Documente Academic
Documente Profesional
Documente Cultură
Volume 19
Edited by
Klaus Florey
The Squibb Institute for Medical Research New Brunswick, New Jersey
Contributing Editors
Abdullah A. Al-Badr
School of Pharmacy, King Saud University Riyadh, Saudi Arabia
Timothy J. Wozniak
Lilly Research Laboratories, Indianapolis, Indiana
EDITORIAL BOARD
Abdullah A. Al-Badr Gerald S. Brenner Glenn A. Brewer Harry Brittain Klaus Florey George A. Foxier
Lee T. Gmdy
Berry J. Kline G. William Martin David J. Mazzo Timothy J. Wozniak
United Kingdom Edition published by ACADEMIC PRESS LIMITED 24-28 Oval Road, London NW17DX
3 2 1
Mohummud A. Abounussif, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia Christiunuh M . Adeyeye, School of Pharmacy, Duquesne University, Pittsburgh, Pennsylvania 15282 Sutinder Ahuju, Pharmaceutical Division, Ciba-Geigy, Suffem, New York 10901 Abdulluh A. Al-Budr, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia Khulid A. Al-Rushood, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia Fuhud J. Al-Shummury, College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia Hunun N . Alkaysi, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan Tawfiq A. Argut, Faculty of Pharmacy, University of Jordan, Amman, Jordan J.Ashmun, Pharmaceutical Division, Ciba-Geigy, Suffem, New York 10901 Adnun A. Budwun, The Jordanian Pharmaceutical Manufacturing Co., Ltd., P. 0. Box 94, Naor, Jordan Ronald J.Bopp, L a y ResearchLaboratories,L a y Corporate Center, MC769, Indianapolis, Indiana 46285 A u k Bult, Faculty of Pharmacy, State University of Uuecht, 3511 GH Utrecht, The Netherlands Robert A. Carr, Faculty of Pharmacy, University of Alberta,Edmonton T6G 2N8, Canada
v i i
Viii
James E . Carter, Janssen Research Foundation, 40 Kingsbridge Road, Piscataway, New Jersey 08855-3998 JitYDohnul,Research Institute for Phannacy and Biochemistry,Kourimska 17, 13060,Prague 3, Czechoslovakia Robert T.Foster, Faculty of Pharmacy, University of Alberta,EdmontonT6G 2N8, Canada MahmoudM. A. Hussan, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia Joost J. M. Holthis, EmCetus B. V., Paasheuvelweg30,1105 BJ Amsterdam, The Netherlands Ivan Jeftnek,Research Institute for Pharmacy and Biochemistry, Kourimska 17,13060, Prague 3, Czechoslovakia Vijay K . Kupoor, Departmentof Pharmaceutical Sciences,Panjab University, Chandigarh 160014,India J. Juntim Kettenes-van den Busch,Faculty of Pharmacy, University of Utrecht, 3511 GH Utrecht, The Netherlands Pui-Kai Li, School of Pharmacy, Duquesne University, Pittsburgh, Pennsylvania 15282 AbdefG. Mekkawi, Riyadh Health Institute, Ministry of Health, Riyadh 11451, Saudi Arabia MohammadSaleemMian, Collegeof Pharmacy, King Saud University,Riyadh 11451, Saudi Arabia Neelofur Abdul Aziz Mian, College of Applied Medical Sciences, King Saud University, Riyadh 11451, Saudi Arabia Farid J. Muhfudi, College of Pharmacy, King Saud University, Riyadh 11451, Saudi Arabia Linu Bahouth Uwais,The Jordanian PharmaceuticalManufacturingCo., Ltd., P. 0. Box 94, Naor, Jordan Vdcfav Rejholec, Research Institute for Pharmacy and Biochemistry, Kourimska 17,13060, Prague 3, Czechoslovakia Donald S.Rzkley,Lilly Research Laboratories,Lilly CorporateCenter, MC769, Indianapolis, Indiana 46285 Mutaz Sheikh Salem, Faculty of Pharmacy, Jordan University of Science and Technology, Irbid, Jordan Jos Van Rompuy, Janssen Pharmaceutica, Beerse, Belgium Zva Vanturovd,Research Institute for Pharmacy and Biochemistry, Kourimska 17,13060, Prague 3, Czechoslovakia Terry D.Wilson, Sterling-WinthropResearch Institute, Columbia Turnpike, Rensselaer, New York 12144
ix
TimothyJ . Wuzniuk,Lilly ResearchLaboratories, Lilly Corporate Center, MC769, Indianapolis, Indiana 46285 Muhammad Uppal Zubair, Center for University Women Studies, King Saud University,Riyadh 11451, Saudi Arabia
PREFACE
Although the official compendia define a drug substance as to identity, purity, strength,and quality, they normally do not provide other physical or chemical data, nor do they list methods of synthesisor pathways of physical or biological degradation and metabolism. Such information is scatteredthrough the scientificliteratureand the files of pharmaceuticallaboratories. I perceived a need to supplement the official compendial standards of drug substanceswith a comprehensivereview of such information,and eighteen years ago the first volume of Analytical Profiles o f Drug Substances was published. That we have been able to publish one volume per year is a tribute to the diligence of the editors to solicit articlesand even more so to the enthusiasticresponse of our authors, an international group associated with pharmaceutical f i i s , academic institutions, and compendialauthorities. I would like to express my sincere gratitudeto them for making this venture possible. Over the years, we have had queriesconcerningour publication policy. Our goal is to cover all drug substances of medial value, and therefore, we have welcomed any articles of interest to an individual contributor. We also have endeavored to solicit profiles of the most useful and used medicines,but many in this category still need to be profiled. Klaus Florey
xi
ACEBUTOLOL
Faculty of Pharmacy & Pharmaceutical Sciences University o f A1 berta Edmonton, A1 berta, CANADA
T6G 2N8
Description 1 . 1 Nomenclature 1 . 2 Formula 1 . 3 Molecular Weight 1 . 4 Appearance, Color and Odor 2 . Synthesis 3 . Physical Properties 3 . 1 Infrared Spectra 3 . 2 NMR Spectra 3 . 3 Mass Spectra 3 . 4 Ultraviolet Spectra 3 . 5 Melting Point 3 . 6 Dissociation Constant 3 . 7 Partition Coefficient 3 . 8 Color Tests 3 . 9 Solubility 4 . Methods of Analysis 4 . 1 Colorimetric Analysis 4 . 2 Radioimmunoassay 4 . 3 Chromatographic Analysis 5 . Pharmacokinetics 5 . 1 Absorption 5 . 2 Distribution 5 . 3 Metabolism 5 . 4 Excretion References Acknowledgements
1.
ANALYTICAL PROF'ILES OF DRUG SUBSTANCES VOLUME 19
I
Copyright 0 1990 by Academrc Press, Inc. All nghts of reprduclion in any form reserved.
N- [3-Acetyl-4-[ 2-hydroxy-3- [ (l-methyl ethyl )amino] propoxylphenyl] butanarnide (1,2) ; 3-acetyl-4-[2-hydroxy-3- (isopropylamino)propoxy]butyranilide; 1-(2-acety1-4-n-butyramidophenoxy)2-hydroxy-3-isopropyl aminopropane; 5 -butyramido-2- (2-hydroxy-3-isopropyl aminopropoxy) acetophenone. IL-l7803A, M & B 17803A (1). Chemical abstracts registry no.: 37517-30-9; 34381-68-5 (hydrochloride).
1.1.2 Nonpropri etary Name
Acetanol, Acecor, Diasectral, Neptall, Monitan, Prent, Sectral , Secradex (1,2). 1.2 1.2.1 Formula Emp rica
Figure 1 depicts the structure o f acebutolol and its major metabol ites, acetolol and di acetol .
1.3 Molecular Weight
ACEBUTOLOL
OCH2CH(OH)CH2NHCH(CH& I *
NHR
FIGURE 1.
Structure of acebutolol and two metabol i tes, acetolol and diacetolol . Acebutolol , R = CO(CH ) CH - Diacetolol , R = COCH ; Acetoyof, H. The asterisk denotes the chiral center.
a=
(*y
Appearance, Color and Odor fine white, or slightly off-white crystalline, non-hygroscopic, practically odorless powder (3).
1.4
A
ethanol and diethyl ether to give the final product, 5'-butyramido-2'-(2-hydroxy-3-isopropylaminopropoxy)acetophenone (acebutolol )
3 , PHYSICAL PROPERTIES
3.1
Infrared Spectra The infrared spectrum o f acebutolol i s presented in Figure 3. The spectrum was obtained from a KBr disk using a Nicolet 7199 Fourier Transform infrared pectrometer. Diagnostic peaks were observ d at 3420 cm-f (alcohol, 0-H stretch, H-bonded) ; 33501cm-f (secondary amine, N-H strytch); 3000-2850 cm - (a1 kane, C-H siretch); 1700 cm- (ketone, C=O stretch); and 1660 cm- (amide, C=O stretch). The peaks are presented in Table I. The infrared spectrum o f acebutolol HC1 has previously been reported which id ntified peaks at 1665, 1245, 1525, 1495, 1217 and 1285 cm-' (5).
NMR Spectra The 300 MHz proton NMR spectrum o f acebutolol in CDC13 is described in Table 11. The spectrum was obtained on a Bruker AM-300 FT NMR spectrometer. Instrumental settings were: time domain (data points) , 16K; aquisition time, 1.819 sec.; spectral width, 4504.51; pulse width, 25"; receiver gain, 200; line broadening, 0.200. The spectrum is shown in Figure 4. The D20 exchange NMR spectrum o f acebutolol is shown in Figure 5. As expected, the exchangeable protons (-OH, -NH-, -CONH) are absent, whereas a single, intermediate peak is present at 4.836.
3.2
AEI MS9 (Manchester, U.K.) instrument equipped with a fast atom bombardment source (Figure 6). The medium was glycerol and the sample was introduced by means of a direct insertion probe. Instrument settings were: mass range, 93-676; total scans in run, 4; sampling rate, 128; signal level threshold, 30; minimum peak width, 7; scan rate (sec/dec), 10.0.
A mass spectrum was obtained on a
3.3
Mass Spectra
/ \
COCH3
I
NHCOCH2CH2CH3
NHCOCH2CH2CH3
NHCOCH2CH2CH3
FIGURE 3 .
Infrared spectrum of Acebutolol . KBr pel 1 et. Instrument: Nicolet 7199 Fourier Transform Infrared Spectrometer.
ACEBUTOLOL
TABLE
I. I .R. Spectrum o f Acebutolol . KBr pellet. (Instrument: Nicolet 7199 Fourier Transform I . R . )
Wavenumber (cm-l)
3424 3385 2965 293 1 2880 1692 1654 1612 1593 1545 1498 1467 1410 1358 1299 1270 1237 1219 1189 1146 1024 910 880 820 590 538
3s
=
Relative Intensitya
m, broad
S
m
W
W S
S W W
S
W
W W
m
S
S
S
m
W
W
W
W W W W
strong; m
medium; w
weak.
TABLE 11.
OCHzCH(OH)CH2NHCH(CH&
I
NHCOCH2CH2CH3
Chemical S h i f t ( r e 1 t o TMS)
Number o f Protons 3 6 2 2 2 3 3 3 1 1
Assignment
t d sextet broad 2.35 t 2.67 s i n g l e t 2.8 m 4.08 6.96 7.34 7.63 7.95 d broad, s i n g l e t d q
1 1
-CH Na-cH~!cH~;~
-cot.
FIGURE 4.
5 PPfl
. I
rpn
FIGURE 5.
Proton NMR Spectrum o f Acebutolol . D20 exchange. Instrument: Bruker AM-300 FT NMR spectrometer.
loo
337
60
50
70
i
1
116
30
20
100
200
300
FIGURE 6.
Positive Ion FAB Mass Spectrum o f Acebutolol. Instrument: AEI, MS9. Medium, glycerol.
12
Acebutolol gave a prominent peak (base peak) [MH'] of m/z 337 in the positive ion detection mode. Fragments were detected at m/z (% re1 ative abundance) : 98(8), 100( lo), 116(19), 151(5), 338(26) and 339(6). The fragmentation pattern for the positive ion mode has been presented in Figure 7. A previously reported mass spectrum identified peaks at m/z 72, 43, 30, 56, 151, 221, 41 and 98 (5), although the mass spectrometry conditions were not 1 isted. Using electron-impact mass spectrometry, with ionization energy of 70 eV (Hewlett-Packard MSD Series 5970 A), acebutolol reportedly gave prominent fragments of m/z 108, 136, 151, 193 and 235. In this previous report, the authors concluded that acebutolol had been hydrolysed to an aminophenol derivative under the stated conditions (6). 3.4
U1 travi ol et Spectrum
The ultraviolet spectrum of acebutolol in chl oroform obtained using a PU8700 series UV/VIS spectrophotometer (Philips, England) is depicted in Figure 8. This qua1 itative spectrum depicts maximal wavelengths at 241.6 and 328.5 nm under the stated conditions. The spectra, as re orted by others (5), were: 1) aqueous acid 234 nm ( A q l = 655, unknown reliability) and 320 nm (A' = 75 unknown reliability), and in 2) methanol, 245 nm ( A l l = 866, mean value based on several reported figures, all within d o % of the mean), and 328 nm. 3.5 Melting Point
Acebutolol melts within the range of 119-123 " C (1, 5). The hydrochloride salt has a melting point of 1411144 " C (5). 3.6 Dissociation Constant The pka of acebutolol is 9.4 (5). 3.7 Partition Coefficient
The partition coefficients of acebutolol in n-octanol/phosphate buffer, incubated for 1 hour, were: 0.17 (20 "C, pH 7.0); 0.35 (37 "C, pH 7.0); and 0.68
- CH,CHZCH-C=O
15f
NHCOCH2CHZCH3
MH:&~
337
FIGURE 7.
FIGURE 8 .
U1 traviolet Spectrum of Acebutolol in Chloroform. Instrument: PU8700 series scanning UV/VIS spectrophotometer.
ACEBUTOLOL
15
(37 "C, pH 7.4) ( 7 ) . Others have r e p o r t e d d i s t r i b u t i o n c o e f f i c i e n t s o f 0.974 and 1.008 a f t e r 2 and 6 hours, r e s p e c t i v e l y , i n n-octanol/phosphate b u f f e r (pH 7.4, 37 " C ) (8) * 3.8 Color Tests
The t e s t s and r e s u l t a n t c o l o r s have been r e p o r t e d (5) as: m e t h a n o l i c potassium hydroxide, y e l l o w ; N e s s l e r ' s reagent, orange (slow); s u l p h u r i c a c i d , y e l l o w . 3.9 Solubility
A c e b u t o l o l has a r e l a t i v e l y l o w l i p i d s o l u b i l i t y ( 9 ) . A c e b u t o l o l h y d r o c h l o r i d e has r e p o r t e d s o l u b i l i t i e s o f 200 mg/mL i n water and 70 mg/mL i n ethanol a t room temperature ( 3 ) . The h y d r o c h l o r i d e s a l t i s f r e e l y s o l u b l e i n w a t e r .
4. 4.1
A c e b u t o l o l has been analyzed u t i l i z i n g a c o l o r i m e t r i c assay (10). B r i e f l y , t h i s method i s as f o l l o w s : A c e b u t o l o l was e x t r a c t e d from plasma a f t e r a d d i t i o n o f g l y c i n e b u f f e r (pH 10) and e t h y l a c e t a t e . The o r g a n i c l a y e r was e x t r a c t e d t w i c e w i t h 3 M s u l f u r i c a c i d and t h e two a c i d e x t r a c t s were combined and heated a t 99 " C f o r 2 hours. T h i s l a t t e r s t e p r e s u l t e d i n t h e h y d r o l y s i s o f t h e butyramide group which, t h e r e f o r e , generated t h e aromatic amine. Water was added t o t h i s s o l u t i o n and t h e m i x t u r e was c o o l e d t o 4 "C. A f t e r c o o l i n g , a 1% (w/v) s o l u t i o n of sodium n i t r i t e was added, f o l l o w e d by t h e a d d i t i o n o f ammonium sulphamate (5% w/v). T h i s s o l u t i o n was shaken a t i n t e r v a l s o v e r 15 minutes. A f i n a l c o l o r l e s s s o l u t i o n o f n a p h t h y l e t h y l e n e d i a m i n e d i h y d r o c h l o r i d e (1%w/v) was added t o t h e m i x t u r e and a l l o w e d t o stand a t room temperature f o r 2 hours. D u r i n g t h i s time, f u l l c o l o r development o f t h e m i x t u r e occurred. Absorbance was determined a t 565 nm u s i n g a scanning spectrophotometer o v e r t h e range o f 400-700 nm.
16
The reported sensitivity of the assay (0.1 ug/mL) is insufficient for routine clinical monitoring of acebutolol after administration of conventional doses. Furthermore, the assay was non-specific, as both acebutolol and its major metabolite, diacetolol, were detected but not separated from one another. 4.2 Radi oimmunoassay
Antisera against acebutolol was produced in rabbits immunized with drug conjugated with bovine serum (11). Radioactive tracer (tritiated acebutolol) was produced by May and Baker (specific activity = 9.6 Ci/mmole). The reported sensitivity was 2.97 x lo-' mol/L of acebutolol. 4.3 4.3.1 Chromatographic Analysis Thin-Layer
Various systems have been used to detect acebutolol (12,13). The thin-layer chromatographic analyses have been summarized in Table 111. 4.3.2 Gas
Gas chromatography has been utilized for the analysis of acebutolol (6,14,15). These methods may lack convenience, as multiple extraction steps contribute to somewhat laborious sample preparation. When applied to analysis of acebutolol in urine, the reported gas chromatography methods are essentially initial screening procedures (qualitative, as opposed t o quantitative) based on the following conditions:
1.
2.
Hewlett-Packard Series 5790 A gas chromatograph with H-P capillary column (12 m x 0.2 mm I.D., cross-linked methylsilicone), 0.33 um film thickness. The temperature was programmed from 100 to 310 "C at 30 "C/min. The injection port temperature was 270 "C and the carrier gas was helium at a flow-rate of 2 mL/min. Mass spectrometry was used for detection (6). Carlo Erba HRGC 5160 MEGA gas chromatograph with a
ACEBUTOLOL
17
Rf Value Ref.
1.
41-
12
2.
02
12
0-
12
Acetone dipped in 0.1 M pot ass i um hydroxide methanol ic solution Ethyl acetate: methanol
(40:5)
63
12
5.
0.0
13
0.73
13
18
J & W Durabond 1 capillary column (30 m x 0.25 mm I.D.), film thickness of 25 urn. Temperature was programmed as 1 minute isothermal at 90 "C, and then 40 "C/min to 260 "C. This was followed by a final isothermal period for 15 minutes at 260 "C. Mass spectrometry was used for detection (14).
The analysis o f acebutolol in plasma has been reported using a gas chromatographic technique (15). Unlike the methods (above) reported for urine, this method can be used for determination of acebutolol in a quantitative sense. Briefly, the method (which offered sensitivity t o approximately 25 ng for acebutolol), was reported using a Hewlett-Packard 5710A series gas chromatograph with a nickel 63 electron capture detector. The column was glass (6 foot, 2 mm I.D.), packed with 3% Dexsil 410 on 100-120 mesh gas-chrom Q. The carrier gas was 5% methane in argon set at a flow o f 40 mL/min. The injection port was 250 "C, oven was 275 "C, and the detector was set at 300 "C (15). 4.3.3 High- Performance Liquid
a. Nonstereospecific. There have been numerous reported methods for the analysis of acebutolol using high-performance 1 iquid chromatography (16-22). These methods typically involve reversed-phase chromatography, isocratic flow, and ultraviolet detection. Table IV summarizes the chromatographic conditions used for detection of acebutolol .
b. Stereospecific. The enantiomers o f acebutolol have been separated and quantified in biological samples using high-performance 1 iquid chromatography (23-25). The methods are based on pre-column derivatization with a homochiral reagent, and are summarized as follows:
1.
