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Statistical Approaches for Particle Size Distribution Data David Christopher Schering-Plough Research Institute PQRI and INFTG Workshop Demonstrating Bioequivalence of Locally Acting Orally Inhaled Drug Products March 9-10, 2009 Hyatt Regency Bethesda Bethesda, MD

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Page 1: Statistical Approaches for Particle Size Distribution Datapqri.org/wp-content/uploads/2015/08/pdf/christopher_final.pdf · Statistical Approaches for Particle Size Distribution Data

Statistical Approaches for

Particle Size Distribution Data

David ChristopherSchering-Plough Research Institute

PQRI and INFTG WorkshopDemonstrating Bioequivalence of Locally Acting Orally Inhaled

Drug Products

March 9-10, 2009

Hyatt Regency Bethesda

Bethesda, MD

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David Christopher – PQRI BE Workshop, March 9-10, 2009 2

Acknowledgements

Walter Hauck

Ziqing Pan

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David Christopher – PQRI BE Workshop, March 9-10, 2009 3

Outline

• Brief overview of cascade impactor (CI) and particle size distribution (PSD) profiles

• Comparison of three statistical approaches:– Chi-square

– f2 Similarity Factor

– Multivariate Bioequivalence (MVBE)

• Discussion of how a statistical test may correctly meet some objectives (e.g., unbiasedness, scaled to reference variability, etc.) but fail to have enough power to detect differences of practical importance.

• Discussion of difficulty in establishing a "target" (i.e., consensus on profiles that are, or are not equivalent) against which the performance of a statistical test can be judged.

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David Christopher – PQRI BE Workshop, March 9-10, 2009 4

Cascade Impactor Particle Size

Distribution Profile

Deposition Site

Mass

Recovery

Actuator

Stem

Reference

Product

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David Christopher – PQRI BE Workshop, March 9-10, 2009 5

Cascade Impactor Particle Size

Distribution Profile

Deposition Site

Mass

Recovery Test

Product

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David Christopher – PQRI BE Workshop, March 9-10, 2009 6

Deposition Site

Mass

Recovery

Example Test / Reference PSD

Profiles

30 CI runs each for Test (Red)

and Reference (Blue) Products

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David Christopher – PQRI BE Workshop, March 9-10, 2009 7

PQRI Profile Comparisons WG

Realistic Scenarios

• WG developed an approach to simulate realistic

PSD profiles, including inter-site correlations

• Created 55 scenarios to cover a broad range of

PSD profile differences seen in real products

• Used these 55 realistic scenarios to evaluate the

performance characteristics of the Chi-square

Ratio Test

• f2 and multivariate PBE (MVBE) also evaluated

against these scenarios

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David Christopher – PQRI BE Workshop, March 9-10, 2009 8

Profile Examples from PQRI Profile Comparisons WG

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David Christopher – PQRI BE Workshop, March 9-10, 2009 9

Chi-Square Ratio Test

• FDA proposal requires 30 CI runs for Test and 30 CI runs for Reference

• Calculates Chi-square ratio as an overall measure of “distance” between Test and Reference PSD profiles, scaled to Reference product variability

• Uses re-sampling to create a distribution of these ratios

• Uses the 95th percentile of this distribution as the test statistic

• Smaller means more similar

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David Christopher – PQRI BE Workshop, March 9-10, 2009 10

Sample mean and confidence interval

1. Calculate Chi-sq Ratio of the kth triplet

R(Chi2)k =Ss Ws[ds(test, ref)]

2/es(test, ref)

2. Calculate mean Ch-sq Ratio of K triplets

R(Chi2) = (1/K) Si=1 to K (Chi-sq ratio(i)),

K = number of test/ref1/ref2 triplets (e.g. K=30)

3. Repeat the steps M times and calculate sample mean of Kratios of Chi-sq distance

^E(R) = (1/M) Sm=1 to MRm

4. The 95% upper confidence bound for the E(R), RU is the

empirical upper 95 percentile among the M Rm„s

5. Compare RU with q (pre-given). BE if R

U < q (e.g. =7.66).

Determining the equivalence limit,

q (=7.66) through simulation(using

Albuterol MDI)

1. Generate n = 1000 per product (10 lots, 100canisters/lot)

2. Real data mean and %CV used insimulations. Same between-lot and within-lot (between-canister) variability at eachstage. Two type of %CV (i.e. low and high)

Product ST & ACT Throat ST0 ST1 ST2 ST3 ST4 ST5 ST6 ST7

Low 20 10 30 20 20 20 10 20 20 20

High 10 5 15 10 10 10 5 10 10 10

3. Deposition in the stage was simulated fromlognormal dist.

4. Standardized to total =100.

Calculation of Chi-sq and Chi-sqRatio (based on Anderson CascadeImpactor)

Product ST &

ACT

Throat ST0 ST1 ST2 ST3 ST4 ST5 ST6 ST7

Test 14.28 38.26 1.83 2.06 2.24 7.56 17.97 13.11 1.59 0.51

Ref #1 18.56 46.32 2.15 0.43 0.92 9.11 12.00 7.11 2.44 0.82

Ref #2 19.22 47.51 2.03 0.82 0.83 9.06 10.21 7.15 2.01 0.94

Ref=(ref #1+ref #2)/2 18.89 46.91 2.09 0.63 0.87 9.08 11.10 7.13 2.23 0.88

D(test, ref) 4.61 8.65 0.26 1.43 1.37 1.52 6.87 5.97 0.64 0.37

Es =(test+ ref)/2 16.59 42.59 1.96 1.34 1.56 8.32 14.54 10.12 1.91 0.70

D2

/ Es

1.28 1.76 0.03 1.52 1.20 0.28 3.24 3.53 0.21 0.19

Chi-sq (test:ref) = 13.25

D(ref1, ref2) 0.66 1.19 0.12 0.39 0.08 0.05 1.79 0.04 0.43 0.12

d-sq/ave(ref1, ref2) .023 .030 .006 .249 .008 .0002 .288 .0002 .083 .016

Chi-sq(ref1,ref2) = 0.70

Chi-sq Ratio = 18.83 (the smaller the better)

