Introduction. Coronavirus disease 2019 (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus (severe acute respiratory syndrome-related coronavirus 2). COVID-19 is now expected to stay with us for many years as a recurring disease. Molnupiravir and favipiravir are oral antiviral drugs with anti-RNA polymerase activity. The Russian Health Ministry has approved molnupiravir and favipiravir for the treatment of COVID-19. The study describes development and validation of high-performance liquid chromatography – tandem mass spectrometry (HPLC-MS/MS) method for the simultaneous determination of β-D-N4-Hydroxycytidine and favipiravir in human blood plasma. The method could be applied in pharmacokinetic study of molnupiravir and favipiravir.Aim. The aim of this study is to develop and validate a HPLC-MS/MS bioanalytical method for the determination of β-D-N4-Hydroxycytidine and favipiravir in human plasma.Materials and methods. The determination of β-D-N4-Hydroxycytidine and favipiravir in human plasma by HPLC-MS/MS. The samples were processed by 0.1 % formic acid in acetonitrile. Internal standard: promethazine. Mobile phase: 0.01 mol/L Ammonium formate buffer solution (Eluent A), 0.1 % formic acid and 0.08 % aqueous ammonia in water/acetonitrile 10 : 90 (Eluent B). Column: Shim-pack GWS C18, 150 × 4.6 mm, 5 μm. Analytical range: 50.00–10000.00 ng/mL for β-D-N4-Hydroxycytidine, 250.00–20000.00 ng/mL for favipiravir in human plasma. Ionization source: electrospray ionization. Detection conditions: 260.00 m/z → 82.10 m/z, 260.00 m/z → 111.00 m/z, 260.00 m/z → 127.95 m/z (β-D-N4-Hydroxycytidine); 156.15 m/z → 65.95 m/z, 156.15 m/z → 85.00 m/z, 156.15 m/z → 113.10 m/z (favipiravir); 285.05 m/z → 198.05 m/z (promethazine).Results and discussion. This method was validated by selectivity, suitability of reference standard, matrix effect, calibration curve, accuracy, precision, spike recovery, the lower limit of quantification, carry-over effect and stability.Conclusion. The HPLC-MS/MS method for quantitative determination of β-D-N4-Hydroxycytidine and favipiravir in human plasma was developed and validated. The analytical range was 50.00–10000.00 ng/mL for β-D-N4-Hydroxycytidine, 250.00–20000.00 ng/mL for favipiravir in human plasma. This method was applied to investigate the pharmacokinetics of molnupiravir and favipiravir.
Статья получена: 15.01.2020. Статья принята к печати: 21.02.2020 Резюме Введение. ВИЧ-инфекция является одним из наиболее актуальных заболеваний современности с медицинской, эпидемиологической и социальной точки зрения. Своевременная диагностика, выявление и контроль заболевания, адекватное назначение антиретровирусной терапии позволяют в достаточной степени снизить вирусную нагрузку на организм пациента, снизить риски передачи инфекции. В настоящее время в качестве терапии всё чаще назначаются комбинации различных антиретровирусных лекарственных средств. Одной из перспективных комбинаций является совместное применение атазанавира и ритонавира. Важнейшим этапом для изучения фармакокинетического взаимодействия, исследований сравнительной фармакокинетики и биоэквивалентности является разработка аналитической методики, позволяющей определять исследуемые вещества в плазме крови человека. В настоящее время нет опубликованных методик о совместном определении атазанавира и ритонавира в плазме крови человека с помощью метода высокоэффективной жидкостной хроматографии с массселективным детектированием с применением одноквадрупольного масс-детектора. В данной работе приведена разработка и валидация методики совместного определения атазанавира и ритонавира в плазме крови после пробоподготовки способом осаждения белков. Цель. Целью исследования является разработка методики количественного определения атазанавира и ритонавира в плазме крови человека методом высокоэффективной жидкостной хроматографии с одноквадрупольным масс-спектрометрическим детектированием (ВЭЖХ-МС) для проведения аналитической части фармакокинетических исследований. Материалы и методы. Количественное определение атазанавира и ритонавира в плазме крови человека методом ВЭЖХ-МС. В качестве пробоподготовки был использован способ осаждения белков. Результаты и обсуждение. Разработанная методика была валидирована по следующим валидационным параметрам: селективность, эффект матрицы, линейность, точность, прецизионность, предел количественного определения, перенос пробы, стабильность. Заключение. Разработана и валидирована методика количественного определения атазанавира и ритонавира в плазме крови человека методом ВЭЖХ-МС. Подтвержденный аналитический диапазон методики составил 50,0-10000,0 нг/мл для атазанавира и 10,0-2500,0 нг/мл для ритонавира. Полученный аналитический диапазон позволяет применять разработанную методику для проведения аналитической части исследований фармакокинетики препаратов, содержащих атазанавир и ритонавир.
