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DEVELOPMENT1 & VALIDATION
  OF HIGH-THROUGHPUT &
ROBUST UPLC-MS/MS METHOD
   FOR QUANTITATION OF
  TERBINAFINE IN HUMAN
         PLASMA:
  ………….APPLICATION TO
  BIOEQUIVALENCE STUDY
Aim & objectives :
                         2

 Development & Validation of High-throughput &
  Robust UPLC-MS/MS method for Quantitation Of
             Terbinafine in human plasma:
         Application to Bioequivalence Study.
Objectives:
 The objective will be to achieve more selectivity,
  sensitivity and more rapid assay method than
  have been previously described.
 The developed method could then be applied to
  clinical trials to obtain accurate pharmacokinetic
  parameters in human plasma.
 To develop & validate simple and robust.
 To consume small amounts of solvent and
  biological fluid for extraction.
Literature review
                          3

 A few HPLC methods have been reported so far for
  the determination of terbinafine in pharmaceutical
  preparations as well as in biological matrices .
 Further- more, the latest methods have used liquid
  chromatography coupled to a mass spectrometry
  detector for the determination of terbinafine in
  human hair or tandem mass spectrometry detector
  in human and minipig plasma.
 Only two LCMS/ MS methods in human plasma,
  applied to a bioequivalence studies, have been
  reported.
Scope of application
                              4
 latest reported LC-MS/MS METHOD:
 2.5 min analytical run time…………
 LLOQ upto 25ng/ml……….
 Plasma volume 500µl which is to high.........
 So we develop UPLC–MS/MS method for determining
  Terbinafine in human plasma which having,
 Simple liquid–liquid extraction technique with less than
  2 min analytical run time and LLOQ 15ng/ml.
 Method having less matrix effect, high recovery, less costly
  and high throughput.
 This method was successfully applied to a bioequivalence
  study of Two TER 250 mg oral tablets in 44 healthy
  human volunteers.
Presentation flow
                       5

Introduction
Bioequivalence study
Materials & Methods
Method Validation
Results & Discussion
Conclusion
References
introduction of Biopharmaceutical analysis
                            6


 Need of Biopharmaceutical Analysis:
  Methods of measuring drugs in biologic media are
  increasingly important problems related to following
  studies are highly dependent on biopharmaceutical
  Analytic methodology.
 Bioavailability and bioequivalence studies
 New drug development
 Clinical pharmacokinetics and metabolism
 Therapeutic drug monitoring
 Research in basic biomedical and pharmaceutical sciences
Introduction- Drug profile (terbinafine)
                            7

 Terbinafine (TER) is [(E)-N-(6, 6-dimethyl-2-heptene-
  4-ynyl)-N-methyl-1-naphthalene methanamine]
  synthetic allylamine antifungal compound. It is freely
  soluble in methanol and methylene chloride, soluble in
  ethanol, and slightly soluble in water .
 The empirical formula C21H25N with a molecular weight
  of 291.43g/mol and the following structural formula:
  TERBINAFINE            CH3

                        N                    C(CH3)3
Continues…..
                           8

 PKa of Terbinafine: 7.10
 Melting Point: 195-198 °C
 M/A: ANTIFUNGAL
 Terbinafine is a highly lipophilic and fungicidal
  compound active against a wide range of skin
  pathogens.
 It acts by selectively inhibiting the enzyme
  squalene epoxidase, which is involved in the
  synthesis of ergosterol from squalene in the fungal
  cell wall.
Drug profile of internal standard (metoprolol)
                              9

 Stable labelled isotope internal standards are the first
  choice, they are not economical and deuterium-labelled
  compounds may sometimes demonstrate unexpected
  behaviour, such as different retention times or recoveries,
  than the analyte.
 Thus, we investigated several compounds to find a suitable
  IS, and chose Metoprolol as an internal standard in this
  study.
 Molecular Formula : C15H25NO3   METOPROLOL    OH
  Molecular Weight : 267.36
                                                      NH      CH3
  Solubility       : Methanol             O


                                                             CH3

                      OH3C
Bioequivalence study
                              10

 Nowadays bioequivalence studies are a pivotal part of
  registration dossiers. These studies measure the
  bioavailability of two (or more) formulations of the same
  active ingredient.
 The purpose of the study is that the bioavailability of the
  formulations under investigation, it shown to be equal.
 Based on that conclusion, one may subsequently claim
  that the therapeutic quality of these formulations is
  identical. The latter means that both the beneficial and
  side effects are identical and hence the formulations are
  truly interchangeable.
Study design
                                   11
 Basically two types of designs are possible, that is the parallel and
  cross-over design. The major difference between these designs is
  the way they deal with inter-subject variability.
 Inter-subject variability is a measure of the differences between
  subjects. On the other hand intra-subject variability is a measure
  of the differences within subjects. Both types of variability are
  present in each trial, but in the cross-over design the inter-subject
  variability is eliminated.
 The subject functions as his or hers own control and a difference
  between formulations within one person is only influenced by
  the (non)random within variability. This makes the cross-over
  design much more efficient in terms of sample size. One
  should remember than sometimes the intra-subject variability
  is very high and in these cases the advantage of a cross-over
  design rapidly fades away. This happens with so called highly
  variable drugs.
Continues…..
                                   12
 The most common design for a cross-over trial is the well known
  AB/BA trial. It tells that one splits the entire sample of subjects
  randomly into two groups. Group 1 will receive the drug or
  formulations (frequently called the treatments) in the order A-B
  or reference-test and the other group in the order B-A or test-
  reference. These two orders are called the sequences, so any two-
  formulation trial is a two-sequence trial.
 At the same time any two-formulation trial is also a two-period
  trial. In the first period 50% of the volunteers receive A or reference
  and 50% B or test. In the second period the order is reversed of
  course. The periods and the sequences are not supposed to exert
  an influence on the measured parameters like the AUC, T1/2 or any
  other one. When a significant period or sequence effect is noted,
  the study can be invalid.
Continues…..
                                   13
 One of the problems with any AB/BA trial is carry-over, if Carry-
  over is present when the effects of the drugs in period 1 are still
  noticeable in period 2. For a bioequivalence study this would be the
  case if the first plasma level before administration of the drug in
  the second period is not 0. If that is the case the washout between the
  two periods was not sufficiently long.
 The study must have 1] been a single dose study,
                       2] been in healthy normal volunteers,
                       3] not been comparing an endogenous
                          substance,
                       4] had an adequate washout and
                       5] used an appropriate
                          design, analysis and
                          equivalence must be present.
Application to Bioequivalence study
                               14

 The proposed analytical method was applied to a
  bioequivalence study of two Terbinafine formulations under
  fasting condition in healthy volunteers of 37±7 years in age and
  54±6 kg in weight.
 The design of study comprised of a randomized, open label,
  single dose, two treatments, two periods, two sequence
  crossover bioequivalence study of 250 mg TER formulation in
  44 healthy Indian volunteers.
 Subjects were informed of the aims and risks of the study by the
  clinical investigator.
 Each volunteer was judged to be in good health through
  medical history, physical examination and routine laboratory
  tests screening values were exclusion criteria.
Continues……
                             15
 The study was conducted strictly in accordance with
  guidelines laid down by USFDA .
 Blood samples were obtained following oral
  administration of 250mg of TER tablet into K3EDTA
  vacutainer solution as an anticoagulant at predose, 0.5h,
  1h, 1.5 h, 2 h, 2.5 h, 3 h, 3.5 h, 4 h, 5 h, 6 h, 7 h, 9 h,
  12 h, 16 h, 24 h, 48 h, 72 h, 96 h, 120 h, 144 h.
 Plasma was harvested by centrifuging the blood using an
  eppendorf centrifuge 5810R (Eppendorf, Germany) at
  3000 rpm for 5 min and stored frozen at −20±5˚C until
  analysis.
Parameters measured in bioequivalence study
                                     16

 The Area Under the Plasma concentration-time curve (AUC), because it
    describes the total number of molecules present in plasma, thereby
    informing the researchers on the extent of the release…..(AUC0–t and
    AUC0–∞ ).
   The maximum plasma concentration (Cmax).
   The time at which the maximum plasma concentration is reached
    (Tmax).
   The elimination half life (T1/2). (T1/2) was calculated by 0.692/λ.
   Equivalence limits currently accepted by the regulatory bodies are as
    follows:
             for the AUC„s 0.8-1.25.
             for Cmax 0.7-1.43 .
Materials & methods
                                   17

