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Validation and method development of Apixaban A research project.
1. Presented by-
Bhavana. G. (Y15MPh223)
II/II M. Pharm.
Dept. of Ph. Analysis
Under the guidance of-
Mrs G. Indira Priyadarshini, M.Pharm.,
Assistant Professor,
Dept. Ph. Analysis
HINDU COLLEGE OF PHARMACY
AMARAVATHI ROAD, GUNTUR – 522 002, A.P.
2. The main aim of this project was to develop a simple,
precise and accurate method and to validate a High
Performance Liquid Chromatography Mass
Spectrometric method for the estimation of Apixaban in
positive ion mode in human plasma using Apixaban
13C D3 as internal standard.
AIM AND OBJECTIVE
4. IUPAC name
DRUG PROFILE
Molecular Formula : C25H25N5O4
Drug name : Apixaban
Structure :
: 1-(4-methoxyphenyl)-7-oxo-6-[4-(2-oxopiperidin-1-yl)phenyl]-
4,5,6,7-tetrahydro-1H-pyrazolo[3,4-c]pyridine-3-carboxamide
Category : Anti-Coagulant
5. Description
Apixaban is a highly selective, orally bioavailable, and
reversible direct inhibitor of free and clot-bound factor Xa.
Apixaban has no direct effect on platelet aggregation, but by
inhibiting factor Xa, it indirectly decreases clot formation
induced by thrombin
Physicochemical properties
Physical state : White to half-white solid powder
Boiling point : 770.5 °C at 760 mmHg
Melting point : 237-238 °C
Flash Point : 419.8 °C
Gravity : 1.4 g/mL
Density : 1.42g/cm3
Solubility : DMSO and methanol
6. BRANDNAME ANDUSES OF APIXABAN
Apixaban systemic
Brand names: ELIQUIS
Drug class(es): Factor Xa inhibitors
Apixaban, sold under the trade name “ELIQUIS”, is
an anticoagulant for the treatment of venous thromboembolic events.
Route of administration: Orally
Dosage: “ELIQUIS” tablets are available for oral administration
in strengths of 2.5 mg and 5 mg of Apixaban.
8. 1. Development and Validation of Stability Indicating RP-
HPLC Method on Core Shell Column for Determination of
Degradation and Process Related Impurities of Apixaban—An
Anticoagulant Drug, Vijayavitthal T. Mathad1*et.al.
The chromatographic separation was achieved on a Sigma-
Aldrich’s Ascentis Express C18 (4.6 mm × 100 mm, 2.7 µ) HPLC column
with a runtime of 40 min. Mobile phase-A and mobile phase-B were
phosphate buffer and acetonitrile respectively. The column oven
temperature was set at 35˚C and photodiode array detector was set at 225
nm.
2. Stability-Indicating High-Performance Liquid
Chromatographic Determination of Apixaban in the Presence of
Degradation Products Swarup Suresh Prabhune,* Rajendra Shankar
Jaguste, et.al.
Chromatography was performed on a 250 mm × 4.6 mm, 5 μm
C18 column with a gradient mixture of a phosphate buffer–methanol 60:40
(v/v) at 1.0 mL min-1. Ultraviolet detection of apixaban was at 220 nm.
9. 3. Two Novel Validated RP-HPLC and UV- Spectrophotometric
methods for estimation of Apixaban in Bulk and Pharmaceutical Dosage
Forms. Rambabu. K*, Cherukuru Nagaraju, Ramasrinivas,G N Rao .
The first method was based on isocratic reverse phase liquid
chromatography using Sunfire C18, 150mm×4.6mm, 5µ and mobile phase
consists of Buffer: acetonitrile (60:40) at a flow rate 1ml/min and detection
was achieved photodiodide array detector set at 280 nm.
The second spectrophotometric method involves detection at 280 nm. The
calibration curve range between 5-50 µg/ml (R2 =0.9999).
4. Dabigatran, rivaroxaban, or apixaban versus ENOXAPARIN
for thromboprophylaxis after total hip or knee replacement: systematic
review, meta-analysis, and indirect treatment comparisons Antonio
Gómez-Outes*, Ana Isabel Terleira-Fernández.