Profile Analysis of Cascade Impactor Data: Proposed FDA Approach, Yi

Tsong, Ph.D. (2000)

http://www.fda.gov/ohrms/dockets/ac/00/slides/3609s1e/index.htm

Based on Albuterol MDI data and simulations

Chi-Square Ratio Test

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David Christopher – PQRI BE Workshop, March 9-10, 2009 11

f2 (or Similarity Factor)

• Developed for comparing dissolution profiles, but could potentially be applied to PSD profiles

• A population measure for assessing the similarity of two profiles

• Based on squared differences of cumulative distribution of Test and Reference

• Requires ordering of deposition sites– straightforward for inside impactor sites– how to treat outside impactor sites?

• No Reference product variability scaling

• In dissolution testing, similarity factor of 50 or greater indicates “similar” profiles

• Shah V, Tsong Y, Sathe P, Liu JP, In vitro Dissolution Profile Comparison – Statistics and Analysis of the Similarity Factor, f2, Pharmaceutical Research, Vol 15, No. 6, 1998.

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David Christopher – PQRI BE Workshop, March 9-10, 2009 12

Multivariate PBE (MVBE)

• Generalizes univariate PBE, including Reference product variability scaling

• Originally developed with in vitro bioequivalence in mind;e.g., treating four measures of spray pattern together in a single test rather than as four separate tests

• Shown statistically valid for dimensions up to 8 (not studied for >8)

• Would be better suited for cases where difference is on most stages rather than on just 1 or 2

• Chervoneva I, Hyslop T, Hauck WW. A multivariate test for population

bioequivalence. Statistics in Medicine 26:1208-23;2007.

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David Christopher – PQRI BE Workshop, March 9-10, 2009 13

How Do We Judge Performance?

• How consistently did the method agree

with the true answer?

• Must know what the true answer is

• Not simple…

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David Christopher – PQRI BE Workshop, March 9-10, 2009 14

Scenario 2a

“Minimal” differences in

impactor-sized profiles

between Reference and Test

R Total Mass = 113.43

R ISM = 58.85

T Total Mass = 112.54

T ISM = 56.42

CI Deposition Sites

ISM SitesBlue Line = Reference (R), Red Line = Test (T)

Realistic Scenarios:

Example Profiles

Proportion of WG

who judged profiles

equivalent

0.79

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David Christopher – PQRI BE Workshop, March 9-10, 2009 15

More pronounced differences in

impactor-sized profiles between

Reference and Test

ISM Sites

R Total Mass = 115.52

R ISM = 57.61

T Total Mass = 118.24

T ISM = 57.74Scenario 2b

CI Deposition Sites

Blue Line = Reference (R), Red Line = Test (T)

Realistic Scenarios:

Example Profiles

Proportion of WG

who judged profiles

equivalent

0.50

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David Christopher – PQRI BE Workshop, March 9-10, 2009 16

Very visible differences in

impactor-sized profiles

between Reference and Test

R Total Mass = 115.77

R ISM = 57.42

T Total Mass = 114.89

T ISM = 56.04

ISM Sites

Scenario 2c

CI Deposition Sites

Blue Line = Reference (R), Red Line = Test (T)

Realistic Scenarios:

Example Profiles

Proportion of WG

who judged profiles

equivalent

0.21

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David Christopher – PQRI BE Workshop, March 9-10, 2009 17

Box-Whisker Plot of 95th Percentile

95

thP

erc

en

tile

Scenarios

Chi-square Ratio Test

Lower Variability

Higher Variability

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David Christopher – PQRI BE Workshop, March 9-10, 2009 18

Box-Whisker Plot of 95th Percentile

95

thP

erc

en

tile

Scenarios

Vcrit=7.66

Vcrit=2.75

Chi-square Ratio Test

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David Christopher – PQRI BE Workshop, March 9-10, 2009 19

Box-Whisker Plot of 95th Percentile

95

thP

erc

en

tile

Scenarios

Vcrit=7.66

Vcrit=2.75

Chi-square Ratio Test

0.79

Equiv. 0.21

Equiv.

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David Christopher – PQRI BE Workshop, March 9-10, 2009 20

Box-Whisker Plot of 95th Percentile

95

thP

erc

en

tile

Scenarios

Vcrit=7.66

Vcrit=2.75

Chi-square Ratio Test0.07

Equiv.

1.00

Equiv.

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David Christopher – PQRI BE Workshop, March 9-10, 2009 21

Vcrit= 50

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David Christopher – PQRI BE Workshop, March 9-10, 2009 22

Vcrit= 50

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David Christopher – PQRI BE Workshop, March 9-10, 2009 23

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David Christopher – PQRI BE Workshop, March 9-10, 2009 24

Conclusions

• All three approaches generally agree in rank

order for the lower variability profiles

– MVBE may be more sensitive to differences in

variability

• No approach seems to be able to consistently

discriminate among differences likely to be of

practical importance

• Difficult to evaluate performance when there is

no clear consensus on “truth”