2.
Reversed-phase columns (C18) utilizing a mobile phase consisting of methano1:water (62:38) at a flow rate of 1.2 mL/min. The chiral derivatizing reagent was (S)-(-)-l-phenylethyl isocyanate. The di astereoi somers were detected using fl uorescence detection at 209 and 320 nm, excitation and emission, respectively. The sensitivity of the assay for acebutolol enantiomers was not reported (23) * Reversed-phase columns (ODS2) utilizing a mobile phase consisting of water:methanol :triethylamine
ACEBUTOLOL
19
TABLE I V . Assays.
Column
Mobi 1e Phase Methanol : 0.0005 M HC1 i n 0.05 M NaCl (35: 65) (1.2 mL/min) Acetonitrile: 0 . 1 M phosphate b u f f e r (pH 3.3): water (55:6:39) (1 mL/min) 0.01 M dodecyl sodium s u l f a t e i n water a d j u s t e d t o pH 3.5 w i t h glacial acetic a c i d (Pump A), and same as Pump A, w i t h a d d i t i o n o f methanol (50%) (Pump B) (0.67 mL/mi n) Methanol :water (75:25) (1.8 mL/min) Phase I Methanol :0.02 M sodium a c e t a t e b u f f e r (pH 5.8) (80:20) ( 1 . 5 mL/min)
Detector
Ref.
1.
c
16-w 250 x 4.6 mm (I.D.)
16
2.
17
3.
UV, 240 nm
18
4.
Radial -Pak
UV, 248 nm
19
ioiUIm (I .D.)
5.
LiChrosorb
21
;-Ymrn (I.D.)
20
TABLE I V .
(continued)
Column
Mobi 1e Phase Phase I 1 Acetonitrile: 0.02 M sodium acetate buffer (pH 5.8) (80:20) (1.5 mL/min) Phase I 1 1 Ethanol :0.02 M sodium acetate buffer (pH 5.8): d i c h l oromethane (90: 5: 5) (1 .O mL/min)
Detector
Ref.
6.
UV, 270 nm
21
7.
UV, 243 nm
22
(I.D.)
ACEBUTOLOL
21
3.
(50:50:0.05) at a flow rate of 1.2 mL/min. The chiral derivatizing reagent was (R)-(+)-1-phenylethyl isocyanate. Fluorescence detection was set at 238 and 450 nm for excitation and emission, respectively. The reported sensitivity was approximately 0.05 ug/mL for each enantiomer (24). Normal-phase columns (silica) utilizing a mobile phase consisting o f hexane:chloroform:methanol (63:35:2) at a flow rate of 2.0 mL/min. The chiral derivatizing reagent was S-(t)-1- (1-naphthyl)ethyl isocyanate. Fluorescence detection was set at 220 and 389 nm, excitation and emission, respectively. The reported sensitivity was 10 ng/mL for each enantiomer (25).
5. 5.1
PHARMACOKINETICS
Absorption
Acebutolol is absorbed rapidly, resulting in peak plasma concentrations being achieved within 2-4 hours (26-28). The presence of food or alcohol does not significantly alter the absorption profile of acebutolol (29). A1 though approximately 90% of an oral dose is absorbed (30), the extent of systemic availability is only between 35% and 45% after administration of drug v i a this route (9). This finding has been explained by the extensive first-pass (hepatic) removal of acebutolol, which contributes to overall drug clearance.
5.2 (31).
Distribution
Acebutolol is weakly bound to plasma proteins (11-19%) The volume of distribution at steady-state has been reported as between 1.0 to 1.2 L/kg after intravenous dosing (32). After oral dosing, the reported volume of distribution of acebutolol enantiomers was 11.3k3.5 and 9.2k2.6 L/kg for R- and S-acebutolol, respectively (26). Although these two studies reported different volumes of distribution, the differences were likely attributable, in part, to: 1) measures of enantiomer versus total ( R plus S-acebutolol) concentrations, and 2) differing methods
22
of calculating volume terms, where the latter report on acebutolol enantiomers did not factor the amount of drug reaching the systemic circulation after oral dosing. Following intravenous administration of acebutolol , brain concentrations were similar to atenolol, and less than those reported for propranolol , metoprolol , and oxprenolol (9). These findings were consistent with the .e., low protein drugs physicochemical properties (i binding, 1 ow 1 i pophil ici ty) . 5.3 Metabol i sm
After oral administration of acebutolol to man, the drug is extensively metabolized upon first-pass through the liver. The main metabolite that is formed v i a this first-pass has been identified in man as diacetolol, which has a potency similar to that of acebutolol (27,33-35). Prior to formation of this major metabolite, however, the butyramido group of acebutolol is initially hydrolyzed to form acetolol , a primary amine (36). Subsequently, acetolol undergoes N-acetyl ation to form the diacetolol metabolite (9). It has been suggested that this first-pass formation of diacetolol is stereoselective for the R-(+)-enantiomer (26). The structures o f acebutolol, acetolol and diacetolol have been shown previously (see Figure 1). The N-acetylation o f acetolol has been reported to be independent of acetylator status (34). In elderly subjects, plasma concentrations of acebutolol and diacetolol are significantly higher than in young subjects, which may be a function of either a decreased first-pass metabolism and/or decreased volume of distribution (37). 5.4 Excretion
Acebutolol has a terminal elimination half-1 ife ranging from approximately 3 hours (28) to 8 hours (37,38). Renal excretion of acebutolol and di acetolol together accounted for approximately 25% to 45% of an orally administered dose of acebutolol , whereas after intravenous dosing renal excretion of acebutolol accounted for 40% to 60% of the administered dose (9). In a study of patients with reduced renal function, urinary excretion of both acebutolol and diacetolol was diminished (38). However, the terminal half-1 ife of elimination o f acebutolol was unchanged in renal insufficiency. On the contrary, the terminal
ACEBUTOLOL
23
h a l f - l i f e o f d i a c e t o l o l was prolonged i n p a t i e n t s w i t h reduced r e n a l f u n c t i o n ( 3 5 ) . Consequently, i t was assumed t h a t a non-renal compensatory mechanism o f e l i m i n a t i o n o f a c e b u t o l o l e x i s t e d . I t has f u r t h e r been suggested t h a t non-renal c l e a r a n c e may, i n p a r t , c o n s i s t o f b i l i a r y and/or i n t e s t i n a l e x c r e t i o n o f a c e b u t o l o l ( 3 9 , 4 0 ) . More r e c e n t l y , i t was determined t h a t t h e non-renal c l e a r a n c e o f acebutolol i s stereoselective (26,41). A c e b u t o l o l i s e x c r e t e d i n t o b r e a s t m i l k , as plasma l e v e l s o f t h e d r u g were d e t e c t e d i n newborn i n f a n t s b o r n t o h y p e r t e n s i v e women t r e a t e d w i t h a c e b u t o l o l ( 4 2 ) . A c e b u t o l o l i s e x c r e t e d i n t o s a l i v a and c e r e b r o s p i n a l f l u i d , a1 though c o n c e n t r a t i o n s o f a c e b u t o l o l i n c e r e b r o s p i n a l f l u i d a r e much l o w e r t h a n those found i n plasma ( 4 3 ) .
ACKNOWLEDGEMENTS The a u t h o r s a r e i n d e b t e d t o Drs. F.M. Pasutto, R.T. C o u t t s , E.E. Knaus and M. Hussain f o r t h e i r c o n t r i b u t i o n s t o t h e p r o f i1e.
24
REFERENCES 1. M. Windholz, e d i t o r , The Merck Index, 1 1 t h e d i t i o n , Rahway, NJ, Merck & Co., I n c . (1989), 4. 2. M. S i t t i g , Pharmaceutical Manufacturing Encyclopedia, 2nd e d i t i o n , Park Ridge, NJ, Noyes Pub1 i c a t i o n s (1988), 5. 3. American Hospital Formulary Service: Drug Information, Bethesda, MD, American S o c i e t y o f H o s p i t a l Pharmacists (1989), 773. 4. B. B a s i l , J.R. Clark, E.C.J. Coffee, R. Jordan, A.H. Loveless, D.L. Pain and K.R.H. Wooldridge, J. Med. Chem., 19, 399 (1976). 5. A.C. M o f f a t , s e n i o r c o n s u l t i n g e d i t o r , Clarke's Isolation and Identification of Drugs, 2nd e d i t i o n , London, England, The Pharmaceutical Press (1986), 309. 6. H. Maurer and K. P f l e g e r , J. Chromatogr., 382, 147 (1986). 7. P.B. Woods and M.L. Robinson, J. Pharm. Pharmacol., 33, 172 (1980). 8. M. Neider, W. S t r o s s e r and J. Kapper, Arzneim. Forsch., 37, 549 (1987). 9. G DeBono, C.M. Kaye, E. Roland and A.J.H. Summers, Am. Heart J., 109, 1211 (1985). 10. M.F. C u t h b e r t and R.F. C o l l i n s , Br. J. Clin. Pharmacol., 2, 49 (1975). 11. B. Gourmel, J. F i e t , R.F. C o l l i n s , J.M. V i l l e t t e and C Dreux, Clin. Chim. Acta., 108, 229 (1980). 12. G. Musumarra, G. S c a r l a t a and G. Cirma, J. Chromatogr., 350, 151, (1985). 13. D.B. Jack, S. Dean and M.J. Kendall, J. Chromatogr., 187, 277 (1980). 14. M. Leloux, E.G. DeJong and R.A.A. Maes, J. Chromatogr., 488, 357 (1989). 15. P.J. M e f f i n , S.R. Harapat and C. H a r r i s o n , Res. Comm. Chem. Path. Pharmacol., 15, 31 (1976). 16. B.R. P a t e l , J.J. Kirschbaum and R.B. Poet, J. Pharm. Sci., 70, 336 (1981). 17. T.W. Guentert, G.M. Wientjes, R.A. Upton, D.L. Combs and S. Riegelman, J. Chromatogr., 163, 373 (1979). 18. P.J. M e f f i n , S.R. Harapat, Y-G. Yee and D.C. H a r r i s o n , J. Chromatogr., 138, 183 (1977). 19. A.C. Mehta and R.T. C a l v e r t , J. Chromatogr., 276, 208 (1983). 20. P. Leroy and A. N i c o l a s , J. Chromatogr., 317, 513 (1984).
ACEBUTOLOL
25
21. S-0. Jansson, I . Andersson and M-L. Johansson, J. Chromatogr., 245, 45 (1982). 22. J.N. Buskin, R.A. Upton, R. Matthew Jones and R.L. W i 11iams, J. Chromatogr., 230, 438 (1982). 23. P-H. Hsyu and K.M. Giacomini, J. Pharm. S c i . , 75, 601 (1986). 24. A.A. Gulaid, G.W. Houghton and A.R. Boobis, J. Chromatogr., 318, 393 (1985). 25. M. P i q u e t t e - M i l l e r , R.T. Foster, F.M. P a s u t t o and F. Jamali, J. Chromatogr., 526, 129 (1990). 26. M. P i q u e t t e - M i l l e r , R.T. F o s t e r , C.T. Kappagoda and F. Jamali, J . Pharm. S c i . , accepted (1990). 27. A.A. Gulaid, I . M . James, C.M. Kaye, O.R.W. Lewellen, E. Roberts, M. Sankey, J. Smith, R. Templeton and R.J. Thomas, Biopharm. Drug D i s p . , 2, 103, (1981). 28. C.M. Kaye, C.R. Kumana, M. Leighton, J. Hamer and P. Turner, C l i n . Pharmacol. T h e r . , 19, 416 (1976). 29. R. Zaman, M.R. W i l k i n s , M.J. Kendall and D.B. Jack, Biopharm. Drug D i s p . , 5, 91 (1984). 30. R. G a b r i e l , C.M. Kaye and M.G. Sankey, J. Pharm. Pharmacol., 33, 386 (1980). 31. T.J. Coombs, C.J. Coulson and V.J. Smith, B r . J. C l i n . Pharmaco7., 9, 395 (1980). 32. P.J. M e f f i n , R.A. Winkle, F.A. P e t e r s and D.C. H a r r i s o n , C l i n . Pharmacol. T h e r . , 22, 557 (1977). 33. B. F l o u v a t , A . ROUX, N.P. Chau, M. V i a l l e t , X . Andre-Fouet, R. Woehrle and J. Gregoire, E u r . J. C l i n . Pharmacol., 19, 287 (1981). 34. A. Gulaid, I . M . James, C.M. Kaye, O.R.W. Lewellen, E. Roberts, M. Sankey, J. Smith, R. Templeton and R.J. Thomas, B r . J. C l i n . Pharmacol., 5, 261 (1978). 35. W. K i r c h , H. K o h l e r , G. Berggren and W . Braun, C 7 i n . Nephrology, 18, 88 (1982). 36. R. Zaman, D.B. Jack, M.R. W i l k i n s and M.J. K e n d a l l , Biopharm. Drug D i s p . , 6, 131 (1985). 37. A. ROUX, J.F. Henry, Y. Fouache, N.P. Chau, M.P. Hervy, F. F o r e t t e , J.P. Bourdarias and B. F l o u v a t , G e r o n t o l o g y , 29, 202 (1983). 38. A. ROUX, P. Aubert, J. Guedon, and B. F l o u v a t , E u r . J. C l i n . Pharmacol., 17, 339 (1980 39. T.J. Coombs, C.J. Coulson and V.J. Smith, B r . J. C l i n . Pharmacol., 9, 395 (1980). Oh, J. Pharm. Pharmacol., 28, 40. C.M. Kaye and V.M.S. 449 (1976).
26
41. R.T. Foster, M. Piquette-Miller, C.T. Kappagoda and F. Jarnal i , Pharm. R e s . , submitted (1990). 42. G. Bianchette, C. Dubruc, P. Vert, M.J. Boutroy and P.L. Morselli, C l i n . Pharmacol. T h e r . , 29, 233 (1981). 43. R. Zaman, D.B. Jack and M.J. Kendall, Br. J. Clin. Pharmacol., 12, 427 (1981).
Clinical Laboratories Department, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh-11433, Saudi Arabia.
*Pharmaceutical Chemistry Department, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh-11451, Saudi Arabia.
21
Copynght 0 1990 by Academic Press. Inc. All rights of repmduction HI any form reserved.
28
Contents
1.
Description 1.1 1.2 Nomenclature 1.1.1 Chemical Names 1.1.2 Generic Names Formulae 1.2.1 Empirical 1.2.2 Structural 1.2.3 CAS Registry Number Molecular Weight Elemental Composition Appearance, Color, Odour and Taste.
2.
Physical Properties 2.1 2.2 2.3 2.4 2.5 2.6 2.7 Melting Range Solubility
pH
3. 4. 5.
6.
7.
AMOBARBITAL
29
8.
Methods of Analysis 8.1 8.2 8.3 8.4 8.5 Elemental Analysis Identification Titrimetric Spectrophotometric 8.4.1 U V Absorbtion Spectroscopy 8.4.2 Infrared Spectroscopy Chromatographic Methods 8.5.1. Paper Chromatography 8.5.2 Column Chromatography 8.5.3 Gas Chromatography 8.5.4 Thin-Layer Chromatography 8.5.5 High Performance Liquid Chromatography
9.
Acknowledgements References
10.
30
1.
Description Nomenclature
1.1.1
Chemical Names
5-Ethyl-5-(3-methylbutyl)-2,4,6-(lH,3H,5H) pyrimidinetrione. (1) 5-Ethyl-5-isopenthylbarbituric acid (1,2,3,4,5). 5-Ethyl-5-isoamylbarbituric acid (1). 2,4,6 (lH, 3H, 5H)-pyrimidinetrione, 5-ethyl-5(3-methylbutyl). (4) 5-Isoamyl-ðylbarbituric acid. Acide isopentyl-5-ethylbarbiturique ( 6 ) .
1.1.2
Generic Names
Amylobarbitone, Amal, Amasust, Amystal, Amylobarb, Amytal, Amobarbitalum, Amobarbital, Amobarbitale, Amsal, Amycal, Amydorm, Amytal, Barbamyl, Barbamil, Dormytal, Etamyl, Euntoctal, Isoamitil, Isobec, Isonal, Isomytal, Mylodorm, Neur.Amy1, Placidel, Pentymal, Pentymalum, Sednotic, Stadadorm, Somnal, Sedantite, Sedante, Trasital.
1.2
Formulae
1.2.1
Empirical
Ci 1Hi 8 Nz 0 3
1. 2 .2
Structural
AMOBARBITAL
31
1.2.3
1.3
1.4
Elemental Composition
C 58.39%,
H 8.02%,
N 12.38%,
0 21.21%.
1.5
A
2.
One gm dissolves in 1300 ml water, in 5 ml alcohol, in 17 ml chloroform, in 6 ml ether. Freely soluble in benzene, soluble in alkaline solutions. Insoluble in petroleum ether, aliphatic hydrocarbons (1). It dissolves in aq. solutions of alkali hydroxides and carbonates. ( 3 )
2.4
It is hygroscopic (6) it absorbs significant amounts of moisture at 25', relative humidities upto about 90%. (5)
32
2.5
Dissociation Constant
of Ambarbital Sod.
The X-ray diffraction pattern of amobarbital sod. was determined by a Philips full automated X-ray diffraction spectrogoniometer equipped with PW 1730/10 generator (8). Radiation was provided by a copper target (Cu anode 2000 w, y = 1.5480 A ) and high intensity x-ray tube operated at 40 KV and 35 MA. The monochromator was a curved single crystal one (PW 1752/00). Divergance slit and the receiving slit were 1 and 0.1' respectively. The scanning speed of the goniometer (PW 1050/81) used was 0.02-20 per second. The instrument is combined with Philips PM 8210 printing recorder with both analogue recorder and digital printer. The goniometer was aligned using silicon sample before use. The X-ray pattern of amobarbital sod. is presented in Fig. (1). The interplanner distance dA and relative intensity 1/10 are shown in Table (1).
2.7
Spectral Prooerties
2.7.1
The UV spectrum of amobarbital in 0.05 M Borax buffer (pH 9.4) and 0.1 M sodium hydroxide IpH 13) (Fig. 2) was scanned from 220 to 340 nm using DMS 90 Varian spectrophotometer ( 8 ) . It exhibited the following UV data (Table 2 ) . Table ( 2 ) .
UV characteristics of amobarbital
A(1%, 1 cm) 445 364
?!! m
240 252
AMOBARBITAL
33
45
20-values
Fig. 1:
34
Table 1: 28 4.872 5.927 6.243 6.243 7.185 7.714 8.718 10.379 11.954 13.518 13.518 13.963 14.104 15.494 16.740 17.432 17.768 18.808 19.268 20.186 20.948 23.398 24.091 24.813 25.924 26.661 27.070 28.544 29.016 30.313 31.417 35.022 36.570
dA
18.1367 14.9108 14.1581 14.1581 12.3031 11.4598 10.1428 8.5229 7.4032 6.5499 6.5499 6.3425 6.1489 5.7190 5.2958 5.0871 4.9918 4.7179 4.6064 4.3989 4.2406 3.8018 3.6940 3.5882 3.4368 3.3435 3.2939 3.1271 3.0773 2.9485 2.8473 2.5621 2.4571
--
1/10 %
100 81.631 72.106 72.106 46.369 73.364 97.699 30.481 46.908 31.056 31.056 41.876 49.568 77.318 38.569 63.407 57,872 61.718 57.836 52.552 60.819 43,853 29.439 31.020 40.977 30.301 42.092 27.534 27.749 28.540 32.674 22.933 22.789
--
AMOBARBITAL
35
UV scan of amobarbital sodium in H2O is also presented in Fig. ( 2 A ) . It exhibitedleax at 207 nm and 240 nm. T h e s c a n was obtained o n LKB 4 0 5 4 U V / V i s spectrophotometer (8).
2.7.2
The IR spectrum o f amobarbital as KBr disc was recorded on a Perkin Elmer 580 B infrared spectrometer t o which an infrared data station is attached (Fig. 3). The structural assignments have been correlated with various frequencies (Table 3). (8) Table ( 3 ) .
