SlideShare a Scribd company logo
1 of 7
Download to read offline
Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848
www.pharmascholars.com 598
Research Article CODEN: IJPNL6
IN-VITRO AND IN-VIVO CORRELATION OF IMMEDIATE RELEASE ACYCLOVIR TABLET USING
WAGNER NELSON METHOD
Somnath Sakore* and Bhaswat Chakraborthy
Cadila Pharmaceuticals Ltd. Dholka, Ahmedabad, Gujrat. India
*Corresponding author e-mail: somnath.sakore@cadilapharma.co.in
ABSTRACT
The purpose of this study was to establish In-Vitro and In-Vivo correlation of immediate release Acyclovir tablets of
800 mg. In vitro and in vivo studies are done on the test product as Acyclovir Tablet USP 800 mg (containing
Acyclovir 800 mg) of Cadila Pharmaceuticals Ltd., India versus Zovirax®
Tablet 800 mg (containing Acyclovir 800
mg) of GlaxoSmithKline, USA. In vivo studies are done in 36 healthy, adult, human subjects under fasting
condition.In vitro dissolution study was done using USP apparatus II at 50 rpm in 0.1N HCL for 45 minutes. The in
vitro–in vivo correlation of Acyclovir shows R-squared value 0.9794 in excel work sheet, which depicts a successful
correlation between in vitro and in vivo Characteristic of the drug. In addition, %PE AUC and %PE Cmax was found to
be –4.604 and -11.19 respectively for each formulation. The present study shows a good correlation between in vivo
and in vitro PK profiles of the formulation used as the test drug in the study.
Keywords: Acyclovir 800 mg tablets, In Vitro Dissolution, In Vivo absorption, IVIVC.
INTRODUCTION
In vitro in vivo correlations play a key role in the
drug development and optimization of formulation is
an integral part of manufacturing and marketing
which is certainly a time consuming and expensive
process. In vitro-in vivo correlation (IVIVC)
demonstrates the direct relationships between in
vitro dissolution / release and in vivo absorption
profiles. The in vitro property generally is the rate or
amount of drug dissolution or release, while in vivo
response is plasma drug concentration or amount of
drug absorbed. [1]
The in vitro release data of a dosage form containing
the active substance serve as characteristic in vitro
property, while the in vivo performance is generally
represented by the time course of the plasma
concentration of the active substance. These In vitro
& In vivo data are then treated scientifically to
determine correlations. For oral dosage forms, the in
vitro release is usually measured and considered as
dissolution rate. The relationship between the in vitro
and in vivo characteristics can be expressed
mathematically by a linear or nonlinear correlation.
However, the plasma concentration cannot be directly
correlated to the in vitro release rate; it has to be
converted to the in vivo release or absorption data,
either by pharmacokinetic compartment model
analysis or by linear system analysis. Different
IVIVC model are used as a tool for formulation
development and evaluation of immediate and
extended release dosage forms for setting a
dissolution specification and as a surrogate for
bioequivalence testing. Practically, the purpose of
IVIVC is to use drug dissolution results from two or
more products to predict similarity or dissimilarity of
expected plasma drug concentration (profiles).
Before one considers relating in vitro results to in
vivo, one has to establish as to how one will establish
similarity or dissimilarity of in vivo response i.e.
plasma drug concentration profiles.
As a result, considerable effort goes into their
development and the main outcome is “the ability to
predict, accurately and precisely, expected
bioavailability characteristics for an extended release
(ER) drug product from dissolution profile
characteristics. [2,3]
The methodology of establishing
similarity or dissimilarity of plasma drug
concentrations profile is known as bioequivalence
testing. There are very well established guidances
International Journal of Pharmacy
Journal Homepage: http://www.pharmascholars.com
Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848
www.pharmascholars.com 599
and standards available for establishing
bioequivalence between drug profiles and products [4,
5]
. There are four levels of IVIVC that have been
described in the FDA guidance, which include levels
A, B, C, and multiple C [6,7]
.
The concept of correlation level is based upon the
ability of the correlation to reflect the complete
plasma drug level-time profile which will result from
administration of the given dosage form. An IVIVC
Level A correlates the entire in vitro and in vivo
profiles has regulatory relevance. This level of
correlation is the highest category of correlation and
represents a point-to-point relationship between in
vitro dissolution rate and in vivo input rate of the
drug from the dosage form [8]
.
The objective of IVIVC evaluation is to estimate the
magnitude of the error in predicting the in vivo
bioavailability results from in vitro dissolution data.
This objective should guide the choice and
interpretation of evaluation methods. Any appropriate
approach related to this objective may be used for
evaluation of predictabilityPrediction errors are
estimated for Cmax and AUC to determine the validity
of the correlation. Various approaches of are used to
estimate the magnitude of the error in predicting the
in vivo bioavailability results from in vitro
dissolution data [8,9]
.
It can be calculated by Prediction error that is the
error in prediction of in vivo property from in vitro
property of drug product. Depending on the intended
application of an IVIVC and the therapeutic index of
the drug, evaluation of prediction error internally
and/or externally may be appropriate. [5]
Acyclovir is a synthetic purine nucleoside analogue
with in vitro and in vivo inhibitory activity against
herpes simplex virus types 1 (HSV-1), 2 (HSV-2),
and varicella-zoster virus (VZV). The inhibitory
activity of Acyclovir is highly selective due to its
affinity for the enzyme thymidine kinase (TK)
encoded by HSV and VZV. This viral enzyme
converts Acyclovir into Acyclovir monophosphate, a
nucleotide analogue. The monophosphate is further
converted into diphosphate by cellular guanylate
kinase and into triphosphate by a number of cellular
enzymes. In vitro, Acyclovir triphosphate stops
replication of herpes viral DNA. The greater antiviral
activity of Acyclovir against HSV compared to VZV
is due to its more efficient phosphorylation by the
viral TK [10]
. Acyclovir pharmacokinetics has been
extensively investigated during the various phases of
clinical development. Most of the administered drug
is eliminated from the body unchanged, via the
kidneys by glomerular filtration and tubular
secretion. After intravenous dosing of patients with
normal renal function, 8 to 14% of the dose is
recovered in the urine as the metabolite 9-
carboxymethoxymethylguanine.
After oral administration, the bioavailability of
Acyclovir was approximately 20%. The plasma
elimination half life of acyclovir is 2.5 to 3.3 hr and
protein binding is 9%-33% [11]
.
MATERIAL AND METHODS
Materials: All materials used for analysis were of
analytical grade. The test product for In Vivo study
used Acyclovir Tablet USP 800 mg of Cadila
Pharmaceuticals Ltd., India reference product used
was Zovirax®
Tablet 800 mg of GlaxoSmithKline.
In vitro Evaluation:The dissolution of Acyclovir
tablets was carried out using USP Type II Dissolution
apparatus for 45 minutes. The dissolution media used
was 900 ml 0.1 N HCL at 37ºC ± 0.5ºC and rotated
at a speed of 50 rpm. Analysis of the withdrawn
samples was carried out using UV spectrophotometer
at the maximum 254 nm against 0.1 N Hydrochloric
acid as a blank.
Dissolution procedure: Parameters of the instrument
were set as mentioned above and the medium was
degas prior to use. 900 ml of Dissolution media was
transferred into each of the six dissolution vessels
and apparatus was operated as per requirement. One
tablet was dropped into each of six different vessels
& dissolution apparatus was started immediately.
After 45 min solution was withdrawn, & fiiltered the
solution through whatmann filter paper No.1; discard
first 2-3 ml of the filtrate. One mL of the filtered
sample was diluted to 100 ml with dissolution
medium and mixed. (Use this solution as sample
preparation)
Procedure for analysis: Absorbance was measured
for the standard preparation and sample preparation
on a suitable spectrophotometer at the maximum
254nm against 0.1 N Hydrochloric acid as a blank.
Percentage of Acyclovir dissolved in 45 minutes in
individual tablets was calculated.
In vivo Absorption study: A randomized, open label,
two-treatment, two-period, two-sequence, two-way
crossover comparative bioavailability study of a
single oral dose of Acyclovir Tablet USP 800 mg
(containing Acyclovir 800 mg) of Cadila
Pharmaceuticals Ltd., India versus Zovirax®
Tablet
800 mg (containing Acyclovir 800 mg) of
Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848
www.pharmascholars.com 600
GlaxoSmithKline, USA in 36) healthy, adult, human
subjects under fasting condition.
Screen Procedure: During screening procedure
Demography data, standard physical examination
with Vital signs, Clinical laboratory tests on blood
and urine samples, Electrocardiogram (ECG) and
Chest X-ray were done.
Study Design; A randomized, open-label, two-
treatment, two-period, two-sequence, two-way
crossover, comparative bioavailability study, during
which subjects were administered a single dose of
test or reference product under fasting condition with
