Tall M L, Lehmann S, Diouf E, Gérard C, Filali S, Gabelle A, Hirtz C, Gabert L, Sauvinet V, Pirot F, Pivot C
Service pharmaceutique, groupement hospitalier Édouard-Herriot, 5, place d'Arsonval, 69437 Lyon cedex 03, France.
Laboratoire de biochimie - protéomique clinique, hôpital St-Éloi, centre hospitalo universitaire de Montpellier, 80, avenue Augustin-Fliche, 34295 Montpellier, France.
Ann Pharm Fr. 2015 Jan;73(1):43-59. doi: 10.1016/j.pharma.2014.06.002. Epub 2014 Jul 11.
The L-leucine labeled (L-[U-(13)C] Leu) is a stable isotopic tracer administered by parenteral route within the framework of a new clinical research program concerning the diagnosis of the Alzheimer's disease. To meet regulatory requirements and have ready to use solution with an expiration date, a pharmaceutical control of raw materials and the finished product followed by a stability study were realised.
After the pharmaceutical control of raw materials, the solution of L-[U-(13)C] Leu was prepared according to the good practices preparation. Prepared bottles were stored for 1 year of a share in a climatic chamber (25 °C±2 °C) and the other in a refrigerator (5 °C±3 °C). To assess stability, the physicochemical controls (pH, osmolality, sub-visible particles, L-[U-(13)C] Leu concentration, sodium concentration, isotopic enrichment) and microbiological (bacterial endotoxin and sterility) were performed at regular intervals for 1 year.
Neither significant decrease of L-[U-(13)C] Leu concentration and sodium concentration nor pH and osmolality variation were observed for 1 year. Isotopic enrichment higher than 99.9% reflected the stability of labelling of L-leucine molecule. The sub-visible particles, the bacterial endotoxin and sterility were in accordance with the European pharmacopoeia attesting limpidity, apyrogenicity and sterility of this injectable preparation.
The injectable preparation of L-[U-(13)C] Leu was stable after 1 year for two preservation conditions, ensuring to safety for administration for human within the framework of this clinical research.
L-亮氨酸标记物(L-[U-(13)C]亮氨酸)是一种稳定同位素示踪剂,通过肠胃外途径给药,用于一项关于阿尔茨海默病诊断的新临床研究项目。为满足监管要求并获得有有效期的即用型溶液,对原材料和成品进行了药品控制,随后进行了稳定性研究。
在对原材料进行药品控制后,按照良好生产规范制备L-[U-(13)C]亮氨酸溶液。制备好的瓶子一部分在气候箱(25℃±2℃)中储存1年,另一部分在冰箱(5℃±3℃)中储存。为评估稳定性,在1年的时间里定期进行物理化学控制(pH值、渗透压、可见异物、L-[U-(13)C]亮氨酸浓度、钠浓度、同位素丰度)和微生物控制(细菌内毒素和无菌性)。
1年内未观察到L-[U-(13)C]亮氨酸浓度和钠浓度的显著下降,也未观察到pH值和渗透压的变化。高于99.9%的同位素丰度反映了L-亮氨酸分子标记的稳定性。可见异物、细菌内毒素和无菌性符合欧洲药典要求,证明该注射制剂澄清、无热原性且无菌。
L-[U-(13)C]亮氨酸注射制剂在两种保存条件下1年后均稳定,确保了在该临床研究框架内对人体给药的安全性。