I R characteristics of amobarbital
NH \
c = o
NH band
C-C strech
2.7.3.1
Alkyl
&son-
Nuclear Magnetic
Spectra
Proton Spectrum
The PMR spectrum of amobarbital in DMSO-ds (Fig. 4 ) w a s r e c o r d e d o n a V a r i a n ( F T 8 0 A ) NMR spectrophotometer using TMS as internal standard (8). Chemical shifts are shown in Table 4.
36
AMOBARBITAL
220
240
260
280
300
320
340
WAVELENGTH ( n m )
Fig. 2:
UV spectrum of amobarbital.
2 00
Fig. 2A:
250
350
L 00
TRANSMITTANCE
OD
'i
0 0
Fig. 4:
AMOBARBITAL
39
Chemical shift ( 6 ) D D ~
0.9 m
CH3 -C C-CHZ-CC-CH-C C
1.1
1.5
- NH
2.7.3.2
13C
2.1
NMR Spectra
The 13C-NMR complete decoupled and off-resonance spectra of amobarbital in DMSO-dfi, were recorded on Joel FX-100 NMR spectrometer (8) using TMS as internal reference. Various carbon chemical shifts are shown in the Figs. 5 and 6.
2.7.4
Mass SDectrum
The mass spectrum of amobarbital (8) was obtained ( ) by direct injection of the sample into a Finigan-Mat 1020 GC/Mass spectrometer. The ionization beam energy was 70 eV. Figure (7) is a bar graph of the mass spectrum. Identification of the prominent masses is presented in (Table 5 ) .
3.
Synthesis general procedure ( 9 ) for the synthesis, of Monochloroacetic acid is amobarbital is presented. treated with sodium cyanide; the resulting cyanoacetic acid is treated with hydrochloric acid in the presence of ethanol, yielding the diethyl ester of malonic acid. The esl.~:c, in absolute alcohol, solution, is treated with the theoretical quantity of metallic sodium to replace one hydrogen of the CHz group and thereupon a slight excess of the theoretical amount of ethyl bromide, is added. The second hydrogen is similarly replaced by using iso-amyl bromide. The diethyl ester of ethyl, isopentyl malonic acid thus obtained is heated in an alcoholic solution, in the presence of sodium and urea to form amobarbital.
A
Fig. 5:
13
OF AMOBARBITAL
u )
w
Q
m
Y)
kL
F i g . 6.13CNMR OFF- RESONANCE SPECTRUM OF AMOBARBITAL
cd z
r .
fn fn
..
AMOBARBITAL
43
Scheme: CH2ClCOOH
+
CH2CNCOOH
NaCl
Monochloroacetic acid
Cyanoacetic acid
CH2CNCWH
ZC2HSOH * HC1
cooc2q
COOCZH5
P +
I I
Na
___f
COOC2Hs
COOC2Hs
fZ
I I
+
+
NH4C1
HCNa COK2Hs
4 H2
COOC2Hs HCNa
+
I
I
COOC2H5
1 CH2CH2CH(CH3)2
cooc2HS
co
NHZ
CO H5 C2 4
- NH
CO
(CH3)ZCHCH CH
I 2co
2C2Hs0H
-NH
Amobarbital
4 4
Table ( 5 ) .
m/e
Relative intensity %
197
156
141
78
,NH
4.
Metabolism
Amobarbital is readily absorbed after oral administration ( 5 ) . After an oral dose of 20 mg of the sod.-salt, a plasma concentration of 2 pg/ml is attained after 4 hours and this drops to about 1 pg/ml after 24 hours.
pg/ml usually produce deep coma and are potentially lethal ( 7 ) . The estimated minimum lethal dose is 1.5 g (101.
Amylobarbitone crosses the placenta, is secreted in the milk, and is secreted in the saliva in concentrations with parallel those in the serum. The 3-hydroxy metabolite accumulates in renal function impairment; volume of distribution about 70 litrea
(5).
AMOBARBITAL
45
substituent to form a tertiary a l c o h o l , hydroxyamobarbital, which is an inactive metabol ite. About 40-50% of an oral hypnotic dose of amobarbital is excreted in urine as hydroxyamobarbital and its glucuronide conjugates. Less than 1% of an oral hyponotic dose of the drug is excreted in urine unchanged. Conjugates of hydroxyamobarbital excreted in feces or urine and or further oxidation products not yield identified, may account for the remainder of the dose (7). In 6 days, 80-90% of a dose is excreted in the urine and 4-5% is excreted in the faeces; of the excreted material, 30-50% is 3/-hydroxyamylobarbitone and 10-30% appears to be N-hydroxyamylobarbitone; less than 1% is excreted as unchanged drug in the urine (5).
5.
Toxicity
LDso (lethal dose) of amobarbital (oral) (10) in rabbits is 575 mg/kg and in rats 115 mg/kg. The estimated minimum lethal dose in man is 1.5 g; the blood-level associated with severe poisoning is 2 to 4 mg%. When the blood level is in the region of 1.5 to 2 mg% recovery is possible. Case example: A 51-year old man swallowed 20 g of amylobarbitone. Twelve hours after ingestion the blood level was 16 mg%. He recovered after dialysis (11). about fifty-five (200 mg) amylobarbitone capsules in 4 days. Post-mortem levels were: blood, 16.3 mg%; brain, 11.9 mg%; liver, 36.2 mg%; stomach contents, 3030 mg; urine, 0.7 mg%. The blood level is stated to be one of the highest ever recorded (10).
6.
Uses
Amobarbital and amobarbital sodium are used principally as hypnotics in the short-term treatment of isomnia for periods up to 2 weeks duration. Barbiturates appear to loose their efficiency for sleep induction and maintenance after this period of
46
time. The drugs are also used for routine sedation and to relieve anxiety and provide sedation pre operatively ( 7 ) . The drug may be used IV or IM to control status epilepticus or acute seizure episodes resulting from meningitis, poisons, eclampsia, tetanus, or chorea. The drug has also been used parenterally to control acute episodes of agitated behaviour in psychoses such as catotonic, negetivistic, or manic reactions, but has little value in long-term management of psychoses. Parental amobarbital sodium may also be useful in narcoanalysis, narcotherapy and as a diagnostic aid in schizophrenia ( 7 ) . Drug is given by mouth in a single dose of 100-200 mg as a hypnotic. Upto 400 mg may be given daily in divided doses as a sedative, the usual dose, however, being 30-60 mg daily ( 5 ) .
7.
Cautions
IV administered drug may cause respiratory depression, apnea, or hypotension, particularly if the drug is administered too rapidly. The drug must be administered slowly at a rate not greater than 100 mg/minute and personnel and equipment should be readily available for administration of artificial respiration.
Hypnotic doses should be taken half to one hour before bedtime. The tablets may cause drowsiness on the following day. Persons effected should not drive or operate machinery. Alcohol should be avoided ( 5 ) .
8.
Methods
of
Analysis
8.1
Elemental Analysis
C 58.39%, H 8.02%,
N 12.38%,
0 21.21%.
8.2
Identification
AMOBARBITAL
41
(b) Boil 0.2 g with 10 ml of 1N sodium hydroxide ammonia is evolved (4). (c) Incinerate about 0.1 g: the residue, when moistened with hydrochloric acid and introduced on a platinum wire into the flame of a Bunsun burner gives a yellow color to the flame (12). (d) A solution of 0.25 g in 5 ml of HzO is alkaline to litmus solution, on acidification with 2 M hydrochloric acid it yields a white ppt. (12) (e) Dissolve 50 mg in 2 m1 of a 0.2 percent w/v solution of cobalt+2 acetate in methanol, warm, add 50 mg of powdered sodium teteraborate, and heat to boiling, a bluish violet color is produced (12). (f) Dissolve 0.2 g in 5 ml of absolute ethanol, add 10 ml of silver nitrate-pyridine reagent and titrate with 0.1 M ethanol sodium hydroxide vs using 0.25 ml of thymolphthalein solution as indicator, until a full blue color is obtained. Each m l of 0.1 M ethanolsodium hydroxide vs is equivalent to 0.02483 g of CiiHi7N2Na03 (12). (g) Accurately weighed 450 mg of anobarbital was dissolved in 60 ml of dimethylformamide in a 125-ml conical flask. Add 4 drops of thymol blue TS, and titrate with 0.1 N sodium methoxide vs, using a magnetic stirrer and the precaution is taken against the absorption of atmospheric COz. One blank determination is performed. Each ml of 0.1 N sodium methoxide is equivalent to 22.63 mg of CiiHiaNz03 (4). ( h ) Triturate 0.6 g with 0.15 g of anhydrous sodium carbonate and 5 ml of water, add a solution of 0.45 g of 4-nitrobenzyl chloride in 10 ml of ethanol (96%) and warm on a water bath f o r 30 minutes cool, allow to stand for one hour, filter and wash the residue with 10 ml of 1M sodium hydroxide and then with water. The melting point of the residue, after recrystallisation from ethanol (96=%), is about 150" or about 168' ( 3 ) .
(i) The UV absorption of amytobarbitone in 0.1 N NaOH, is maxima at 220 nm (El%, 1 cm = 954) and 244 nm (El%, 1 cm = 365) (5).
48
(j) Dry it at 105' for four hours it looses not more than 1.0% of its weight ( 4 ) .
8.3
Titrimetric Method
Determination of amylobarbitone has been carried out by titration in dimethylformamide and dimethylsulphoxide with 0 . 1 M pot. t.butoxide, pot. isopentoxide or pot. isopropoxide in toluene. The end point was detected potentiometrically (glass electrode vs calomal electrode) or visually with use of different indicators (13).
8.4
SDectrophotoietric Methodq
8.4.1
Absorption SDeCtrOSCODZ
D e Fabrizio made the suspension containing amylobarbitone in 50 ml of ethanol-acetic acid (1:l) centrifuge and apply 10 ml of the supernatent liquid to a column (50 cm X 2 cm) packed with alginic acid ( 4 g) that has been pre-washed with 2N-HC1 and ethanolacetic acid ( 1 : 1 ) wash the column with ethanol-acetic acid (1:l) at 1 ml/min and collect 100 ml of eluate adjust the pH of 2 ml of solution to 4 and that of second 2 ml portion to 10 with 0.02 N-NaOH, dilute each solution to 50 ml with HzO and measure the absorbance of the solution at pH 10 and (that of pH 4 in the reference cell) at 285.5 nm (14).
8.4.2
Infrared SDectroscoDg
Amylobarbitone can be identified (15) by stirring 1 0 0 g of e.g. liver o r kidney with HzS04 at pH 2 to 3 for about two hours. Repeat the extraction twice (one hour each time) with 0.01 M - H2S04 at pH 2-3, dilute the combined extracts to known volume with 0.01 M HzS04, and pass 50 ml of the solution through the column ( 4 0 cm X 2.5 cm) of sephadex G 25 (particle size 100-300 pm) and elute with 0 . 0 1 M - H2S04. Discard the first 150 ml of eluate. Collect the next 200 ml, and extract the barbiturates therefrom into Evaporate the combined CHC13 CHC13 ( 3 X 50 ml). extracts, dissolve the residue in CHC13, press 0.5 ml of the solution into a tablet with KBr (2 230 mg), and record the i.r. spectrum from 4000 to 700 cm-l.
AMOBARBITAL
49
Amylobarbitone can be identified from absorption bands in the regions 3200 to 3000 cm-l.
Moss et al. (16) also analysed the drug using infrared
spectroscopy.
8.5
ChromatoRraDhic Methods
8.5.1
PaDer ChromatoRraDhg
Some paper chromatographic systems used for the determination of amobarbital have been summarised in Table ( 6 ) .
8.5.2
Column ChromatoRraDhg
Amylobarbitone can be separated by column chromatography using gel. The fractions eluted from a Sephadex G-25 column by 0.02 N - H2SO4 (pH 2.0) , universal buffer solution (pH 2.0) phosphate buffer solution (pH 4.0) or saturated aqueous Naz-B407, 0.3 N NaOH (3:l) (pH about 10.0) is shown to depend on the pH of the eluent and not on its ionic composition (18).
8.5.3
ChromatograDhg
Different gas chromatographic methods used for the assay of amobarbital are summarised in the Table ( 7 ) .
8.5.4
Thin-Layer ChromatoRraDhp
A summary of different TLC methods used for the determination of amobarbital are given in the Table
(8).
8.5.5
Several methods have been developed for the estimation of amobarbital by HPLC are given in the Table ( 9 ) .
9.
AcknonledemenThe authors wish to thank Mr. Tanvir A . Butt, Pharmaceutical Chemistry Department, College of Pharmacy, King Saud University and Mr. Babikir Awad
50
Mustafa, College of Applied Medical Sciences, King Saud University, for their secretarial and technical assistance respectively in preparing the manuscript.
Table 6: Parameters used for paper chromatography of a i o b a r b i t a l
No.
Support
Detection
UP 251 n i
Eeference
10
1,
2,
Paper Whatran No. 1 impregnated by dipping in 20% s o l u t i o n of fornaiide in acetone and dried, Ahatian No. 4
AgNO3 spray
17
3.
t i g h t petroleui
17
Table 7:
Column support C-lass column (3 ft X 2 m m ) of 10% of UCW982. Column packed with OV-17 - OV-101 2:3 Glass column (1.8 m X 4 mm) packed with 3% of SP-2250 DA Borosilicate-glass column packed with 10% of SE-30 on Chromosorb W AW-
Mesh
Temperature
Flow rate
Sample Blood
Reference
80-100
170'
--
19
--
150-300
Nz carrier
gas 40 ml/ min.
a
Plasma
20
100-120
210-240
--
21
--
180'
--
Liver tissues
22
DMCS
Continued (Table 7 . . . ) Column containing 0.2% of WG-H on Chromosorb W (HP). (2.5 m X 0.3 cm) 3% of SE-30 Chromaton NAW HMDS (0.25 to 0.31
---
225
--
Urine
23
190
Carrier gas
Nz
Biological Fluid
24
mm).
VI
Coiled glass column (6 ft X 2 mm) packed with 3% of SE-30 OV-17) supported on chromosorb W. 3% of SE-30 on Chromosorb 750
--
200' or 230
--
25
-100-120
-180
Sliva Tissues
26
27
--
190"
carrier
Plasma
28
.-:is
Table 8:
Developing solvent HzO-methanol-aq. NH3 (40:lO:l). CHC13 -acetone-aq. 22 to 24% NH3 (25:25:1). Ethylacetate-methanolaq. NH3 (17:2:1).
Detect ion
Rf
Reference 29
254 UV
-6.52
30
31
uv
--
Table 9:
S r y
~~
Column
Mobile phase
Flow rate
Retention time
Sample
Detection
Reference
II
Hethano1:HZO (4:l)
2 mllmin
10 min.
-Blood
249
32
2 illmin
--
240 M
33
Y2
Reversed phase (125 cm X 4.5 IP) SAS Hypersil. A guard column (5 cmx 2.1) M of Co:Pel ODs. (30 cm X 4 en) of p Bondapak C18.
1.16 ml/min
13.6 min
Plasma
200 M
34
3 mllmin
--
Serum
195 M
35
___________------Continued
I. ..
Continued (Table 9 . . . )
~ ~ ~~
--
Tissues
210 nn
27
--
Serum
210 m
36
w)
rile (7:3)
56
10. 1. 2.
References The "Merck Index" 10th edition, p. 587, ( 1 9 8 3 ) . "Martindale", The Extra Pharmacopea" 26th ed. Eds. Norman W. Blacow and Ainley Wade, The Pharmaceutical Press, London. Bri t i s h Phar macopoe ia" He r Majesty ' s Stat ionary Office, London, p. 43 ( 1 9 8 8 ) . "The United States Pharmacopeia" 2 1 s t Ed. United States Pharmacopeial Convention, Inc. 12601 Twinbrook Partway, Rockville, Md. 20852, p. 52 ( 1 9 8 5 ) . "The Pharmaceutical Codex", 1 1 t h Ed. Pharmaceutical Press London, p. 46 ( 1 9 7 9 ) . The
3.
4.
5. 6. 7.
"Index Noninum 1987" Scientific Documentation Center, Swiss Pharmaceutical Society, Zurich, p. 85 ( 1 9 8 7 ) . "Drug Information 88" American Society of Hospital Pharmacists Inc. 4630 Montgomery Avenue, Bethesda MD
20814.
Mian,
Remington's Pharmaceutical Sciences, 13th Editon, Mack Publishing Company Pennsylavania, p. 1147, 1965. "Clarke's Isolation and Identification of Drugs" 2nd Ed. The Pharmaceutical Press, London ( 1 9 8 6 ) . Terplan, N. and Unger, A.M.
(1966).
J. Am. Med,
Ass.
198, 322
British Pharmacopeia, Her Majesty's Stationary Office, London V ol . 11, p. 583 ( 1 9 8 0 ) . Bacnrata, M.; Blesova, M; and Bezakova, Farm. Obz. 5 2 ( 5 ) 195-207, 1983 (Czech.). De Fabrizio, Fabrizio. J. Pharm. Sci. 6 6 ( 6 ) , 811-813,
1977.
AMOBARBITAL
51
15
Popova, V . I . ;
m,
Ahmed Z.F. et al. J . Pharm. Sci. 55, 433, 1966. Popova V.I. Farmatsiya 2 7 ( 2 ) 34-35, 1978. Budd, Robert D. et al.
317-320, 1982.
JI JI JI
Anal. Toxicol. 6 ( 6 ) ,
Ithakissios, Dionyssis,
88-92, 1980.
et al.
6 5 ( 5 ) , 1054-1058, 1982.
349-358, 1980.
m(l),
JI
27.
28.
JI Anal.
29.
30.
58
Caplain, Yale, H. et al. J . Forensic 745-751, 1979, Hulshoff, A , ; Roseboom, H ; Chromatogr. 186,535-541, 1979.
m.
24(4),
and R e n e m a J.
J .
Christofids, John A . and Fry, Denys E. Clin. Chem. Kabra, Pokar M. et al. Clin. Chem. 24(4), 657-662, 1978. Nishihara, K. et al. Bunseki Kagaku, 3 5 ( 3 ) , 272-277, 1986.
wlpivacaine
Terry D. W i l s o n
59
Copyright 0 1990 by Academlc Press. Inu. All rights of reproduction 111 any fonn recerved
60
TERRY D.WILSON
1.
Foreword
Bupivacaine is a putent lcarg a local Mesthetic of the mnide class which is available w i t h or wiepinephrine (as the bitartrate, 1:200,000). It is by 1 infiltmticm and for p e r i w nerv8 block and c a m and lurmbar epidural block. B u p i v a d m is also available a s a
for subarach-
pescr
2 . 1 panenclature B u p i v a d n e HCl
i n
2-Pipd-
d, l-l--1-2
2.2 2.3
-1)
chloride m y d m t e
Fonrmla C H N 0-HC1.H 0
18 28 2 2
342.9 288.4
0
II
C-
CIH,
N H D
Me Me
BUPIVACAINE
61
2.5
CA Reaistrv Numbers base [2180-92-91 hydrochloride, anhydrous [ 18010-40-71 hydrochloride, mnohydrate [ 14252-80-31
Amearme,
2.6
odorless
2.7
Recosnized m c r e Forms The forms of bupivacahe hydrochloride recognized by the U . S . P . include the bulk drug and the following formulations (1,3). wzpivacaine in Dextrose Injection, 7.5 q hydrochloride per mL wrpivacaine and Epinephrine Injection, 2.5 and 5 . 0m j hydrochloride per mL wrpivacaine Hydrochloride Injection, 2.5, 5.0 and 7.5 q hydrochloride per mL
synthesis The synthesis of bupivacaine originally was accamplishd i n Sweden by Ekenstam and was reported in the literature and in a U.S. patent (4,s). This method is illustrated i n Figure 1 . Briefly, malonic acid ethyl ester 2,6-xylidide resulted frum heating 2,6-xylidine with diethylmalonate. The recrystallized monoxylidide was converted to the is0nit.msamdlonic ester xylidide which was reduced to the amhe. D e l t a brumobutylamhcmalonic ester xylidide was formed following the substitution reaction on its precursor. Finally, the cyclization reaction to bupivacaine base was completed under acidic conditions. Resolution The optical isamers of (+/-) bupivacaine were resolved using (+) tartaric acid i n boiling 2propanol. The (+) isamer precipitated first as the (+) tartrate while the (-) bupivacaine isamer salt of (+) tartaric acid was recovered frum the resolution liquor (6).