at least 7 days washout period between each
administration.
Sample Size: Minimum of 36 + (04 standby) healthy,
adult, subjects was enrolled to allow dosing in both
periods.
Administration: Single a single oral dose of test
(Acyclovir Tablet USP 800 mg) or reference product
( Zovirax®
Tablet 800 mg) products were
administered along with 240 mL of drinking water
after an overnight fasting of at least 10 hours in each
Period.
Bio-analysis of Plasma sample: Samples were
analyzed for the quantification of Acyclovir in
plasma using Liquid Chromatography with Mass
Spectrometry (LCMS) procedures. Data analysis was
carried out using Win-Nonlin software to get the
Cmax, AUC 0-t, AUC 0- and kel.
Statistical Analysis: Statistical analysis was
performed on the pharmacokinetic parameters data
obtain from subjects (Completing both the periods)
using the SAS Statistical Software version 9.1.3
(SAS Institute INDIA Pvt. Ltd).
RESULTS AND DISCUSSION
In Vitro dissolution: The mean percent dissolved is
calculated on the basis of time and it showed that
within the first 15 min, 91.0% of Acyclovir drug and
within the first 20 min, 89 % of Zovirax had
dissolved. It was observed that 96.0 % of acyclovir
and Zovirax dissolved within 45 min.
Percent dissolved versus in vitro dissolution time (in
min) when plotted generates a dissolution profile
curve as shown below in table 1. The amount of drug
dissolved over a period of time for test & reference
formulation is given in the figure 1.
In vivo absorption: The fraction of drug absorbed
was calculated by Wagner Nelson method using
following equation.
0
T
0
A
TA
CdtK
CdtKCT
)X(
)X(
Above equation relates the cumulative amount of
drug absorbed after a certain time to the amount of
drug absorbed. The fraction of drug absorbed
calculated using Wagner Nelson method for test &
reference formulation is summarized in the Table 2.
The following figure 2 and figure 3 summarizes the
fraction of drug absorbed of the Acyclovir molecule
Test and reference respectively at given blood
sampling time points for test drug. It shows that at 1
hr almost 90% of the drug was absorbed for both test
& reference formulation.
Determination of intensity factor : Since the in
vitro dissolution data was available only for one hour
and hence a time scaling factor (i.e., intensity factor)
was calculated using Ratio of time of 90 % absorbed
and 90 % dissolved & Ratio of time of 50 %
absorbed and 50 % dissolved.
In vivo observed data: With the help of time
scaling factor the in vitro data was compared with In
vivo data. Table 3 summarizes fraction of drug
absorbed & percent drug absorbed vs. time data of
Zovirax 800 mg tablets obtained using Wagner
Nelson Method.
Development and evaluation of Level A IVIVC
Model: The in vitro data was taken based on minutes
and the in vivo absorption based on hours. It was
apparent that these two processes occurred over
different time scale. To make the time difference
between in vitro and in vivo data, uniform, a time
scaling factor (intensity factor) was calculated. The
intensity factor, I, obtained was 6.66. Thus by using
this factor we have converted the in vitro time points
to hours in order to match with the in vivo time
points. Time scaled normalization of in vitro and in
vivo data with intensity factor is given in figure 4.
Correlation calculation: The correlation graph
(Figure 5) was plotted as % absorbed verses %
dissolved and there exists an extremely good
correlation of formulation between in vitro and in
vivo data.
Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848
www.pharmascholars.com 601
Prediction Error: IVIVC model predictability was
determined by the calculating percent Cmax and
AUC prediction errors. Prediction error as %PE,
AUC and %PE Cmax was found to be – 4.604 and -
11.19 respectively for each formulation.
An IVIVC should be evaluated to demonstrate that
predictability of in vivo performance of a drug
product from its in vitro dissolution characteristics is
maintained over a range of in vitro dissolution rates
and manufacturing process.
If in vitro dissolution is shown to be independent of
dissolution conditions such as PH, surfactants,
osmotic pressure, agitation intensity, a set of
dissolution data obtain from one formulation is
correlated with that of in vivo absorption data.
To demonstrate a correlation, fraction absorbed in
vivo should be plotted against fraction dissolved in
vitro. If this relationship becomes linear with a slope
of 1, then curves are super imposable, and there is a
1:1 relationship which is defined as point-to-point or
Level A correlation.
Regression analysis was also performed on Excel
spread sheet with the same in vitro and in vivo data.
R-squared value obtained from graph was 0.9794.
According to FDA guidelines and expertise, statistic
from Level A analysis is r, the correlation coefficient.
It’s square, i.e. R-squared, ranges from 0 to 1 and is a
measure of strength of relationship between fractions
absorbed against fraction dissolved. Often, results
with sufficient large R-squared (e.g., greater than 0.9)
yielded “a successful correlation”.
The in vitro–in vivo correlation of Acyclovir shows
R-squared value 0.9794 in excel work sheet, which
depicts a successful correlation between in vitro and
in vivo Characteristic of the drug.
In a linear correlation, in vitro dissolution and in vivo
input curves may be directly super imposable or may
be made to be super imposable by the use of
appropriate scaling factor (time corrections). Time
scaling factor should be the same for all formulations
and different time scales for each formulation
indicate absence of an IVIVC.
Percent prediction error (PE%) of 10% or less for
Cmax and AUC establishes the predictability of the
IVIVC. In addition, the PE% for each formulation
should not exceed 15%. Here %PEAUC and %PECmax
was found to be –4.604 and -11.19 respectively.
CONCLUSION
The present study shows a good correlation between
in vivo and in vitro PK profiles of the formulation
used as the test drug in the study. The in vitro–in vivo
correlation of Acyclovir shows R-squared value
0.9794 in excel work sheet, which depicts a
successful correlation between in vitro and in vivo
Characteristic of the drug. In addition, %PE AUC and
%PE Cmax was found to be –4.604 and -11.19
respectively for each formulation. The concept of
correlation level is based upon the ability of the
correlation to reflect the complete plasma drug level-
time profile which will result from administration of
the given dosage form. An IVIVC Level A correlates
the entire in vitro and in vivo profiles has regulatory
relevance. This level of correlation is the highest
category of correlation and represents a point-to-
point relationship between in vitro dissolution rate
and in vivo input rate of the drug from the dosage
form.
TABLE 1: IN VITRO DISSOLUTION DATA OF ACYCLOVIR 800 MG TABLETS (TEST) AND ZOVIRAX 800
MG TABLETS (REFERENCE)
0.1 N HCl
Time (min)
Acyclovir 800 mg (test)
Tablets
Zovirax 800mg (Reference)
tablets
0 0 0
10 86 74
15 91 81
20 94 89
30 95 94
45 96 96
Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848
www.pharmascholars.com 602
TABLE 2: FRACTION OF DRUG ABSORBED FOR TEST & REFERENCE
Fraction of Drug Absorbed
Time (hr) Test Reference
0 0 0
0.333 0.208509 0.283505
0.667 0.600566 0.809927
1 0.902686 0.99656
1.333 1.086002 1.195828
1.667 1.187093 1.321714
2 1.13907 1.327762
2.5 1.173928 1.330732
3 1.257711 1.281141
4 1.137136 1.175827
5 1.067112 1.088926
6 0.956591 0.981582
8 0.886052 0.901321
10 0.851755 0.878418
12 0.835008 0.851137
14 0.841072 0.844374
16 0.852433 0.850673
24 0.876586 0.875232
TABLE 3: Fraction of Drug Absorbed
Time (hr) Fraction drug absorbed % Drug absorbed
0 0 0
0.333 0.283505 28.3505
0.667 0.809927 80.9927
1 0.99656 99.656
1.333 1.195828 119.5828
1.667 1.321714 132.1714
2 1.327762 132.7762
FIGURE 1: FRACTION OF DRUG DISSOLVED VS TIME GRAPH FOR ACYCLOVIR 800 MG TABLETS
Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848
www.pharmascholars.com 603
% Drug absorbed vs Time Graph
0
20
40
60
80
100
0 0.5 1 1.5 2 2.5 3
Time
%Absorbed
% F
FIGURE 2: FRACTION OF DRUG ABSORBED VS TIME GRAPH FOR ACYCLOVIR 800 MG TABLETS
(TEST)
% Drug absorbed vs Time Graph
0
20
40
60
80
100
0 0.5 1 1.5 2 2.5 3
Time
%Absorbed
% F
FIGURE 3: FRACTION OF DRUG ABSORBED VS TIME GRAPH FOR ZOVIRAX 800 MG TABLETS
(REFERENCE)
Time scale normalization of IVIVC
0
20
40
60
80
100
0 0.5 1 1.5 2 2.5
Time (hr)
%DrugAbsorbedor
Dissolved
In vivo observed In vitro observed In vitro predicted
FIGURE 4: TIME SCALED NORMALIZATION OF IN VITRO AND IN VIVO DATA WITH INTENSITY
FACTOR
FIGURE 5: THE LINEAR REGRESSION PLOT OF % ABSORBED AND % DISSOLVED
Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848
www.pharmascholars.com 604
REFERENCES
1. Leeson L. J. Drug Information Journal, 1995; 29: 903-915.
2. Gaynor C, Dunne A, Davis J., International Biometric Society,
http://ibc2008abstracts.tibs.org/Other/IBC2008_Paper_ref_466.pdf
3. Modi NB, Lam A, Lindemulder E, Wang B, Gupta SK. Biopharm Drug Dispos, 2000; 21:321-326
4. Uppoor VRS. J Control Rel. 2001; 72:127-132.
5. Chilukuri DM, Sunkara G. Drug Delivery Technology, 2003; 3:4
6. Sirisuth N, Eddington ND, Int. J. Generic Drugs, 2002; Part 3:250-258.
7. Qureshi SA , The Open Drug Delivery Journal, 2010; 4: 38-47.
8. Jaber E. J. Pharm Pharmaceut Sci, 2006; 9 (2): 169-189.
9. Jayaprakasam B, Seeram NP, Nairs MG. Cancer Lett, 2003; 189 (1): 11-6.
10. www.rxlist.com
11. http://www.drugs.com/pdr/ Zovirax Tablets.html.