Randomised controlled trials of rivaroxaban, dabigatran, or apixaban
compared with enoxaparin for prophylaxis against venous thromboembolism
after total hip or knee replacement.
10. 5. Dabigatran, Rivaroxaban, or Apixaban versus WARFARIN in
Patients with Nonvalvular Atrial Fibrillation: A Systematic Review and
Meta-Analysis of SubgroupsAntonio Gómez-Outes, Ana Isabel Terleira-
Fernández.
New oral anticoagulants (NOAC; rivaroxaban, dabigatran, apixaban)
have become available as an alternative to warfarin anticoagulation in non-
valvular atrial fibrillation. Relative risks (RR) and 95% confidence intervals
(CI) were estimated using a random effect meta-analysis.
6. Representativeness of the Dabigatran, Apixaban and
Rivaroxaban clinical trial populations to real-world atrial fibrillation
patients in the United Kingdom: A cross-sectional analysis using the
General Practice Research Database. Sally Lee*, Brigitta U
Monz, Andreas Clemens.
Three oral anticoagulants have reported study results for stroke
prevention in patients with atrial fibrillation (AF) (dabigatran etexilate,
rivaroxaban and apixaban); all demonstrated superiority or non-inferiority
compared with warfarin (RE-LY, ARISTOTLE and ROCKET-AF)
11. 7. Economic Evaluation of Warfarin, Dabigatran, Rivaroxaban,
and Apixaban for Stroke Prevention in Atrial Fibrillation
Gunhild Hagen*, Marianne Klemp.
Atrial fibrillation is a major risk factor for stroke, which causes
thousands of deaths and sequelae. It is recommended that atrial fibrillation
patients at medium or high risk of stroke use an oral anticoagulant to reduce
the risk of stroke. In the past few years, three new oral anticoagulants
(NOACs), dabigatran, rivaroxaban, and apixaban, have been introduced in
competition to the older oral anticoagulant warfarin.
8. A Systematic Literature Review on the Cost-Effectiveness of
Apixaban for Stroke Prevention in Non-valvular Atrial Fibrillation
Carme Pinyol + 6.
Different cost-effectiveness analyses suggest that Apixaban is a
cost-effective therapeutic option according to the WTP thresholds used in
countries where cost-effectiveness analyses, were performed.
12. 9. Meta-Analysis on Risk of Bleeding With Apixaban in Patients
With Renal Impairment. Ranjan Pathak*, MD, Anil Pandit, MDPress,
Paras Karmacharya.
Apixaban is a novel oral anticoagulant which is approved for the
management of atrial fibrillation and venous thromboembolism prophylaxis.
There have been concerns regarding bleeding risks with Apixaban in
patients with renal impairment.
14. Apixaban Stock Solution:
Weighed about 5.0000 mg of Apixaban working standard and
transferred to a 5 ml clean glass volumetric flask, dissolved in
methanol and made up the volume with the same to produce a
solution of 1.000 mg/ml. The stock solution was stored in
refrigerator at 2 - 8 °C and used for maximum of 4 days.
Apixaban 13CD3 Stock Solution (Internal Standard):
Weighed about 2.0000 mg of Apixaban 13CD3 transferred to a 2
ml volumetric flask, dissolved in HPLC grade methanol and made
up the volume with the same to produce a solution of 1.000 mg/ml.
The stock solution was stored in refrigerator at 2 - 8 °C and used for
maximum of 4 days.
15. Mobile Phase (v/v/v):
A mixture of HPLC grade Acetonitrile and methanol and
5mM ammonium formate in 0.1% formic acid buffer in the volume
ratio of 20:60:20 as mobile phase. The mobile phase was sonicated
in an ultra sonicator for 5 minutes. The mobile phase was used
within a period of 7 days and stored at room temperature (20±5ºC).
Diluent (60% methanol, v/v):
A mixture of HPLC grade methanol and Milli-Q water or HPLC
grade water in the volume ratio of 60:40 as diluent. The solution
was sonicated in an ultra sonicator for 5 minutes. The solvent was
used within a period of 7 days and stored at room temperature
(20±5ºC).
