Abstract
A stability indicating UPLC method has been developed and validated for the simultaneous determination of fosnetupitant and palonosetron in bulk and in injection dosage form. This combination is used for the prevention of acute and delayed nausea and vomiting associated with initial and repeated courses of highly emetogenic chemotherapy for cancer. The chromatographic analysis was performed on an HSS, RP C18 column (2.1 x 100 mm, 1.8 µm) with an isocratic mobile phase composed of 0.25 M potassium dihydrogen orthophosphate buffer (pH 6.5), pH adjusted with dilute sodium hydroxide:acetonitrile (55:45 v/v), at a flow rate of 0.5 mL/min, and the eluents were monitored at an isosbestic point of 286 nm. The developed method was validated according to the ICH guidelines pertaining to specificity, precision, accuracy, linearity and robustness, and the stability indicating nature of the method was established by forced degradation studies. The retention times of fosnetupitant and palonosetron were observed at 1.390 and 2.404 min, respectively. The developed method proved to be accurate and precise. Linearity was established between 4.70 and 14.10 µg/mL for fosnetupitant and between 0.05 and 0.15 µg/mL for palonosetron. The LOD and LOQ were 0.115 and 0.385 µg/mL, respectively, for fosnetupitant, and 0.005 and 0.016 µg/mL, respectively, for palonosetron. Therefore, the proposed UPLC method was reliable, reproducible, precise and sensitive for the quantification of fosnetupitant and palonosetron.
Keywords:
Fosnetupitant; Palonosetron; UPLC method; Stability indicating and validation
INTRODUCTION
Cancer chemotherapy induced nausea and vomiting (CINV) is a common adverse effect of most cancer drug regimens. If this condition is not controlled, it can affect quality of life and contribute to the overall survival of cancer patients (Kuchuk et al., 2013Kuchuk I, Bouganim N, Beusterien K, Grinspan J, Vandermeer L, Gertler S, et al. Preference weights for chemotherapy side effects from the perspective of women with breast cancer. Breast Cancer Res Treat. 2013;142(1):101-107.; Sun et al., 2005Sun CC, Bodurka DC, Weaver CB, Rasu R, Wolf JK, Bevers MW, et al. Rankings and symptom assessments of side effects from chemotherapy: insights from experienced patients with ovarian cancer. Support Care Cancer . 2005;13(4):219-227.); greater importance should therefore be given to antiemetic prophylaxis in the treatment of cancer. This has led to the development of new antiemetics that have substantially changed the current scenario for the prevention of CINV (Basch et al., 2017Basch E, Deal AM, Dueck AC, Scher HI, Kris MG, Hudis C, et al. Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. J Am Med Assoc. 2017;318(2):197-198.; Basch et al., 2016Basch E, Deal AM, Kris MG, Scher HI, Hudis CA, Sabbatini P, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. J Clin Oncol. 2016;34(6):557-565.).
With a better understanding of the neuropharmacology of CINV and the development of new agents targeting different receptors involved in the CINV process, multi-agent antiemetic prophylactic combinations are now recommended for the highly emetogenic chemotherapy environment. Unfortunately, due to their apparent complexity, adherence to the antiemetic combinations recommended by the antiemetic guidelines has been very minimal (Aapro et al., 2012Aapro M, Molassiotis A, Dicato M, Peláez I, Rodríguez-Lescure Á, Pastorelli D, et al. The effect of guideline-consistent antiemetic therapy on chemotherapy-induced nausea and vomiting (CINV): the Pan European Emesis Registry (PEER). Ann Oncol. 2012;23(8):1986-1992.; Gilmore et al., 2014Gilmore JW, Peacock NW, Gu A, Szabo S, Rammage M, Sharpe J, et al. Antiemetic guideline consistency and incidence of chemotherapy-induced nausea and vomiting in US community oncology practice: INSPIRE Study. J Oncol Pract. 2014;10(1):68-74.). Several antiemetic drug classes are available on the market in different formulations (i.e., tablets, IV and IM), offering a wide range of options for doctors and patients in various contexts. Alternative drug formulations can help to meet the unaddressed needs of patients and prescribers by promoting greater patient adherence to prescribed drug treatments.