More Related Content

What's hot

Biopharm facors affecting drug bioavailability
Biopharm facors affecting drug bioavailabilityBiopharm facors affecting drug bioavailability
Biopharm facors affecting drug bioavailabilitychiranjibi68
 
Stability protocols for different dosage forms by sachin jain
Stability protocols for different dosage forms by sachin jainStability protocols for different dosage forms by sachin jain
Stability protocols for different dosage forms by sachin jainManish Kumar
 
Ich guidelines for stability studies 2
Ich guidelines for stability studies 2Ich guidelines for stability studies 2
Ich guidelines for stability studies 2priyanka odela
 
Ich guidelines Q1A(R2)
Ich guidelines Q1A(R2)Ich guidelines Q1A(R2)
Ich guidelines Q1A(R2)Surendra Singh
 
NEW DRUG APPLICATION
NEW DRUG APPLICATIONNEW DRUG APPLICATION
NEW DRUG APPLICATIONSACHIN C P
 
Bioequivalence studies ( Evaluation and Study design)
Bioequivalence studies ( Evaluation and Study design)Bioequivalence studies ( Evaluation and Study design)
Bioequivalence studies ( Evaluation and Study design)Selim Akhtar
 
Clinical significance of bioequivalence and biowaivers
Clinical significance  of bioequivalence and biowaiversClinical significance  of bioequivalence and biowaivers
Clinical significance of bioequivalence and biowaiversNagaraju Ravouru
 
Quality by design in pharmaceutical development
Quality by design in pharmaceutical developmentQuality by design in pharmaceutical development
Quality by design in pharmaceutical developmentManish Rajput
 
study design for bioavailability and bioequivalence
study design for bioavailability and bioequivalencestudy design for bioavailability and bioequivalence
study design for bioavailability and bioequivalencePriya Rajput
 
Rate-Controlled Drug Delivery System
Rate-Controlled Drug Delivery SystemRate-Controlled Drug Delivery System
Rate-Controlled Drug Delivery SystemKailas Mali
 
Validation of liquids
Validation of liquidsValidation of liquids
Validation of liquidsPriyam Patel
 
regulatory requirement for bioequivalence
regulatory requirement for bioequivalenceregulatory requirement for bioequivalence
regulatory requirement for bioequivalencelamrin33
 
Supac - Guidance for Immediate Release Dosage Form
Supac - Guidance for Immediate Release Dosage FormSupac - Guidance for Immediate Release Dosage Form
Supac - Guidance for Immediate Release Dosage FormJubiliant Generics Limited
 
API, BIOLOGICS,NOVEL,THERAPIES........pptx
API, BIOLOGICS,NOVEL,THERAPIES........pptxAPI, BIOLOGICS,NOVEL,THERAPIES........pptx
API, BIOLOGICS,NOVEL,THERAPIES........pptxPawanDhamala1
 

What's hot (20)

drug dissolution
drug dissolutiondrug dissolution
drug dissolution
 
Biopharm facors affecting drug bioavailability
Biopharm facors affecting drug bioavailabilityBiopharm facors affecting drug bioavailability
Biopharm facors affecting drug bioavailability
 
Stability protocols for different dosage forms by sachin jain
Stability protocols for different dosage forms by sachin jainStability protocols for different dosage forms by sachin jain
Stability protocols for different dosage forms by sachin jain
 
Ich guidelines for stability studies 2
Ich guidelines for stability studies 2Ich guidelines for stability studies 2
Ich guidelines for stability studies 2
 
Ich guidelines Q1A(R2)
Ich guidelines Q1A(R2)Ich guidelines Q1A(R2)
Ich guidelines Q1A(R2)
 
NEW DRUG APPLICATION
NEW DRUG APPLICATIONNEW DRUG APPLICATION
NEW DRUG APPLICATION
 
Methods of Determination for Drug-Excipient Compatibility Studies.
Methods of Determination for Drug-Excipient Compatibility Studies.Methods of Determination for Drug-Excipient Compatibility Studies.
Methods of Determination for Drug-Excipient Compatibility Studies.
 
