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Pharmaceutical Development with Focus  on Paediatric formulations ,[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],Pharmaceutical Development with Focus  on Paediatric formulations
What are Fixed Dose Combinations??? Practical problems in developing FDCs & Bilayer tablets…..
Fixed Dose combination (FDC) “  A combination of two or more actives in a fixed ratio  of doses.” Source: WHO Technical report series, No. 929, p.no-107, 2005 Examples of FDCs in WHO’s list of essential drugs Anti- Infective:  Sulfamethoxazole + Trimethoprim     Anti-Tuberculosis:  Rifampicin + Isoniazid Antiviral:  Stavidine + Lamivudine + Neviparine Antimalarial :  Artesunate + Amodiaquine  Practical problems in developing FDCs & Bilayer tablets…..
[object Object],[object Object],[object Object],[object Object],[object Object],Reduced Pill Burden  Rationale….
[object Object],[object Object],Rationale…. Hypertension Heart Disease Diabetes Hyperlipidemia Obesity Co-morbid Conditions
POLY -PHARMACY Rationale…. Combination drugs that target the same indication Pain Ulcers AIDS Allergy/Asthma Malaria Hypertension Tuberculosis Diabetes
[object Object],[object Object],[object Object],Rationale…. Stomach  Irritation Weight Gain Nausea
[object Object],[object Object],[object Object],Challenges in Development of FDCs
Product   Formulation   issues   …… ,[object Object],[object Object],[object Object],e.g. Rabeprazole + Domperidone (20 + 30 mg)   ,[object Object],[object Object],[object Object],Problems… ,[object Object],[object Object],[object Object],[object Object],[object Object]
Solutions… ,[object Object],Problems… e.g. Metformin + Glipizide   Metformin -   Poorly compressible Needs residual moisture Glipizide  -  Degrades in moisture   ,[object Object],[object Object],[object Object],e.g.   Atorvastatin + Ramipril + Aspirin   Synergistic action Atorvastatin  -is acid labile Aspirin-  Undergoes alkaline hydrolysis ,[object Object],Product   Formulation   issues   ……
Drug Delivery Systems for  FDCs ….. ,[object Object],[object Object],[object Object],[object Object],[object Object]
Delivery systems to formulate FDCs….. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dual Release Drug Absorption Systems ,[object Object],[object Object],[object Object],[object Object]
Multilayered Tablets….. Bilayer Tabletting + ,[object Object],[object Object],[object Object]
Multilayered Tablets….. Trilayer tabletting + + Two incompatible drugs Inert layer ,[object Object],[object Object],[object Object]
Problems in layered tablets….. several days ,[object Object],[object Object],[object Object],100,000 tablets 200,000 layers
Crystal lattice ruptures Probable cause of increase in impurities
Tablet-in- Tablet Technology….. Tab-in-Tab ,[object Object],[object Object],[object Object]
Inlay Technology….. ,[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],Case study……Artemisinin based FDCs Artesunate + Amodiaquine HCl
AMODIAQUINE. HCl ARTESUNATE ACID –DEGRADED ARTESUNATE Chemical incompatibility…..
Bilayer technology A’sunate (Optionally coated) A’quine ,[object Object],[object Object],Technology Used   ……
Critical Process Parameters   …… ,[object Object],ii. Storage i. Particle size  distribution ,[object Object],Granulation Point 2 ,[object Object],API 1 ,[object Object],[object Object],Hardness of Tablets Low High 4 ,[object Object],Moisture Content Less than 1%w/w (Measured on  IR moisture  balance at 65ºC)  3 Remark Parameters Sr. No.
Evaluation studies  …… Characterization  of impurities   Stability Indicating Assay Related Compounds Dissolution Profile Content Uniformity OVI / Residual Solvents Impurity profile study Drug : Excipients  compatibility study
The starting formulation may be based on INTUITION but the ending formulation must be based on SCIENCE Science  means: There will be no weak eye in the  pharmaceutical development chain
Research & Development (Formulations)….. New Product Introduction Validation Tech.  Transfer Regulatory Evaluation Development Identification Divisions  Product Development Medical Marketing R&D  Analytical Research Pharmacology  Evaluation Regulatory  Affairs R&D Production  Validation team R&D Production  Q.A.
