Ollier C AD - Sanofi, United States. FAU - Boulu, Laurent AU - Boulu L AD - Sanofi, United States. FAU - Xu, Christine AU - Xu C AD - Sanofi, United States. FAU - Heimbach, Tycho AU - Heimbach T AD - Novartis, United States. FAU - Ren, Xiojun AU - Ren X AD - Novartis, United States. FAU - Lin, Wen AU - Lin W AD - Novartis, United States. FAU - Nguyen-Trung, Anh-Thu AU - Nguyen-Trung AT AD - Novartis, United States. FAU - Zhang, Jin AU - Zhang J AD - Novartis, United States. FAU - He, Handan AU - He H AD - Novartis, United States. FAU - Wu, Fan AU - Wu F AD - Novartis, United States. FAU - Bolger, Michael B AU - Bolger MB AD - Simulation Plus, Inc., United States. FAU - Mullin, James M AU - Mullin JM AD - Simulation Plus, Inc., United States. FAU - van Osdol, Bill AU - van Osdol B AD - Simulation Plus, Inc., United States. FAU - Szeto, Ke AU - Szeto K AD - Simulation Plus, Inc., United States. FAU - Korjamo, Timo AU - Korjamo T AD - Orion Pharma, Finland. FAU - Pappinen, Sari AU - Pappinen S AD - Orion Pharma, Finland. FAU - Tuunainen, Johanna AU - Tuunainen J AD - Orion Pharma, Finland. FAU - Zhu, Wei AU - Zhu W AD - Merck Research Laboratories, Merck & Co., United States. FAU - Xia, Binfeng AU - Xia B AD - Merck Research Laboratories, Merck & Co., United States. FAU - Daublain, Pierre AU - Daublain P AD - Merck Research Laboratories, Merck & Co., United States. FAU - Wong, Suet AU - Wong S AD - Pfizer, United States. FAU - Varma, Manthena V S AU - Varma MVS AD - Pfizer, United States. FAU - Modi, Sweta AU - Modi S AD - Pfizer, United States. FAU - Schafer, Kerstin Julia AU - Schafer KJ AD - Boehringer-ingelheim, Germany. FAU - Schmid, Kartrin AU - Schmid K AD - Boehringer-ingelheim, Germany. FAU - Lloyd, Richard AU - Lloyd R AD - GlaxoSmithKline, United Kingdom. FAU - Patel, Aarti AU - Patel A AD - GlaxoSmithKline, United Kingdom. FAU - Tistaert, Christophe AU - Tistaert C AD - Janssen, Belgium. FAU - Bevernage, Jan AU - Bevernage J AD - Janssen, Belgium. FAU - Nguyen, Mai Anh AU - Nguyen MA AD - Johannes Gutenberg University of Mainz, Germany. FAU - Lindley, David AU - Lindley D AD - AbbVie, Germany. FAU - Carr, Robert AU - Carr R AD - AbbVie, Germany. FAU - Rostami-Hodjegan, Amin AU - Rostami-Hodjegan A AD - University of Manchester, United Kingdom; Certara, Simcyp Division, United Kingdom. LA - eng PT - Comparative Study PT - Evaluation Study PT - Journal Article DEP - 20200814 PL - Netherlands TA - Eur J Pharm Biopharm JT - European journal of pharmaceutics and biopharmaceutics : official journal of Arbeitsgemeinschaft fur Pharmazeutische Verfahrenstechnik e.V JID - 9109778 RN - 0 (Pharmaceutical Preparations) SB - IM MH - Administration, Oral MH - Biopharmaceutics/methods/*standards MH - Clinical Trials as Topic/methods/standards MH - *Data Analysis MH - Databases, Factual/standards MH - Forecasting MH - Humans MH - Intestinal Absorption/*drug effects/physiology MH - *Models, Biological MH - Pharmaceutical Preparations/administration & dosage/*metabolism MH - Software/*standards OTO - NOTNLM OT - Absorption OT - Biopharmaceutics OT - Modelling and simulation (M&S) OT - Oral bioavailability (F(oral)) OT - Physiological-based pharmacokinetic (PBPK) EDAT- 2020/08/18 06:00 MHDA- 2021/07/08 06:00 CRDT- 2020/08/18 06:00 PHST- 2020/01/08 00:00 [received] PHST- 2020/06/12 00:00 [revised] PHST- 2020/08/06 00:00 [accepted] PHST- 2020/08/18 06:00 [pubmed] PHST- 2021/07/08 06:00 [medline] PHST- 2020/08/18 06:00 [entrez] AID - S0939-6411(20)30241-1 [pii] AID - 10.1016/j.ejpb.2020.08.006 [doi] PST - ppublish SO - Eur J Pharm Biopharm. 2020 Nov;156:50-63. doi: 10.1016/j.ejpb.2020.08.006. Epub 2020 Aug 14.