Akynzeo® (Helsinn Therapeutics Inc., USA) for injection is an antiemetic combination containing 235 mg of fosnetupitant (FOS) and 0.25 mg of palonosetron (PAL). It is a freeze-dried powder in a vial and is reconstituted in 50 mL of 5% dextrose injection USP or 0.9% sodium chloride injection USP. Before the start of chemotherapy, a patient is given a vial of reconstituted Akynzeo® as a 30-minute intravenous infusion (Akynzeo® prescribing information, 2020Akynzeo® (Fosnetupitant and Palonosetron) [prescribing information], 2018 Akynzeo® (Fosnetupitant and Palonosetron) [prescribing information], 2018 https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210493Orig1s000MultidisciplineR.pdf Accessed date: 11th Feb 2020.
https://www.accessdata.fda.gov/drugsatfd...
). Figure 1 shows the chemical structures of FOS and PAL.
Fosnetupitant (FOS), a prodrug of netupitant, is 4-(5-{2-[3,5-bis (trif luoromethyl) phenyl]-N, 2-dimethylpropanamido}-4 -(2-methylphenyl) pyridine-2-il)-1-[(hydrogen phosphonooxy) methyl]-1-methylpiperazin-1-ium, with a molecular weight of 688.608, and is an antagonist of the Neutokinin-1 (NK1). Palonosetron (PAL), a 5HT3 antagonist, is (3aS)-2-[(3S)-1-azabicyclo [2.2.2] oct-3-il]-2,3,3a,4,5,6-hexahydro-1H-benz [de] isoquinolin-1-one, with a molecular weight of 332.87. The injection dosage form of FOS and PAL (Akynzeo®) offers some benefits compared to the other antiemetic drugs currently available, including a convenient dosage form, a double target mechanism and a favourable profile of side effects (Abramovitz, Gaertner, 2016Abramovitz RB, Gaertner KM. The role of netupitant and palonosetron in chemotherapy-induced nausea and vomiting. J Oncol Pharm Pract. 2016;22(3):477-84.) FOS is metabolized to netupitant through CYP3A4, while POS is metabolized through CYP2D6, with small contributions from the CYP1A2 and CYP3A4 systems (Calcagnile et al., 2013Calcagnile S, Lanzarotti C, Rossi G, Henriksson A, Kammerer KP, Timmer W. Effect of netupitant, a highly selective NK1 receptor antagonist, on the pharmacokinetics of palonosetron and impact of the fixed dose combination of netupitant and palonosetron when coadministered with ketoconazole, rifampicin, and oral contraceptives. Support Care Cancer. 2013;21(10):2879-2887.)
A literature review reveals that very few analytical methods have been reported for the determination of netupitant and PAL individually and with other combinations. These include HPLC (Inturi, Inturi, Venkatesh, 2011Inturi S, Inturi RK, Venkatesh G. A validated novel RP-HPLC method development for the estimation of palonosetron hydrochloride in bulk and softule dosage forms. Pharm Sin. 2011;2:223-234.; Zheng Guo-gang, 2010Zheng Guo-gang. HPLC determination of palonosetron hydrochloride and its related substances, Chinese Journal of Pharmaceutical Analysis. Chin J Pharm Anal. 2010;30(7): 1264-1267.; Murthy et al., 2011aMurthy MV, Katkam S, Ramesh K, Mukkanti K. Development and validation of a stability indicating LC method for determining palonosetron hydrochloride, its related compounds and degradation products using naphthalethyl stationary phase. J Pharm Biomed Anal . 2011a;56(2):429-435.; Janaki, Appala, 2012Janaki PP, Appala NR. The estimation of palonosetron hydrochloride in parenterals by RPHPLC. Asian J Pharm Tech. 2012;2(2):77-79.), UV spectrophotometry (Della Grace Thomas Parambi, Ganesan, 2011Della Grace Thomas Parambi MM, Ganesan V. Estimation of palonosetron hydrochloride (A 5-Ht3 antagonist) in pharmaceutical dosage form by UV spectrophotometric method. Int J Chem Sci. 2011;9:1619-24.), micellar electrokinetic chromatography (Tian et al., 2006Tian K, Chen H, Tang J, Chen X, Hu Z. Enantioseparation of palonosetron hydrochloride by micellar electrokinetic chromatography with sodium cholate as chiral selector. J Chromatogr A. 2006;1132(1-2):333-336.), chiral HPLC (Radhakrishnanand, Subba Rao, Himabindu, 2009Radhakrishnanand P, Subba Rao DV, Himabindu V. Validated chiral LC method for the enantiomeric separation of palonosetron hydrochloride. Chromatographia. 