The introduction of an orange book
The introduction of an orange bookThe introduction of an orange book
The introduction of an orange book
 
Bioequivalence studies ( Evaluation and Study design)
Bioequivalence studies ( Evaluation and Study design)Bioequivalence studies ( Evaluation and Study design)
Bioequivalence studies ( Evaluation and Study design)
 
Biowaiver
BiowaiverBiowaiver
Biowaiver
 
Clinical significance of bioequivalence and biowaivers
Clinical significance  of bioequivalence and biowaiversClinical significance  of bioequivalence and biowaivers
Clinical significance of bioequivalence and biowaivers
 
Quality by design in pharmaceutical development
Quality by design in pharmaceutical developmentQuality by design in pharmaceutical development
Quality by design in pharmaceutical development
 
study design for bioavailability and bioequivalence
study design for bioavailability and bioequivalencestudy design for bioavailability and bioequivalence
study design for bioavailability and bioequivalence
 
Rate-Controlled Drug Delivery System
Rate-Controlled Drug Delivery SystemRate-Controlled Drug Delivery System
Rate-Controlled Drug Delivery System
 
Validation of liquids
Validation of liquidsValidation of liquids
Validation of liquids
 
regulatory requirement for bioequivalence
regulatory requirement for bioequivalenceregulatory requirement for bioequivalence
regulatory requirement for bioequivalence
 
Supac - Guidance for Immediate Release Dosage Form
Supac - Guidance for Immediate Release Dosage FormSupac - Guidance for Immediate Release Dosage Form
Supac - Guidance for Immediate Release Dosage Form
 
Targeting methods nanoparticles dr. asm
Targeting methods nanoparticles dr. asmTargeting methods nanoparticles dr. asm
Targeting methods nanoparticles dr. asm
 
API, BIOLOGICS,NOVEL,THERAPIES........pptx
API, BIOLOGICS,NOVEL,THERAPIES........pptxAPI, BIOLOGICS,NOVEL,THERAPIES........pptx
API, BIOLOGICS,NOVEL,THERAPIES........pptx
 
Biorelevant ppt
Biorelevant pptBiorelevant ppt
Biorelevant ppt
 

Viewers also liked

Viewers also liked (8)

Ivivc
IvivcIvivc
Ivivc
 
Vendor selection
Vendor selectionVendor selection
Vendor selection
 
In-Vivo In-Vitro Correlation
In-Vivo In-Vitro CorrelationIn-Vivo In-Vitro Correlation
In-Vivo In-Vitro Correlation
 
Colon targeted drug delivery systems
Colon targeted drug delivery systems Colon targeted drug delivery systems
Colon targeted drug delivery systems
 
Pharmacy ppt
Pharmacy pptPharmacy ppt
Pharmacy ppt
 
Colon targeted drug delivery
Colon targeted drug deliveryColon targeted drug delivery
Colon targeted drug delivery
 
Colon specific drug delivery system
Colon specific drug delivery systemColon specific drug delivery system
Colon specific drug delivery system
 
Colon Specefic Drug Delivery System
Colon Specefic Drug Delivery SystemColon Specefic Drug Delivery System
Colon Specefic Drug Delivery System
 

Similar to In-Vitro and In-Vivo Correlation of Immediate Release Acyclovir Tablet

Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...
Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...
Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...BRNSS Publication Hub
 
Bioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxBioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxabhisheksinghcompute
 
Bioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxBioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxabhisheksinghcompute
 
Bioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxBioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxabhisheksinghcompute
 
Invitro-invivo-correlationship Biopharmaceutical
Invitro-invivo-correlationship BiopharmaceuticalInvitro-invivo-correlationship Biopharmaceutical
Invitro-invivo-correlationship BiopharmaceuticalDrGunjanSarkar
 
In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...
In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...
In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...Md. Mizanur Rahman
 
A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...Alexander Decker
 
A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...Alexander Decker
 
BIOAVAILABILTY AND BIOEQUIVALENCE STUDY
BIOAVAILABILTY AND BIOEQUIVALENCE STUDYBIOAVAILABILTY AND BIOEQUIVALENCE STUDY
BIOAVAILABILTY AND BIOEQUIVALENCE STUDYMeherAlam2
 
IVIVC detail topic explanation biopharmaceutics.pdf
IVIVC detail topic explanation biopharmaceutics.pdfIVIVC detail topic explanation biopharmaceutics.pdf
IVIVC detail topic explanation biopharmaceutics.pdfUVAS
 
Bioavability and Bioequalance
Bioavability and BioequalanceBioavability and Bioequalance
Bioavability and BioequalanceManojSrivastava66
 
UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...
UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...
UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...Imran al
 
Bioavailability and bioequivalance studies
Bioavailability and bioequivalance studies Bioavailability and bioequivalance studies
Bioavailability and bioequivalance studies ROHIT
 
Drug Prodact performance in vivo1.pptx
Drug Prodact performance in vivo1.pptxDrug Prodact performance in vivo1.pptx
Drug Prodact performance in vivo1.pptxDnyaneshwar Ningule
 
Development of analytical method by RP-HPLC for marketed drug formulation in ...
Development of analytical method by RP-HPLC for marketed drug formulation in ...Development of analytical method by RP-HPLC for marketed drug formulation in ...
Development of analytical method by RP-HPLC for marketed drug formulation in ...Ashish Chaudhari
 

Similar to In-Vitro and In-Vivo Correlation of Immediate Release Acyclovir Tablet (20)

Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...
Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...
Bioequivalence Study of the Two Products of Efavirenz by Validated Analytical...
 
Bioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxBioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptx
 
Bioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxBioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptx
 
Bioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptxBioavailability and bioequivalence of Drug Productppt2.pptx
Bioavailability and bioequivalence of Drug Productppt2.pptx
 
Invitro-invivo-correlationship Biopharmaceutical
Invitro-invivo-correlationship BiopharmaceuticalInvitro-invivo-correlationship Biopharmaceutical
Invitro-invivo-correlationship Biopharmaceutical
 
IVIVC
IVIVCIVIVC
IVIVC
 
In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...
In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...
In vitro-in-vivo-correlation-ivivc-a-strategic-tool-in-drug-development-jbb.s...
 
A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...
 
A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...A comparative bioavailability study of aceclofenac products in healthy human ...
A comparative bioavailability study of aceclofenac products in healthy human ...
 
BIOAVAILABILTY AND BIOEQUIVALENCE STUDY
BIOAVAILABILTY AND BIOEQUIVALENCE STUDYBIOAVAILABILTY AND BIOEQUIVALENCE STUDY
BIOAVAILABILTY AND BIOEQUIVALENCE STUDY
 
IVIVC detail topic explanation biopharmaceutics.pdf
IVIVC detail topic explanation biopharmaceutics.pdfIVIVC detail topic explanation biopharmaceutics.pdf
IVIVC detail topic explanation biopharmaceutics.pdf
 
Bioavability and Bioequalance
Bioavability and BioequalanceBioavability and Bioequalance
Bioavability and Bioequalance
 
Madhu k s
Madhu k s Madhu k s
Madhu k s
 
In vitro-in-vivo-studies
In vitro-in-vivo-studiesIn vitro-in-vivo-studies
In vitro-in-vivo-studies
 
BA and BE studies
BA and BE studiesBA and BE studies
BA and BE studies
 
UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...
UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...
UV Spectroscopic assay method development and Validation of Ciprofloxacin in ...
 
