Power of integrating PBPK with PBBM (PBPK-BM): a single model predicting food effect, gender impact, drug-drug interactions and bioequivalence in fasting & fed conditions

Authors: Boddu R, Kollipara S, Vijawargi G, Ahmed T
Publication: Xenobiotica
Keywords: ddI, food effect, gastroplus, pbbm, PBPK modeling, physiologically based biopharmaceutics, physiologically based pharmacokinetics, special populations
Software: GastroPlus®

Abstract

  1. Over the past few years, PBPK and PBBM modelling have proven their significance in drug development. PBPK modelling is traditionally used to predict drug-drug interactions, exposures in special populations whereas PBBM modelling is a part of PBPK modelling that is used for a range of biopharmaceutics applications.

  2. Because of these differences in utilities, often PBPK and PBBM models are developed separately. When both models are combined, they serve multiple purposes through unified model. In the present case, an integrated PBPK-PBBM model for an IR product has been utilised for bioequivalence prediction in fasting & fed conditions, evaluating gender impact and food effect, prediction of drug-drug interactions.

  3. Model was built using physicochemical properties, enzymes and transporter kinetics, bio-predictive dissolution and has been validated with passing and failed pilot BE studies. The validated model predicted pivotal bioequivalence outcomes in fasting & fed conditions accurately, predicted gender impact and food effect in line with literature. Drug-drug interactions arising from transporter and metabolising enzymes were predicted accurately.

  4. Overall, this work demonstrates the utility of combining PBPK and PBBM model that can yield a single model which can be used for multiple purposes, regulatory justifications and can reduce regulatory review timelines.

By Rajkumar Boddu, Sivacharan Kollipara, Gautam Vijaywargi, Tausif Ahmed