2009;69(3):369-373.; Murthy et al., 2011bMurthy MV, Krishnaiah C, Jyothirmayi K, Srinivas K, Mukkanti K, Kumar R, et al. Enantioseparation of palonosetron hydrochloride and its related enantiomeric impurities by computer simulation and validation. Am J Anal Chem. 2011b;2(4):437-446.; Yu, Song, Hang, 2008Yu XR, Song M, Hang TJ. Direct enantiomeric separation of palonosetron hydrochloride by chiral HPLC. Chinese J New Drugs. 2008;17(10):16.), LCMS (Ding et al., 2007Ding L, Chen Y, Yang L, Wen A. Determination of palonosetron in human plasma by liquid chromatography- electrospray ionization-mass spectrometry. J Pharm Biomed Anal. 2007;44(2):575-580.; Zhang, Feng, 2008Zhang W, Feng F. Sensitive and selective LC-MS-MS assay for the quantification of palonosetron in human plasma and its application to a pharmacokinetic study. Chromatographia . 2008;68:193-199.), capillary zone electrophoresis (Wang et al., 2009Wang M, Ding X, Chen H, Chen X. Enantioseparation of palonosetron hydrochloride by capillary zone electrophoresis with high-concentration β-CD as chiral selector. Anal Sci. 2009;25:1217-1220.) and pharmacokinetic studies (Spinelli et al., 2013Spinelli T, Calcagnile S, Giuliano C, Rossi G, Lanzarotti C, Mair S, et al. Netupitant PET imaging and ADME studies in humans. J Clin Pharmacol. 2013;54(1):97-108.). However, the existing LC methods were less convenient and time consuming, which is unsuitable for routine individual and simultaneous estimation. The UPLC system reduces the time and the significant costs of analysing samples, with better results. UPLC allows an analyst to work on superior skills with a much wider range of linear speeds, solvent flow rates and system back pressure than traditional HPLC. Considering the growing demand for the aforementioned drugs in the global market, it is necessary to develop a new economic, accurate and rapid UPLC analytical technique for the simultaneous estimation of both drugs in the pharmaceutical formulation and to conduct forced degradation studies in five different conditions, which could be applied to evaluate the quality, efficacy and storage conditions of each molecule.
MATERIAL AND METHODS
Chemicals and reagents
Both drug standards were gifted from Lara Drug Pvt. Limited, Hyderabad, India. Methanol, water and acetonitrile (LC grade), analytical grade sodium hydroxide (NaOH), hydrogen peroxide (H2O2) and hydrochloric acid (HCl), and a 0.22 mm membrane filter were purchased from Sigma-Aldrich. Akynzeo® (single-dose vial) containing 235 mg FOS and 0.25 mg PAL was purchased from the native pharmaceutical market. All chemicals were analytical or LC grade.
UPLC instrumental condition
An Acquity UPLC system (Waters, Milford, MA, USA) equipped with a model 2996 PDA detector and Empower software was used to develop the method. The UPLC separation of the two drugs was obtained with an HSS RP-C18 analytical column (2.1 mm x 100 mm, 1.8 µm) using 0.25 M buffer of potassium dihydrogen orthophosphate (pH 6.5), pH adjusted with diluted sodium hydroxide:acetonitrile (55:45, v/v) in isocratic mode at a flow rate of 0.5 mL/min and the column at room temperature. The PDA detector was used to monitor the two drugs at 286 nm. The solvents were filtered on a 0.22 mm membrane filter and degassed in an ultrasonic bath before use. The analytical method was optimized using a pure analytical standard (Table I).
Preparation of working standard solution
Standard solutions of 9.4 µg/mL of FOS and 0.1 µg/ mL of PAL were prepared using diluent.
Analysis of formulations
A dose equivalent to 100 mg of FOS and 10 mg of PAL was calculated from twenty vials and the contents of the vials were emptied into a clean beaker and mixed well. Measured samples were transferred to clean dry 10 mL standard flasks. Then, 7 mL of diluent was added and sonicated to dissolve completely. Finally, the volume was made up to the mark with the same solvent (primary formulation stock solution). In addition, 9.4 mL of FOS and 0.1 mL of PAL of the respective stock of the respective primary formulation stock solutions were transferred to a standard 10 mL flask and diluted to the mark with the same solvent. Then, 3 µL of both samples were injected into the UPLC system, the peak areas for FOS and PAL measured and the percentage assay of the formulations calculated.