Introduction. Allaforte® (JSC "Pharmcenter VILAR", Russia) is an antiarrhythmic long-acting drug. The dosage form of the drug Allaforte® provides a decrease in the frequency of taking the drug and also reduces the risk of side effects. It is relevant when taking antiarrhythmic drugs of the IC class. However, the pharmacokinetics of this drug has not been studied on humans. Therefore, it is important to fully study the pharmacokinetics to ensure the maximum efficacy and safety of arrhythmia therapy.Aim. The aim is pharmacokinetics study of long-acting antiarrhythmic drug Allaforte® (JSC "Pharmcenter VILAR", Russia), 25 mg. Materials and methods. Concentration of lappaconitine and its active metabolite N-desacetyllappaconitine in human plasma determinates by high performance liquid chromatography with tandem mass-spectrometry. Pharmacokinetic parameters calculated by R Project 3.5.1 software (package «bear», version 2.8.3-2), originally created by Hsin-ya Lee and Yung-jin Lee, Taiwan.Results and discussion. Pharmacokinetic parameters of lappaconitine and N-desacetyllappaconitine were calculated. Averaged pharmacokinetic profiles (in linear and semi-log scale) of lappaconitine and N-desacetyllappaconitine after single administration under fasting were built. The means of the maximum concentrations (Cmax) determined in the blood plasma of volunteers after single administration Allaforte® are 5.09 ± 4.07 ng/ml for lappaconitine and 11.66 ± 6.21 ng/ml for N-deacetyllappaconitine (Mean ± SD). The peak time of the maximum concentrations (Tmax) is 4.43 ± 3.54 hours for lappaconitine and 4.04 ± 2.18 hours for N-deacetyllappaconitine. The means of the areas under the curve plasma concentration – time from 0 to 48 hours (AUC0-t) and under the curve plasma concentration–time from zero to infinity (AUC0-∞) of Allaforte® is 42.96 ± 34.48 ng ∙ h/ml and 71.24 ± 43.20 ng ∙ h/ml for lappaconitine; 167.42 ± 114.41 ng ∙ h/ml and 189.42 ± 115.20 ng ∙ h/ml for N-deacetyllappaconitine. Allaforte® was eliminated from blood plasma with means of terminal half-life (T1/2) 8.45 ± 5.10 hours for lappaconitine and 9.04 ± 2.57 hours for N-deacetyllappaconitine.Conclusion. Pharmacokinetics study of long-acting antiarrhythmic drug Allaforte® (JSC "Pharmcenter VILAR", Russia) after single administration was researched. Results of the study allows to conduct an effective therapy of arrhythmia by study drug and minimize side effects.
Introduction. Coronavirus disease (COVID-19) is an acute infectious disease caused by SARS-CoV-2 (severe acute respiratory syndrome-related coronavirus 2). Favipiravir is a synthetic prodrug with antiviral activity used for the treatment of COVID-19. There are oral and parenteral dosage forms of favipiravir. Compared with oral administration, parenteral administration has some advantages. Developing a method for the determination of favipiravir in human blood plasma is necessary for performing the analytical part of clinical studies of favipiravir for parenteral administration as an infusion, studying pharmacokinetics, and choosing the optimal dosage of the drug.Aim. The aim of this study is to develop and validate a method for quantitative determination of favipiravir in human plasma by high-performance liquid chromatography with ultraviolet detection (HPLC-UV) for pharmacokinetic studies.Materials and methods. Determination of favipiravir in human plasma by HPLC-UV. The UV detection was set at 323 ± 2 nm. The samples were processed by methanol protein precipitation. Internal standard: raltegravir. Mobile phase: 0.1 % formic acid in water with 0.08 % aqueous ammonia (eluent A), 0.1 % formic acid in acetonitrile with 0.08 % aqueous ammonia (eluent B). Column: Phenomenex Kinetex®, C18, 150 × 4.6 mm, 5 μm. Analytical range: 0.25–200.00 μg/mL.Results and discussion. This method was validated by selectivity, calibration curve, accuracy, precision, spike recovery, the lower limit of quantification, carry-over effect and stability.Conclusion. We developed and validated the method of quantitative determination of favipiravir in human plasma by HPLC-UV. The analytical range was 0.25–200.00 μg/mL in human plasma. The method could be applied in pharmacokinetics studies of favipiravir.
Introduction. One of the purposes of dissolution profile comparison is to establish the equivalence of dissolution profiles of the studied drug and the comparison drug.Text. According to the current regulatory documents, the main tool for quantitative confirmation of equivalence of drug release profiles is the calculation of the similarity factor (f 2). However, it does not consider the form of dissolution profiles, incomplete release of the drug substance, time correlation, and is not susceptible to the «outliers», which leads to false positive results. Special attention should be paid to the dissolution of drugs with high variability, which is not eliminated by either increasing the sample or changing the sampling scheme. If f 2 is not used, it is necessary to use model-dependent and model-independent methods that are statistically correct, and their use is sufficiently justified (difference factor f 1 , Weibull distribution function, comparison of release degrees at different time points (according to the student's t-criterion). However, these models have an empirical nature that calls into question the application of such methods. Multivariate analysis is widely discussed in the literature and can be used to compare the similarity of dissolution with the assumption that the data has a normal distribution. The most common methods for checking similarity of dissolution profiles for highly variable drugs are the Mahalanobis distance test and the bootstrap for f 2. There is a document of EMA about suitability of the Mahalanobis distance as a tool to assess the comparability of drug dissolution profiles and to a larger extent to emphasise the importance of confidence intervals to quantify the uncertainty around the point estimate of the chosen metric. The bootstrap methodology for f 2 does not provide a clear understanding of the application to dissolution profile comparison for incomplete-release drugs, particularly in biorelevant environments. The «T2EQ» function, based on the Mahalanobis distance for highly variable drugs (Hoffelder), gives undefined results in practice.Conclusion. The topic of equivalence of dissolution profiles requires discussion, since it is shown that the convergence factor is outdated and cannot be adequately applied. The use of modern methods does not have a clear regulatory confirmation by the regulatory authority. In the published scientific literature, several statistical methods have been explored and compared for their design and performance. It is necessary to develop a clear plan (decision treeы) for conducting the procedure for equivalence of dissolution profiles, employing a range of statistical methods.
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