   Materials:
   Terbinafine working standard
   Metoprolol working standard
   Acetonitrile (HPLC grade)
   Methanol (HPLC grade)
   Milli-Q/HPLC water
   Ammonium acetate (LR grade)
   Formic acid (GR grade)
   Tert- butyl methyl ether (HPLC grade)
   N-hexane (HPLC grade)
   Human plasma
18

Column and mobile phase selection
 Here, we tried different columns like Sunfire symmetry,
  Acquity UPLC, Kromasil, Phenomenax etc. and also different
  mobile phase composition like water- methanol, water-
  acetonitrile, Phosphate buffer- acetonitrile,0.1% formic acid in
  water buffer- acetonitrile, ammonium acetate buffer-
  acetonitrile, ammonium acetate and buffer- acetonitrile-
  methanol.
 But among these best suitable column was Acquity UPLC and
  best mobile phase composition was ammonium acetate buffer
  (10mM): acetonitrile(15:85).
General chromatographic condition
   Matrix                        Human 19plasma
   Sample volume                 0.500 µI
   Injection volume              2 µl
   Extraction method                       Liquid-liquid extraction
   Internal standard             Metoprolol
   Detection           Q3 (Quattro premierXE, Micromass)
   m/z ratio           292.37> 92.90
   Weighing factor     1/x
   Column              Acquity UPLC, Symmetry;
                                  C18, 2.1x50mm, 2.5µm
   Mobile phase                  Buffer(pH 5 ±0.05): ACN (15:85)v/v
   Flow Rate           0.3 mL/minute
   Ion Mode            Positive Mode
   Column temperature            40 ±5ºC
   Sample cooler temperature     20 ±5ºC
   Retention time                Terbinafine 1.8 min; Metoprolol 0.7 min
   Run time                      2.0 min
Mass tune parameters
      Parameter                 20
                                Drug            ISTD
 Capillary Voltage (KV)          3.5             3.5
  Source Temperature            120°C           120°C
Desolvation Temperature         450°C           450°C
   Cone Voltage (V)              26               33
   LM Resolution-1              14.5             14.5
   HM Resolution-1              14.5             14.5
 Collision Energy (eV)           18               18
       Entrance                   2               2
          Exit                    2               2
   LM Resolution-2              14.5             14.5
   HM Resolution-2              14.5             14.5
       Detection             292.37> 92.90   268.33>115.90
 Dwell Time (Second)            0.200           0.200
 Desolvation Gas Flow            500             500
Preparation of calibration standards & quality
       control samples
                                      21
CC ID                   Final conc.        QC ID                       Final conc.
                         (ng/ mL)                                        (ng/ml)

STD-1 (Cmax x4 /100%)    1595.53           H.Q.C (70 to 90%)            1236.51

STD-2 (90%)              1435.97           M.Q.C (30 to 50%)             726.04

STD-3 (75%)              1195.17           L.Q.C (LLOQ x 3)              43.56

STD-4 (50%)               796.65           LOQQC                         15.92

STD-5 (15%)               238.99

STD-6 (5%)                79.58

STD-7 (LOQ x 2)           31.83

STD-8 (LOQ)               15.92            Minimum r2 value >   0.98
Trials for selection of method
                            22

 Three trials used for sample extraction methods:
 SPE (Solid phase extraction): Conditioning » washing
  » loading of sample » eluting.
 LLE (Liquid-liquid extraction): Sampling »adding
  solvent/ solvent mixture » vortex » centrifuge »
  evaporate to dryness » reconstitute.
 Protein precipitation : Sampling + ppt. solvent.
 In these methods, LLE method is less costly, simple,
  rapid and having less interference of endogenous
  materials. so, we selected LLE method.
Finally Selected Method (LLE):

                         23
 A 0.490-mL aliquot of plasma sample was spiked with
  25 μL of IS (metoprolol, 10 µg/mL) in 10 mL glass
  tubes and vortexed for 1 min.
 To this hexane: t-butyl methyl ether (TBME) (80:20)
  was added (4.5 mL), and the mixture was vortexed for
  5 min and centrifuged at 2000 rpm for 5 min.
 The organic layer was separated into clean
  evaporation tubes and evaporated to dryness under N2
  at 45°C.
 The residue was reconstituted with 500 µL of
  acetonitrile: ammonium acetate (70:30) mobile phase
  solution and injected 2 μL injection into the LC–
  MS/MS system.
 All prepared samples were kept in an auto sampler at
  10± 5°C until injection.
Method validation
                                   24

 Method validation was performed according to the USFDA
    guidance for industrial bio analytical method validation.
   PARAMETERS:
   Selectivity
   Sensitivity
   Linearity
   Accuracy and precision(INTRA-DAY/INTER-DAY)
   Recovery
   Matrix effect
   LLOQ
   LOD
   Reinjection /Reproducibility
25

 STABILITY STUDIES:
 Auto sampler stability
 Short-term stock solution stability
 Bench top stability
 Freeze-thaw stability
 Long term stability
 Blood stability
 Samples were considered to be stable if assay values were
  within the acceptable limits of accuracy (i.e., ±15%
  S.D.) and precision (i.e., 15% R.S.D.).
Results & discussion
                                             26
 A Representative Regression Analysis of a
           Calibration curve of Terbinafine - Linearity
Compound name: Terbinafine
Correlation coefficient: r = 0.998306, r^2 = 0.996615
Calibration curve: 0.00272614 * x + 0.00680601
Response type: Internal Std ( Ref 2 ), Area * ( IS Conc. / IS Area )
Curve type: Linear, Origin: Exclude, Weighting: 1/x^2, Axis trans: None



           4.00


           3.00
Response




           2.00


           1.00


           0.00                                                                  ng/µl
                  0   200    400     600       800      1000     1200     1400
27
MV_148 Sm ooth(Mn,3x2)                                                  MRM of 2 channels ,ES+
AQ STD FS-03 AQ STD FS-03                                                        292.37 > 92.9
                                                   Terbinafine                     4.059e+006
100
                                                      1.79
                                                   473674.31
  %                                                 42499.41


  0                                                                                        m in

MV_148 Sm ooth(Mn,3x4)                                                  MRM of 2 channels ,ES+
AQ STD FS-03 AQ STD FS-03                                                       268.33 > 115.9
               ISTD;0.75;166975.06;49958.02                                        1.237e+006
100


  %


  0                                                                                        m in
           0.25    0.50    0.75    1.00    1.25      1.50      1.75      2.00   2.25    2.50



MV_013 Sm ooth(Mn,3x2)                                                   MRM of 2 channels ,ES+
Specificity-K30090 Specificity-K30090                                             292.37 > 92.9
     0.01                                      1.41 1.49                     2.26   2.308e+003
100         0.25 0.44 0.56      0.87 1.03 1.13               1.68   1.83


  %


  0                                                                                        m in

MV_013 Sm ooth(Mn,3x4)                                                  MRM of 2 channels ,ES+
Specificity-K30090 Specificity-K30090                                           268.33 > 115.9
        0.16       0.49                                                            2.962e+002
100                        0.76           1.15               1.70          2.20 2.32
                                   1.01          1.36 1.52            1.92


  %


  0                                                                                        m in
           0.25    0.50    0.75    1.00    1.25      1.50      1.75      2.00   2.25    2.50
A Representative Chromatograph of LLOQ & HQC
                                           28
MV_152 Sm ooth(Mn,3x2)                                          MRM of 2 channels ,ES+
STD 8 BS-01 STD 8 BS-01                                                  292.37 > 92.9
                                                Terbinafine                3.983e+004
100
                                                   1.79
                                                 4111.85
 %                                                362.94


  0                                                                               m in

MV_152 Sm ooth(Mn,3x4)                                          MRM of 2 channels ,ES+
STD 8 BS-01 STD 8 BS-01                                                 268.33 > 115.9
            ISTD;0.75;83226.54;16888.04                                    6.229e+005
100


 %


  0                                                                               m in
         0.25   0.50      0.75   1.00   1.25     1.50    1.75   2.00    2.25   2.50

MV_160 Sm ooth(Mn,3x2)                                          MRM of 2 channels ,ES+
HQC BS-01 HQC BS-01                                                      292.37 > 92.9
                                                Terbinafine                2.556e+006
100
                                                   1.80
                                                290219.72
 %                                               13666.40


  0                                                                               m in