3.2
62
TERRY D.WILSON
SYNTHESIS
0
II
0
II
Me
Et 0 C
alcohol
*
b
CHCI,, NOCl
Mk
0 Zn, HCOOH
@
benzene
NaOEt, Br
- (CH,), - Br
alcohol
i'
Md
0
@
Mk
HCI NaOH
n-butyl Br n-BuOH
K2C03
Figure 1 .
synthSsi.8 of bJpivaCaine
BUPIVACAINE
63
4.
Phvsical Properties
4.1 Meltina point The reported melting points of bupivacaine base and
4.2
mica1 Rotation optical rotation results found for resolved optical isamers are s h m in Table 2.
Results for e l m t a l analysis of bupivacah are
s h m
4.3
Elemental Analvsis
in Table 3 .
4.4
Ionization Constant The pKa values of bupivacaine and its resolved r e r and Aberg isamers were determined early by F and are listed in Table 4 ( 1 0 ) . While these values have been often quoted i n the literature, the method used in their detenchation w a s not described, although it could have been the solubility method. A more recent potentiometric study revealed similar results along with an enthalpy of ionization of 8 . 1 9 kcal/mol for bupivacaine ( 1 1 ) . Partition Coefficient The partition coefficients of bupivacaine base isomers have been meamred i n various systems. widely divergent results of these studies dependent n use are listed i n Table 5. on the solvents i Solubility The solubility of bupivacah hydrcchloride has been described as 1 in 25 of Water (40 w/mL), 1 in 8 of alcohol (125 mg/mL) and slightly soluble in acetone, chlorofonn and ether (2,13). In addition data s h m i n Table 6 for bupivacah hydrochloride solubility has been obtained showing the decreased solubility of the racemate carpred to the resolved isomers. Figure 2 shcws a pH/solubility profile obtained for (+/-) bupivacaine hydrochloride with the characteristic break in the cuwe at pH 6, below which further increases i n hydronium concentration fail to increase bupivacaine solubility (14).
4.5
4.6
64
TERRY D.WILSON
Melt-
Points of Bupivacaine
Melth mint " C
107.5-108.0 107-108 135-137 135-137 258.5 258-259 255-256 250-255 258 260 258 255-257
Table 1
Form
base base base base
HC1 HC1
HCl
Isgner
Reference
4 8 6 6
optical -tion
Form
base base HCl HCl HC1 HC1
ISamer
"D
Itemration
5%inmethanol 5%inmethanol
2% i n w a t e r
Reference
+ +
2% inwater
2% in water 2% in water
Form
base
ISOmer
%C
74.96
% H
9.78
L N
9.71
L O
5.54
Referenee
8
(+/-I
BUPIVACAINE
65
rsKa
8.09 8.09 8.09 8.17
Reference
10 10 10 11
Aclueous
oleyl alcchol/ water n-hem/ pH 7.4 lxlffer oleyl alcohol/ water oleyl alcohol/ water
Reference
10 12
10 10
Table 6
J a
7.4 3 3 3
Reference
12 10 10 10
*extrapolated
-M
0 0
v.-
0 0 0 0
0 0
7
r-
BUPlVACAlNE
67
Investigations on the solubility of bupivacaine base have shown an irnrerSe tenperature dependeme. Results fourd for solutions i n 0 . 5 M and 0 . 7 M phosphate buffers (pH 7.4) and in 1-4 mM NaOH (pH 10.43-11.86) are shown in Table 7 where a 1 mM solution is equivalent to 0.288 mg/mL (15, 1 6 ) . Little ionic strength effect from 0 . 1 to 1 . 5 M was observed on the solubility of (+/-) bupivacaine HC1 . 4 and 23C h or the resolved kumers at pH 7 another study ( 1 0 ) . 4 . 7 !3De&ral
4.71 Mass The m a s s spectrum of bupivacaine is shown i n Figure 3 resulting f m a methane chemical ionization as obtained on a Nermag R-10-1OC m a s s spectrameter with a direct insertion probe, a 160C source temperature and an electron e n q of 94.4 volts. The molecular ion is seen at m/z 289 (MH') while+the peaks at n Q 317 and 329 correspond to MH + C H and MH + C H The peak at m/z 140 c o d & to the l-b&$lpiperidine fragment (17).
4.72 Nuclear Mametic Resonance !%ectrm The proton magnetic resonance Spectrum of
bupivacahe is shown in Figure 4. It was obtained on a Jeol GSX 270 for a solution h D0 . The spectral interpretation is listed i n A l e 8 which was made possible u s meal shifts, intensities, literature values and 2-dimensional m y results which are shown in Figure 5 for bupivacaine. Singlets are seen for the two methyl groups on the phenyl ring and the exchangeable protons whereas the aliphatic chain methyl exhibits a triplet. The piperidine methine is a doublet while the nonequivalent methylenes of the piperidine ring appear as a doublet of doublets. Integration of the four exchangeable protons is slightly low as a result of the fast pulse delay (3.0 sec) used i n accumulation of the Spectrum ( 1 7 ) . The 13C-nmr decoupled spectrum of bupivacaine n Figure 6 as obtained on the same is shown i
68
TERRY D.WILSON
solubility of wlpivacaine Base ooncentration Found (mM) 0.7 M phosphate buffer buffer
1.35 0.85
Table 7
1-4 W I
NaOH
0.481
0.363
0 0
v)
n
w
0
BUPIVACAINE
71
Table 8
No. H
0.84 1.20 1 . 5 1 . 8 3
Assicnmnent
CII of the aliphatic
2
4 3
- 1.8
- 2.0
tothenrethineofB
2.13 2.38
6 1
tothemethineofthe
2 . 9 9
- 3.21
adj. t o t h e N o f
1 1 4 3
4.72 7 . 2 7.0
CIIadj. t o t h e N o f
the
**:
12
TERRY D.WILSON
m- 0
I,
Figure 6 .
spztrum of
14
TERRY D.WILSON
i n s m t as the pr spechum. Assignments are listed i n Table 9 and were m a d e based on chemical shifts, intensity, distortionless enhancement by polarization transfer (DEPT) experhnents and 2-dimensional hetemnuclear correlation (HETcoR) experiments. The results from the l a t t e r is Bhawn in Figure 7 w i t h the proton spectnrm on the y-axis and the carbon Spectrum on the X - ~ S(17).
4.73 Infra-red The infra-red absorption spechum of bupivacahe HCl is shown in Figure 8. It was taken on a N i c o l e t 20SX FT-IR for a 1% KBr pellet (17) 4.74 u l t r a v i o l e t
An ultra-violet
spectnrm of bupivacah HC1 was obtained on a Varian EMS-200 t e r . The scan f r a n 300-200 m on a 0.1 q/mL solution i n water is shown in Figure 9. The wavelength of a maximUm absorbance seen is 262 m, ~ f r e r e a molar absoxptivity of 473 M - ~ a n-1 was found.
4 . 8
Dissolution official dissolution procedures for bupivacahe have not been established because of the parenteral nature of bupivacahe pmducts. Dissolution methcds were described, huwever, for use with local anesthetic bases an3 their 3-hydrcocy-2-naphthoate salts (15,18). Water jacketed beakers were used w i t h magnetic stirring (360 rpxn) using dissolution media of 0.5 M or 0.7 M phqhate buffer a t p I 7.4. withdrawn samples were assayed spectraphotometrically a t 263 m for the bases or 350 m for the salts.
BUPIVACAINE
15
Table 9
memical s h i f t tm,
12.6 17.1 19.2 20.7 22.2 25.0 28.8 52.0 56.0 65.7 128.2 128.4 131.8 135.6 168.3
'1Ms)
Assianment
a b
C
*d
*e *f g h
1 m n
0
*:
76
TERRY D.WILSON
P i p 7.
I 0T
06
09
Gb
02
3 3 N b L l I WSrvbal %
1 3 2 -
78
TERRY D. WILSON
0 600 0,600
ABS
1
I
0.360,
1
-
0.240-
1,120-
W 9.
BUPIVACAINE
79
4 . 9 Identification
wlpivacaine hydrochloride drug substance is identin official mnpendia by severdl tests (13,~). fied i An infabsorption spectnrm taken on the extracted and dried base form shows the same maxima as that of a bupivacaine reference stardard. ultraviolet absorption spectroscapy i s also used to identiw bupivacaine hydrochloride. A 1 in 2000 solution in 0 . 0 1 N HCl shows the same absorption maxima and minima as a reference stardard plus the absorbance at 271 nm is within 3% of that of the reference standard. The aqueous layer remaining from an alkalinized and extracted solution of the salt also responds positively to the diloride test. Finally, the melting point of a salt formed wh e n trinitraphenol is added to a bupivacaine HC1 solution, serves as an identification test. Identification tests for bupivacaine HC1 drug products have also been developed. 'Ihese include a T l i 2 procedure for Wzpivacaine i n Dextrose Injection and the organic nitrogenous base infrared absorption spectroscapy test applied to Bupivacaine HC1 Injection (3,20).
5 .
Methods of Analvsis
5 . 1 Titrhtric
Wzpivacaine can be detennhed by a titrimetric procedure i n which the ccnnpound is dissolved i n glacial acetic acid. Crystal violet is used as indicator and the solution i s titrated to a green end-point with 0 . 1 N percNoric acid. Each mL of 0 . 1 N perchloric acid at this point is equivalent to 32.49 mg bupivacaine HC1 (13,19)
5 . 2 Ultraviolet
ultraviolet spectraphotametry has not been generally applied as a routine or ccnrcpendial method for bupivacaine analysis althuugh reports have appeared making use of it. These i r n r o l v e d dissolution procedures in which the 3-hydroxy-2-naphthoate salt and bupivacaine base were assayed by W spectraphotcmtry using 263 nm and 350 nm as analyticdl wavelengths for the base and salt respectively
( 1 5 , 1 8 ) .
OttnQetry
80
TERRY D.WILSON
5.3
(3lrimatoclra&y
5.31
Thin Laver ( 3 l r i m a W Thin layer chmnatcgraphy has been used to analyze bupivacaine and has also been used as an identification test and a test for chrcnnatographic purity (13,3,20). I t was also used i n biological t e s t * to purify extracted rabbit urine (21) and to separate ccanporaents of extracted equine urine (22). conlitions employed in these procedures are listed i n Table 10.
5.32
fluids in cldcal studies. W e a multitude of such clinical s t u d i e s can be found in the literature anly a few actually describe chmnatographic conditions used. Gas chramatosraphy has also been used for bupivacaine assay in anilnal studies and in dissolution Studies.
The conditions enplayed in these studies are listed in Table 1 1 . Impmemnts i n methodology indicated in t h i s table include increased use of the more sensitive and specific rlitmgen and nitrogen/phasphonts detectors along with the ability to detect metabolites as well as the application of capillary column Gc to further increase sensitivity.
Wlpivacah has also been analyzed in biological sanlples u s h j Gc-Ms procedures. conditions for these reprted studies are listed in Table 12.
5.33
H i &
Hm% proaedures
Liauid Chranatoclrarh~ have been dweluped for analysis of bupivacaine in both biological specimen and dosage forms. These methcds are classified here as achiral or chiral c b p n d h g on whether or not separation of the (+) and (-) enanticaners was claimed. conditions used for the achirdl methods, all reverse phase, are listed in Table 13.
performance
BUPIVACAINE
81
Thin Lay-
Mobile
Phase
Visualization Icdoplatinate
3
gl .HaAc
20
ethanol
(96%)
Patassium iodabislarthate
13 21
Silica gel
G
(10:89.5: 0.5)
chloroform: lIEthano1
(9:l)
22
82
TERRY D.WILSON
2.5% SE-30
3%OV-17
FID
FID
210 225 230-280 190-250 214.5 265 215-235 250 200-250 180-240 170
30 30 18 23 62.2 31.6
5'
1.8
23 24 25 26 18
15
3% OV-17
5%OV-17
10% PEG
2
1.8 m
20
1.5 m 1.5 m
6'
FID
FID
30
40
27 28
1.8
1.2 (1.8
m
m
FID
Nit.
50 25 50 3
m) Rms.
Nit. Nit.
35
20
29
1.8 m
Sarr
m.
30
carboW a x Z w
31
KLMI
10m
6'
3% OV-17
5%OV-17
CFmX
Nit.
260
30
10
1.8
Nit.
32
33
34
Fhos.
capil
10
Nit. Nit.
57cB
3%OV-101
210
30
1
50
2 m
35
BUPIVACAINE
83
Table 12
Instrument
column
IXB 9000s
Varian 140-
3% SE-30 3% OV-17 3%
70 w 88 w 70 ev
21 36 37 38
-MAT31lA Ins
HP 5995A
I3a3 2091-710
m
Table 13
column
OD6
Mabile Fhase
m : 2 8 nM R1os. Buffer pH 6.8 (65:35) MeQI:50 nM R1os. Buffer pH 5. 0 (60:40) m : 5 0 nM Fhos. wrffer pH 5.8 (25:75) n m 1 0 nM Fhos. Buffer pH 2 . 4 (8:92) ACN:50 nt4 Fhos. Buffer pH 3.5 (30:70)
Detection
W-263
Rate
hlulnin) 2
Flow
Detection Limit
olu/nlL)
Reference
20
50
C18
W-254
39
C18
W-210
0 . 9
50
40
c8
W-210
1 . 6
100
41
C18
W-210
30
42
84
TERRY D.WILSON
chiral separations of bupivacaine optical isamers have been successfully performd u s Q -acid glycopmteh columns originally lab p & since ~ they were unavailable copmnerc cially, alone or i n ccnnbination with other columns. The original camercial c o l m of t h i s type, 'Rlantiopac,' was marksted and s h a d broad amlicability to a laqe nunber of r a d c drug separations although it suffered fm a lack of ruggedness. A second generation a -XP column was used i n the most recent stud$ listed in Table 14 along with conditions for these separations.
6 .
tion as well as the pharmacakineics of bupivacaine in man have been extensively reported on and reviewed along with other local anesthetics (12,49,50,51).
Since the drug is available for administration by a variety of mutes as indicated in the forward section above, a variety of pharmacokFnetic consequences would be peak concentrations faund in venous or arterial plasma samples over all administration mutes reported, as summarized by Tucker and Mather, ranged between 0 . 1 2 and 4 . 9 5 p g / a with t h of peak plasma amcentration between 5 and 35 mirmtes (12). when the data was adjusted to peak maximum concentration in p g / a per 1 0 0 n g bupivacaine dose, however, the range w a s ccnrrprassed to 0 . 2 1 . 5 5 .
The effect of route of administration on bupivacaine absorption into the systemic cirr?ulation can be further delineated by ccanparing epidural to subarachnoid administration. In the f o m a two phase absorption has been measured with a rapid initial phase follcwed by a slaver second phase (Wrption t l / 2 values of 0.12 and 6 . 0 hours, respectively)
(12,51). Following subarachnoid administration, hwever, no rapid initial absorption was noted (t1/2 = 0 . 8 3 h r ) while the s l c r w e s final phase had a t1/2
BUF'IVACAINE
85
Table 14
column
a
Mobile
phase
Detection
W - 2 15
Rate /mIsminl
0 . 5 1 . 4
Reference
43
al=
m.
7.1:2-propanOl (94:6)
al=*
Buffer,
PH
W-215
0 . 5
1 . 9
44
W-215
0 . 3
1.4
45
alAGP*
Buffer: 21 (91:9)
0 . 3
1 . 4
46
alAGP**
10 mMphos.
Buffer,
propano1
(94:6)
7.26: 2-
PH
W-215
1.5
47
aim**
w 2 10
0.8
1 . 3
48
* ** ***
alAL;p
86
TERRY D.WILSON
of 6 . 8 hr. These diffhave been attributed to differences in administration site vascularity and extent of local binding. In any case the fraction of dose absorbed into systemic cimulation fm these sites has been as 94-96% (51).
6.2
Distribution, Bindinu and PharmaCokinetiCS Following absorption into the systemic circvlation bupivacaine is exposed to both tissue and blood binding. High levels of lung binding of lrmpivacaine have been &served in rat tissue slices (52) wha-eas circulating blood binding occurs w i t h two plasma P ' i a -acid glycoprotein, whic31 contains high-affinity: Im-capacity sites and m , with lm-affinity, high-capacity sites (12). Inmases i n plasma levels of the former are associated w i t h various disease states and follming surgery tihi& can account for higher total blood bupivacah concentration a t that time. Analysis for free bupivacaine, however, showed little increase following choleq&e&my in 7 patients. Prolmged epidural bupivacaine infusion i n post operative patients also resulted in high total plasma concentrations but no toxic effects due to protein birding (12). The plasma binding cuwe for bupivacaine plateaus below 2 pg base per mL plasma a t 96% bound
(53)
is related to extensive tissue and plasma p % k n binding. ! C h e clearance and half l i f e values are aepenaMt on site of administration as discussed above w i t h subarachnoid bupivacaine eliminated more rapidly than epidural. Yaurrg patients eliminate bupivacaine faster than old patients and the method of calculating these paramters -( or noncaprtmntal analysis) had l i t t l e effect on the values obtained.
V
6 . 3
Metab0l i s m and Excretion wlpivacaine and other d d e local
These distribution and birding @u?mmnaare reflected in data Shawn in Table 15 the high
are mainly eliminated thraugh liver netabolism w i t h only 2.6% appearing i n the urine undmqed (12,51). Anmq the mtabolic pathways available, Figure 10 indicates those most czcmonly utilized i n mamlnals including man. Para- and ortho-hydmxylation are
BUPIVACAINE
87
v[L) -dSs
73 74
steady state
clearance ~Wmin)
0.58 0.45 0.51 0.33 0.46 0.28 0.61
TennFndl
AdnlhiStT.
Route
Reference
12
33
54 54 34 34 55 56 56 57
67 68 66
0.51 0 . 5 2 0.61
88
TERRY D.WILSON
METABOLlSM
nBu
Me
OH
I
0
PPX
H
W 10.
BUPIVACAINE
89
predominant in man, followed by conjugation or N-dealkylation to the htenned~ ' ate 2,6-pipecolylxylidde (PPX). This can then be phydmqlated, and conjugated or hydrolyzed to 2,6-xylidde and pipecolic acid. In man and rats the hydrcorylated P P ' te with less N-dealkylation and hydrolysis while in n m l q s hydrolysis is the major metabolic pathway (12).
7.
ktennination i n Bodv Fl~ids Bupivacaine has been meamred i n whole blood, plasma, senrm, ce3tebrosphal fluid and urine. The majority of the methods used for these assays were gas chrcanatographic and gems, with Table 1 6 listing methods and fluid assayed.
Acknowledqement. The author wishes to thank MS. N. L . valcik for marnwxipt typing assistance, Dr. G. A. and me;mbers of the Wlecular Characterization Section of Sterling Research Group Rensselaer as noted i n reference 1 7 .
90
TERRY D.WILSON
Gc
G c m
HPIX:
Fluid
Plasma
Blood
3a
senrm
CSF
46, 41
Urine
41
21
BUPIVACAINE
91
References
1. 2 .
3.
Pnvsician's Desk Reference, 43rd ed., Medical Econcnnics Co., Oradell, N.J., p. 228 (1989).
Martindale, Reynolds, J.E.F. ed., 29th ed., ceutical Press, London, p. 1209 (1989).
pharma-
4. 5. 6. 7 .
8.
-Scand.
Ekenstam, B., Egner, B. and Fettersson, G., Acta Chem. 11, 1183 (1957).