18. Method Development
During method development we are performed three methods
Liquid – liquid extraction
Protein precipitation method
Solid phase extraction method
19. Method -1 ( LLE method )
Placed in auto sampler for analysis
Vertex for 30 secs and loaded to vials
Allowed to dryness + 500 µl mobile phase for reconstitution
Placed in turbo evaporater at 450
Transferred in to dry test tube
Separate the 4 ml of supernant liquid
Centrifuge for 20 mins at 4 degrees (4000 rpm)
Add 5 ml of 10mM ammonium formate buffer in 0.1% formic acid (w/v)shake using
reciprocating pump for 20 mins
250 ml of plasma + 25 µl of internal standard( test tube)
20. Column: Zodiac, C18, 50 x 4.6 mm, 3.0 µm (Make: Zodiac
Life Sciences)
Buffer:10mM Ammonium formate
Mobile Phase: HPLC grade acetonitrile: methanol: 10mM
ammonium formate in 0.1% formic acid (30:40:30, v/v/v)
Diluent: HPLC grade methanol: HPLC grade water (60:40).
Conclusion: We observed that base line is not proper.
so this method is not suitable.
21. Method -2 ( SPE) optimization method
200 µL of the plasma +20 µL of internal
standard & vortexed
500 µL of 1% Formic acid buffer, v/v added and
vortexed.
The sample mixture will be loaded onto Starata X-
33µM polymeric sorbent cartridges (Pre
conditioning with 1 ml methanol and 1 ml HPLC
grade water)
Extraction cartridge will be washed with 1 mL
of 5mM ammonium formate in 0.1% formic
acid and followed by 1.0ml of HPLC grade
water
The sample will eluted with 1 ml of mobile
phase
22. Chromatographic conditions
• Buffer : 1% Formic acid buffer, v/v)
• Mobile phase : HPLC grade acetonitrile: methanol: 5mM
Ammonium Formate in 0.1% formic acid (20:60:20, v/v/v)
• Column : Zodiac, C18, 50 x 4.6 mm, 3.0 µm (Make:
Zodiac Life Sciences)
Conclusion: The batch was within acceptance criteria peak shape
and response was good.
26. Chromatographic Conditions:
o Column : Zodiac, C18, 50 x 4.6 mm, 3.0 µm (Make: Zodiac Life
Sciences)
o Mobile phase : HPLC grade acetonitrile: methanol: 5mM
ammonium formate in 0.1% formic acid (20:60:20, v/v)
o Rinsing solution : HPLC grade methanol: Milli-Q/HPLC grade
water (60:40, v/v)
o Flow rate : 1.000 mL/minute (With Splitter)
o Sample cooler temperature : 10°C
o Injection volume : 10 µL
o Column oven temperature : 35°C
o Retention time : Apixaban 0.74 ± 0.3 minutes
Apixaban 13C D3 0.74 ± 0.3 minutes
o Run Time :2.00 minutes
29. Representative chromatograms of aqueous standard analytes and
internal standard mixture, blank plasma, blank plasma with
internal standard, LLOQ QC sample, LQC sample, MQC1 sample,
MQC2 sample, HQC sample, regression analysis and extracted
blank plasma sample analyzed for Apixaban and are given below:
30. Tests Acceptance criteria
Carry over test Response of blank <20%of avg. drug response of LLOQ
and Is must be <5% of avg. of LLOQ
Matrix Selectivity RT of interfering peaks ≤ 20% of mean drug response in
LLOQ & IS ≤ 5% of mean IS in LLOQ
Analyte Selectivity ‖
Sensitivity Accuracy of LLOQ must be ±20% of normal value &
precision must be ≤20%. at-least 67% of LLOQ must be
±20% of normal value
Matrix Effect IS should be ≤ 15% and mean matrix factor should be in
between 0.85-1.15 at QC
Linearity Response of blank ≤20%of avg. drug response of LLOQ
and Is must be <5% of avg. of LLOQ & r² is > 0.98
31. Cont…
Tests Acceptance Criteria
Precision & Accuracy Response of blank ≤20%of avg. drug
response of LLOQ and Is must be <5%
of avg. of LLOQ
RT of interfering peaks ≤ 20% of mean
drug response in LLOQ & IS ≤ 5% of
mean IS in LLOQ for accuracy.