MV_160 Sm ooth(Mn,3x4)                                          MRM of 2 channels ,ES+
HQC BS-01 HQC BS-01                                                     268.33 > 115.9
            ISTD;0.75;81945.05;27743.38                                    6.119e+005
100


 %


  0                                                                               m in
         0.25   0.50      0.75   1.00   1.25     1.50    1.75   2.00    2.25   2.50
BACK CALCULATED CALIBRATION CURVE
                   CONCENTRATIONS- SENSITIVITY
                                                         29
                    Back calculated calibration curve concentrations for Terbinafine in human Plasma
                                                                                               Curve parameter summary
 Standard ID STD 1 STD 2 STD 3 STD 4 STD 5 STD 6 STD 7 STD 8                                     R²     Slope Intercept
Nominal (ng/mL) 1595.527 1435.974 1196.167 796.647 238.994 79.585 31.834 15.917
                1356.198 1220.578 1016.742 677.150 203.145 67.647 27.059 12.734
   Range
                1834.856 1651.370 1375.592 916.144 274.843 91.523 36.609 19.100
    P&A I       1543.362 1361.017 1163.833 775.477 257.257 86.271 31.717 15.626 0.9966 0.0027 0.0068
    P&A II      1487.835 1338.031 1204.180 815.769 254.835 83.193 32.216 15.621 0.9969 0.0037 0.0087
   P&A III      1512.698 1280.026 1152.599 823.897 263.082 85.926 32.050 15.527 0.9938 0.0030 0.0116

    Mean       1514.632 1326.358 1173.537 805.048 258.391        85.130    31.994   15.591
   ± S.D        27.814 41.738 27.125 25.929 4.239                1.686     0.254    0.056
    % CV         1.8      3.1      2.3      3.2     1.6           2.0       0.8      0.4
  % Nominal      94.9     92.4     98.1    101.1   108.1         107.0     100.5     98.0

 Acceptance criteria:   % CV ≤ 15% ( ≤ 20 % for LLOQ)
                        % Nominal ± 15 % ( ± 20 % for LLOQ)
ACCURACY & PRECISION
                                                           30
                          Intra-day and Inter-day Precision & Accuracy for Terbinafine in human Plasma

                            H QC                                     M QC                                L QC
                                                     Nominal concentration(ng/ml)
                           1312.145                                734.801                               44.088
Upper limit                1508.967                                845.021                               50.701
Lower limit                1115.323                                624.581                               37.475
               P&A I        P&A II      P&A III       P&A I         P&A II     P&A III       P&A I        P&A II   P&A III
              1296.644     1209.171    1211.743      784.648       722.852     737.658       48.203      44.213    44.708
              1284.567     1189.750    1255.359      786.163       715.786     771.130       49.019      45.394    45.991
              1270.637     1219.779    1221.620      740.848       781.918     748.529       46.883      45.048    45.034
              1230.314     1199.136    1266.205      751.143       689.092     729.660       44.061      41.247    43.952
              1217.894     1169.371    1218.618      716.192       676.164     748.579       44.282      41.265    45.801
              1191.553     1142.248    1222.798      692.644       698.074     779.779       45.061      44.758    48.719
  Mean        1248.602     1188.243    1232.724      745.273       713.981     752.556       46.252      43.654    45.701
   ± SD        41.519       28.373      22.335       37.127         37.417      19.310       2.096        1.898     1.655
  % CV           3.3          2.4        1.8           5.0            5.2         2.6         4.5          4.3       3.6
% Nominal       95.2         90.6        93.9         101.4          97.2       102.4        104.9         99.0     103.7
                                                  Inter-day (Global Data)
  Mean                     1223.189                                737.270                               45.202
  ± SD                      39.769                                  34.976                                2.116
  % CV                       3.3                                      4.7                                  4.7
% Nominal                    93.2                                    100.3                                102.5


Acceptance Criteria:     % CV ≤ 15% , % Nominal ± 15%
recovery
                                                    31
                              Observed recovery of Terbinafine in human plasma

                H QC                                          M QC                            L QC
  Sr. No.    Aq Drug Area     Plasma Drug Area    Aq Drug Area Plasma Drug Area   Aq Drug Area Plasma Drug Area
     1        421191.219         290219.719        243559.078      175485.016      16700.244       11369.333
     2        419504.125         291795.313        245428.016      177559.188      16511.398       11525.202
     3        422869.906         294490.688        243815.875      173163.266      16894.643       11586.529
     4        422561.844         286986.344        246656.516      171331.719      16722.109       11075.873
     5        422879.000         281461.500        245197.438      170673.813      16675.064       11056.864
     6        425736.188         285047.406        243402.453      166565.469      16608.121       11337.260
   Mean       422457.047         288333.495        244676.563      172463.079      16685.263       11325.177
% Recovery                  68.3                              70.5                            67.9

                            Observed recovery of Metoprolol (ISTD) in human plasma

                 H QC                                         M QC                            L QC
  Sr. No.    Aq ISTD Area     Plasma ISTD Area    Aq ISTD Area Plasma ISTD Area   Aq ISTD Area Plasma ISTD Area
     1        170275.406          81945.055        157707.672      81778.203       162895.953      82259.352
     2        169434.672          83163.031        161290.328      82585.820       160177.641      82064.992
     3        163860.547          84849.531        161501.656      85451.039       162179.781      86071.148
     4        163097.203          85391.938        157602.469      83392.305       159686.094      87264.625
     5        166623.063          84600.289        154672.656      87111.977       163532.375      86704.109
     6        164176.438          87568.258        162024.406      87894.977       164626.781      87446.945
   Mean       166244.555          84586.350        159133.198      84702.387       162183.104      85301.862
% Recovery                  50.9                              53.2                            52.6
STABILITIES PARAMETERS:
                    Stss stability & auto sampler stability
                                               32
                 Short Term Stock Solution Stability for Terbinafine and ISTD

         Area response of Drug                                Area response of ISTD
   Sr. No.      0.0 Hours   05:53 Hours                 Sr.No.       0.0 Hours   05.39 Hours
      1        494137.000    493664.719                    1        152183.219    154145.859
      2        494503.125    495642.344                    2        156211.391    159190.438
      3        493187.094    502107.156                    3        156946.828    161370.891
      4        491781.469    501911.406                    4        153198.500    167676.625
   Mean        493402.172    498331.406                 Mean        154634.985    160595.953
    ± SD        1214.497      4323.645                   ± SD        2302.486      5607.008
   % CV             0.2          0.9                    % CV             1.5          3.5
     % of Mean ratios           101.0                     % of Mean ratios           103.9

Acceptance criteria :% of Mean ratios 90 % - 110 %

        Autosample r / We t extract Stability for Te rbinafine in human plasma

                           Fre shly Inje cte d                   Afte r 47:30 Hrs
                       L QC                H QC              L QC              H QC
     Sr. No.
                   Nominal Conce ntration(ng/mL)          Nominal Conce ntration (ng/mL)
                       44.088            1312.145            44.088           1312.145
       1               43.768            1275.200            51.380           1351.889
       2               44.326            1236.528            47.918           1379.008
       3               46.073            1263.705            50.620           1401.761
       4               49.583            1293.190            51.859           1412.937
     M e an            45.938            1267.156            50.444           1386.399
     ± SD               2.621             23.752              1.760            26.993
     %CV                 5.7                 1.9               3.5               1.9
                  % of M e an ratios                          109.8            109.4

Acce ptance crite ria : % M e an ratios 90% - 110%
Freeze thaw stability & bench top stability
                                               33
               Freeze T haw   Stability for T erbinafine in human plasma

                      Freshly Injected                          A fter 3 Cycles
                   L QC             H QC                    L QC              H QC
 Sr. No.
               Nominal Concentration (ng/m L)           Nominal Concentration (ng/m  L)
                  44.088          1312.145                 44.088           1312.145
  1               49.152          1184.764                 48.363           1243.275
  2               45.418          1189.865                 49.408           1261.610
  3               46.993          1250.392                 52.942           1376.460
  4               44.450          1188.012                 46.312           1283.317
 Mean             46.503          1203.258                 49.256           1291.166
 ±SD               2.053            31.493                  2.773             59.171
 %CV                4.4               2.6                    5.6                4.6
                 % of Mean ratios                           105.9              107.3