Bioavailability and bioequivalance studies
Bioavailability and bioequivalance studies Bioavailability and bioequivalance studies
Bioavailability and bioequivalance studies
 
A0320106
A0320106A0320106
A0320106
 
Drug Prodact performance in vivo1.pptx
Drug Prodact performance in vivo1.pptxDrug Prodact performance in vivo1.pptx
Drug Prodact performance in vivo1.pptx
 
Development of analytical method by RP-HPLC for marketed drug formulation in ...
Development of analytical method by RP-HPLC for marketed drug formulation in ...Development of analytical method by RP-HPLC for marketed drug formulation in ...
Development of analytical method by RP-HPLC for marketed drug formulation in ...
 

More from Bhaswat Chakraborty

Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...
Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...
Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...Bhaswat Chakraborty
 
Statistical outliers in BE Studies DIA 12 april 2019
Statistical outliers in BE Studies DIA 12 april 2019Statistical outliers in BE Studies DIA 12 april 2019
Statistical outliers in BE Studies DIA 12 april 2019Bhaswat Chakraborty
 
Respiratory studies right approach in designs dia 11 april 2019 r
Respiratory studies right approach  in designs dia 11 april 2019 rRespiratory studies right approach  in designs dia 11 april 2019 r
Respiratory studies right approach in designs dia 11 april 2019 rBhaswat Chakraborty
 
Simplifying study designs and statistical models for new dose & dosage forms ...
Simplifying study designs and statistical models for new dose & dosage forms ...Simplifying study designs and statistical models for new dose & dosage forms ...
Simplifying study designs and statistical models for new dose & dosage forms ...Bhaswat Chakraborty
 
Equivalence approches for complex generics DIA 11 april 2019
Equivalence approches for complex generics DIA 11 april 2019 Equivalence approches for complex generics DIA 11 april 2019
Equivalence approches for complex generics DIA 11 april 2019 Bhaswat Chakraborty
 
Clinical Trial Requirements Medical Devices 27 dec2018
Clinical Trial Requirements Medical Devices 27 dec2018Clinical Trial Requirements Medical Devices 27 dec2018
Clinical Trial Requirements Medical Devices 27 dec2018Bhaswat Chakraborty
 
Writing scientific papers FINALDec 2018
Writing scientific papers FINALDec 2018Writing scientific papers FINALDec 2018
Writing scientific papers FINALDec 2018Bhaswat Chakraborty
 
Multidisc review of NDAs and BLAs nipicon 2018 Dr. Chakraborty
Multidisc review of NDAs and BLAs nipicon 2018 Dr. ChakrabortyMultidisc review of NDAs and BLAs nipicon 2018 Dr. Chakraborty
Multidisc review of NDAs and BLAs nipicon 2018 Dr. ChakrabortyBhaswat Chakraborty
 
Teaching by stories, anecdotes and historical facts sept 25 2018
Teaching by stories, anecdotes and historical facts sept 25 2018Teaching by stories, anecdotes and historical facts sept 25 2018
Teaching by stories, anecdotes and historical facts sept 25 2018Bhaswat Chakraborty
 
Orientation and Adaptation for Post-Graduate Pharmacy Programs
Orientation and Adaptation for Post-Graduate Pharmacy ProgramsOrientation and Adaptation for Post-Graduate Pharmacy Programs
Orientation and Adaptation for Post-Graduate Pharmacy ProgramsBhaswat Chakraborty
 
Plagiarism and Techniques to Avoid Plagiarism
Plagiarism and Techniques to Avoid PlagiarismPlagiarism and Techniques to Avoid Plagiarism
Plagiarism and Techniques to Avoid PlagiarismBhaswat Chakraborty
 
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...Bhaswat Chakraborty
 
Pharmacists in Drug Discovery & Development
Pharmacists in Drug Discovery & Development Pharmacists in Drug Discovery & Development
Pharmacists in Drug Discovery & Development Bhaswat Chakraborty
 
Clinical Development of Biosimilars
Clinical Development of Biosimilars Clinical Development of Biosimilars
Clinical Development of Biosimilars Bhaswat Chakraborty
 
Challenges in Phase III Cancer Clinical Trials
Challenges in Phase III Cancer Clinical Trials Challenges in Phase III Cancer Clinical Trials
Challenges in Phase III Cancer Clinical Trials Bhaswat Chakraborty
 
Bioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug ProductsBioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug ProductsBhaswat Chakraborty
 
Bioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug ProductsBioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug ProductsBhaswat Chakraborty
 
Protein binding of drugs and screening of drugs by physicochemical properties
Protein binding of drugs  and screening of drugs by physicochemical propertiesProtein binding of drugs  and screening of drugs by physicochemical properties
Protein binding of drugs and screening of drugs by physicochemical propertiesBhaswat Chakraborty
 
Developing Protocols & Procedures for CT Data Integrity
Developing Protocols & Procedures for CT Data Integrity Developing Protocols & Procedures for CT Data Integrity
Developing Protocols & Procedures for CT Data Integrity Bhaswat Chakraborty
 

More from Bhaswat Chakraborty (20)

Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...
Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...
Root cause Analysis (RCA) & Corrective and Preventive action (CAPA) in MRCT d...
 
Statistical outliers in BE Studies DIA 12 april 2019
Statistical outliers in BE Studies DIA 12 april 2019Statistical outliers in BE Studies DIA 12 april 2019
Statistical outliers in BE Studies DIA 12 april 2019
 
Respiratory studies right approach in designs dia 11 april 2019 r
Respiratory studies right approach  in designs dia 11 april 2019 rRespiratory studies right approach  in designs dia 11 april 2019 r
Respiratory studies right approach in designs dia 11 april 2019 r
 
Simplifying study designs and statistical models for new dose & dosage forms ...
Simplifying study designs and statistical models for new dose & dosage forms ...Simplifying study designs and statistical models for new dose & dosage forms ...
Simplifying study designs and statistical models for new dose & dosage forms ...
 
Equivalence approches for complex generics DIA 11 april 2019
Equivalence approches for complex generics DIA 11 april 2019 Equivalence approches for complex generics DIA 11 april 2019
Equivalence approches for complex generics DIA 11 april 2019
 
Clinical Trial Requirements Medical Devices 27 dec2018
Clinical Trial Requirements Medical Devices 27 dec2018Clinical Trial Requirements Medical Devices 27 dec2018
Clinical Trial Requirements Medical Devices 27 dec2018
 
Writing scientific papers FINALDec 2018
Writing scientific papers FINALDec 2018Writing scientific papers FINALDec 2018
Writing scientific papers FINALDec 2018
 
Multidisc review of NDAs and BLAs nipicon 2018 Dr. Chakraborty
Multidisc review of NDAs and BLAs nipicon 2018 Dr. ChakrabortyMultidisc review of NDAs and BLAs nipicon 2018 Dr. Chakraborty
Multidisc review of NDAs and BLAs nipicon 2018 Dr. Chakraborty
 
Teaching by stories, anecdotes and historical facts sept 25 2018
Teaching by stories, anecdotes and historical facts sept 25 2018Teaching by stories, anecdotes and historical facts sept 25 2018
Teaching by stories, anecdotes and historical facts sept 25 2018
 
Orientation and Adaptation for Post-Graduate Pharmacy Programs
Orientation and Adaptation for Post-Graduate Pharmacy ProgramsOrientation and Adaptation for Post-Graduate Pharmacy Programs
Orientation and Adaptation for Post-Graduate Pharmacy Programs
 
Plagiarism and Techniques to Avoid Plagiarism
Plagiarism and Techniques to Avoid PlagiarismPlagiarism and Techniques to Avoid Plagiarism
Plagiarism and Techniques to Avoid Plagiarism
 
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...
Best Practices to Risk Based Data Integrity at Data Integrity Conference, Lon...
 