Ekenstam, B.T., U.S. Patent 2,955,111 (1960).
14, 891
(1971).
Maxk Index, loth ed., Merck and OO., Rahway, N . J . , p. 1466 (1983). IQhnert-Brandstatter, M., IQfler, A. and Kramer, G . , Phann. 42, 150 (1974).
9.
11. Kamaya, H e , Hayes, J.J. and Ueda, I . , Anesth. Anala.1 62, 1025 (1983). 12. Tucker, G.T. and Mather, L.E., 'Pmperties, Absorption, and Disposition of Local Anesthetic Agents, I in Neural Blockade, 2nd ed., Cousins, M.J. and Bridenbaugh, P.O. eds., LippincOtt, Philadelphia, p . 47, (1988). 13.
Br. &armacoDoeia, Her Majesty's Stationery O f f i c e , London, p. 80, (1988).
S 1 -
G W ,
unpublished
92
TERRY D.WILSON
15.
pharm.
Phamacol., 2,
16. Nakano, N.I., J. phann. Sci., 68, 667 (1979). 17. McNaughton, L.A.
Sterling
, Gangell,
18. Nakano, N . I . , Kawahara, N., Zdya, T., pharm. will., 2, 936 (1978). 19. 20. 21. 22. 23. 24. 25. 26. 27
28.
et all Chean.
51, 223
, -
Woods, W.E.,
p.
pharm. pharmac.
20,
Anesthesiol,,
2,483
, Reaim.
24,
,.
u,351 (1980).
H . M . , et all
, 69,
Rruwn, R.R.,
et 61, JI
Lesko, L.J.,
Wum, A.G.
JI
KlWf, J.W.
BUPIVACAINE
93
32
33.
Densan, D., Cayle, D., Thcnnpson, G., PhafiMCol. ma., 3, 409 (1984).
e t al, C l h .
Br. J.
N o b l e , D.W., Smith, K.J. and Ixlndas, C.R., Anesth., 59, 735 (1987).
34. Veering, B.T., Bunn, A.G., van Kleef, J.W., Anesth. Analcf., 66, 965 (1987). 35. 36. 37.
Chan, K., Ther. Druq M o n i t o r . ,
et al,
11, 567
(1989).
Mass smct
., Smith, R.L.,
. S t i t t s , J.M.,
et a l l B i d .
P.M.,
Kuhnert, B.R.,
e t al,
e t al,
sundberg, A.E.,
Edstrom, H.H.,
, 311,
218 (1984).
63, 448
Ha, H.R.,
41.
Lindberg, R.L., Emto, J.H. and Pihlajamaki, K.K., Chrmatow., 383, 357 (1986).
JI
42. Adams, H.A., B i s c a p i n g , J., Ludolf, K., Ansth. , 12, 53 (1989). 43.
e t 61, m i o n .
44. Hermansson, J., J. Qwmratoar., 298, 67 (1984). 45. Schill, G., Wainer, I.W. and Barbn, S.A., QrrmMtoar., 2, 641 (1986) 46.
47.
J. Lia.
Lse, E.J.,
& K J ,
S.B.
and
203 (1987).
T.L., J.
QzrCuMt0ar.i
420,
ura&ia
, 24, 520
J . , S ,
(1987).
, 473, 371
94
TERRY D.WILSON
49.
Br. J. -the,
2 , 717 (1986).
s, 283
(1989).
Tox
., 4, 103 (1979).
Tucker, G.T. and Mather, L.E., Wr. J. Anesth., 47, 213 (1975).
54. Veering, B . T . , Wurm, A.G., van Kleef, J.W., et al, Anesth. Anala., 66, 589 (1987). 55. 56. 57.
Bunn, A.G., van Kleef, J.W., G l a d i n e s , M.P., Anesth. Anala. 66, 1104 (1987).
Clh. pharmacokin.,
et al,
13, 191
(1987).
Bunn, A.G., de Boer, A.G., van Kleef, J.W., et al, B i m D r u a Dismsit., 2, 85 (1988)
58. Mather, L.E., Long, G.J. and Thomas, J . , Clh. pharmacol. I . Ther u, 935 (1971). 59. 60.
Bunn, A.G., van Kleef, J.W., G l a d i n e s , M.P., et al, Anesthesiol., 3, 191 (1983)
N.P., et al,
61. KUhnert, B.R., Zuspan, K.J., KUhnert, P.M., et al, Anesth. Anala., 66, 986 (1987). 62. Kbhnert, B.R., Zuspan, K . J . , KUhnert, P.M., et al, Anesth. Anala., 66, 407 (1987).
Pharmaceutical Chemistry Department, College of Pharmacy, King Saud University, P.O. Box 2457, Riyadh-11451, Saudi Arabia.
*Clinical Laboratories Department, College of Applied Medical Science, King Saud University, P.O. Box 10219, Riyadh-11433, Saudi Arabia.
SUBSTANCES
95
Copyright 0 1990 by Academic Fress, Inc. All rights of repmduction in any form reserved.
96
Contents
I,
Description
1.1
1.2
1.3 1.4
1.5
2.
Emp i r ic a l
Physical Properties
2.1
2.2
2.3
2.4 2.5
2.6 2.7
2.8
2.Y 2.1u
Melting Range Solubility Optical Rotation Action Stability plia PH Crystallization of Ceftazidime X-Ray Powder Diffraction Spectral properties 2 . 1 0 . 1 Ultraviolet spectrum 2.10.2 Infrared Spectrum. 2.10.3 Nuclear Magnetic Resonance Spectra
3,
4.
5.
6,
CEFTAZIDIME
97
7.
Yethods of. 4nalysls i,1 Olemental A-\nalysis / . 2 Colorimetric 7, : i Microbiological i,4 Chromntographlc 7.5 Thermal Behavlor References
8,
98
MOHAMMAD A. ABOLJNASSIFETAL..
1.
D_escription
1.1
Nomenclake
1.1.1
Chemical Nagis
F o r t am.
1.2
Formulae 1.2.1
Eapi rical
1.2.2
Structural
CH 3 CH,+COOH
CEFl'AZDIME
99
1.2.3
1.3
Molecular Weight
1.4
C
S
Elemental Comwsitior! 2 1
38.33%; 11.74%.
4.UtjX;
N 1.5.Y8%:
20.~,U%;
1.5
2.
2.2
Solubility
i n water and
2.3
Optical Rotation
1oln
2.4
20
t 24.5.. ( 2 )
Action
C e f t a z i d i m e h a s a b a c t e r i c i d a l actioii and hrnad s p e c t r u m activity but i n c r e a s e d a c t i v i t 1 a g a i n s t p s e u d o m o n a d s s p e c i e s I 11, Drug i s h i g h l y s t a b l e t o h y d r o l y s i s b y most I + - l a c t a m a s p s p r o d u c e d b v Gram-negat i v e and Gram-posit i v e bacl eria.
2.5
Stability
Drug f o r i n j e c t i o n is e s s e n t i a l l y s t a b l e i n t h e d r y s t a t e a n d c a n be s t o r e d a t room t e m p e r a t u r e , b u t should be p r o t e c t e d from l i g h t , khen r e c o n s t i t u t e c l with Hz0 f o r i n j e c t i o n s loss of potency o c c u r s s l o w l y and it is recommended t h a t it s h o u l d be used w i t h i n 6 hours i f s t o r e d a t room t e m p e r a t u r e and 24 hours i f i n refrigerator. (31 R e c o n s t i t u t e d 1 g v i a l s of drug f o r i n , j e c t i o n added t o 50 m l m i n i b a g s of sodium c h l o r i d e i n j e c t i o n ( 0 . 9 % ) were found t o be s t a b l e f o r 97 days when s t o r e d a t ZO'C. A f r o z e n s h e l f l i f e of 42 days was s u g g e s t e d . t o allow f o r a r e f r i g e r a t i o n l i f e of 4 days followed by 2 4 h o u r s at room t.emperature. ( 5 )
2.6
a &
Ceftazidime sodium s o l u t i o n s have a pH of 5-8 and are l i g h t y e l l o w t o amber i n c o l o r d e p e n d i n g on t.he d i l u e n t u s e d , c o n c e n t r a t i o n of t h e d r u g , and l e n g t h of storage.
2.8
Crystallization
of
Ceftaeidime
C r y s t a l s of c e f t a z i d i m e h a s been p r e p a r e d bv a~I.iust inq an aqueous s o l i i t i o n 01 c e f t a z i d i m e from lot1 5.3-ti.5 t o 4.0-4.7 a t 5-15 r' uslrlg H c ' l or t l z P ( - h , lhus a s u s p e n s i n n of 2.1 g m of c e f t a z i d i m e i n 5 m l 1i1U wits cooled t o 3 C' aiid a d j u s t e d p H b . 9 w i t h 1.28 M NaOH, d i l u t e d with H z O t o 190 mg/ml, w h i c h was trcfi;ite~-l with 2 . 5 M H3W4 at 5 C t o 11it 1,4 and tlieri 4.2 t o ~ i 211 v gm of d r i e d crystals.
2.9
X-Hay Powder U i f k a c t i o n ( 8 )
T h e I - r a y d i f f r a c t i o n 1 < i t t e r n ok c e t t a z i d i m e was determine.! on H P h i l i p s X-ray d i t t r a c - t i o n s p e c t r o s o n i o m e t e r f i t t e d w i t h Pk 1730 q e n e r a t o r . R a d i a t i o n hias provided by a copper t a r g e t (r;u anode 2000 W , y = 1.5480 4 ) and high i n t e n s i t y x - r a y t u b e o p e r a t e d a t 4U h\. and 35 MA. 3 h e monochromator was a
CEFTAZIDIME
101
c u r v e d s i n g l e c r y s t a l o n e ( Pk 1 i 3 2 / 0 0 ) . Divergence s l i t a n d t h e r e c e i l i n g s l i t were 1 a n d 0 . : respectively. I'he s c a n n i n g s p e e d o t t h e griiiiometrr (PW 105O/kIl) u s e d was 0 . 0 2 - 2 tf per s e c o n d . 'Ihc. i n s t r u m e n t is combined w i t h P h i l i p s P M 821U p r i n t i n g recorder w i t h b o t h a n a l o g u e r e c o r d e r a n d d i g i t a l printer. The g o n i o m e t e r was a l i g n e d u s i n g s i l i c t i n sample b e f o r e use. The x-ray p a l t e r n o l c e f t a z i d i m e is p r e s e n t e d i n Fig. ( 1 1. 'I'he i n t r r p l a n r i e r di.itaiic P dA and r e l a t i v e i n t e n s i t y 1/10 a r e shown i n l a h l r ( 1 1 .
2.10
Spectral P r o p e r t i e s
5.10.1
Ultraviolet S p e c t r u m ( U V )
The u l t r a v i o l e t a b s o r p t i o n s p e c t r i i m of r e f t a z i d i m e i n 0 . 1 hi H2s0.1 h a s o b t a i n e d o n 4 0 5 4 L h U l i \ / \ i s s p e c t r o p h o t o m e t e r ( 8 ) . 1 he s p e c t r u m shown i n b J 4. ( Z ) e x h i b i t r d a maximum a t 2hO n m . l h ~ spectra o f c e f t a z i d i m e showrd a maxiniuni a t 238 iini and L 5 7 tim 111 Hz0 and m e t h a n o l r e s p e c t i v e l y .
2.10.2
I n fr a r e d Suectrum
102
45
40
35
30
25
20
15
10
60ZS'7.
ET9'SE
WES'Z
1009'7 ZEZ9'Z 6989'7.
ESE'SE
E6b'bE
IHI'PE
9bE'EE U9FI'ZE
SSI ' bZ
RR9'9Z
6b7.L'Z b98L'Z
EZT'ZE
IEGR'Z
lf.66'7.
5610'E
O6b' SE ELE'Sl
REI'LE
L86'ET
BPb'9Z
zci*az
9EE'UZ
OBV'EE
161'EZ FLfi'LZ
ESS'EZ
29s * 5 2
LOG'LZ
TSC'LZ ugn*iZ
EZSE'E
1TPt'F
066'92 16R'SZ
GUS * sz
610'67.
PZB ' 98
STRb'E 6969'h
ELO'bZ
CZF'LZ
IRUL'E
URLU'E LSb6'E
LLR'ZR
EG6 ' 1 E
R89 ' 1s
FRP'EZ RZ6'ZZ
EES'ZZ
SZO'L6 9EZ'EL
EOP'LI
961'6t
65 9
fim' L Z L
6LO'R
SIFL'F bS66.b
SSh'tt
BIh'EE 600'LZ
IPS'f'l. Fq9.9Z
ZtOt'G IGSF'S
CLH'ZI
ss1.11
nLo.01
9rui-L firsiL'5
wzo'nr
t 4 L n . 91
no1
STS'? 96f'E
~.
R 7
1% C ' T l I I
Y i '
R 7
:1 a T q o l
01
8 E
0 0
*
m
0
0 aD
fn
m
0 h l
0 0
0 z
aD hl
0
hl
0 * hl
hl
0 0 0 0 0 0 0
0 N
o
c y h l -
m
-
0
0
104
4 I
8
0
0
N
d
0
0
0 0
CT,
0 0
0 0
4
c\1 rn
c a
d
4
0 0
0 0 \D
F l
0
0
m
A
0 0
h)
0
0
h )
0 0 M
0 0
0'
b,"
00
0 \D
h )
0 0
105
106
Freauency
3UOU-BtiUU 1810
cm-'
A s s i@nien t
OH s t r e t c h i n e ,
C'-S-C
NH2
(.'-H s t r e t c h .
stretch.
16'iU
1450
C'-N
Adjacent hydrogen del'ormat ions. 2.10.3 Nuclear Mamiet ic Resonance t33eLrrU
ti 00 -tloo
2.10.3.1
Proton Spectra ( W )
The PMR s p e c t r a of ceftazidime i n OMSO-dh was recorded on a Varian PT 8 O A , 80 MHz NMtl spectrometer u s i n g 'TMS as fin i n t e r n a l r e f e r e l i c e . ( F i g . 1 ) . T h e s p e c t r a l assignments a r e presented i n T a b l e ( 3 )
Table 3 :
Croup
PMR c h a r a c t e r i s t i c s of ceftazidime
C-CH3
-C:H:i
1.7u
5.(J2 6.66
8.U8
N-CHZ
d
s
-t4H
-CHZ
-CH2
9-34 d
= singlet,
d = doublet,
= multiplet..
CERAZIDIME
107
Fig. 5 :
108
The l J C hMH s p e c t r u m o f c e f t a z i d i m e i n 1)MSO u s i n g 'IMS as a n i n t e r n a l r e f e r e n c e is recorded on Jerrl r'X -1OU FT NMH S p e c t r o m e t e r ( Y ) and is p r e s e n t e d i n b i g , 1 5 ) .
2.1U.4
_-Mass gpectrur
The mass s p e c t r u m of c e f t a z i d i m e i s p r e s e n t e d i n k i g . ( 6 ) . 'rhi s was o b t a i n e d by e l e c t r o n impact 10111 z a t i o n on a Y i n n i g e n 3UU Mass S p e c t r o m e t e r by d i r e c t i n l e t p r o b e a t 270 f : , 'The e l e c t r o n e n e r g y was 7U e v . Ihe s p e c t r u m was s c a n n e d t o mass 55U a.m.u. The s p e c t r u m shows a m o l e c u l a r i o n peak ! + I a+ t m/e 5 4 7 w i t h a r e l a t i v e i n t e n s i t y o f 40%. 'I'he base peak a t 1 h Y w i t h a r e l a t i v e i n t e n s i t y of 100%.
3.
Synthesis
(10)
C e f t a z i d i m e is s y n t h e s i z e d by t h e r e a c t i o n of n i t r o u s a c i d w i t h e t h y l a c e t . o a c e t a t e t o p r o d u c e o x i m e . 'I'he oxime is n e x t c o n v e r t e d t o 2-aminot h i a z o l e by halogenat,ion w i t h s u l f u r y l c h l o r i d e followed by t h i o u r e a displacement. The amino group i s p r o t . e c t , e d by t h e t r i t y l amirie a n d t . h e n ether f o r m a t i o n w i t h e t h y l 2-bromo-2-methylpropionute q i v e s int.ermediatr. The s p o i i i f i c a t i o n t h e n f r e e s t h e carhoxy g r o u p f o r c o n d e n s a t ion w i t h t. b u t y l , 7 - a m i n o c e p h n l o s p o r i n a t e mediated by d i c r c l o h e x y l c a r b o d i i m i d e a n d l - h y d r o x y b e n z o t r i a z o l e . The s y n t h e s i s is c o m p l e t e d by r e m o v a l of t h e p r o t e c t i n g g r o u p s from t h e product formed w i t h t r i f l u o r o a c e t i c a c i d and d i s p l a c e m e n t . of t h e acet,oxyl moiety from ('-3 by t , r e a t m e n t w i t h p y r i d i n e arid sodiiim i o d i d e i n order to g i v e c e f t a z i d i m e .
a.
3
f
.-
110
MOHAMMAD A . ABOUNASSIF E T A L .
Scheme :
0 I 1 CH3COCHgoEt
HNO,
NOH II + CH,COCCOOEt
S0Clz
Ethyl acetoacetate
Oxime
NOH II
I "
NH2
2 -Aminothiazole
I
0
u
0
Q)
I
3cH
2
z
q C NHP
tritylamine
0 f""H3
COOEt
Intermediate Sponif i c a t ion
C0,- t-Bu
CEFIAZIDIME
111
4.
Metabolism
Ceftazidime is not absorbed from GI tract and must be given parenterally. 1M injection into the qluteus maximus o r vastus laterals, ceftazidime may be absorbed more slowly in women than in men. In women, peak serum concentration of the drug may be lower following 1M injection into the gluteus maximus than into the vastus laterals. ( 6 ) Ceftazidime is administered by injection as the sodium salt. Mean peak serum concentrat.ion of 1 7 and 39 pg/ml have been reported approximately one hour after intramuscular administration of the equivalent of 0 . 5 and 1 g of ceftazidime respectively. Five minutes after intravenous b o l u s in,jections of Hie equiralent of 0 . 5 , 1, arid 2 gm of ceftazidime, mean serum concentrations o f 4 5 , YU and 1 7 U pg/ml, respectively have been reyort.ed. l'he plasma eliminat.ion half l i r e of ceftazidime is about 1 . 8 - 2 . 2 h o u r s hut this is prolonged in t.he patients with severe renal failure and in neonates. It. is about 10-17% Ixnind to plasma proteins. ( 3 ) Ceftazidime is widely distributed in body tissues and fluids including boiie, synovial fluid, heart, b i l e , sputum and aqueous humor; therapeutic concentrat i o n s have been achieved in the cerebrospinal fluid when the meninges are inflamed, it diffuses across the placenta and is excreted in breast milk. ( 3 ) Plasma concentrations of crftazidime decline 111 biphasic manner. In adults w i t h normal renal and heptic function, the distribution half life ( t t a ) of ceftazidime is 0 . 1-0.6 hours and the elimination half life ( t g n ) is 1 , 4 to 2 hours. ( 6 ) Ceftazidime is not metahol i z e c l arid is excrel ed unchanged principally i n i.ir i n e b y plnmerular filtration. Following IM o r I L administration of a single 0 . 5 or 1 g dose of drug i n adults with iiormal renal function, 8c)-9U% of the dose is excreted in urine unclianged within 2 4 hours? approximately 5UX oi the dose is excreted within 2 hours after the dose.
(ti)
112
Serum clearance of ceftazidime average 98-122 m l / m i n in healthy adults. In geriatic patients 63-83 years of age with urinary tract infections, serum clearance of ceftazidime averaged 79 ml/min and the serum half life of a drug averaged 2.9 hours. In patients with cystic fibrosis, the serum clearance of ceftazidime ranges from 142-316 ml/min per 1.73 M L , the serum halt life of the drug in these patients, however, ranges from 1 - 2 . 2 hours and generally within the same ranee as that for healthy individuals. ( 6 ) The serum half life of drug is longer in neonates than in older children and adults. Serum concentration of drug are higher and the serum half life o f drug is prolonged in patients with impaired renal function. The serum half life of the druq; only slightly prolonged in patients with impaired hepatir function and accumulation of the drug does not generally occur in those patients unless renal function is also impaired, Ceftazidime is readily removed by hemodialysis. drug is also removed by peritoneal dialysis. ( 6 )
5.