Acceptance Criteria: % of mean ratios 90% - 110%


                      Bench Top Stability for Terbinafine in human plasma

                               Freshly Injected                      After 4:49 hours
                          L QC                 H QC             L QC                 H QC
     Sr. No.
                      Nominal Concentration (ng/mL)          Nominal Concentration (ng/mL)
                         44.088              1312.145          44.088              1312.145
       1                 44.919              1190.989          46.641              1203.575
       2                 44.979              1211.968          47.376              1233.521
       3                 46.380              1172.823          46.420              1251.024
       4                 44.855              1169.857          45.606              1207.376
      Mean               45.283              1186.409          46.511              1223.874
      ±SD                 0.733               19.432           0.729                22.468
      %CV                  1.6                  1.6              1.6                  1.8
                    % of Mean ratios                           102.7                103.2

Acceptance Criteria: % of mean ratios 90% - 110%
Matrix effect & reinjection reproducibility
      Matrix Effect               34
                      for Terbinafine and ISTD in human plasma

   Sr. No.       Drug    Area      ISTD   Area     Ratio of Drug/ISTD

     1            4315.825         82725.516             0.052
     2            4285.869         84228.656             0.051
     3            4284.799         82394.680             0.052
     4            4268.056         83748.758             0.051
     5            4284.604         83212.945             0.051
     6            4270.618         83743.492             0.051
    Mean                                                 0.051
    ±SD                                                  0.001
    % CV                                                  1.1

 Acceptance Criteria: % CV ≤ 20%

     Reinjection Reproducibility for Terbinafine in human plasma

                     Freshly Injected              Re Injected
                   L QC           H QC        L QC            H QC
   Sr. No.
              Nominal Concentration (ng/mL)
                                         Nominal Concentration (ng/mL)
                  44.088        1312.145     44.088         1312.145
    1             48.203        1296.644     46.179         1219.405
    2             49.019        1284.567     47.357         1223.081
    3             46.883        1270.637     48.036         1265.528
   Mean           48.035        1283.949     47.191         1236.005
   ±SD             1.078         13.014       0.940          25.634
   % CV             2.2            1.0         2.0             2.1
             % of Mean ratios                 98.2            96.3

Acceptance Criteria: % of mean ratios 90% - 110%
LIMIT OF QUANTIFICATION & Limit of Detection
                                      35
         Limit of Qua ntifica tion for Te rbina fine in huma n pla sma

                                  LLOQ                          ULOQ
        Sr. No.                    Nomina l conce ntra tion   (ng/ml)
                                  15.917                      1595.527
          1                       15.764                      1478.191
          2                       15.347                      1466.952
          3                       15.425                      1514.500
          4                       15.458                      1553.139
          5                       15.983                      1501.326
          6                       15.855                      1550.375
        Me a n                    15.639                      1510.747
        ± SD                      0.262                         35.912
        % CV                        1.7                           2.4
      %Nomina l                    98.3                          94.7

Acce pta nce crite ria :
For ULOQ
Pre cision: The % CV s   hould be ≤ 15%
Accura cy: The me a n va lue s hould be w ithin 85% - 115%
For LLOQ
Pre cision: The % CV s   hould be ≤ 20%
Accura cy: The me a n va lue s hould be w ithin 80% - 120%

                  Limit of Detection for Terbinafine

    Sr. No.           Sample ID            Peak Area            S/N Ratio

        1             LLOQ 1/2             3069.583              316.654
        2             LLOQ 1/4             1546.045              104.398
        3             LLOQ 1/8              800.601              32.289

Acceptance Criteria:             S/N Ratio ≥      5
BIOEQUIVALENCE STUDY PARAMETERS
        & CHROMATOGRAM
                                           36

 PK Parameters of Terbinafine in Human Plasma (Test A)
 Test- A      Cmax (ng/ml)    tmax (h)      AUC(0-t)        AUC(0-∞) (ng*h/mL)     t1/2
                                            (ng*h/mL)                              (h)
 Mean               1045.15        1.85          5353.77          6069.17                    23.04
 Geo. Mean          939.83         1.71          4516.30          4982.52                    12.81
 Median             931.00         1.50          4568.49          4907.65                     9.04
 Minimum            251.54         1.00          1010.09          1108.11                     2.31
 Maximum            2461.51        4.00          16849.30        21039.00                    91.37
 Range              2209.97        3.00          15839.21        19930.89                    89.06
 PK
 S.D. Parameters   of Terbinafine in Human Plasma (Ref- B)
                    485.55         0.76          3307.12          4090.03                    24.87


 Ref- B       Cmax (ng/ml)    tmax (h)      AUC(0-t)          AUC(0-∞) (ng*h/mL)      t1/2
                                            (ng*h/mL)                                 (h)
 Mean               1033.72         1.65          5031.48           5843.08                   22.34
 Geo. Mean          938.76          1.52          4344.52           4876.70                   13.28
 Median             915.45          1.50          4360.79           4334.08                   10.13
 Minimum            213.40          1.00          902.87             919.13                   0.59
 Maximum            1980.77         4.00         15228.70           18992.80                  87.80
 Range              1767.37         3.00         14325.83           18073.67                  87.21
 S.D.               433.55          0.74          2742.61           3602.75                   21.79
Comparison of Bioequivalence Parameters of
      Both Test & Reference Drugs
                                          37


        Parameters                        Test                       Reference
                                       (mean±S.D)                   (mean±S.D)
                                    6069.17±4090.03               5843.08±3602.75
     AUC0–∞ (ng h/mL)
                                    5353.77±3307.12               5031.48±2742.61
     AUC0–t (ng h/mL)
                                       23.04±24.87                  22.34±21.79
    Terminal half-life (h)
                                     1045.15±485.55                1033.72±433.55
       Cmax (ng/mL)
                                        1.85±0.76                     1.65±0.74
           Tmax(h)
AUC0–t= The area under the plasma concentration–time curve from time zero to last
        sampling time
AUC0–∞= The area under the plasma concentration–time curve from time zero to infinity.
Cmax = Maximum plasma concentration
Tmax = Maximum time to reach Cmax
Comparisin of mean plasma concentration & time profile of Test &
            reference drugs of 250 mg dose tablets
Time in hours           Test A 38                Reference B
      0                 1.286                       0.646
     0.5               286.882                     399.101
      1                745.861                     837.743
     1.5               875.068                     903.518
      2                844.197                     835.952
     2.5               762.016                     716.767
      3                651.566                     601.015
     3.5               545.499                     486.478
      4                476.225                     399.212
      5                303.932                     256.572
      6                236.017                     194.110
      7                176.576                     150.221
      9                115.395                     107.900
     12                71.337                      66.239
     16                41.862                      37.673
     24                31.198                      26.394
     48                13.250                      12.812
     72                 8.300                       8.166
     96                 4.949                       7.564
    120                 3.241                       1.424
    144                 3.283                       2.148
Mean Plasma Concentration versus Time profile Curve of Both
                    Test & Reference Drugs
                                                                       39

                                                               Linear Scale                              Test A
                                     1000
                                                                                                         Reference B
                                     900
Mean Plasma Concentrations (ng/mL)




                                     800

                                     700

                                     600

                                     500

                                     400

                                     300

                                     200

                                     100

                                       0
                                            0   15   30   45   60       75        90   105   120   135     150
                                                                    Time (hrs.)
conclusion
                                      40
 We reported method development and validation of a rapid (high-
    throughput), selective and sensitive UPLC–MS/MS method with
    liquid–liquid extraction for the determination of TER in human plasma, over
    a concentration range of 15.91–1595 ng/mL.
   This method required only 500 µL of a biological sample and owing to the
    simple sample preparation and short run time (2 min) and also only 2 µl
    injection volume; it allows high sample throughput with fast analysis and
    less saturation of column.
   We achieved a lower LLOQ (15 ng/ml) and shorter retention times
    (1.8 min. for TER, 0.7 min for IS) than previous reports.
   The precision and accuracy for calibration and QC samples were well within
    the acceptable limits.
   This method was sensitive enough to monitor Terbinafine plasma
    concentrations up to 144 h after dosing and provided us with a successful
    application in pharmacokinetics and bioequivalence study.
references
 Chung S, Liu P “Design and Analysis of Bioavailability and Bioequivalence studies” Marcel
                                            41
    Dekker Inc., Year 2000, Edition 2nd, Page No.8-33.
   Bonate P, Howard D “Pharmacokinetics in Drug development” AAPS Press Year 2004 Vol.2
    Page No.105, 127-229.
   Bruce et. al.,1996, Method development; view point and discussion,
     http://linkinghub.elsevier.com/retrieve/pii/S0381530400544088 .
   The definitions of LOQ & LOD that we are used provided by Dadger et.al.1995,
     http://linkinghub.elsevier.com/retrieve/pii/S0308814208107942.
   International Conference on Harmonisation of technical requirement for the registration of
    Pharmaceutical for human use, Validation of analytical procedure, ICH-Q2B.10.
   FDA. Guidance for Industry: Bioavailability Studies for Orally Administered Drug- Products -
    General Considerations. US Department of Health and Human Services, Food and Drug
    Administration Centre for Drug Evaluation and Research (CDER): Washington, DC, 2000.
   Fundamental Validation pareameters for Bioanalytical method development
     &validation, Green et .al.1998, Hartmann et. al.,1998,
     http://linkinghub.elsevier.com/retrieve/pii/S03447146010009267.
   Stability parameters for Method Validation, degradation and criteria, Witling et. al.,1998,
     http://linkinghub.elsevier.com/retrieve/pii/S0331468873002788.
42