Validation of the chromatographic method
The developed method was validated as per the International Conference on Harmonization (ICH) guideline (ICH Guideline, Q2 (R1), 2005ICH Q2 (R1): Validation of analytical procedures: text and methodology, 2005. Available from: https://database.ich.org/sites/default/files/Q2_R1_Guideline.pdf
https://database.ich.org/sites/default/f...
).
System suitability
System suitability parameters were measured to verify the system performance. The precision of the system was determined in six repeated injections of standard preparations. All important characteristics were measured, including the area of the peak, the resolution of the peaks and the theoretical plate number.
Accuracy (recovery)
Accuracy is represented (ICH Guideline, Q2 (R1), 2005ICH Q2 (R1): Validation of analytical procedures: text and methodology, 2005. Available from: https://database.ich.org/sites/default/files/Q2_R1_Guideline.pdf
https://database.ich.org/sites/default/f...
) and determined by recovery experiments. In this process, it was tested at three different levels (50%, 100% and 150%) and the chromatogram was analysed.
Specificity
To assess the specificity, a working placebo solution (blank) in the absence of FOS and PAL and a standard solution with a concentration of 9.4 µg/mL FOS and 0.1 µg/mL PAL were introduced into the UPLC system, as well as the formulations, and the chromatograms were analysed.
Precision
The precision (intra-day and inter-day) of the analytical technique was proven using optimized concentrations of FOS and PAL by six replicate injections. The average and % RSD of the peak area and the assay were determined from chromatograms.
Linearity
Linearity was confirmed by preparing and analysing pure analytical standard preparations at five totally different concentrations. The developed method displays ideal linearity over a range of 4.7, 7.05, 9.4, 11.75 and 14.1 µg/mL for FOS and 0.05, 0.075, 0.1, 0.125 and 0.15 µg/ mL for PAL.
Limit of detection (LOD) and Limit of quantitation (LOQ)
The LOD and LOQ of FOS and PAL were determined using a signal to noise (S/N) approach, as defined in the ICH guideline (ICH Guideline, Q2 (R1), 2005ICH Q2 (R1): Validation of analytical procedures: text and methodology, 2005. Available from: https://database.ich.org/sites/default/files/Q2_R1_Guideline.pdf
https://database.ich.org/sites/default/f...
). An increasingly dilute solution of each drug and impurity was injected into the chromatograph, and the S/N ratio was calculated at each concentration.
Robustness
The robustness, as a measure of method capacity to remain unaffected by small, but deliberate changes in chromatographic conditions, was studied by testing the influence of small changes in flow rate (±5 mL/min), in column temperature (±5°C) and change in the detection wavelength (± 2 nm).
Forced degradation studies
The ICH guideline entitled stability testing of new drug substances and products (ICH Guideline, Q1A (R2), 2003ICH Q1A (R2): Stability testing of new drug substances and products, International Conference on Harmonisation, 2003. Available from: www.fda.gov/downloads/Regulatoryinformation/Guidances/ucm128204.pdf.
www.fda.gov/downloads/Regulatoryinformat...
; Reynolds et al., 2002Reynolds DW, Alsante KM, Facchine KL, Mullaney JF, Motto MG, Hatajik TD. Available guidance and best practices for conducting forced degradation studies. Pharm Technol. 2002;26(2):48-56.) requires that stress testing is performed to describe the inherent stability characteristics of the active substance. The goal of this project was to carry out the stress degradation studies on FOS and PAL using the proposed method.
Acidic and alkaline hydrolysis
From the primary stock solution, 3.0 mL of FOS and PAL were transferred to 2 pairs of 10 mL standard flasks. From the above solution, 1 mL of 0.1 N HCl was added to one pair of 10 mL standard flasks for the acidic condition. For alkaline degradation, 1 mL of 0.1 N NaOH was added to the other set of 10 mL standard flasks. The standard flasks were kept in a water bath at 65 °C for 8 h and 60 °C for 10 h for the acid and alkaline samples, respectively. Both set of solutions were neutralized and made up to 10 mL with diluent, to obtain 9.4 µg/mL of FOS and 0.1 µg/mL of PAL, respectively. The resulting solution was cooled to room temperature, the solution was filtered with a 0.22 mm syringe, and the vials were then introduced to the UPLC system.