The
CEFTAZIDlME
113
C e f t a z i d i m e i s a v a i l a b J e as t h e p e n t a h y d r a t e b u t i t I S f o r m u l a t e d w i t h sodium c a r b o n a t e t o form t h e sodium s a l t . i n s o l u t i o n , Doses a r e e x p r e s s e d i n terms of anhydrous ceftazidime. I t i s a d m i n i s t e r e d by d e e p i n t r a m u s c u l a r i n j e c t i o n , slow i n t r a v e n o u s i n j e c t i o n , o r i n t r a v e n o u s i n f u s i o n i n doses of 1-ti g d a i l y i n d i v i d e d doses e v e r y 8-12 hours. The h i g h e r d o s e s are u s e d i n s e v e r e i n f e c t i o n s e s p e c i a l l y i n immunocompromised p a t i e n t s . In patients with cystic f i b r o s i s who have pseudomonal l u n g i n f e c t , i o n s , h i g h d o s e s of 1OU-150 m g p e r kg body w e i g h t d a i l y i n 3 d i v i d e d doses u p t o 9 g d a i l y h a s been g i v e n t o a d u l t s wit.h normal r e n a l f u n c t i o n I f p a i n is c o n s i d e r e d a problem w i t h I \ u s e , d r u g may b e r e c o n s t . i t u t , e d J c i t h l i g n o c a i n e h y d r o c h l o r i d e 0.5% o r 1% i n j e c t . i o n . ( 3 )
30-100 m g p e r kg i n 2 o r 3 d i v i d e d closes of d r u g a r e usually g i v e n t o t h e c h i l d r e n and ma! i n c r e a s e u p t o 150 mg p e r kg d a i l y t o a maxinium o f ti s d a i l y may b e given i n 3 divided doses.
N e o n a t e s and i n f a i i t s u p t o 2 months o l d have been q i v e n 25-60 m g p e r kg d a i l y i n 2 d i v i d e d doses. 1 3 )
6.
114
T r a n s i e n t i n c r e a s e i n serum c o n c e n t r a t i o n s of S W Y , S b p t , A 1k a 1i n e p hos p h a t ase , L L)H a n d / y - g l u t xmlr 1t r a n s f e r a s e ( y - g l u t a m y l t r a n s p e p t i d a s e , MA. G G I Y ) , b i l i r u b i n , bun and serum c r e a t i n i n e have been r e p o r t e d 111 1-9% of t h e p a t i e l i t s , receiving ceftazidime in a p p r o p r i a t e l y l a r g e d o s e s , mag c a u s e s e i z u r e s , e s p e c i a l l y i n p a t i e n t s k i t h r e n a l impairment. l'lic d r u s s h o u l d be c l i s c o n t i i i u e d p r o m p t 12: i f s e i z u r e s o c c u r ; a n t i e o n v u l s a n t t h e r a p y may be a d n i i n i s t e r 4 i t i n d i c a t e d . I f a c u t e overdosage of c e f t a z i d i m e o c c u r s , h e n o d i a l y s i s may b e u s e d t o m h a n c e d e l i m i n a t i o n &>t t h e drug. (6)
I t h a s been reported t.ha1- c e f t a z i d i m e does n o t c a u s e d e c r e a s e d a c t i v i t y when i n c u b a t e d i n s o l u t i n r i w 1 t h g e n t a m y c i n o r t o b r a m y c i n a t 37 ' C [ 1 1 , 1 2 1 . However, t h e m a n u f a c t u r e r s recommended t h a t c e f t a z i d i m e , 1i k e mast o t h e r Ij-lactam a n t , i b i o t i c s , s h o u l d n o t b e niixed w i t h a n a m i n o g l y c o s i d e i n t h e same g i v i n g set o r s y r i n g e b e c a u s e of p o t e n t i a l i n t e r a c t i o n . c ' a i r n s and Hobert.son ( 1 3 ) r e p o r t e d t h e p h y s i c a l i n c o m p a t i b i l i t y between c e f t a z i d i m e and vancomycin.
7.
Methods
of Analysis
Elemental Analysis
(
7.1
21
3 'fheo r e t.i ca 1
48.93% 4,06% 15.38%
c
H N
0
20.50%
11.74%
7.2
Colorimetric Method ( 1 4 )
CEFTAZIDIME
115
frlrmation o f d i a z o p r c i d u r t s w i t h h a N 0 2 i i i a c i d i c medium. I h e c n l o r i a b s n r h a n c e I was measiri.ed a t nl)U n m . A linear r e l a t i o n b e t w e m t h e c o l o r i n t e n s i t $ awl d r u g c o n t e n t was observed i n t h e c o n c e n t ratiori r'aritle
12.5-ZU0
pg/ml.
1.3
Microbiological Methods
(a) A s e n s i t i v e method i 1 5 ) is d e s c r i b e d i o r the d e t e r m i n a t i o r i of c e f t a z i d i m e i l l b i o l o g i c a l f l u i d s u s i n g P r o t e u s m o r g a n i i N C l C Z 3 5 as t h e t e s t o r g a n i s m . l'he o r g a n i s m i s c u l t u r e d o v e r n i g h t on n u t r i e n t agar s l o p e s a t 9 1 , t h e g r o w t h is t h e n washed o f f i n 5 ml p h o s p h a t e b u f f e r a t pH i . O ? arid t h e s u s p e n s i o n i s d i l u t e d lO-folcl t o c v n t . a i n a b o u t 10' c e l l s / m l a n d a d d e d i n an amount e q u a l t o 1%t o t h e m o l t e n a g a r h e l d Aboiit 1 2 . 5 m l o f i n o c u l a t e d in Petri dishes a t SU.. medium is p o u r e d 1 n t . o 9-cm p l a t e s ( l a r g e 1 2 i n c h e s p l a t e s c a n a l s o be u s e d ) . Holes are punched in t h e a g a r f o r s t a n d a r d and Lest s o l u t i o n s . A f t e r 18 h o u r s i n c u b a t i o n a t 37 ' C , zone d i m e n s i o n a r e measured ancl ceftazidime concentrations i n t h e samples are e s t i m a t e d from a s t a n d a r d c u r v e .
(bj M i c h a e l e t a l . ( l b ) a n a l p s e d c e f t , a z i d i m e 111 serum a n d body f l u i d s b y Large-p1at.e a g a r d i f f u s i o n t e c h n i q u e u s i n g s t a n d a r d solilt i o n s oi t h e d r u g made u p i n human serum. Serum samples were sssayed a g a i n s t s t a n d a r d s made up i n l U 0 X serum arid each t.est serum s a m p l e a n d s t a n d a r d ( 2 5 p l ) was i n o c u l a t e d i n t o Nhatman A.l p a p e r d i s k s . Standard s o l u t i o n s f o r a s s a y i n g b l i s t e r f l u i d and c a n t h a r i c l i n b l i s t r r f l u i d were p r e p a r e d w i t h 50 and '10% serum r e s p e c t i v e l y made u p i n p h o s p h a t e b u f f e r ( p l l 0. Blister f l u i d a s p i r a t e s a n d s t a n d a r d ( 5 p l ) were i n o c u l a t e d o n t o ti-mm d i s k punched from Whatman no. 54 f i l t e r p a p e r . C o t t o n t h r e a d s were r e m o v e d a n d immediate1:t r a n s f e r re d int o p re w e i ghed bo t t.1 e s w h i c h were t h e n weighed. l'he t h r e a d l e n g t h s were m e a s u r e d , and t h e amount of f l u i d t a k e n u p per c e n t i m e t e r of l e n g t h was calculated. l'he t h r e a d s were t h e n c u t i n t o two 1-cni lengths for assay. S t a n d a r d s f o r t h e t h r e a d s were p r e p a r e d by i m p r e g n a t i n g 1-cm 1engt.hs of d r y t h r e a d w i t h 5 p1 of known c o n c . o f a n t i b i o t i c d i s s o l v e d in 50% serum.
116
D i s k s impregnated w i t h serum and b l i s t e r t l u i d s were p l a t e d i n t o t h e unpuriched s u r f a c e of l a r g e a s s a y p l a t e s . 'I'he threads were inserted i n t o .+mm diameter w e l l s c u t i n t o a g a r p l a t e s , and 5 p l o t s a l i n e was added t o each well t o a s s i s t uniform e l u t i o n of the antibiotic. Serum conc, i n excess of 5 U pg/ml were assayed by i i s i n q Bacillus s u b t i l i s 1YU4 seeded i n t o Oxoid A n t i b i o t i c assay medium No. 2 w i t h J g oi sodium c i t r a t e added per l i t r e . c'oncs o i drug i n b l i s t e r a n d thread f l u i d s and serum concentrations of l e s s t h a n J U l i g / l i t r e Kere assayed by u s i n g proteus morganii 2 3 5 . I n these assays the p l a t e s consisted of a base l a y e r of n u t r i e n t agar and a top layer of Uxoid l s o s e n s i t e s t agar i n t o which the orgallism was seeded.
A l l assay p l a t e s were incubated o v e r n i g h t a t J i t.', For the tlirends, the assay results were corrected f o r the volume of f l u i d absorbed ( 4 t o J til/cni) before the
1.4
Some of the rapid and s e n s i t i v e hiqh-pressure l i r l i i i d chromatography ( H P L C ) procedures f o r t h e y u a n t i t a t ive a n a l y s i s of ceftazidime a r e summarised i n Table ( 41 ,
7.5
Thermal Behavior
calorimeter, Nitrogen was used a s t h e purge g a s . Scan was performed a t t h e r a t e o f 25 C / m i n from 6O'-Y8U'C. 'The L)YC curve r e v e a l e d an endothermLc melting peak (Max. 132.71'C).
Ceft az idime
M N RATE#
Fig. 7:
Column
Flow rate
2 ml/min
Sample
Serum. urine ('SF or peri-
Detect ion
2 5 4 nm.
Ref.
(30 c m h
3 . Y mm of
ji
IS
Bondapak
tonial fluid.
(1U p).
Cib
( 3 0 cm S 3 . 9 m m ) of p kndnpak
CIR (10
pm) and a
1 . 2 ml/min
f o r serum
2.0 ml/min for iirine.
Scrim or urine.
255 nm
18
0.05 M-NHJ HZ ! X h
1 ml/min.
Serum o r plasma
__
_ _ _ _ _ _ _ _ _ _ _ _ ^ _ _ _ _ _ ^ _ _
Continued
/...
Continued ( l a b l e 4 1
...
blow r a t e
(olumn
Micropak
MCHlU
Mobile p h a s e
Sample
Blood o r
Detect i o n
Kef ,
____
ZU% m e t h a n o l i n 5U mM-NH-r H i P o 4
1 ml/min.
2 3 1 nm
2 (1
urine
that in l l i ym i n HCIOJ.
120
8.
References
"The Merck I n d e x " , I n c . , Hahway, N . J . , 1 0 t h ed.
U.S.A. p . 1913, Merck and Co., 1983.
1, 2,
3.
Annual Urug Data R e p o r t , Vol. 4, p . 41-45 I.R. P r o u s , S . A . P r o v e n z a , 383-38i B a r c e l o n a 25, S p a i n (1982). " M a r t i n d a l e " The E x t r a p h a r m a c o p e i a " 2 9 t h ed. Eds. E, b ' . Reynolds and h a t h l e e n t'arfit t , p. 162. 'The P h a r m a c e u t i c a l Press, London, 1Y8Y.
4.
5.
6,
7.
8.
105,
226188r, 1986.
Mohammad Saleem Mian, C o l l e g e of' Pharmacy, k i n a Saud University, Riyadh, Saudi Arabia, Unpublished d a t a
1990.
9.
10.
11.
12.
,4ntimicrol), Chemother,,
N,
537
13.
14.
ttobertsori,
Pharni. , . J
1_,
CEFTAZIDIME
121
15.
16.
17.
18.
1Y.
20
&_gents
DICLOFENAC SODIUM
Christianah M. Adeyeye and Pui-Kai Li Department of Pharmaceutical Chemistry and Pharmaceutics School of Pharmacy, Duquesne University Pittsburgh, Pennsylvania 15282
1 Description 1.1 Introduction 1.2 Appearance, Color, Odor 1.3 Formula, Name, Molecular Weight 2 Physical Properties 2.1 Ultraviolet Spectrum 2.2 Mass Spectrum 2.3 Nitrogen-15 Nuclear Magnetic Resonance Spectrum 2.4 Nuclear Magnetic Resonance Spectrum 2.5 Crystal Properties 2.6 Differential Scanning Calorimetry 2.7 X-Ray Diffraction 2.8 Solubility 2.9 pKa and Partition Coefficient 3 Synthesis 4 Stability 5 Pharmacology 6 Pharmacokinetics, Metabolism and Activity 7 Toxicity Studies 8 Analytical Methods 8.1 Gas-Liquid Chromatography 8.2 Thin Layer Chromatography 8.3 High Performance Liquid Chromatography 8.4 Spectrophotometric Methods 8.5 Nuclear Magnetic Resonance Spectroscopy 8.6 Colorimetric Methods 8.7 Gas Chromatography- Mass Spectrometry
ANALYTICAL PROFILES OF DRUG SUBSTANCES VOLUME 19
Copyright 0 1990 by Academic Press, lnc. All rights of reproductionin any form reserved
123
124
1 Description
w
Formula
318.13
2-[(2,6-Dichlorophenyl)amino] benzeneacetic acid monosodium salt [0-(2,6-dichloroanilino)phenyl] acetic acid sodium salt sodium[0-[(2,6-dichlorophenyl)amino]phenyl] acetate
DICLOFENAC SODIUM
125
2 2.1
Pr
The ultraviolet spectra of diclofenac sodium (batch 46694), in two solvents, methanol and phosphate buffer pH 7.2, were obtained with IBM UV/visible 9420/9430 spectrophotometer in our laboratory. The spectra depicted characteristic aromatic absorption (Figure 1). The wavelengths of maximum absorption for the two solvents are 283 and 276 nm and the molar absorptivities E~~~ and^^,^, are 1.05 x 105and 1.01 x
1O 5 liter/mole-cm respectively.
ABSORBANCE
Figure 1 Ultraviolet Absorption Spectra of diclofenac sodium in methanol (i). and aqueous phosphate buffer (pH 7.2), (ii). b=lcm c = 7.86 x 10-6hA
126
2.2 The mass spectrum of diclofenac sodium was obtained with a ShimadzuLKB 9000 gas chromatograph-mass spectrometer and a Shimadzu 9060s multiple-ion-detector peak matcher were used. Diclofenac and 4methoxydiclofenac (internal standard) were first converted to their respective indolinone derivatives. The electron-impact mass spectra (20eV) of indolinone derivatives of diclofenac and 4-methoxydiclofenac are shown in Figure 2 (1 ).
a)
2771M)
c
L
b)
Figure 2 Electron - Impact mass spectra (20eV) of indolinone derivatives of a). diclofenac; b). 4-methoxydiclofenac
2 . 3 m - 1 5N
The 15N NMR of diclofenac sodium was measured in 20% solution of hexadeuteriodimethyl sulfoxide (DMSO-d,). The Chemical shift of 15Nof diclofenac sodium was-294.4 ( 2 ).
DICLOFENAC SODIUM
2.4
127
The 'H NMR of diclofenac sodium was recorded in deuterated methanol(d,) with sodium acetate as internal standard and using a Varian T60-A NMR spectrometer ( 3 ).The spectral assignments are presented in Table 1.
for
3.62 6 -7.5
singlet multiplet
2 7
-CH,aromatic protons
We also recorded the 'H NMR spectrum of diclofenac sodium with an IBM AF/250 spectrometer in the pulse mode using deuterated methanol as the solvent. The spectral assignments is similar to the spectrum reported by F a t t a h a d The methylene protons appears as singlet with a chemical shift of 3.53. The chemical shifts of the aromatic protons are 6.24-7.28 and exhibits as multiplet. The spectrum is presented in Figure 3. 2.5 The crystal strucutre of the tetrahydrate of diclofenac sodium was determined by Reck et al. The compound crystallized in the monoclinic space group p2Jm with a=9.464(2), b=39.405(7), c=9.972(3) A and j3=90.72( 2)'. The unit cell contained two symmetry independent formula units (Cl,H,,CI,N0,)'Na+.3.94 H , O ( 4 ). 2.6 The differential scanning calorimetry (DSC) of diclofenac sodium was done with a Dupont 10908 thermal anlyzer at 20"C/min in static air (Figure 4). The analysis shows an exotherm at 280" C,followed by an endotherm. This result is indicative of melting and decomposition. The normal melting point range of the drug is 283-285" C.
Figure 3.
c : 180: 2ao : 240 : : : : :400: 440 : 480 :: 520 : : :: I : : : : : : 120 280 320 380 5 w
Temperatwo P C )
W o n t log0
Figure 4
130
2.7
--
X -Ray structure analysis of diclofenac sodium showed that the two aromatic rings were twisted in relation to each other, the angle of torsion being 69' and the hydrogen bond 8 = 2x10-I nm. The two chlorine atoms substituted into the phenyl ring are responsible for the maximum twisting of the ring. The relative steric arrangement of the aromatic rings is known to influence receptor interaction of some non-steroidal antiinflammatory drugs including diclofenac ( 5,6 ).
2.8
..
The equilibrium solubility performed in various solvents at the indicated temperature (RT) are shown in Table II.
Solvent
Deionized Water (PH 5.2) Methanol Acetone Acetonitrile Cyclohexane pH 1.1 (HCI) pH 7.2 phosphate buffer RT
RT RT RT RT RT RT
6
2.9
P a m Coefflclent
..
..
The pka of diclofenac sodium in water is 4 and the partition coefficient in n-octanol/aqueous buffer pH is 13.4 ( 7 ).
DICLOFENAC SODIUM
131
3.1 -of
Diclofenac Sodium
Synthetic procedures of diclofenac sodium have been described (8-12). The synthetic pathway by T a m u r a a d i s presented in Figure 5 ( 8 ). The a-( met hylt hio)acetanilide 1 was obtained by N-acylation of N-phenyl2,6- dichloroaniline 1 ,The product L w a s oxidized with m-chloroperbenzoic acid (m-CPBA) or hydrogen peroxide (H2q) to give a(methylsulfinyl) acetanilide 5 Cyclization of 9to form product B w a s carried out by heating9 in benzene with p-toluenesulfonic acid (pTsOH). An alternate route through chlorination of 2 with N-chlorosuccinimide (NCS) in carbon tetrachloride (CCI,) gave l a n d subsequent cyclization of &with stannic chloride (SnCI,) yielded L Desulfurization of 5 with Raney Nickel (Ra-Ni) or Zinc dust - acetic acid (Zn - AcOH) obtained the oxindole L Hydrolysis of &with sodium hydroxide gave diclofenac sodium
3.2
S v n W s of -
L14
The synthesis of 14C labelled diclofenac sodium was achieved in 22% overall yield (13 ). The synthetic scheme is presented in Figure 6. It began with the preparation of 14C labelled (o-iodophenyl) acetonitrile P by the substitution of (o-chloromethy1)iodobenzene l w i t h [14C]KCNin mixture of 18 crown-6 in acetonitrile (14 ). The cyan0 group OfPwas converted to carboxylic acid 9through acid hydrolysis in 18N H 2 S 4. Esterification of the acid in MeOH-CH,CI, afforded the methyl ester& Coupling of the ester with 2,4-dichloroaniline using cuprous iodide (Cul)-potassium carbonate ( K 2 q ) yielded the diphenylamine 5 Base hydrolysis of the ester group of 5 t o acid& followed by reacting the acid with equimolar of sodium hydroxide in water obtained the final product [ 14C]diclofenac sodiumz
Diclofenac sodium tablets film coated with polymers like acrylate hydroxypropylcellulose were reported to be stable after storage for one week at 30C in 80% relative humidity (15 ). Suppository formulation was also analyzed for stability using thin layer chromatography and ultraviolet spectroscopy. The formulation was stable for 24 months at room temperature (16 ). Stability in biological fluid (serum) was determined and the results demonstratedthat diclofenac sodium can be frozen for at least two weeks without degradation ( 17 ).