Ethics in Pharmacy
Ethics in Pharmacy Ethics in Pharmacy
Ethics in Pharmacy
 
Pharmacists in Drug Discovery & Development
Pharmacists in Drug Discovery & Development Pharmacists in Drug Discovery & Development
Pharmacists in Drug Discovery & Development
 
Clinical Development of Biosimilars
Clinical Development of Biosimilars Clinical Development of Biosimilars
Clinical Development of Biosimilars
 
Challenges in Phase III Cancer Clinical Trials
Challenges in Phase III Cancer Clinical Trials Challenges in Phase III Cancer Clinical Trials
Challenges in Phase III Cancer Clinical Trials
 
Bioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug ProductsBioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug Products
 
Bioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug ProductsBioequivalence of Highly Variable Drug Products
Bioequivalence of Highly Variable Drug Products
 
Protein binding of drugs and screening of drugs by physicochemical properties
Protein binding of drugs  and screening of drugs by physicochemical propertiesProtein binding of drugs  and screening of drugs by physicochemical properties
Protein binding of drugs and screening of drugs by physicochemical properties
 
Developing Protocols & Procedures for CT Data Integrity
Developing Protocols & Procedures for CT Data Integrity Developing Protocols & Procedures for CT Data Integrity
Developing Protocols & Procedures for CT Data Integrity
 

Recently uploaded

call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...saminamagar
 
Apiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptApiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptkedirjemalharun
 
Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxDr. Dheeraj Kumar
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptxMohamed Rizk Khodair
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️saminamagar
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?bkling
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!ibtesaam huma
 
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxdrashraf369
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformKweku Zurek
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...saminamagar
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfSreeja Cherukuru
 
Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Prerana Jadhav
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners
 
world health day presentation ppt download
world health day presentation ppt downloadworld health day presentation ppt download
world health day presentation ppt downloadAnkitKumar311566
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdfDolisha Warbi
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPrerana Jadhav
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptMumux Mirani
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingArunagarwal328757
 

Recently uploaded (20)

call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
call girls in Dwarka Sector 21 Metro DELHI 🔝 >༒9540349809 🔝 genuine Escort Se...
 
Apiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.pptApiculture Chapter 1. Introduction 2.ppt
Apiculture Chapter 1. Introduction 2.ppt
 
Measurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptxMeasurement of Radiation and Dosimetric Procedure.pptx
Measurement of Radiation and Dosimetric Procedure.pptx
 
epilepsy and status epilepticus for undergraduate.pptx
epilepsy and status epilepticus  for undergraduate.pptxepilepsy and status epilepticus  for undergraduate.pptx
epilepsy and status epilepticus for undergraduate.pptx
 
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in munirka  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in munirka DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
call girls in paharganj DELHI 🔝 >༒9540349809 🔝 genuine Escort Service 🔝✔️✔️
 
Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?Let's Talk About It: To Disclose or Not to Disclose?
Let's Talk About It: To Disclose or Not to Disclose?
 
Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!Biomechanics- Shoulder Joint!!!!!!!!!!!!
Biomechanics- Shoulder Joint!!!!!!!!!!!!
 
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptxPERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
PERFECT BUT PAINFUL TKR -ROLE OF SYNOVECTOMY.pptx
 
See the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy PlatformSee the 2,456 pharmacies on the National E-Pharmacy Platform
See the 2,456 pharmacies on the National E-Pharmacy Platform
 
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...call girls in Connaught Place  DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
call girls in Connaught Place DELHI 🔝 >༒9540349809 🔝 genuine Escort Service ...
 
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdfLippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
Lippincott Microcards_ Microbiology Flash Cards-LWW (2015).pdf
 
Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.Presentation on General Anesthetics pdf.
Presentation on General Anesthetics pdf.
 
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
Wessex Health Partners Wessex Integrated Care, Population Health, Research & ...
 
world health day presentation ppt download
world health day presentation ppt downloadworld health day presentation ppt download
world health day presentation ppt download
 
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
PNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdfPNEUMOTHORAX   AND  ITS  MANAGEMENTS.pdf
PNEUMOTHORAX AND ITS MANAGEMENTS.pdf
 
Presentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous SystemPresentation on Parasympathetic Nervous System
Presentation on Parasympathetic Nervous System
 
Epilepsy
EpilepsyEpilepsy
Epilepsy
 
SWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.pptSWD (Short wave diathermy)- Physiotherapy.ppt
SWD (Short wave diathermy)- Physiotherapy.ppt
 
Pharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, PricingPharmaceutical Marketting: Unit-5, Pricing
Pharmaceutical Marketting: Unit-5, Pricing
 