Ruggedness ‖
Dilution Integrity %CV & IS should be ≤15% for QC
Recovery ‖
Stability % stability should be in between 90 &
110 & %CV is ≤ 10%.
32. 1. Carry Over Test
Prepared suitable extracted matrix blank (COT BLANK)+ COT
ULOQ, COT LLOQ of CC range. The prepared samples were injected
in the following sequence:
1. (COT LLOQ) 2. (COT ULOQ)
3. (COT BLANK) 4. (COT ULOQ)
5. (COT BLANK) 6. (COT ULOQ)
7. (COT BLANK) 8. (COT ULOQ)
9. (COT BLANK) 10.(COT ULOQ)
11.(COT BLANK) 12.(COT ULOQ)
13.(COT BLANK)
33. Calculations:
The results demonstrate that there was no carryover effect
of analyte and internal standard.
% of drug carry over = 𝐷𝑟𝑢𝑔 𝑟𝑒𝑠𝑝𝑜𝑛𝑠𝑒 𝑖𝑛 𝐶𝑂𝑇 𝐵𝐿𝐴𝑁𝐾 𝑋 100
Average drug response in COT LLOQ
% of internal std. carry over = 𝐼𝑛𝑡𝑒𝑟𝑛𝑎𝑙 𝑠𝑡𝑑. 𝑟𝑒𝑠𝑝𝑜𝑛𝑠𝑒 𝑖𝑛 𝐶𝑂𝑇 𝐵𝐿𝐴𝑁𝐾 𝑋 100
Average internal std. response in COT LLOQ
A Representative Chromatogram of Extracted blank plasma
sample analysed for Carryover Test
34. Area of Analyte Area of Internal Standard
COT-LLOQ
1 10218 1186003
2 9615 1112944
3 9393 1107467
4 8584 1065641
5 8963 1055050
6 9197 1070333
Mean 9328.3 1099573.0
Analyte Internal Standard
COT-Blank
Area
response
% Carry over Area response % Carry over
1 832 8.92 0 0.00
2 861 9.23 0 0.00
3 770 8.25 0 0.00
4 0 0.00 0 0.00
5 0 0.00 0 0.00
6 266 2.85 0 0.00
Carry Over Test Data for Apixaban
35. 2. Matrix Selectivity
Plasma samples (from 8 individuals)+Aq. Mixture of drug + IS are
injected to check the retention time.
3. Analyte selectivity
Interference at analyte retention time caused due to internal standard
will be evaluated by injecting six replicates of matrix blank with
internal standard.
36. 4. Sensitivity
Sensitivity will be determined in terms of LLOQ, ‘Lower Limit of
Quantification’ where the response of LLOQ must be at least five times
greater than the response of interference in blank matrix at the retention
time.
5. Matrix Effect
The matrix effect will be determined at two concentration levels (LQC
and HQC concentrations) in eight replicates each for analyte along with
internal standard.
IS normalized Matrix Factor = Peak response area ratio in presence of matrix ions
Mean peak response area ratio in absence of matrix ions
6. Linearity
A regression equation with a weighting factor of 1/(concentration
ratio) 2 of drug to IS concentration
.
38. 7. Precision and Accuracy
This includes-
• A medium standard (MQC2) dilution with internal standard
• Blank matrix
• Blank matrix with internal standard
• Spiked calibration standards
• RS (Mobile phase)
• Six LLOQ quality control samples
• Six low quality control samples
• Six middle (MQC1 & MQC2) quality control samples
• Six high quality control samples
41. 8. Recovery
Mean absolute % recovery of drug =
Mean Peak Area Response of analyte in extracted samples at LQC, MQC2 and HQC x 100
Mean Peak Area Response of analyte in non-extracted samples at LQC, MQC2 and HQC
Mean absolute % recovery of internal standard =
Mean Peak Area Response of internal standard in extracted samples x 100
Mean Peak Area Response of internal standard in non-extracted samples
Finally, calculate the overall recovery for the analyte.
Overall Absolute % Recovery = Average of absolute %
recoveries of LQC, MQC2 and HQC.
9. Dilution Integrity
12 sets of QCs spiked with about 1.7 and 3.4 times the
concentration of the highest standard (ULOQ) will be prepared
and stored in the deep freezer along with bulk spiked samples.