132
1
4
NCS
Ra-Ni
5-
OT
Zn-ACOH
DICLOFENAC SODIUM
133
aWfl18 crorm-6
I
H&CN
["CIKCN
acetonitrile
ub"
5
134
5.1 Diclofenac sodium is a potent anti-inflammatory agent, the effects of which have been demonstrated in carrageenan and kaolin paw oedema models of rats with adjuvant arthritis between18 and 21 days following the injection of Freunds adjuvant ( 18 ). The ED& many times lower than most anti-inflammatory NSAIDs and at least half that of indomethacin and naproxen. 5.2 inhibition of P r l
The drug is among the most effective inhibitors of PGE synthetase, acting at a concentration of 1.6 pmol/L (19 ). It markedly inhibits platelet aggregation in rats (20 ). Jobin and Gagnon ( 21 ) also studied inhibition of ADP and collagen- induced aggregation of human platelets by diclofenac sodium and found it to be a potent and partial inhibitors respectively. 5.3 Anti-pvretic Fffe-
Following interperitoneal injection of various irritants (p-benzoquinone and aceticacid) to mice and rats respectively, diclofenac was found to have an analgesic effect in the writhing syndrome, an effect much higher than other NSAlDs tested. The anti-pyretic activity was also been shown in with yeast-induced febrile rats (18 ). 6 6.1
. .
c o n c
. .e
m Fxcratiqn
Voltaren is completely absorbed from the gastrointestinal tract after oral administration. The half-life of Voltaren is approximately two hours, with mean peak plasma levels of approximately 0.5 pg/ml and 1.O pg/ml occurring 2-3 hours after single doses of 25 mg and 50 mg of enteric coated tablets, respectively; mean peak plasma levels of 1.9 pg/ml are reached two hours after a single dose of 75 mg ( 22 ). Four hours after dosing the levels still detectable in the plasma are equivalent to about 10% of the maximum concentrations. Rectal administration of diclofenac sodium suppositories produces rapid peak plasma concentration at a rate and level of the same order as oral administration of the drug in solution. In rats and dogs, majority of the drug is found in the faeces, indicative of biliary excretion, whereas in rhesus monkeys 76% is excreted via the kidneys. In man renal excretion is greater than biliary excretion ( 23 ).
DICLOFENAC SODIUM
135
6.2 -vial
-F
Voltaren penetrates the synovial membrane and diffuses into the synovial fluid. From 4 to 24 hours after dosing, synovial levels of Voltaren are higher than the corresponding plasma levels ( 24 ). 6.3
. . .
Following rapid absorption, the drug is widely distributed with highest concentrations in the elimination organs (liver and kidney) and in the blood (22 ). 6:4 and A c t i v u
..
In man and monkeys, the metabolic change is hydroxylation , whereas in rats and dogs, the major metabolites are formed by direct conjugation, -Figure 7 - ( 22). Metabolite
I
R3aCH2-H
R,
R2
H
R3
c'w
NH R'
R2
OH
H
II
OH
Ill IV
OH H
H OH
OH H
Metabolites I, the 4-hydroxy derivative is the main metabolite in man. The metabolite I and IV reduce paw oedema and inhibit prostaglandin synthetase but all are at least 30 X less effective in the oedema test than diclofenac sodium on a dose/effect basis. The effects of metabolites II and Ill are produced only by high dosage and are not relevant. Metabolite I is about 6x more active than aspirin in the kaolin oedema test and also effective in rat adjuvant arthritis, though diclofenac itself is 40x more potent. All four have moderate analgesic activity in the writhing test but only metabolite I has an antipyretic effect. In acute toxicity studies, metabolite I has an L D , similar to diclofenac, the others (11, Ill, IV) having much higher levels (22). A new metabolite, 3'-hydroxy- 4'methoxy diclofenac has been identified, however, the metabolite does not significantly contribute to the therapeutics effect of the drug (25 ).
136
UIH
mu
u7
ooc
wcpl
* .
*
. *
*rbt
a-=rk
-.
w .
P X O *
DICLOFENAC SODIUM
137
6:5
. . .
Using 4C-labelled drug and equilibrium dialysis, diclofenac is reported to be bound to human serum to the extent of 99.7%, of which not less than 99-99.4% is bound to serum albumin fraction. It does not modify the binding of warfarin acenocoumarol, prednisone and salicylic acid to proteins (22). 6:6 Concomittant administration of single oral doses of aspirin 6OOmg/kg and diclofenac sodium (50mg), causes a reduction in the area under the curve (AUC) of the diclofenac plasma profile ( 26 ). This was confirmed by Ciba- Geigy Ltd ( 27 ). Further studies in rat by Ciba Geigy (28 ) showed that proportion of unbound diclofenac increased with salicylate dosage and that the total (bound plus unbound) diclofenac in the plasma increased while the excretion of the drug and metabolites increased in the bile. Rosak and Schoffling (29 ); and Chlud (30 ) reported that insulin blood sugar and plasma tolbutamide levels were not affected by diclofenac sodium. Studies also showed that diclofenac sodium do not interact significantly with oral anticoagulant like acenocoumarol (31 ).
Pharmacokinetic studies carried out by Willis and Kendall (32 ), in young females (18 to 21 years) and elderly females (62 to 78 years) dosed with 50 mg of diclofenac sodium revealed that individuals mean curves and statistical analysis of drug handling in the two groups was similar. The amount of free drug excretion appeared greater in the younger group but the differences were not significant. Ciba Geigy Basle ( 33 ) compared the AUCs from a single dose of 50mg and repeated doses of 2 X 50 mg/day for 4 weeks in younger and older subjects and reported that differences between the groups were not statistically significant. In neither group did the bioavailability change over the period studied. 7:O
..
The major side effects of NSAlDs are gastric irritation and ulceration, due to inhibition of cyclooxygenase. Cyclooxygenase, PGE2 has a cytoprotective effect on the gastric mucosa by inhibiting gastric acid secretion and by helping to maintain the gastric mucosa barrier (34 ). I n acute toxicity studies diclofenac sodium was found to cause gastric lesions in a lower dose (12 mg/kg) compared to NSAlDs such as phenylbutazone ,
138
oxyphenbutatozone 620mg/kg. Chronic toxicity studies over a period of 26 weeks (in doses of 5, 15,75 mg/kl) in rhesus monkeys produced evidence of gastrointestinal lesions only at the highest 75 mg dose ( 23 ).
8.1 Gas - liquid chromatography has been used to analyze diclofenac sodium and its metabolites ( 35-40 ). The column conditions are presented in Table Ill. Because of its high sensitivity, electron capture detector is the detector of choice. Before injecting into the column, diclofenac or its metabolites are derivatized into the indolones or the methyl esters.
Calumn
25mx0.3mm id; coated with barium carbonate and statically coated with Carbowax 40M 2mx3mm id; 3%0V-17 Gas Chrom Q on 80-120 mesh glass beads
4 ftx3mm id; 3% JXR
TemDerature
Reference
24OoC
39,40
3 O O O C
38
(methyl silicone) on Gas-Chrom Q 2mx3mm id; 1.5% Silicone OV-17 on Shimalite W AW DMCS, 80-100 mesh. 8.2
205OC
35
26OoC
36,37
Thin layer chromatography has been used to analyze diclofenac sodium in suppositories (16 ) and plasma (41).
DICLOFENAC SODIUM
139
8.3
P e r f o r -
. .
Determination of diclofenac sodium in biological fluids by High Performance Liquid Chromatography were described (42-47 ). The fluids included plasma (42-46 ), urine ( 46 ) and synovial fluid (44). Detection by UV spectrometer was employed with absorbance at 210nm (43 ) , 215nm (44-46 ), 280nm (42 ) and 282nm (46 ). The detection limits are 5-25ng/ml of fluid. Reverse - Phase C,* columns prove to be suitable for diclofenac sodium analysis ( Table I V ). El-Sayed atal employed a rapid sample preparation by precipitating the serum proteins with acetonitrile instead of using phosphoric acid and organic solvent extraction (42 ). Grandjean a d d e s i g n e d an automated robotic extraction and subsequent analysis of diclofenac which could handle large number of samples with little manpower ( 43 ). Analysis from a solid dosage form (tablet) has also been reported (48 ).
forDi-
Column
Spherisorb RP-C8 column (5 pm) Aceton it r ile-w at er ( 50 50, v/v) adjusted to pH 3.3 with glacial acetic acid Isopropanol-acetonitrile-0.02M acetate buffer pH 7 (NaCI 0.02M;5:18:77) Methanol-acetonitrile-0.02M sodium acetate buffer (25:20:55) Methanol-acetonitrile-pH 7 phosphate buffer(30:17:53; v/v) pmbondapak C 18 ( 30 cm x 3.9 cm id) Microbondapak CN (30 cm x 3.9 cm id) Methanol 55% in 50mM orthophosphoric acid, pH 4.0 Methanol-acetatebuffer (65:35% v/v) pH 3.7
References
42
43
44,45
46
47
48
140
8.4
SDectroDhotometrlc *Method
Diclofenac sodium may be assayed by simple spectrophotometric method at 600nm inwater ( 49 ). Diclofenac sodium reacted with 3-methyl-2benzothiazolinone hydrazone hydrochloride and cerium ammonium sulfate to form a colored complex which exhibited Am,, at 600nm. H a r l a n d d a l ( 50 ) have also analysed diclofenac sodium spectophotometrically at 275 nm from hydrophilic matrix (polyvinyl alcohol). Other investigations involving analysis by spectrophotometric methods include solubility studies reported by Finiatal( 51) and ongoing work by Vilivallam and Adeyeye ( 52 ). In both cases, the analysis were carried out at 275 nm and 280 nm respectively.
8.5
*Resonance
The proton magnetic resonance (PNMR) method to quantify diclofenac sodium in pure and tablet forms was described ( 3 ). The sharp singlet at 3.62ppm which corresponded to the methylene protonsin diclofenac was chosen for quantitative measurement. Anhydrous sodium acetate was used as internal standard. The methyl protons of sodium acetate gave a sharp singlet at 1.8lppm. The amount of diclofenac could be calculated by comparing the peak ratio of diclofenac to that of the internal standard since the amount of internal was known. The PMR spectrum could also be used to examine the purity of the drug. 8.6 Saneaddescribed a method for determining diclofenac sodium from pharmaceutical preparation by reacting diclofenac sodium with potassium ferricyanide in the presence of sodium hydroxide to form a yellow complex which showed maximum absorbance at 450 nm ( 53 ). Agrawal a a d e s c r i b e d a rapid method for the determination of diclofenac sodium. and reported that the drug solution turned yellow color when reacted with sodium nitrite and hydrochloric acid and exhibited maximum absorbance at 390 nm. Beers law was followed in the range of 50-600 pghnl ( 54 ).
8.7
-7
Gas chromatography - Mass spectrometry is the most sensitive method reported in the analysis of diclofenac sodium (1 ). The lowest limit of detection of diclofenac is 0.2 ng/ml of plasma which is 10 times more sensitive than using gas chromatography alone.
DICLOFENAC SODIUM
141
References
1.
2.
794 (19 8 8 ) .
3.
S. A. Abdel Fattah, S.Z. El-khateeb, S.A. Abdel Razeg and M.S. Twakkol, Spectroscopy Letters, 2-t 5 3 3 ( 1 988)
G. Reck, G. Faust and G. Dietz, Pharmazie, 4 ; L , 771 (19 8 8 ) .
4.
T. Y. S h e n , h " Non Steroidal Anti-inflammatory Drugs", (Ed.) S. Garattini and M. N. G. Dukes, International Symposium Milan ( 1 964) P. Moser, K. Jakel, P. Krupp, R. Menasse and A. Sallman, J . fur Med. Chern.,1 Q , 61 3 ( 1 975) Y. Tamura, J.4. Venishi, H.D. Choi, J. -I Haruta and H. Ishibashi, Chem. Pharm. Bull. 3.L 1995 ( 1 984). A. Sallmann and R . Pfister, S. African Patent 6705987, C A : n P i 0697d.
15402~.
7.
8.
9.
a 95009
14.
L. Landini, F. Montari and F.M. Pirisi, J . Chem. Soc.. Chern. Commun., 879 ( 1 9 7 4 ) .
142
16.
L .A. Budukova, T. S. Kondrat'eva, A. P. Echevarria-Uribe, V. D. Arzamastev and V.I. Volchenok, Farmafsiya, 16-20
(1 989)
17.
Y.M. El-Sayed, M.E. Abdel-Hameed, M.S. Suleiman and N.M. Najib, J. Pharm. Pharmacol., 4 0 , 727-729 ( 1 9 8 8 )
18.
R, Menass&, P. R. Henwall, J. Kraetz, C. Pericin, Riesterer, L., Sallmann, A., Ziel, R., and Jacques, R., Scand. J. Rheumafology, SUPP. 22: 5-16 (1978)
H.L. White, and A.T. Glassman, Prostaglandins , L 123 ( 1 974)
19. 20.
S. Renauld and F. LeCompte, Thrombosis ef Diafhesis Haemorrhagica (Sfuggarf),_24, 577-586 ( 1 9 7 0 ) F. Jobin, and F.T. Gagnon, Canadian Journal of Physiology and Pharmacology, 479 - 4 8 1 ( 19 7 1 )
W. Reiss, H. Sterlin, P. Degen, J. W. Faigle, A. Ge'rardin , J. Moppert, A. Sallman, K. Schmid, A. Schweizer, M. Sulc, W. Thesbald and J. Wagner, &and. J. Rheumafology, Supp 22: 17-29 (1978)
21.
22.
23.
24.
25.
26.
27.
28.
DICLOFENAC SODIUM
143
29.
30.
35 (9/1O ) ,
31.
32.
33.
34. 35.
36.
37.
38.
A. Schweizer, J.V. Willis, D.B. Jack and M.J. Kendall, J. Chromatography, X& 4 2 1 ( 1 9 8 0 ) W. Schneider and P.H. Degan, J . Chromatography, 11L 263 (1981) W. Schneider and P.H. Degen, J . C h r o m a r o g r a p h y m 41 2 ( 1 986) A. Schumacker, H.E. Geissler and E. Mutschler, J. Chromatogr., l & 5 12 ( 1 980).
Y. M. El Sayed, M. E. Abdel-Hameed, M. S. Suleiman, N.M. Najib, ibid, 727 (1988)
39.
40.
41.
42.
43.
D. Grandjean, J.C. Beolor, M.T. Quincon and E. Savel, J. Pharm. Sci., 1 & 247 ( 1989)
144
44. 45.
K.H. Chan and K. H. Vyas, Anal. Lett., 1 & 2502 ( 19 8 5 ) K.H. Chan, K.H. Vyas and K. Wnuck, Anal Lett., U,1649 (1982)
46. J. Grodbillon, S. Gauron and J.P. Metayer J . Chromatography, 151 ( 1981) 47.
.a267-273,
48.
R.T. Sane, R.S. Samant, V.G. Nayak, Drug Dev. lnd. P h a r m . U ( 7 ) , 1307-1314 (1987)
49.
S. Sastry, R.M. Rao and T.N.V. Prasad, Analytical letters, 1 Q , 349 ( 1987)
R.S. Harland, A. Gazzaniga, M.E. Sangalli, P. Colombo and N.A. Peppas, Pharm Res. 8 ) ( 19 8 8 )
50.
51. A. Fini, V. Zecchi and A Tartarini, Pharm. Acra. Helv. M ( 2 ) , 58 ( 1985) 52. V. Vilivallam and C. M. Adeyeye, unpublished data 53.
R.T. Sane, R.S. Samant and V.G. Nayak, Indian Drugs, 1 4 , 161 (1986).
. Pharma. Sci., 54. Y.K. Agrawal, V.P. Upadhaya and S.K. Menon, Indian J 58 (1988) .
Abdullah A. Al-Badr**
M e 1 G. Mekkawi*
145
Copyright B 1990 by Academic Press,Inc. All rights of reproduction in any form reserved
146
CONTENTS
1. Description. 1.1 1.2 1.3 1.4
Nomenclature Formulae Molecular Weight Elemental Composition 1.5 Appearance, Color and Odor
2. Physical Properties. 2 . 1 Solubility 2 . 2 Melting Range 2 . 3 Spectral Properties 2.3.1 2.3.2 2.3.3 2.3.4
2 . 4 Crystalography and X-Ray Crystalography 2 . 5 Thermal Analysis 2 . 6 X-Ray Powder Diffraction 3. Synthesis. 4. Physiology, Pharmacology and Uses.
5. Pharmacokinetics.
6. Methods of Analysis.
6.1 6.2 6.3 6.4 6.5 6.6
Identification Titrimetric Methods Spectrophotometric Methods Polarographic Methods Chromatographic Methods Radioirnmunoassay Methods
7. Metabolism
Acknowledgement References.
DIETHYLSTILBESTROL
147
1. DESCRIPTION 1.1
1.1.1
a,&-Diethyl-(E)-4,4-Stilbenediol. trans-a,&-diethyl-4,4-Stilbenediol
( 1 4 ) .
1 . 1 . 2
1 . 1 . 3
Properietary Names Antigestil; Bio-des; Biofon; Cyren A; Distilbene; Domestrol; Estrobene; Estrosyn; F o r n a t o l ; Grafestrol; Hi-Bestrol; Microest; Neo-Oestranol 1, Oes trogenine; O e s t r o m e n i n; O e s t r o m e n s y 1 ; Oe st romon; Palest rol ; Percutacrine Oestrogenique Iscovesco; Serral; Sexocretin; Sibol; S t ilbetin; Stilboef ra; Stilboestroform; Stilkap; Synestrin (Tablets); Synthoestrin (1-5).
1 . 2 Formulae 1 . 2 1 Empirical
18*202
1.22 Structural
148
1.
White or almost white, crystalline powder and is odorless (2,4). 2 . PHYSICAL PROPERTIES 2 . 1 Solubility Very slightly soluble in water, soluble solutions of alkali hydroxides, soluble in ether, in 5 parts of 95% v/v alcohol and in arachis oil, slightly soluble in chloroform 2 . 2 Melting range 1 6 9 1 7 5 ' C
(1).
The ultraviolet spectrum of diethylstilbestrol in 0.1N sodium hydroxide, maximum at 259 nm ( E l % , 1 cm 764). (2). The ultraviolet spectrum of diethylselbestrol in ethanol is obtained using Cary, 219 spectrophotometer and is shown in Figure [l]. The spectrum shows a major band at 240 nm and a minor band at 280 nm. 2 . 3 . 2 Infrared Spectrum
The infrared spectrum of diethylstelbestrol as KBr disc is presented in Figure [2] and is recorded in PerkinElmer spectrophotometer model 580 B. The structural
DIETHYLSTILBESTROL
149
Wavelength ( n m )
300
400
MICRONS
I
4olm 3000 2500 2000 l a 0 0 1600 1400 1000 800 Wavenumber Figure 2 : Infrared spectrum of Diethylstilbestrol, KBr disc.