Thermally induced degradation
Initially, 3.0 mL of FOS and PAL were transferred to a 10 mL standard flask from the above stock solution, and refluxed at 85 °C for 30 h. Then, the sample was diluted with diluents and made up to 10 mL to obtain 9.4 µg/mL of FOS and 0.1 µg/mL of PAL, respectively. The solution was then cooled to room temperature, and the vials were introduced to the UPLC system, after filtration with a 0.22 mm syringe filter.
Oxidative degradation
Initially, 3.0 mL of FOS and PAL was transferred to a 10 mL standard flask from the above stock solution. Then, 1 mL of 3% (w/v) hydrogen peroxide was added, and the volume was made up to the mark with diluents to obtain 9.4 µg/mL of FOS and 0.1 µg/mL of PAL, respectively. The standard flask was then set aside at room temperature for 5 h, and the resulting solution was introduced to the UPLC system, after filtration with a 0.22 mm syringe filter.
Photodegradation
From above stock solution, 3.0 mL of FOS and PAL were pipetted out to a 10 mL standard flask. The samples were then transferred to a Petri dish and set aside in a photostability chamber 200 Wh/m2 in UV light and 1.2 million lxh in UV light for 30 h. Finally, the standard flask was made up to 10 mL with diluents to obtain 9.4 μg/mL of FOS and 0.1 μg/mL of PAL, respectively. The final solution was cooled to room temperature, filtered with a 0.22 mm syringe and then introduced to the UPLC system.
RESULTS AND DISCUSSION
Optimization of chromatographic conditions
Numerous trials have been performed based on the physico-chemical properties of the molecules. During the course of the trials, four reliable variables were taken into consideration: the stationary phase, the composition of the mobile phase, the flow rate and the column temperature. The trial was started by keeping one variable as a constant and modifying another variable. The ideal experimental design helps us to optimize chromatographic and robustness parameters. The UPLC resolution of the two drugs was achieved with an HSS analytical column, RP-C18, 2.1 x 100 mm, 1.8 µm and the use of 0.25 M buffer of potassium dihydrogen orthophosphate in mobile phase (pH 6.5), pH adjusted with diluted sodium hydroxide:acetonitrile (55:45, v/v), in isocratic mode at a flow rate of 0.5 mL/min and with the column at room temperature. The detection of the aforementioned drugs were monitored at 286 nm using a PDA detector.
Analysis of formulations
The marketed formulation was analysed, and the assay percentage was calculated. Results were obtained within ICH limits and are summarized in Table II.
Validation of UPLC method
System suitability study
System suitability was attained by checking various parameters and was found to be within the ICH limit. The results are presented in Table III.
Accuracy (recovery)
Accuracy was ensured at three different levels: 50%, 100% and 150%. The results are shown in Table IV. Mean % recoveries at 50%, 100% and 150% were found to be 100.73%, 99.33% and 99.35%, respectively, for FOS and 100.88%, 100.77% and 100.46%, respectively, for PAL.
Precision
The precision of the analytical method was established for both intra- and inter-day using concentrations of 9.4 µg/mL of FOS and 0.1 µg/mL of PAL, with six replicate injections. The results are shown in Table V.
Specificity
The specificity of the technique established that the chromatogram of the working placebo solution did not show any interference at the retention time of FOS and PAL. Thus, it can be concluded that the main excipients present in the formulations do not interfere with the analytical method for the determination of FOS and PAL. The resulting chromatograms of blank, standard and formulation are shown in Figure 2.
Linearity
The projected technique displays ideal linearity over a range of 4.7, 7.05, 9.4, 11.75 and 14.1 µg/mL for FOS and 0.05, 0.075, 0.1, 0.125 and 0.15 µg/mL for PAL, respectively, with excellent coefficient correlation of more than 0.999 for both drugs. A residual plot of both drugs displays that residuals are randomly placed over, below and above the x-axis, signifying that the developed method is a linear model. The results are shown in Table VI.
Limit of detection (LOD) and limit of quantification (LOQ)
The LOD of FOS and PAL was found to be 0.115 µg/mL and 0.005 µg/mL, respectively, and the LOQ was found to be 0.385 µg/mL and 0.016 µg/mL, respectively, indicating that the method was extremely rapid and sensitive. Figure 3 shows the chromatograms of LOD and LOQ.
Robustness study
The robustness study revealed that there was little deviation in the robust chromatograms in comparison with the optimized chromatogram. The results are shown in Table VII.