 Wikipedia free encyclopedia, Terbinafine;
    http://en.wikipedia.org/wiki/Terbinafine.
   35. H.P.Rang, M.M.Dale, J.M.Ritter, P.K.Moore, “Pharmacology” Fifth
    Edition, Page No.394- 403.
   Gokhale VM and Kulkarni VM. Understanding the antifungal activity of
    terbinafine analogues using quantitative structure-activity relationship
    (QSAR) models. Bioorganic and Medicinal Chemistry, 2000; 8: 2487.
   Wikipedia free encyclopedia, Metoprolol;
    http://en.wikipedia.org/wiki/Metoprolol.
   "Effect of metoprolol in chronic heart failure: Metoprolol Randomised
    Intervention Trial in Congestive Heart Failure (MERIT-HF)". Lancet 353
    (9169): 2001–7. June 12 1999.
43
 Denouel J, Keller HP, Schaub P, Delaborde C and Humbert H. Determination of terbinafine and
    its desmethyl metabolite in human plasma by high-performance iquid chromatography. Journal
    of Chromatography B 1995; 663: 353.
   Zehender H, Denouel J, Roy M, Le Saux L and Schaub P. Simultaneous determination of
    terbinafine (Lamisil) and five metabolites in human plasma and urine by high-performance liquid
    chromatography using on-line solid-phase extraction. Journal of Chromatography B 1995; 664:
    347.
   Majumdar TK, Bakhtiar R, Melamed D and Tse FLS. Determination of terbinafine (Lamisil®) in
    human hair by microbore liquid chromatography/ tandem mass spectrometry. Rapid
    Communications in Mass Spectrometry 2000; 14: 1214.
   De Oliveira CH, Barrientos-Astigarraga RE, De Moraes MO,Bezerra FAF, De Moraes MEA and De
    Nucci G. Terbinafine quantification in human plasma by high-performance liquid
    chromatography coupled to electrospray tandem mass spectrometry: Application to a
    bioequivalence study. Theraputic Drug Monitoring ; 2001; 23: 709.
   Yannis L. Loukas, Constantinos Apostolou, Constantinos Kousoulos, Georgia Tsatsou and Yannis
    Dotsikas .An improved high-throughput liquid chromatographic/tandem mass spectrometric
    method for terbinafine quantification in human plasma, using automated liquid–liquid extraction
    based on 96-well format plates Biomed. Chromatogr. 21: 201–208 (2007). Voltammetric
    determination of terbinafine in biological fluid, Bioelectrochemistry (2008); 107–1155 December
    2007.
44
45

