Meenks Sjoerd D, Drost-Wijnne Anne J A, van Wezel Ralph A C, van Suijlekom Hans J A, Jansen Willemijn, Rutgers Arne A L, de Blois Mieke W, Deenen Maarten J
Department of Clinical Pharmacy, Catharina Hospital, Eindhoven, The Netherlands.
Department of Anesthesiology, Catharina Hospital, Eindhoven, The Netherlands.
Hosp Pharm. 2024 Oct 18:00185787241289023. doi: 10.1177/00185787241289023.
A commonly applied analgesic therapy for patients with severe abdominal pain due to cancer-related pain in the upper abdomen, is coeliac plexus neurolysis (CPN). Herein, a combination product of phenol and an iodine contrast agent are injected simultaneously. The chemical stability of such a combination product is unknown, and no chromatographic method is yet available that describes the simultaneous quantification of phenol and iomeprol. The aim of this study was to develop and validate a stability-indicating UPLC method for the simultaneous quantification of both phenol and iomeprol and to determine the chemical stability of a sterile 100 mg/mL phenol in 350 mg I/mL iomeprol solution for injection during shelf life. The product was compounded and sterilized in a GMP certified facility. The pharmaceutical analysis was validated by determination of the accuracy, precision, specificity, selectivity, carry-over and linearity. Pharmaceutical product stability was determined before and after sterilization, and during shelf life of 36 months at 25°C ± 2°C. The accuracy for phenol and iomeprol was 97.1% to 99.3% and 100.0% to 100.2%, respectively. The RSD for repeatability and reproducibility for phenol were 0.65% and 1.17%, and for iomeprol 0.61% and 1.49%, respectively. All other tested parameters met the predefined validation criteria. All concentrations at all tested time points remained within ±2% of the initial concentrations for phenol and ±4% for iomeprol. No additional peaks were visible on the chromatograms. A stability-indicating method for the simultaneous quantification of phenol and iomeprol in a parental pharmaceutical preparation was developed and validated. This method was used to demonstrate the chemical stability of a newly developed sterile solution of 100 mg/mL phenol and 350 mg I/mL iomeprol. Chemical product stability was demonstrated during shelf life of up to 36 months.
对于因上腹部癌症相关疼痛而导致严重腹痛的患者,一种常用的镇痛疗法是腹腔神经丛神经溶解术(CPN)。在此过程中,苯酚和碘造影剂的组合产品会同时注射。这种组合产品的化学稳定性未知,并且尚无能够同时定量苯酚和碘美普尔的色谱方法。本研究的目的是开发并验证一种用于同时定量苯酚和碘美普尔的稳定性指示超高效液相色谱法,并确定在有效期内,含100 mg/mL苯酚和350 mg I/mL碘美普尔的无菌注射用溶液的化学稳定性。该产品在获得GMP认证的设施中进行配制和灭菌。通过测定准确度、精密度、特异性、选择性、残留量和线性来验证药物分析。在灭菌前后以及在25°C±2°C的条件下36个月的有效期内测定药品稳定性。苯酚和碘美普尔的准确度分别为97.1%至99.3%和100.0%至100.2%。苯酚重复性和重现性的相对标准偏差分别为0.65%和1.17%,碘美普尔的分别为0.61%和1.49%。所有其他测试参数均符合预先设定的验证标准。在所有测试时间点的所有浓度,苯酚均保持在初始浓度的±2%以内,碘美普尔保持在±4%以内。色谱图上未出现其他峰。开发并验证了一种用于同时定量注射用药物制剂中苯酚和碘美普尔的稳定性指示方法。该方法用于证明新开发的含100 mg/mL苯酚和350 mg I/mL碘美普尔的无菌溶液的化学稳定性。在长达36个月的有效期内证明了该化学产品的稳定性。