42. PARAMETER MEAN SD %CV N
Analyte Area IS Area
Matrix
selectivity 8776.5
ULOQ(60.00)
LLOQ(8776.5
1032475.2
138145.0
0.00
- - 12
Sensitivity 0.9302 0.10814 11.63 6
Matrix
Effect
{Absence of
matrix ions.}
[Presence of
matrix ions.]
LQC(0.02200)
HQC(1.59655)
LQC(1.013)
HQC(1.000)
LQC(0.0132)
HQC(0.0106)
LQC(1.30)
HQC(1.06)
LQC(12)
HQC(12)
Linearity r²=0.99 - - 6
Recovery 98.63 4.736 8.36 3
43. STABILITIES
• Room Temperature Standard Stock Solution Stability (20 ± 5 C)
• Room Temperature Spiking Solution Stability (20 ± 5 C)
• Refrigerated Stock Solution Stability at 2 - 8 °C
• Freeze-thaw Stability
• Bench Top Stability
• Short-term Plasma Samples Stability at -20 C
• Wet Extract Stability at 20±5 °C
• Auto sampler Stability
• Re Injection Stability
• Whole blood stability
53. Validation
Run
Analysis Date Testing performed Data Reported Comments
1 25/11/16 Carryover Test Yes No carryover effect(BE-MS-05)
2 25/11/16 Selectivity Yes No significant interference
3 25/11/16 Matrix effect Yes No matrix effect
4
26/11/16 Stock solution stability at room temperature
(20±5°C)
Yes Established 23 hours 13 min
5 26/11/16
Precision and accuracy batch-1 and
Sensitivity (Determination of the Lower
Limit of Quantitation)
Yes Results met the acceptance criteria
6 26/11/16
Precision and accuracy batch-2 and Dilution
integrity
Yes Results met the acceptance criteria
7 28/11/16 Recovery Yes Results met the acceptance criteria
8 28/11/16
Precision and accuracy batch-3 and
concomitant drug effect
Yes Results met the acceptance criteria
9 28/11/16 Reinjection stability Yes Established 52 hours 40 min
10 29/11/16 Precision and accuracy batch-4 Yes Results met the acceptance criteria
11 29/11/16 Carryover Test Yes No carryover effect(BE-MS-04)
12 29/11/16
Precision and accuracy batch-5 and
Ruggedness
Yes Results met the acceptance criteria
13 30/11/16 Run size evaluation Yes Results met the acceptance criteria
14 31/11/16
Stock solution stability in refrigerator (at 2-
8°C)
Yes Established 5 days 21 hours
15 31/11/16
Freeze-thaw stability, Bench top stability,
short term plasma samples stability at -
20±5°C, wet extract stability and auto
sampler stability
Yes
Established Freeze-thaw stability IV
cycles, Bench top stability 17 hours
33 min, short term plasma samples
stability at -20±5°C for 5 days 11
hours, wet extract stability 68 hours
57 min and auto-sampler stability
72 hours 38 min
16 31/11/16 Drug stability in whole blood Yes
Established 3 hours 27 min at room
temperature (20±5°C)
Validation Run Analysis Summary
54.
55. The results of selectivity, carryover test, matrix effect, sensitivity,
linearity, precision and accuracy, stabilities, recovery, dilution integrity,
run size evaluation presented in this report are within the acceptance
range for Bioanalytical batch acceptance criteria The analytical method
described above is valid for the estimation of Apixaban in human
plasma over a range of 1.022 ng/mL to 301.296 ng/mL with the
detection of Apixaban m/z – 460.20 (parent) and 77.10 (product) and
IS Apixaban 13CD3 m/z – 464.10 (parent) and 78.10 (product) for BE-
MS-05 and Apixaban m/z – 460.20 (parent) and 77.20 (product) and
IS Apixaban 13CD3 m/z – 464.20 (parent) and 78.20 (product) for BE-
MS-04 in Positive ion mode
56. I wish to express my sincere thanks and gratitude to the
Faculty and Management of Hindu College of Pharmacy for
their valuable suggestions and support and providing an
opportunity to carryout my project work at
“ANACIPHER CLINICAL RESEARCH ORGANISATION”,
Hyderabad.
57.
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