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Bioequivalence

  • 1. DEVELOPMENT1 & VALIDATION OF HIGH-THROUGHPUT & ROBUST UPLC-MS/MS METHOD FOR QUANTITATION OF TERBINAFINE IN HUMAN PLASMA: ………….APPLICATION TO BIOEQUIVALENCE STUDY
  • 2. Aim & objectives : 2 Development & Validation of High-throughput & Robust UPLC-MS/MS method for Quantitation Of Terbinafine in human plasma: Application to Bioequivalence Study. Objectives:  The objective will be to achieve more selectivity, sensitivity and more rapid assay method than have been previously described.  The developed method could then be applied to clinical trials to obtain accurate pharmacokinetic parameters in human plasma.  To develop & validate simple and robust.  To consume small amounts of solvent and biological fluid for extraction.
  • 3. Literature review 3  A few HPLC methods have been reported so far for the determination of terbinafine in pharmaceutical preparations as well as in biological matrices .  Further- more, the latest methods have used liquid chromatography coupled to a mass spectrometry detector for the determination of terbinafine in human hair or tandem mass spectrometry detector in human and minipig plasma.  Only two LCMS/ MS methods in human plasma, applied to a bioequivalence studies, have been reported.
  • 4. Scope of application 4  latest reported LC-MS/MS METHOD:  2.5 min analytical run time…………  LLOQ upto 25ng/ml……….  Plasma volume 500µl which is to high.........  So we develop UPLC–MS/MS method for determining Terbinafine in human plasma which having,  Simple liquid–liquid extraction technique with less than 2 min analytical run time and LLOQ 15ng/ml.  Method having less matrix effect, high recovery, less costly and high throughput.  This method was successfully applied to a bioequivalence study of Two TER 250 mg oral tablets in 44 healthy human volunteers.
  • 5. Presentation flow 5 Introduction Bioequivalence study Materials & Methods Method Validation Results & Discussion Conclusion References
  • 6. introduction of Biopharmaceutical analysis 6  Need of Biopharmaceutical Analysis: Methods of measuring drugs in biologic media are increasingly important problems related to following studies are highly dependent on biopharmaceutical Analytic methodology.  Bioavailability and bioequivalence studies  New drug development  Clinical pharmacokinetics and metabolism  Therapeutic drug monitoring  Research in basic biomedical and pharmaceutical sciences
  • 7. Introduction- Drug profile (terbinafine) 7  Terbinafine (TER) is [(E)-N-(6, 6-dimethyl-2-heptene- 4-ynyl)-N-methyl-1-naphthalene methanamine] synthetic allylamine antifungal compound. It is freely soluble in methanol and methylene chloride, soluble in ethanol, and slightly soluble in water .  The empirical formula C21H25N with a molecular weight of 291.43g/mol and the following structural formula: TERBINAFINE CH3 N C(CH3)3
  • 8. Continues….. 8  PKa of Terbinafine: 7.10  Melting Point: 195-198 °C  M/A: ANTIFUNGAL  Terbinafine is a highly lipophilic and fungicidal compound active against a wide range of skin pathogens.  It acts by selectively inhibiting the enzyme squalene epoxidase, which is involved in the synthesis of ergosterol from squalene in the fungal cell wall.
  • 9. Drug profile of internal standard (metoprolol) 9  Stable labelled isotope internal standards are the first choice, they are not economical and deuterium-labelled compounds may sometimes demonstrate unexpected behaviour, such as different retention times or recoveries, than the analyte.  Thus, we investigated several compounds to find a suitable IS, and chose Metoprolol as an internal standard in this study.  Molecular Formula : C15H25NO3 METOPROLOL OH Molecular Weight : 267.36 NH CH3 Solubility : Methanol O CH3 OH3C
  • 10. Bioequivalence study 10  Nowadays bioequivalence studies are a pivotal part of registration dossiers. These studies measure the bioavailability of two (or more) formulations of the same active ingredient.  The purpose of the study is that the bioavailability of the formulations under investigation, it shown to be equal.  Based on that conclusion, one may subsequently claim that the therapeutic quality of these formulations is identical. The latter means that both the beneficial and side effects are identical and hence the formulations are truly interchangeable.
  • 11. Study design 11  Basically two types of designs are possible, that is the parallel and cross-over design. The major difference between these designs is the way they deal with inter-subject variability.  Inter-subject variability is a measure of the differences between subjects. On the other hand intra-subject variability is a measure of the differences within subjects. Both types of variability are present in each trial, but in the cross-over design the inter-subject variability is eliminated.  The subject functions as his or hers own control and a difference between formulations within one person is only influenced by the (non)random within variability. This makes the cross-over design much more efficient in terms of sample size. One should remember than sometimes the intra-subject variability is very high and in these cases the advantage of a cross-over design rapidly fades away. This happens with so called highly variable drugs.
  • 12. Continues….. 12  The most common design for a cross-over trial is the well known AB/BA trial. It tells that one splits the entire sample of subjects randomly into two groups. Group 1 will receive the drug or formulations (frequently called the treatments) in the order A-B or reference-test and the other group in the order B-A or test- reference. These two orders are called the sequences, so any two- formulation trial is a two-sequence trial.  At the same time any two-formulation trial is also a two-period trial. In the first period 50% of the volunteers receive A or reference and 50% B or test. In the second period the order is reversed of course. The periods and the sequences are not supposed to exert an influence on the measured parameters like the AUC, T1/2 or any other one. When a significant period or sequence effect is noted, the study can be invalid.
  • 13. Continues….. 13  One of the problems with any AB/BA trial is carry-over, if Carry- over is present when the effects of the drugs in period 1 are still noticeable in period 2. For a bioequivalence study this would be the case if the first plasma level before administration of the drug in the second period is not 0. If that is the case the washout between the two periods was not sufficiently long.  The study must have 1] been a single dose study, 2] been in healthy normal volunteers, 3] not been comparing an endogenous substance, 4] had an adequate washout and 5] used an appropriate design, analysis and equivalence must be present.
  • 14. Application to Bioequivalence study 14  The proposed analytical method was applied to a bioequivalence study of two Terbinafine formulations under fasting condition in healthy volunteers of 37±7 years in age and 54±6 kg in weight.  The design of study comprised of a randomized, open label, single dose, two treatments, two periods, two sequence crossover bioequivalence study of 250 mg TER formulation in 44 healthy Indian volunteers.  Subjects were informed of the aims and risks of the study by the clinical investigator.  Each volunteer was judged to be in good health through medical history, physical examination and routine laboratory tests screening values were exclusion criteria.
  • 15. Continues…… 15  The study was conducted strictly in accordance with guidelines laid down by USFDA .  Blood samples were obtained following oral administration of 250mg of TER tablet into K3EDTA vacutainer solution as an anticoagulant at predose, 0.5h, 1h, 1.5 h, 2 h, 2.5 h, 3 h, 3.5 h, 4 h, 5 h, 6 h, 7 h, 9 h, 12 h, 16 h, 24 h, 48 h, 72 h, 96 h, 120 h, 144 h.  Plasma was harvested by centrifuging the blood using an eppendorf centrifuge 5810R (Eppendorf, Germany) at 3000 rpm for 5 min and stored frozen at −20±5˚C until analysis.
  • 16. Parameters measured in bioequivalence study 16  The Area Under the Plasma concentration-time curve (AUC), because it describes the total number of molecules present in plasma, thereby informing the researchers on the extent of the release…..(AUC0–t and AUC0–∞ ).  The maximum plasma concentration (Cmax).  The time at which the maximum plasma concentration is reached (Tmax).  The elimination half life (T1/2). (T1/2) was calculated by 0.692/λ.  Equivalence limits currently accepted by the regulatory bodies are as follows: for the AUC„s 0.8-1.25. for Cmax 0.7-1.43 .