In-Vitro and In-Vivo Correlation of Immediate Release Acyclovir Tablet

  • 1. Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848 www.pharmascholars.com 598 Research Article CODEN: IJPNL6 IN-VITRO AND IN-VIVO CORRELATION OF IMMEDIATE RELEASE ACYCLOVIR TABLET USING WAGNER NELSON METHOD Somnath Sakore* and Bhaswat Chakraborthy Cadila Pharmaceuticals Ltd. Dholka, Ahmedabad, Gujrat. India *Corresponding author e-mail: somnath.sakore@cadilapharma.co.in ABSTRACT The purpose of this study was to establish In-Vitro and In-Vivo correlation of immediate release Acyclovir tablets of 800 mg. In vitro and in vivo studies are done on the test product as Acyclovir Tablet USP 800 mg (containing Acyclovir 800 mg) of Cadila Pharmaceuticals Ltd., India versus Zovirax® Tablet 800 mg (containing Acyclovir 800 mg) of GlaxoSmithKline, USA. In vivo studies are done in 36 healthy, adult, human subjects under fasting condition.In vitro dissolution study was done using USP apparatus II at 50 rpm in 0.1N HCL for 45 minutes. The in vitro–in vivo correlation of Acyclovir shows R-squared value 0.9794 in excel work sheet, which depicts a successful correlation between in vitro and in vivo Characteristic of the drug. In addition, %PE AUC and %PE Cmax was found to be –4.604 and -11.19 respectively for each formulation. The present study shows a good correlation between in vivo and in vitro PK profiles of the formulation used as the test drug in the study. Keywords: Acyclovir 800 mg tablets, In Vitro Dissolution, In Vivo absorption, IVIVC. INTRODUCTION In vitro in vivo correlations play a key role in the drug development and optimization of formulation is an integral part of manufacturing and marketing which is certainly a time consuming and expensive process. In vitro-in vivo correlation (IVIVC) demonstrates the direct relationships between in vitro dissolution / release and in vivo absorption profiles. The in vitro property generally is the rate or amount of drug dissolution or release, while in vivo response is plasma drug concentration or amount of drug absorbed. [1] The in vitro release data of a dosage form containing the active substance serve as characteristic in vitro property, while the in vivo performance is generally represented by the time course of the plasma concentration of the active substance. These In vitro & In vivo data are then treated scientifically to determine correlations. For oral dosage forms, the in vitro release is usually measured and considered as dissolution rate. The relationship between the in vitro and in vivo characteristics can be expressed mathematically by a linear or nonlinear correlation. However, the plasma concentration cannot be directly correlated to the in vitro release rate; it has to be converted to the in vivo release or absorption data, either by pharmacokinetic compartment model analysis or by linear system analysis. Different IVIVC model are used as a tool for formulation development and evaluation of immediate and extended release dosage forms for setting a dissolution specification and as a surrogate for bioequivalence testing. Practically, the purpose of IVIVC is to use drug dissolution results from two or more products to predict similarity or dissimilarity of expected plasma drug concentration (profiles). Before one considers relating in vitro results to in vivo, one has to establish as to how one will establish similarity or dissimilarity of in vivo response i.e. plasma drug concentration profiles. As a result, considerable effort goes into their development and the main outcome is “the ability to predict, accurately and precisely, expected bioavailability characteristics for an extended release (ER) drug product from dissolution profile characteristics. [2,3] The methodology of establishing similarity or dissimilarity of plasma drug concentrations profile is known as bioequivalence testing. There are very well established guidances International Journal of Pharmacy Journal Homepage: http://www.pharmascholars.com
  • 2. Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848 www.pharmascholars.com 599 and standards available for establishing bioequivalence between drug profiles and products [4, 5] . There are four levels of IVIVC that have been described in the FDA guidance, which include levels A, B, C, and multiple C [6,7] . The concept of correlation level is based upon the ability of the correlation to reflect the complete plasma drug level-time profile which will result from administration of the given dosage form. An IVIVC Level A correlates the entire in vitro and in vivo profiles has regulatory relevance. This level of correlation is the highest category of correlation and represents a point-to-point relationship between in vitro dissolution rate and in vivo input rate of the drug from the dosage form [8] . The objective of IVIVC evaluation is to estimate the magnitude of the error in predicting the in vivo bioavailability results from in vitro dissolution data. This objective should guide the choice and interpretation of evaluation methods. Any appropriate approach related to this objective may be used for evaluation of predictabilityPrediction errors are estimated for Cmax and AUC to determine the validity of the correlation. Various approaches of are used to estimate the magnitude of the error in predicting the in vivo bioavailability results from in vitro dissolution data [8,9] . It can be calculated by Prediction error that is the error in prediction of in vivo property from in vitro property of drug product. Depending on the intended application of an IVIVC and the therapeutic index of the drug, evaluation of prediction error internally and/or externally may be appropriate. [5] Acyclovir is a synthetic purine nucleoside analogue with in vitro and in vivo inhibitory activity against herpes simplex virus types 1 (HSV-1), 2 (HSV-2), and varicella-zoster virus (VZV). The inhibitory activity of Acyclovir is highly selective due to its affinity for the enzyme thymidine kinase (TK) encoded by HSV and VZV. This viral enzyme converts Acyclovir into Acyclovir monophosphate, a nucleotide analogue. The monophosphate is further converted into diphosphate by cellular guanylate kinase and into triphosphate by a number of cellular enzymes. In vitro, Acyclovir triphosphate stops replication of herpes viral DNA. The greater antiviral activity of Acyclovir against HSV compared to VZV is due to its more efficient phosphorylation by the viral TK [10] . Acyclovir pharmacokinetics has been extensively investigated during the various phases of clinical development. Most of the administered drug is eliminated from the body unchanged, via the kidneys by glomerular filtration and tubular secretion. After intravenous dosing of patients with normal renal function, 8 to 14% of the dose is recovered in the urine as the metabolite 9- carboxymethoxymethylguanine. After oral administration, the bioavailability of Acyclovir was approximately 20%. The plasma elimination half life of acyclovir is 2.5 to 3.3 hr and protein binding is 9%-33% [11] . MATERIAL AND METHODS Materials: All materials used for analysis were of analytical grade. The test product for In Vivo study used Acyclovir Tablet USP 800 mg of Cadila Pharmaceuticals Ltd., India reference product used was Zovirax® Tablet 800 mg of GlaxoSmithKline. In vitro Evaluation:The dissolution of Acyclovir tablets was carried out using USP Type II Dissolution apparatus for 45 minutes. The dissolution media used was 900 ml 0.1 N HCL at 37ºC ± 0.5ºC and rotated at a speed of 50 rpm. Analysis of the withdrawn samples was carried out using UV spectrophotometer at the maximum 254 nm against 0.1 N Hydrochloric acid as a blank. Dissolution procedure: Parameters of the instrument were set as mentioned above and the medium was degas prior to use. 900 ml of Dissolution media was transferred into each of the six dissolution vessels and apparatus was operated as per requirement. One tablet was dropped into each of six different vessels & dissolution apparatus was started immediately. After 45 min solution was withdrawn, & fiiltered the solution through whatmann filter paper No.1; discard first 2-3 ml of the filtrate. One mL of the filtered sample was diluted to 100 ml with dissolution medium and mixed. (Use this solution as sample preparation) Procedure for analysis: Absorbance was measured for the standard preparation and sample preparation on a suitable spectrophotometer at the maximum 254nm against 0.1 N Hydrochloric acid as a blank. Percentage of Acyclovir dissolved in 45 minutes in individual tablets was calculated. In vivo Absorption study: A randomized, open label, two-treatment, two-period, two-sequence, two-way crossover comparative bioavailability study of a single oral dose of Acyclovir Tablet USP 800 mg (containing Acyclovir 800 mg) of Cadila Pharmaceuticals Ltd., India versus Zovirax® Tablet 800 mg (containing Acyclovir 800 mg) of