Forced degradation study
The degradation studies revealed the specificity of the developed method in the presence of degradation products that were present in the bulk and pharmaceutical dosage form. The studies were performed using the combination of the two drugs, and the purity of the drug peaks was established by purity angles. The formulations were exposed to five different stress conditions.
In acidic and basic conditions, degradation may be due to catalysis of ionisable functional group presents in the drug molecule. Four degradants were detected in the basic condition and three in the acidic condition, but no additional degrading peaks were reported at the retention time of FOS and PAL, respectively. Both drugs were found to degrade more in acidic conditions compared to an alkaline condition.
Two degradants were detected in the oxidative degradation study, and no degradant peaks were reported in the retention time of FOS and PAL, respectively. FOS undergoes more degradation than PAL, with degradation up to 10.06% and 9.30%, respectively. The reason for the high degradation in peroxide may be due to the electron transfer mechanism to form reactive cations and anions. In photolytic stress conditions, degradation may be due to photooxidation by free radical mechanisms whereas, in a thermal condition, it can be explained on the basis of the Arrhenius equation. The results are summarised in Table VIII.
Even if unidentified peaks were observed in the five different stress conditions mentioned above, no degradants were found close to the retention time of FOS and PAL, respectively (Figure 4). Therefore, FOS and PAL are extremely stable in the projected technique, even in stress conditions, up to the specified period of time.
CONCLUSION
This technique has been demonstrated to be quick, precise, selective, robust and simple, and may be applied to the latest FDA approved pharmaceutical combination of FOS and PAL. This method of analysis could be applied to ensure the safety, efficacy and quality of the drug in a cost effective manner. The established methods were validated as per ICH guidelines, and the stability study revealed that the technique is useful for monitoring drug stability. The method could also be applied for routine analysis in bioanalytical laboratories, by hospital research institutions for the therapeutic drug monitoring of clinical trials, in the quality control division of pharmaceutical companies, in dissolution studies of formulations and in accredited testing laboratories.
ACKNOWLEDGMENTS
The authors are grateful to Lara Drugs Private Limited, Telangana, India for providing gift sample of APIs and to Lotus Laboratories, Bangalore for providing the necessary equipment for the research.
REFERENCES
- Aapro M, Molassiotis A, Dicato M, Peláez I, Rodríguez-Lescure Á, Pastorelli D, et al. The effect of guideline-consistent antiemetic therapy on chemotherapy-induced nausea and vomiting (CINV): the Pan European Emesis Registry (PEER). Ann Oncol. 2012;23(8):1986-1992.
- Abramovitz RB, Gaertner KM. The role of netupitant and palonosetron in chemotherapy-induced nausea and vomiting. J Oncol Pharm Pract. 2016;22(3):477-84.
- Akynzeo® (Fosnetupitant and Palonosetron) [prescribing information], 2018 Akynzeo® (Fosnetupitant and Palonosetron) [prescribing information], 2018 https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210493Orig1s000MultidisciplineR.pdf Accessed date: 11th Feb 2020.
» https://www.accessdata.fda.gov/drugsatfda_docs/nda/2018/210493Orig1s000MultidisciplineR.pdf - Basch E, Deal AM, Dueck AC, Scher HI, Kris MG, Hudis C, et al. Overall survival results of a trial assessing patient-reported outcomes for symptom monitoring during routine cancer treatment. J Am Med Assoc. 2017;318(2):197-198.
- Basch E, Deal AM, Kris MG, Scher HI, Hudis CA, Sabbatini P, et al. Symptom monitoring with patient-reported outcomes during routine cancer treatment: a randomized controlled trial. J Clin Oncol. 2016;34(6):557-565.
- Calcagnile S, Lanzarotti C, Rossi G, Henriksson A, Kammerer KP, Timmer W. Effect of netupitant, a highly selective NK1 receptor antagonist, on the pharmacokinetics of palonosetron and impact of the fixed dose combination of netupitant and palonosetron when coadministered with ketoconazole, rifampicin, and oral contraceptives. Support Care Cancer. 2013;21(10):2879-2887.
- Della Grace Thomas Parambi MM, Ganesan V. Estimation of palonosetron hydrochloride (A 5-Ht3 antagonist) in pharmaceutical dosage form by UV spectrophotometric method. Int J Chem Sci. 2011;9:1619-24.