  • 17. Materials & methods 17  Materials:  Terbinafine working standard  Metoprolol working standard  Acetonitrile (HPLC grade)  Methanol (HPLC grade)  Milli-Q/HPLC water  Ammonium acetate (LR grade)  Formic acid (GR grade)  Tert- butyl methyl ether (HPLC grade)  N-hexane (HPLC grade)  Human plasma
  • 18. 18 Column and mobile phase selection  Here, we tried different columns like Sunfire symmetry, Acquity UPLC, Kromasil, Phenomenax etc. and also different mobile phase composition like water- methanol, water- acetonitrile, Phosphate buffer- acetonitrile,0.1% formic acid in water buffer- acetonitrile, ammonium acetate buffer- acetonitrile, ammonium acetate and buffer- acetonitrile- methanol.  But among these best suitable column was Acquity UPLC and best mobile phase composition was ammonium acetate buffer (10mM): acetonitrile(15:85).
  • 19. General chromatographic condition  Matrix Human 19plasma  Sample volume 0.500 µI  Injection volume 2 µl  Extraction method Liquid-liquid extraction  Internal standard Metoprolol  Detection Q3 (Quattro premierXE, Micromass)  m/z ratio 292.37> 92.90  Weighing factor 1/x  Column Acquity UPLC, Symmetry; C18, 2.1x50mm, 2.5µm  Mobile phase Buffer(pH 5 ±0.05): ACN (15:85)v/v  Flow Rate 0.3 mL/minute  Ion Mode Positive Mode  Column temperature 40 ±5ºC  Sample cooler temperature 20 ±5ºC  Retention time Terbinafine 1.8 min; Metoprolol 0.7 min  Run time 2.0 min
  • 20. Mass tune parameters Parameter 20 Drug ISTD Capillary Voltage (KV) 3.5 3.5 Source Temperature 120°C 120°C Desolvation Temperature 450°C 450°C Cone Voltage (V) 26 33 LM Resolution-1 14.5 14.5 HM Resolution-1 14.5 14.5 Collision Energy (eV) 18 18 Entrance 2 2 Exit 2 2 LM Resolution-2 14.5 14.5 HM Resolution-2 14.5 14.5 Detection 292.37> 92.90 268.33>115.90 Dwell Time (Second) 0.200 0.200 Desolvation Gas Flow 500 500
  • 21. Preparation of calibration standards & quality control samples 21 CC ID Final conc. QC ID Final conc. (ng/ mL) (ng/ml) STD-1 (Cmax x4 /100%) 1595.53 H.Q.C (70 to 90%) 1236.51 STD-2 (90%) 1435.97 M.Q.C (30 to 50%) 726.04 STD-3 (75%) 1195.17 L.Q.C (LLOQ x 3) 43.56 STD-4 (50%) 796.65 LOQQC 15.92 STD-5 (15%) 238.99 STD-6 (5%) 79.58 STD-7 (LOQ x 2) 31.83 STD-8 (LOQ) 15.92 Minimum r2 value > 0.98
  • 22. Trials for selection of method 22  Three trials used for sample extraction methods:  SPE (Solid phase extraction): Conditioning » washing » loading of sample » eluting.  LLE (Liquid-liquid extraction): Sampling »adding solvent/ solvent mixture » vortex » centrifuge » evaporate to dryness » reconstitute.  Protein precipitation : Sampling + ppt. solvent.  In these methods, LLE method is less costly, simple, rapid and having less interference of endogenous materials. so, we selected LLE method.
  • 23. Finally Selected Method (LLE): 23  A 0.490-mL aliquot of plasma sample was spiked with 25 μL of IS (metoprolol, 10 µg/mL) in 10 mL glass tubes and vortexed for 1 min.  To this hexane: t-butyl methyl ether (TBME) (80:20) was added (4.5 mL), and the mixture was vortexed for 5 min and centrifuged at 2000 rpm for 5 min.  The organic layer was separated into clean evaporation tubes and evaporated to dryness under N2 at 45°C.  The residue was reconstituted with 500 µL of acetonitrile: ammonium acetate (70:30) mobile phase solution and injected 2 μL injection into the LC– MS/MS system.  All prepared samples were kept in an auto sampler at 10± 5°C until injection.
  • 24. Method validation 24  Method validation was performed according to the USFDA guidance for industrial bio analytical method validation.  PARAMETERS:  Selectivity  Sensitivity  Linearity  Accuracy and precision(INTRA-DAY/INTER-DAY)  Recovery  Matrix effect  LLOQ  LOD  Reinjection /Reproducibility
  • 25. 25  STABILITY STUDIES:  Auto sampler stability  Short-term stock solution stability  Bench top stability  Freeze-thaw stability  Long term stability  Blood stability  Samples were considered to be stable if assay values were within the acceptable limits of accuracy (i.e., ±15% S.D.) and precision (i.e., 15% R.S.D.).
  • 26. Results & discussion 26  A Representative Regression Analysis of a Calibration curve of Terbinafine - Linearity Compound name: Terbinafine Correlation coefficient: r = 0.998306, r^2 = 0.996615 Calibration curve: 0.00272614 * x + 0.00680601 Response type: Internal Std ( Ref 2 ), Area * ( IS Conc. / IS Area ) Curve type: Linear, Origin: Exclude, Weighting: 1/x^2, Axis trans: None 4.00 3.00 Response 2.00 1.00 0.00 ng/µl 0 200 400 600 800 1000 1200 1400
  • 27. 27 MV_148 Sm ooth(Mn,3x2) MRM of 2 channels ,ES+ AQ STD FS-03 AQ STD FS-03 292.37 > 92.9 Terbinafine 4.059e+006 100 1.79 473674.31 % 42499.41 0 m in MV_148 Sm ooth(Mn,3x4) MRM of 2 channels ,ES+ AQ STD FS-03 AQ STD FS-03 268.33 > 115.9 ISTD;0.75;166975.06;49958.02 1.237e+006 100 % 0 m in 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00 2.25 2.50 MV_013 Sm ooth(Mn,3x2) MRM of 2 channels ,ES+ Specificity-K30090 Specificity-K30090 292.37 > 92.9 0.01 1.41 1.49 2.26 2.308e+003 100 0.25 0.44 0.56 0.87 1.03 1.13 1.68 1.83 % 0 m in MV_013 Sm ooth(Mn,3x4) MRM of 2 channels ,ES+ Specificity-K30090 Specificity-K30090 268.33 > 115.9 0.16 0.49 2.962e+002 100 0.76 1.15 1.70 2.20 2.32 1.01 1.36 1.52 1.92 % 0 m in 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00 2.25 2.50
  • 28. A Representative Chromatograph of LLOQ & HQC 28 MV_152 Sm ooth(Mn,3x2) MRM of 2 channels ,ES+ STD 8 BS-01 STD 8 BS-01 292.37 > 92.9 Terbinafine 3.983e+004 100 1.79 4111.85 % 362.94 0 m in MV_152 Sm ooth(Mn,3x4) MRM of 2 channels ,ES+ STD 8 BS-01 STD 8 BS-01 268.33 > 115.9 ISTD;0.75;83226.54;16888.04 6.229e+005 100 % 0 m in 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00 2.25 2.50 MV_160 Sm ooth(Mn,3x2) MRM of 2 channels ,ES+ HQC BS-01 HQC BS-01 292.37 > 92.9 Terbinafine 2.556e+006 100 1.80 290219.72 % 13666.40 0 m in MV_160 Sm ooth(Mn,3x4) MRM of 2 channels ,ES+ HQC BS-01 HQC BS-01 268.33 > 115.9 ISTD;0.75;81945.05;27743.38 6.119e+005 100 % 0 m in 0.25 0.50 0.75 1.00 1.25 1.50 1.75 2.00 2.25 2.50
  • 29. BACK CALCULATED CALIBRATION CURVE CONCENTRATIONS- SENSITIVITY 29 Back calculated calibration curve concentrations for Terbinafine in human Plasma Curve parameter summary Standard ID STD 1 STD 2 STD 3 STD 4 STD 5 STD 6 STD 7 STD 8 R² Slope Intercept Nominal (ng/mL) 1595.527 1435.974 1196.167 796.647 238.994 79.585 31.834 15.917 1356.198 1220.578 1016.742 677.150 203.145 67.647 27.059 12.734 Range 1834.856 1651.370 1375.592 916.144 274.843 91.523 36.609 19.100 P&A I 1543.362 1361.017 1163.833 775.477 257.257 86.271 31.717 15.626 0.9966 0.0027 0.0068 P&A II 1487.835 1338.031 1204.180 815.769 254.835 83.193 32.216 15.621 0.9969 0.0037 0.0087 P&A III 1512.698 1280.026 1152.599 823.897 263.082 85.926 32.050 15.527 0.9938 0.0030 0.0116 Mean 1514.632 1326.358 1173.537 805.048 258.391 85.130 31.994 15.591 ± S.D 27.814 41.738 27.125 25.929 4.239 1.686 0.254 0.056 % CV 1.8 3.1 2.3 3.2 1.6 2.0 0.8 0.4 % Nominal 94.9 92.4 98.1 101.1 108.1 107.0 100.5 98.0 Acceptance criteria: % CV ≤ 15% ( ≤ 20 % for LLOQ) % Nominal ± 15 % ( ± 20 % for LLOQ)
  • 30. ACCURACY & PRECISION 30 Intra-day and Inter-day Precision & Accuracy for Terbinafine in human Plasma H QC M QC L QC Nominal concentration(ng/ml) 1312.145 734.801 44.088 Upper limit 1508.967 845.021 50.701 Lower limit 1115.323 624.581 37.475 P&A I P&A II P&A III P&A I P&A II P&A III P&A I P&A II P&A III 1296.644 1209.171 1211.743 784.648 722.852 737.658 48.203 44.213 44.708 1284.567 1189.750 1255.359 786.163 715.786 771.130 49.019 45.394 45.991 1270.637 1219.779 1221.620 740.848 781.918 748.529 46.883 45.048 45.034 1230.314 1199.136 1266.205 751.143 689.092 729.660 44.061 41.247 43.952 1217.894 1169.371 1218.618 716.192 676.164 748.579 44.282 41.265 45.801 1191.553 1142.248 1222.798 692.644 698.074 779.779 45.061 44.758 48.719 Mean 1248.602 1188.243 1232.724 745.273 713.981 752.556 46.252 43.654 45.701 ± SD 41.519 28.373 22.335 37.127 37.417 19.310 2.096 1.898 1.655 % CV 3.3 2.4 1.8 5.0 5.2 2.6 4.5 4.3 3.6 % Nominal 95.2 90.6 93.9 101.4 97.2 102.4 104.9 99.0 103.7 Inter-day (Global Data) Mean 1223.189 737.270 45.202 ± SD 39.769 34.976 2.116 % CV 3.3 4.7 4.7 % Nominal 93.2 100.3 102.5 Acceptance Criteria: % CV ≤ 15% , % Nominal ± 15%