  • 3. Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848 www.pharmascholars.com 600 GlaxoSmithKline, USA in 36) healthy, adult, human subjects under fasting condition. Screen Procedure: During screening procedure Demography data, standard physical examination with Vital signs, Clinical laboratory tests on blood and urine samples, Electrocardiogram (ECG) and Chest X-ray were done. Study Design; A randomized, open-label, two- treatment, two-period, two-sequence, two-way crossover, comparative bioavailability study, during which subjects were administered a single dose of test or reference product under fasting condition with at least 7 days washout period between each administration. Sample Size: Minimum of 36 + (04 standby) healthy, adult, subjects was enrolled to allow dosing in both periods. Administration: Single a single oral dose of test (Acyclovir Tablet USP 800 mg) or reference product ( Zovirax® Tablet 800 mg) products were administered along with 240 mL of drinking water after an overnight fasting of at least 10 hours in each Period. Bio-analysis of Plasma sample: Samples were analyzed for the quantification of Acyclovir in plasma using Liquid Chromatography with Mass Spectrometry (LCMS) procedures. Data analysis was carried out using Win-Nonlin software to get the Cmax, AUC 0-t, AUC 0- and kel. Statistical Analysis: Statistical analysis was performed on the pharmacokinetic parameters data obtain from subjects (Completing both the periods) using the SAS Statistical Software version 9.1.3 (SAS Institute INDIA Pvt. Ltd). RESULTS AND DISCUSSION In Vitro dissolution: The mean percent dissolved is calculated on the basis of time and it showed that within the first 15 min, 91.0% of Acyclovir drug and within the first 20 min, 89 % of Zovirax had dissolved. It was observed that 96.0 % of acyclovir and Zovirax dissolved within 45 min. Percent dissolved versus in vitro dissolution time (in min) when plotted generates a dissolution profile curve as shown below in table 1. The amount of drug dissolved over a period of time for test & reference formulation is given in the figure 1. In vivo absorption: The fraction of drug absorbed was calculated by Wagner Nelson method using following equation. 0 T 0 A TA CdtK CdtKCT )X( )X( Above equation relates the cumulative amount of drug absorbed after a certain time to the amount of drug absorbed. The fraction of drug absorbed calculated using Wagner Nelson method for test & reference formulation is summarized in the Table 2. The following figure 2 and figure 3 summarizes the fraction of drug absorbed of the Acyclovir molecule Test and reference respectively at given blood sampling time points for test drug. It shows that at 1 hr almost 90% of the drug was absorbed for both test & reference formulation. Determination of intensity factor : Since the in vitro dissolution data was available only for one hour and hence a time scaling factor (i.e., intensity factor) was calculated using Ratio of time of 90 % absorbed and 90 % dissolved & Ratio of time of 50 % absorbed and 50 % dissolved. In vivo observed data: With the help of time scaling factor the in vitro data was compared with In vivo data. Table 3 summarizes fraction of drug absorbed & percent drug absorbed vs. time data of Zovirax 800 mg tablets obtained using Wagner Nelson Method. Development and evaluation of Level A IVIVC Model: The in vitro data was taken based on minutes and the in vivo absorption based on hours. It was apparent that these two processes occurred over different time scale. To make the time difference between in vitro and in vivo data, uniform, a time scaling factor (intensity factor) was calculated. The intensity factor, I, obtained was 6.66. Thus by using this factor we have converted the in vitro time points to hours in order to match with the in vivo time points. Time scaled normalization of in vitro and in vivo data with intensity factor is given in figure 4. Correlation calculation: The correlation graph (Figure 5) was plotted as % absorbed verses % dissolved and there exists an extremely good correlation of formulation between in vitro and in vivo data.
  • 4. Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848 www.pharmascholars.com 601 Prediction Error: IVIVC model predictability was determined by the calculating percent Cmax and AUC prediction errors. Prediction error as %PE, AUC and %PE Cmax was found to be – 4.604 and - 11.19 respectively for each formulation. An IVIVC should be evaluated to demonstrate that predictability of in vivo performance of a drug product from its in vitro dissolution characteristics is maintained over a range of in vitro dissolution rates and manufacturing process. If in vitro dissolution is shown to be independent of dissolution conditions such as PH, surfactants, osmotic pressure, agitation intensity, a set of dissolution data obtain from one formulation is correlated with that of in vivo absorption data. To demonstrate a correlation, fraction absorbed in vivo should be plotted against fraction dissolved in vitro. If this relationship becomes linear with a slope of 1, then curves are super imposable, and there is a 1:1 relationship which is defined as point-to-point or Level A correlation. Regression analysis was also performed on Excel spread sheet with the same in vitro and in vivo data. R-squared value obtained from graph was 0.9794. According to FDA guidelines and expertise, statistic from Level A analysis is r, the correlation coefficient. It’s square, i.e. R-squared, ranges from 0 to 1 and is a measure of strength of relationship between fractions absorbed against fraction dissolved. Often, results with sufficient large R-squared (e.g., greater than 0.9) yielded “a successful correlation”. The in vitro–in vivo correlation of Acyclovir shows R-squared value 0.9794 in excel work sheet, which depicts a successful correlation between in vitro and in vivo Characteristic of the drug. In a linear correlation, in vitro dissolution and in vivo input curves may be directly super imposable or may be made to be super imposable by the use of appropriate scaling factor (time corrections). Time scaling factor should be the same for all formulations and different time scales for each formulation indicate absence of an IVIVC. Percent prediction error (PE%) of 10% or less for Cmax and AUC establishes the predictability of the IVIVC. In addition, the PE% for each formulation should not exceed 15%. Here %PEAUC and %PECmax was found to be –4.604 and -11.19 respectively. CONCLUSION The present study shows a good correlation between in vivo and in vitro PK profiles of the formulation used as the test drug in the study. The in vitro–in vivo correlation of Acyclovir shows R-squared value 0.9794 in excel work sheet, which depicts a successful correlation between in vitro and in vivo Characteristic of the drug. In addition, %PE AUC and %PE Cmax was found to be –4.604 and -11.19 respectively for each formulation. The concept of correlation level is based upon the ability of the correlation to reflect the complete plasma drug level- time profile which will result from administration of the given dosage form. An IVIVC Level A correlates the entire in vitro and in vivo profiles has regulatory relevance. This level of correlation is the highest category of correlation and represents a point-to- point relationship between in vitro dissolution rate and in vivo input rate of the drug from the dosage form. TABLE 1: IN VITRO DISSOLUTION DATA OF ACYCLOVIR 800 MG TABLETS (TEST) AND ZOVIRAX 800 MG TABLETS (REFERENCE) 0.1 N HCl Time (min) Acyclovir 800 mg (test) Tablets Zovirax 800mg (Reference) tablets 0 0 0 10 86 74 15 91 81 20 94 89 30 95 94 45 96 96
  • 5. Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848 www.pharmascholars.com 602 TABLE 2: FRACTION OF DRUG ABSORBED FOR TEST & REFERENCE Fraction of Drug Absorbed Time (hr) Test Reference 0 0 0 0.333 0.208509 0.283505 0.667 0.600566 0.809927 1 0.902686 0.99656 1.333 1.086002 1.195828 1.667 1.187093 1.321714 2 1.13907 1.327762 2.5 1.173928 1.330732 3 1.257711 1.281141 4 1.137136 1.175827 5 1.067112 1.088926 6 0.956591 0.981582 8 0.886052 0.901321 10 0.851755 0.878418 12 0.835008 0.851137 14 0.841072 0.844374 16 0.852433 0.850673 24 0.876586 0.875232 TABLE 3: Fraction of Drug Absorbed Time (hr) Fraction drug absorbed % Drug absorbed 0 0 0 0.333 0.283505 28.3505 0.667 0.809927 80.9927 1 0.99656 99.656 1.333 1.195828 119.5828 1.667 1.321714 132.1714 2 1.327762 132.7762 FIGURE 1: FRACTION OF DRUG DISSOLVED VS TIME GRAPH FOR ACYCLOVIR 800 MG TABLETS
  • 6. Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848 www.pharmascholars.com 603 % Drug absorbed vs Time Graph 0 20 40 60 80 100 0 0.5 1 1.5 2 2.5 3 Time %Absorbed % F FIGURE 2: FRACTION OF DRUG ABSORBED VS TIME GRAPH FOR ACYCLOVIR 800 MG TABLETS (TEST) % Drug absorbed vs Time Graph 0 20 40 60 80 100 0 0.5 1 1.5 2 2.5 3 Time %Absorbed % F FIGURE 3: FRACTION OF DRUG ABSORBED VS TIME GRAPH FOR ZOVIRAX 800 MG TABLETS (REFERENCE) Time scale normalization of IVIVC 0 20 40 60 80 100 0 0.5 1 1.5 2 2.5 Time (hr) %DrugAbsorbedor Dissolved In vivo observed In vitro observed In vitro predicted FIGURE 4: TIME SCALED NORMALIZATION OF IN VITRO AND IN VIVO DATA WITH INTENSITY FACTOR FIGURE 5: THE LINEAR REGRESSION PLOT OF % ABSORBED AND % DISSOLVED
  • 7. Sakore, et al. Int J Pharm 2012; 2(3): 598-604 ISSN 2249-1848 www.pharmascholars.com 604 REFERENCES 1. Leeson L. J. Drug Information Journal, 1995; 29: 903-915. 2. Gaynor C, Dunne A, Davis J., International Biometric Society, http://ibc2008abstracts.tibs.org/Other/IBC2008_Paper_ref_466.pdf 3. Modi NB, Lam A, Lindemulder E, Wang B, Gupta SK. Biopharm Drug Dispos, 2000; 21:321-326 4. Uppoor VRS. J Control Rel. 2001; 72:127-132. 5. Chilukuri DM, Sunkara G. Drug Delivery Technology, 2003; 3:4 6. Sirisuth N, Eddington ND, Int. J. Generic Drugs, 2002; Part 3:250-258. 7. Qureshi SA , The Open Drug Delivery Journal, 2010; 4: 38-47. 8. Jaber E. J. Pharm Pharmaceut Sci, 2006; 9 (2): 169-189. 9. Jayaprakasam B, Seeram NP, Nairs MG. Cancer Lett, 2003; 189 (1): 11-6. 10. www.rxlist.com 11. http://www.drugs.com/pdr/ Zovirax Tablets.html.