- Ding L, Chen Y, Yang L, Wen A. Determination of palonosetron in human plasma by liquid chromatography- electrospray ionization-mass spectrometry. J Pharm Biomed Anal. 2007;44(2):575-580.
- Gilmore JW, Peacock NW, Gu A, Szabo S, Rammage M, Sharpe J, et al. Antiemetic guideline consistency and incidence of chemotherapy-induced nausea and vomiting in US community oncology practice: INSPIRE Study. J Oncol Pract. 2014;10(1):68-74.
- ICH Q1A (R2): Stability testing of new drug substances and products, International Conference on Harmonisation, 2003. Available from: www.fda.gov/downloads/Regulatoryinformation/Guidances/ucm128204.pdf
» www.fda.gov/downloads/Regulatoryinformation/Guidances/ucm128204.pdf - ICH Q2 (R1): Validation of analytical procedures: text and methodology, 2005. Available from: https://database.ich.org/sites/default/files/Q2_R1_Guideline.pdf
» https://database.ich.org/sites/default/files/Q2_R1_Guideline.pdf - Inturi S, Inturi RK, Venkatesh G. A validated novel RP-HPLC method development for the estimation of palonosetron hydrochloride in bulk and softule dosage forms. Pharm Sin. 2011;2:223-234.
- Janaki PP, Appala NR. The estimation of palonosetron hydrochloride in parenterals by RPHPLC. Asian J Pharm Tech. 2012;2(2):77-79.
- Kuchuk I, Bouganim N, Beusterien K, Grinspan J, Vandermeer L, Gertler S, et al. Preference weights for chemotherapy side effects from the perspective of women with breast cancer. Breast Cancer Res Treat. 2013;142(1):101-107.
- Murthy MV, Katkam S, Ramesh K, Mukkanti K. Development and validation of a stability indicating LC method for determining palonosetron hydrochloride, its related compounds and degradation products using naphthalethyl stationary phase. J Pharm Biomed Anal . 2011a;56(2):429-435.
- Murthy MV, Krishnaiah C, Jyothirmayi K, Srinivas K, Mukkanti K, Kumar R, et al. Enantioseparation of palonosetron hydrochloride and its related enantiomeric impurities by computer simulation and validation. Am J Anal Chem. 2011b;2(4):437-446.
- Radhakrishnanand P, Subba Rao DV, Himabindu V. Validated chiral LC method for the enantiomeric separation of palonosetron hydrochloride. Chromatographia. 2009;69(3):369-373.
- Reynolds DW, Alsante KM, Facchine KL, Mullaney JF, Motto MG, Hatajik TD. Available guidance and best practices for conducting forced degradation studies. Pharm Technol. 2002;26(2):48-56.
- Spinelli T, Calcagnile S, Giuliano C, Rossi G, Lanzarotti C, Mair S, et al. Netupitant PET imaging and ADME studies in humans. J Clin Pharmacol. 2013;54(1):97-108.
- Sun CC, Bodurka DC, Weaver CB, Rasu R, Wolf JK, Bevers MW, et al. Rankings and symptom assessments of side effects from chemotherapy: insights from experienced patients with ovarian cancer. Support Care Cancer . 2005;13(4):219-227.
- Tian K, Chen H, Tang J, Chen X, Hu Z. Enantioseparation of palonosetron hydrochloride by micellar electrokinetic chromatography with sodium cholate as chiral selector. J Chromatogr A. 2006;1132(1-2):333-336.
- Wang M, Ding X, Chen H, Chen X. Enantioseparation of palonosetron hydrochloride by capillary zone electrophoresis with high-concentration β-CD as chiral selector. Anal Sci. 2009;25:1217-1220.
- Yu XR, Song M, Hang TJ. Direct enantiomeric separation of palonosetron hydrochloride by chiral HPLC. Chinese J New Drugs. 2008;17(10):16.
- Zhang W, Feng F. Sensitive and selective LC-MS-MS assay for the quantification of palonosetron in human plasma and its application to a pharmacokinetic study. Chromatographia . 2008;68:193-199.
- Zheng Guo-gang. HPLC determination of palonosetron hydrochloride and its related substances, Chinese Journal of Pharmaceutical Analysis. Chin J Pharm Anal. 2010;30(7): 1264-1267.
Publication Dates
-
Publication in this collection
14 Nov 2022 -
Date of issue
2022
History
-
Received
02 Oct 2020 -
Accepted
08 June 2021