  • 31. recovery 31 Observed recovery of Terbinafine in human plasma H QC M QC L QC Sr. No. Aq Drug Area Plasma Drug Area Aq Drug Area Plasma Drug Area Aq Drug Area Plasma Drug Area 1 421191.219 290219.719 243559.078 175485.016 16700.244 11369.333 2 419504.125 291795.313 245428.016 177559.188 16511.398 11525.202 3 422869.906 294490.688 243815.875 173163.266 16894.643 11586.529 4 422561.844 286986.344 246656.516 171331.719 16722.109 11075.873 5 422879.000 281461.500 245197.438 170673.813 16675.064 11056.864 6 425736.188 285047.406 243402.453 166565.469 16608.121 11337.260 Mean 422457.047 288333.495 244676.563 172463.079 16685.263 11325.177 % Recovery 68.3 70.5 67.9 Observed recovery of Metoprolol (ISTD) in human plasma H QC M QC L QC Sr. No. Aq ISTD Area Plasma ISTD Area Aq ISTD Area Plasma ISTD Area Aq ISTD Area Plasma ISTD Area 1 170275.406 81945.055 157707.672 81778.203 162895.953 82259.352 2 169434.672 83163.031 161290.328 82585.820 160177.641 82064.992 3 163860.547 84849.531 161501.656 85451.039 162179.781 86071.148 4 163097.203 85391.938 157602.469 83392.305 159686.094 87264.625 5 166623.063 84600.289 154672.656 87111.977 163532.375 86704.109 6 164176.438 87568.258 162024.406 87894.977 164626.781 87446.945 Mean 166244.555 84586.350 159133.198 84702.387 162183.104 85301.862 % Recovery 50.9 53.2 52.6
  • 32. STABILITIES PARAMETERS: Stss stability & auto sampler stability 32 Short Term Stock Solution Stability for Terbinafine and ISTD Area response of Drug Area response of ISTD Sr. No. 0.0 Hours 05:53 Hours Sr.No. 0.0 Hours 05.39 Hours 1 494137.000 493664.719 1 152183.219 154145.859 2 494503.125 495642.344 2 156211.391 159190.438 3 493187.094 502107.156 3 156946.828 161370.891 4 491781.469 501911.406 4 153198.500 167676.625 Mean 493402.172 498331.406 Mean 154634.985 160595.953 ± SD 1214.497 4323.645 ± SD 2302.486 5607.008 % CV 0.2 0.9 % CV 1.5 3.5 % of Mean ratios 101.0 % of Mean ratios 103.9 Acceptance criteria :% of Mean ratios 90 % - 110 % Autosample r / We t extract Stability for Te rbinafine in human plasma Fre shly Inje cte d Afte r 47:30 Hrs L QC H QC L QC H QC Sr. No. Nominal Conce ntration(ng/mL) Nominal Conce ntration (ng/mL) 44.088 1312.145 44.088 1312.145 1 43.768 1275.200 51.380 1351.889 2 44.326 1236.528 47.918 1379.008 3 46.073 1263.705 50.620 1401.761 4 49.583 1293.190 51.859 1412.937 M e an 45.938 1267.156 50.444 1386.399 ± SD 2.621 23.752 1.760 26.993 %CV 5.7 1.9 3.5 1.9 % of M e an ratios 109.8 109.4 Acce ptance crite ria : % M e an ratios 90% - 110%
  • 33. Freeze thaw stability & bench top stability 33 Freeze T haw Stability for T erbinafine in human plasma Freshly Injected A fter 3 Cycles L QC H QC L QC H QC Sr. No. Nominal Concentration (ng/m L) Nominal Concentration (ng/m L) 44.088 1312.145 44.088 1312.145 1 49.152 1184.764 48.363 1243.275 2 45.418 1189.865 49.408 1261.610 3 46.993 1250.392 52.942 1376.460 4 44.450 1188.012 46.312 1283.317 Mean 46.503 1203.258 49.256 1291.166 ±SD 2.053 31.493 2.773 59.171 %CV 4.4 2.6 5.6 4.6 % of Mean ratios 105.9 107.3 Acceptance Criteria: % of mean ratios 90% - 110% Bench Top Stability for Terbinafine in human plasma Freshly Injected After 4:49 hours L QC H QC L QC H QC Sr. No. Nominal Concentration (ng/mL) Nominal Concentration (ng/mL) 44.088 1312.145 44.088 1312.145 1 44.919 1190.989 46.641 1203.575 2 44.979 1211.968 47.376 1233.521 3 46.380 1172.823 46.420 1251.024 4 44.855 1169.857 45.606 1207.376 Mean 45.283 1186.409 46.511 1223.874 ±SD 0.733 19.432 0.729 22.468 %CV 1.6 1.6 1.6 1.8 % of Mean ratios 102.7 103.2 Acceptance Criteria: % of mean ratios 90% - 110%
  • 34. Matrix effect & reinjection reproducibility Matrix Effect 34 for Terbinafine and ISTD in human plasma Sr. No. Drug Area ISTD Area Ratio of Drug/ISTD 1 4315.825 82725.516 0.052 2 4285.869 84228.656 0.051 3 4284.799 82394.680 0.052 4 4268.056 83748.758 0.051 5 4284.604 83212.945 0.051 6 4270.618 83743.492 0.051 Mean 0.051 ±SD 0.001 % CV 1.1 Acceptance Criteria: % CV ≤ 20% Reinjection Reproducibility for Terbinafine in human plasma Freshly Injected Re Injected L QC H QC L QC H QC Sr. No. Nominal Concentration (ng/mL) Nominal Concentration (ng/mL) 44.088 1312.145 44.088 1312.145 1 48.203 1296.644 46.179 1219.405 2 49.019 1284.567 47.357 1223.081 3 46.883 1270.637 48.036 1265.528 Mean 48.035 1283.949 47.191 1236.005 ±SD 1.078 13.014 0.940 25.634 % CV 2.2 1.0 2.0 2.1 % of Mean ratios 98.2 96.3 Acceptance Criteria: % of mean ratios 90% - 110%
  • 35. LIMIT OF QUANTIFICATION & Limit of Detection 35 Limit of Qua ntifica tion for Te rbina fine in huma n pla sma LLOQ ULOQ Sr. No. Nomina l conce ntra tion (ng/ml) 15.917 1595.527 1 15.764 1478.191 2 15.347 1466.952 3 15.425 1514.500 4 15.458 1553.139 5 15.983 1501.326 6 15.855 1550.375 Me a n 15.639 1510.747 ± SD 0.262 35.912 % CV 1.7 2.4 %Nomina l 98.3 94.7 Acce pta nce crite ria : For ULOQ Pre cision: The % CV s hould be ≤ 15% Accura cy: The me a n va lue s hould be w ithin 85% - 115% For LLOQ Pre cision: The % CV s hould be ≤ 20% Accura cy: The me a n va lue s hould be w ithin 80% - 120% Limit of Detection for Terbinafine Sr. No. Sample ID Peak Area S/N Ratio 1 LLOQ 1/2 3069.583 316.654 2 LLOQ 1/4 1546.045 104.398 3 LLOQ 1/8 800.601 32.289 Acceptance Criteria: S/N Ratio ≥ 5
  • 36. BIOEQUIVALENCE STUDY PARAMETERS & CHROMATOGRAM 36 PK Parameters of Terbinafine in Human Plasma (Test A) Test- A Cmax (ng/ml) tmax (h) AUC(0-t) AUC(0-∞) (ng*h/mL) t1/2 (ng*h/mL) (h) Mean 1045.15 1.85 5353.77 6069.17 23.04 Geo. Mean 939.83 1.71 4516.30 4982.52 12.81 Median 931.00 1.50 4568.49 4907.65 9.04 Minimum 251.54 1.00 1010.09 1108.11 2.31 Maximum 2461.51 4.00 16849.30 21039.00 91.37 Range 2209.97 3.00 15839.21 19930.89 89.06 PK S.D. Parameters of Terbinafine in Human Plasma (Ref- B) 485.55 0.76 3307.12 4090.03 24.87 Ref- B Cmax (ng/ml) tmax (h) AUC(0-t) AUC(0-∞) (ng*h/mL) t1/2 (ng*h/mL) (h) Mean 1033.72 1.65 5031.48 5843.08 22.34 Geo. Mean 938.76 1.52 4344.52 4876.70 13.28 Median 915.45 1.50 4360.79 4334.08 10.13 Minimum 213.40 1.00 902.87 919.13 0.59 Maximum 1980.77 4.00 15228.70 18992.80 87.80 Range 1767.37 3.00 14325.83 18073.67 87.21 S.D. 433.55 0.74 2742.61 3602.75 21.79
  • 37. Comparison of Bioequivalence Parameters of Both Test & Reference Drugs 37 Parameters Test Reference (mean±S.D) (mean±S.D) 6069.17±4090.03 5843.08±3602.75 AUC0–∞ (ng h/mL) 5353.77±3307.12 5031.48±2742.61 AUC0–t (ng h/mL) 23.04±24.87 22.34±21.79 Terminal half-life (h) 1045.15±485.55 1033.72±433.55 Cmax (ng/mL) 1.85±0.76 1.65±0.74 Tmax(h) AUC0–t= The area under the plasma concentration–time curve from time zero to last sampling time AUC0–∞= The area under the plasma concentration–time curve from time zero to infinity. Cmax = Maximum plasma concentration Tmax = Maximum time to reach Cmax
  • 38. Comparisin of mean plasma concentration & time profile of Test & reference drugs of 250 mg dose tablets Time in hours Test A 38 Reference B 0 1.286 0.646 0.5 286.882 399.101 1 745.861 837.743 1.5 875.068 903.518 2 844.197 835.952 2.5 762.016 716.767 3 651.566 601.015 3.5 545.499 486.478 4 476.225 399.212 5 303.932 256.572 6 236.017 194.110 7 176.576 150.221 9 115.395 107.900 12 71.337 66.239 16 41.862 37.673 24 31.198 26.394 48 13.250 12.812 72 8.300 8.166 96 4.949 7.564 120 3.241 1.424 144 3.283 2.148
  • 39. Mean Plasma Concentration versus Time profile Curve of Both Test & Reference Drugs 39 Linear Scale Test A 1000 Reference B 900 Mean Plasma Concentrations (ng/mL) 800 700 600 500 400 300 200 100 0 0 15 30 45 60 75 90 105 120 135 150 Time (hrs.)
  • 40. conclusion 40  We reported method development and validation of a rapid (high- throughput), selective and sensitive UPLC–MS/MS method with liquid–liquid extraction for the determination of TER in human plasma, over a concentration range of 15.91–1595 ng/mL.  This method required only 500 µL of a biological sample and owing to the simple sample preparation and short run time (2 min) and also only 2 µl injection volume; it allows high sample throughput with fast analysis and less saturation of column.  We achieved a lower LLOQ (15 ng/ml) and shorter retention times (1.8 min. for TER, 0.7 min for IS) than previous reports.  The precision and accuracy for calibration and QC samples were well within the acceptable limits.  This method was sensitive enough to monitor Terbinafine plasma concentrations up to 144 h after dosing and provided us with a successful application in pharmacokinetics and bioequivalence study.
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