Pre-formulation   Establish Drug : Excipients    compatibility Development lots    Mini experimental trials to decide the    formula / process Process optimization  Fine tuning to avoid scale-up problem Process qualification  To define critical processing steps    (Scale-up batch)  and test  parameters usually mimics    production conditions   Pivotal batch   Samples are used to perform the bio-   equivalence study / clinical trials.   Product development  For PAI visit   report & Submission Development Program Timelines….. 3 4 2 4 2 Stability Studies ~ 15 Months for Product Development, by Following ICH Guidelines Months Stages Activities
Technology Transfer….. R&D Development More effective as we move point of intersection to the left Manufacturing & Quality 0 100 Launch / Commercialization Early Development % Involved in Development ,[object Object],[object Object],[object Object],[object Object],[object Object]
Product Quality Design….. Existing knowledge & new scientific data  generated in the process Interaction of input variables & process  parameters that provides Quality Product Includes Input material controls, Process  controls & FPP control tests Design space Knowledge space Control strategy Development of  ‘ ASSURED QUALITY PRODUCT’ DESIGN SPACE CONTROL STRATEGIES
[object Object],[object Object],[object Object]

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Fixed Dose Combinations- WHO Meet

  • 1.
  • 2.
  • 3. What are Fixed Dose Combinations??? Practical problems in developing FDCs & Bilayer tablets…..
  • 4. Fixed Dose combination (FDC) “ A combination of two or more actives in a fixed ratio of doses.” Source: WHO Technical report series, No. 929, p.no-107, 2005 Examples of FDCs in WHO’s list of essential drugs Anti- Infective: Sulfamethoxazole + Trimethoprim Anti-Tuberculosis: Rifampicin + Isoniazid Antiviral: Stavidine + Lamivudine + Neviparine Antimalarial : Artesunate + Amodiaquine Practical problems in developing FDCs & Bilayer tablets…..
  • 5.
  • 6.
  • 7. POLY -PHARMACY Rationale…. Combination drugs that target the same indication Pain Ulcers AIDS Allergy/Asthma Malaria Hypertension Tuberculosis Diabetes
  • 8.
  • 9.
  • 10.
  • 11.
  • 12.
  • 13.
  • 14.
  • 15.
  • 16.
  • 17.
  • 18. Crystal lattice ruptures Probable cause of increase in impurities
  • 19.
  • 20.
  • 21.
  • 22. AMODIAQUINE. HCl ARTESUNATE ACID –DEGRADED ARTESUNATE Chemical incompatibility…..
  • 23.
  • 24.
  • 25. Evaluation studies …… Characterization of impurities Stability Indicating Assay Related Compounds Dissolution Profile Content Uniformity OVI / Residual Solvents Impurity profile study Drug : Excipients compatibility study
  • 26. The starting formulation may be based on INTUITION but the ending formulation must be based on SCIENCE Science means: There will be no weak eye in the pharmaceutical development chain
  • 27. Research & Development (Formulations)….. New Product Introduction Validation Tech. Transfer Regulatory Evaluation Development Identification Divisions Product Development Medical Marketing R&D Analytical Research Pharmacology Evaluation Regulatory Affairs R&D Production Validation team R&D Production Q.A.
  • 28. Pre-formulation Establish Drug : Excipients compatibility Development lots Mini experimental trials to decide the formula / process Process optimization Fine tuning to avoid scale-up problem Process qualification To define critical processing steps (Scale-up batch) and test parameters usually mimics production conditions Pivotal batch Samples are used to perform the bio- equivalence study / clinical trials. Product development For PAI visit report & Submission Development Program Timelines….. 3 4 2 4 2 Stability Studies ~ 15 Months for Product Development, by Following ICH Guidelines Months Stages Activities
  • 29.
  • 30. Product Quality Design….. Existing knowledge & new scientific data generated in the process Interaction of input variables & process parameters that provides Quality Product Includes Input material controls, Process controls & FPP control tests Design space Knowledge space Control strategy Development of ‘ ASSURED QUALITY PRODUCT’ DESIGN SPACE CONTROL STRATEGIES
  • 31.