600
400 200
150
assignments have been correlated with band frequencies and are given in the following table :Frequency (cm") 1592,1612 2990 3420 1340 830 Assignment C=C stretch (aromatic) C-H stretch OH stretch C-H bending C-H bending (aromatic)
Clarke (2) reported the following principal peaks as m ' . KBr disc: 1198, 1515 and 1165 c 2.3.3 Nuclear Magnetic Resonance Spectra 2.3.3.1 Proton Magnetic Resonance Spectrum (PMR)
The PMR spectrum of diethylstilbestrol was recorded on varian T-60 A spectrometer with DMSOd6 as a solvent and TMS (tetramethylsilane) as internal reference. The spectrum is shown in Figure [31 and the signal are assigned as follows:Proton Chemical shift (ppm) Mu1t iplicity Multiplet Triplet Quartet
The Carbon-13 NMR noise-decoupled and of fresonance spectra are presented in Figures [ 4 ] and 151 respectively. The samples were dissolved in DMSO-d6 and the spectra were obtained on Jeol-XL100 NMR spectrometer using tetramethylailane (TMS) a s i n t e r n a l r e f e r e n c e standard. Spectral assignments are listed below:
CH2CH3
140
a'
9'
3 '
2'
-'
H
!(
CH 8 2
ioo
300
200
c
, . ' . . * * 1 * - .
"
"
'
8.0 7.0 6.0 s.oppM( 6 40 3.0 2 . 0 LO 0 Figure 3: Proton nuclear magnetic resonance spectrum of Diethylstilbestrol in
DMSO-dg using TMS as reference standard.
152
Of
DiethylsteLkstrol i n
Figure 5: Off-Resonance carbon I3 NMR spectrum of Diethylstelbestrol in D M s 0 - d ~using TMS as reference standard.
DIETHYLSTILBESTROL
153
Carbon No.
1 and 1 2,2 and 6,6 3,3 and 5,5 4 and 4 7 and 7 8 and 8 9 and 9 2.3.4
Mass Spectrum
The electron impact (EI) mass spectrum at 70 eV recorded on Varian Mat 311 mass spectrometer and the methane-derived chemical ionization (CI) mass spectrum obtained with Finnigan 4000 mass spectrometer are shown in Figures [ 6 ] and [ 7 ] respectively. Scheme ( 1 ) shows the proposed fragmentation pathway. Low resolution mass spectra for diethylstilbestrol, dienestrol, hexestrol, the acetates of them, dimethyl, the bis-(trimethylsilyl) ethers, and some deuterated derivatives of these were studied by Engel -et a1 ( 6 ) .
2.4 X-Ray Chrystallography
Simley and Rossmann ( 7 ) have determined the crystal structure of diethylstilbestrol because of the interest in its biological activity. Crystal of the drug are orthorhombic with a = 19.18, b = 5.32 c = 15.01 A . , 2 = 4 , calculated d = 1.164, experimental d = 1 . 1 6 2 , and space group Pcab. The planes of the two benzene rings were paralleled but not coplanar. This loss of coplanarity resulted from steric effect between the methylene carbon of the ethyl group and the orthohydrogen atoms. The bond length A and angles ( 0 ) are listed below (Table 1) and Figure I81 gives a respective view of the molecule. Busetta and Hospital ( 8 ) have studied the crystalline structure of diethylstilbestrol. The drug was crystallized by sublimation in the form of orthorhombic needles, space group Pbca with a = 18.992 + 0.005, b = 14.931 + 0.005 and c = 5.296 + 0.005 A; Z =-4. The unit
154
loo.(
i680.
ME50 100 I50 200 250 300 Figure 6 : Electron impact ( E l lmass spectrum of Diethylstilbestrol
1000-
'4472.
50 . 0 -
m/e268
m / e 253
m / e 1-19
m/e91
m/e268
C2H5
m / e 239
l+
E
4-
$0 I
r o
r
r tm
V
8 r q
Ot I
I '
6
aJ
\
E
0
fi
0 c
G
156
t o
a J E
I
Scheme 1 :
pathway of
diethylstilbestrol
158
Figun8:Molecular stereochemistry o f
aa/diethylstilbene 44-d io I
DIETHYLSTILBESTROL
159
of symmetry i s h a l f a molecule, and t h e molecules a r e bonded t o e a c h o t h e r w i t h hydrogen bonds 3A long and with a d i h e d r a l a n g l e of 8 8 . Table (1) Bondlength A and Bond a n g l e s
(0)
C ( l.)-C(l)-C(8) C ( l)-C(8)-C(9) C( 1)-C( 1 )-C(2) C(2)-C( 1)-C(8) C(3)-C(2)-C(7) C(2)-C(3)-C(4) C(3)-C(4)-C(5) C(4)-C(5)-C(6) C ( 5)-C( 6)-C( 7) C(2)-C(7)-C(6) C ( 4)-C( 5)-0 C(6)-C(5)-0
124.07 109.32 122.22 113.78 116.05 125.15 116.27 122.65 119.15 121.65 119.57 117.80
The c r y s t a l s t r u c t u r e of d i e t h y l s t i l b e s t r o l was a l s o s t u d i e d i n r e s p e c t t o e s t r o g e n i c a c t i v i t y by Weeks et a 1 (9). The d r u g ( s i n g l e c r y s t a l s ) were grown by s l o w l y c o o l i n g a s o l u t i o n of t h e d r u g i n a 0.01 M s o l u t i o n of p - c h l o r o p h e n o l i n i s o - o c t a n e . The m o l a r r a t i o of p - c h l o r o p h e n o l of t h e drug i n t h i s s o l u t i o n was 2:l. The s y s t e m a t i c absences (OK1 f o r K odd, h01 f o r 1 odd, and hKO f o r h o d d ) i n t h e d i f f r a c t i o n p a t t e r n , were c o n s i s t a n t w i t h t h e o r t h o r h o m b i c s p a c e group Pbca and t h e c r y s t a l d a t a a r e :
2 0.004, b = 14.929 + 0.001 5.291 + 0.001 A ( a t 2OoC, Cu Kal = 1.5045 A) V = 1497.29 A3, Dm = 1.14 g.cm Dc = 1.19 g . ~ m ~ , u = 6 . 1 cm-I (by f l o t a t i o n ) , Z = Space group Pbca, D1no.61.
a = 18.954
=
The a u t h o r s have p r e s e n t e d a t a b l e showing t h e agreement b e t w e e n t h e o b s e r v e d and c a l c u l a t e d s t r u c t u r e f a c t o r amplitudes. Table 2 shows a l i s t of t h e r e f i n e d atomic c o o r d i n a t e s and t h e thermal parameters. The i n t e r a t o m i c d i s t a n c e s and valency a n g l e s i n v o l v i n g n o n h y d r o g e n a t o m s a r e shown i n F i g u r e [9] (Standard d e v i a t i o n a r e i n t h e range of 0.006-0.01 A and 0.2-0.7 An u n u s u a l l y s h o r t a p p a r e n t d i s t a n c e of respectively). 1.498 A between C(8) and C(9) r e s u l t from t h e l a r g e thermal motion of C(9). C-H d i s t a n c e l i e s i n t h e range
exp [ 2
(U h2a* + 2UI2hka*b* +
...11
0.0474(24) 0.0505(24) 0.0378(21) 0.0523(27) 0.0518(25) 0.0357(20) 0.0291(21) 0.0302(21) 0.0482(28) 0.0456(16) 0.0533(26) 0.0548(26) 0.0587(26) 0.0556(27) 0.0581(26) 0.047l(23) 0.0536(24) 0.0811(34) 0.0876(41) 0.0700(23)
-0).O020(22) -0.0058(22)
-0.0921 4.0548 -0.1462 4.3118 -0.2722 -0-0669 -0.0233 -0.0418 -0.2873 4.17M
9) 9) 8) 9) 9) 8) 8) (10) (12) ( 6)
( ( ( ( ( ( (
-0.a)69(2l) -0.0087(19) O . a ) 8 2 ( 2 2 ) d0093(21) -0.0071(22) -0.0011(21) -0.U32l(l8) -0.0110(19) -0.0040(17) -0.OllX21) 4-0042(20) 0 . 0 1 4 0 ( 2 5 ) -0&092(26) -0JB88(30) -0.0126(14) -0.0014(16)
-0.0056(2l) -0.0001(17)
-0.0081(20)
-0.0056(20)
Table 2 ( b ) : Atomic coordinates of t h e hydrogen atoms. 0.1543 0.2524 0.1707 0.0618 0.0849 -0.01 18 0.0630 0.1342 0.0804 0.2729 -0.0025 -0.0827 -0.1876 -0.1044 -0.1348 -0.1470 -0.1087 -0.1313 -0.2026 -0.2250 -0.2554 -0.1638 -0.4613 -0.3899 -0.0820 -0.0545 -0.4219 -0.2757 -0.3422 -0.3303
Ho
OH
162
The
A c l o s e i n t e r m o l e c u l a r c o n t a c t of 3.03 A occurs between oxygen atoms. The a n g l e OH---0 i s 171, and t h e H----0 d i s t a n c e i s 2.11 A. The system of h y d r o g e n bonds a n d t h e packing of t h e molecules a r e i l l u s t r a t e d i n f i g u r e [ l o ] which i s a p r o j e c t i o n of one u n i t c e l l down t h e c axis.
Neither t h e benzene r i n g s nor t h e a l k y l groups l i e i n t h e plane of t h e c e n t r a l e t h y l e n i c l i n k a g e . Since t h e atoms comprising t h e benzene r i n g l i e n e a r l y i n a p l a n e a s do t h o s e a t t a c h e d t o t h e c e n t r a l d o u b l e bond, t h e g e o m e t r y of t h e m o l e c u l e i s f i x e d when t h e t o r t i o n a l a n g l e s a b o u t t h e C(6)-C(7) and C(7)-C(8) bonds a r e d e f i n e d . T h e s e a n g l e s a r e l i s t e d i n T a b l e ( 3 ) . The a n g l e formed by t h e l e a s t - s q u a r e p l a n e t h r o u g h t h e e t h y l e n i c l i n k a g e and t h e p l a n e t h r o u g h t h e benzene r i n g i s 62.8'. Since t h e molecule l i e on c r y s t a l l o g r a phic c e n t r e of symmetry, t h e a n g l e s of r o t a t i o n of t h e two r i n g s a r e i d e n t i c a l . The t h r e e dimensional configur a t i o n of t h e molecule i s i l l u s t r a t e d i n F i g u r e [ l l ] . Rotation of t h e r i n g s o u t of t h e c e n t r a l plane g i v e t h e m o l e c u l e a t h i c k n e s s of a b o u t 4.5 A , which i s comparable t o t h e t h i c k n e s s of a s t e r o i d a l e s t r o g e n a t C(18). The r e s u l t s of t h i s X-ray i n v e s t i g a t i o n c o n f i r med t h a t t h e s y n t h e t i c e s t r o g e n , d i e t h y l s t i l b e s t r o l h a s a non p l a n a r conformation. A s shown by t h e d i s t a n c e between t h e p h e n o l i c oxygen atoms, it i s a molecule s l i g h t l y l o n g e r t h a n t h e n e u t r a l e s t r o g e n s , b u t t h e r o t a t i o n of t h e b e n z e n e r i n g s o u t of t h e p l a n e of t h e c e n t r a l d o u b l e bond r e s u l t s i n a molecular dimention similar t o the t h i c k n e s s of a s t e r o i d a l e s t r o g e n .
a
7 2 :
U
c ..u
8
m
C .-
.s
0
I V
DIETHYLSTILBESTROL
165
2 . 5 Thermal A n a l y s i s
The t h e r m a l a n a l y s i s o f d i e t h y l s t i l b e s t r o l was done between 100C and 250C a t a h e a t i n g r a t e of 10/minute ( F i g u r e [12]). P u r i t y of sample was found t o be 99.86%. Heat of f u s i o n of t h e s a m p l e was found t o be 31.9 Km/mole (7.62 Kcal/mole).
2 . 6 X-Ray Powder D i f f r a c t i o n
The X-ray d i f f r a c t i o n p a t t e r n s of d i e t h y l s t i l b e s t r o l was d e t e r m i n e d u s i n g P h i l i p s f u l l a u t o m a t e d X-Ray d i f f r a c t i o n Spectrogoniometer equipped with P W 1730/10 g e n e r a t o r . R a d i a t i o n was p r o v i d e d by a c o p p e r t a r g e t (Cu anode 2000 w, 8 = 1.5480 A) h i g h i n t e n s i t y x-ray The monochromator t u b e o p e r a t e d a t 40 Kv and 35 mA. was a c u r v e d s i n g l e c r y s t a l o n e (PW 1752/00). Divergance s l i t and t h e r e c e i v i n g s l i t were 1 and 0 . 1 respectively. The scanning speed of t h e goniometer (PW 1050/81) used was 0.02-28 p e r second. The i n s t r u m e n t i s combined w i t h P h i l i p s P M 8210 p r i n t i n g r e c o r d e r w i t h b o t h a n a l o g u e r e c o r d e r and d i g i t a l p r i n t e r . The goniometer was a l i g n e d u s i n g s i l i c o n sample b e f o r e use. The x-ray p a t t e r n of D i e t h y l s t i l b e s t r o l i s p r e s e n t e d i n F i g u r e [13]. The i n t e r p l a n n e r d i s t a n c e s d(A) and r e l a t i v e intensity 1/10 a r e shown i n t h e f o l l o w i n g table:-
166
171.6
0-
L .
'...
3
'....DO
-171.4
-1-
.'?
-171. 2
.c0
E -2-
, . 0.q
P.*
"m
"U..
*V
Y
L 5
$
3
g-,
8-
Purity : 99.86 yole '1. Melting pt : 171.5: Depression : 0.07C * 31.9kJlmole LL 4- Delta H Correction : O.OO*/.
IV 2 -5
-170.4 E
-6-7-
b...,
'b
.
-170.2 -170.0 -169.8
Ip
I 5
7.
6.
5-
4.
32I07065
55
45
35
28
25
15
DIETHYLSTILBESTROL
167
1/10
16.40 14.03 20.14 48.03 100.00 51.49 65.06 18.11 27.88 17.98 27.23 12.93 35.93 39.11 22.00 11.35 10.49 7.97 8.02 20.58 5.27 3.35 8.31 7.46
d(A)
2.50 2.41 2.38 2.32 2.30 2.24 2.20 2.17 2.14 2.10 2.03 2.00 1.96 1.93 1.89 1.88 1.83 1.75 1.68 1.63 1.56 1.39 1.38
1/10
9.47 4.42 6.59 6.22 5.44 3.28 3.84 6.29 9.91 3.08 3.54 3.04 3.14 2.93 3.14 3.38 3.49 3.80 2.48 2.42 2.66 1.40 1.37
3. SYNTHESIS
168
72H5
, , C O G
c -
co
--@
C2H5 M g B r
OCH3
H3C0
a :.;!.f
2)
dI
C2H5 1
PBr
OCH3 -H20 KOH
H3C0
C H 2 5 Kharasch and Kleiman ( 1 1 ) p r e p a r e d t h e d r u g by t r e a t i n g a n e t h o l e hypobromide w i t h sodamide i n l i q u i d ammonia t o form a c a r b a n i o n which r e a c t w i t h u n r e a c t i n g s t a r t i n g m a t e r i a l and t h e n t h e e l i m i n a t i o n of h y d r o g e n b r o m i d e f o r m s a n i n t e r m e d i a t e w h i c h on d e m e t h y l a t i o n g i v e diethylstilbestrol.
DIETHYLSTILBESTROL
169
hH
O e Y = h * O H C2H5
C2H5
3)
OH I H3COC6H4MgBr C2H5-CO-CH-C2H5 c
H3C0G-,
cC H -
OH
30% H,SO4
OH H3C0
@Z12H Y C O - C H
OH
H3C0
=( @ ;
C2H5 H
OCH3
HC 1
.----+
@-OC3H
&-?C= C
OCH3-
R MgBr
C2H5
C2H5
170
4)
Alder et a1 (13) have reported the synthesis of diethylstilbestrol according to the following scheme:-
C2H5
._____)
OH * O A c
OH Na/AmOH 140
H C 1 gas -H,O
L
E-co
C2H5 H
HO
-@[2H5
C2H5
HO-@
b I -@ OH
OH f2H5
H C 1 gas -H20
>
f=c
C2H5 Shishido and Nozaki (14) reported the synthesis of diethylstilbestrol through the pinacol-pinacolone compounds according to the following scheme:
5)
CH
M g Br
DIETHYLSTILBESTROL
171
6)
Yoshida and Akagi (15) have reported the synthesis of the drug by treating p-CH30C6H4CHEtC(OH)EtC6H40CH3-P with POC13 in boiling toluene.
7)
conversion of 3,4-bis-(p-hydroxyphenyl)- 3,4hexandiol to 3,3-bis(p-hydroxyphenyl)-4-hexanone, treatment with Et4NBr and Et4NOH and electrical reduction to give the drug.
OH OH &OH -H20*0 F2HS C-COC2H5
I
A method for the synthesis of diethylstilbestrol have been reported by Slager ( 1 6 ) . It involves the
C2HS
Diethylstilbestrol exerts the usual inhibitory effects of estrogens on androgen dependent carcinomas and also exerts a direct cytotoxic action due to release of free s t i 1 b e s t r ol w i thin the neoplasm ( 1 8 , 1 9 , 2 0) Suc h cancers include prostatic cancer where the level of the
172
hormone is prostatic tissues was 100 times greater than that in the fat and muscle (20,211. The hormone also suppresses pituitary Lutenizing hormones and hence suppression of androgenic stimuli (20-23).
2) Suppression of Lactation
Diethylstilbestrol is used to suppresses lactation particularly post-partum lactatibn and galactorrhea (24-26)
3) Polycythemia Vera Treatment
Diethylstilbesterol has been used with success in symptomatic relief of menopause. It is reported that diethylstilbesterol supplementation may delay the onset of oesteo porisis in post-menopausal women (28,29).
5) Post-hysterectomy Use
Diethylstilbesterol like other estrogens is a definite indication for post hysterectomy menopause to prevent vaginal atrophy and hot flashes (29-31). 6) Contraception Diethylstilbestrol use in oral contraceptives is no longer popular but its indication in post coital contraception is still widely used (FDA drug bulletin, 1973).
7) Other Indications
Other indications where diethylstilbestrol is used include: Postpartum breast engorgement, Duchennes muscular dystrophy, after sexual assault, sickle cell disease, dysfunctional uterine bleeding, failure of ovarian development and acne (17,32,33).
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8 ) Adverse E f f e c t s A d v e r s e s i d e e f f e c t may i n c l u d e h e a d a c h e , n a u s e a , v o m i t t i n g and m i l d d i a r r h o e a . R e c e n t l y i t h a s b e e n p o s t u l a t e d t h a t long d u r a t i o n t h e r a p y may p r e c i p i t a t e some c o m p l i c a t i o n s i n some p a t i e n t s , s u c h a s v o i c e c h a n g e , m a l i g n a n t changes, p e r e p h e r a l venous thrombos i s , pulmonary e m b o l i s m , h y p e r t e n s i o n and s t r o k e ( 1 7 , 3 0 , 32-35). The d r u g i s t e r a t o g e n i c , may induce malformation and malfunction i n o f f s p r i n g s of pregnant women who use it. 5. PHARMACOKINETICS D i e t h y l s t i l b e s t r o l i s r e a d i l y absorbed from t h e g a s t r o i n t e s t i n a l t r a c t . The d r u g i s d i s t r i b u t e d t h r o u g h o u t body t i s s u e s . I t i s bound i n 50-80% t o p r o t e i n s ( 3 4 , 3 5 ) . Borozdina e t . a l . (36) detected r e s i d u a l d i e t h y l s t i l b e s t r o l i n meat o f a n i m a l s f e d t h e drug. The compound was d e t e c t e d i n t h e f a t , m e a t , l i v e r and kidneys. A f t e r a s i n g l e subcutaneous i n j e c t i o n t h e drug was completely e l i m i n a t e d a f t e r 5 d a y s , i n r o o s t e r s ( 3 6 ) , t h e drug i s slowly i n a c t i v a t e d i n t h e l i v e r and e x c r e t e d i n u r i n e and f a e c e s , p r i n c i p a l l y a s g l u c u r o n i d e (17,35-37) and a s t h e s u l p h a t e (37-39). I n p r o s t a t i c cancer p a t i e n t s t h e l e v e l of t h e hormone was 100 times h i g h e r i n p r o s t a t i c t i s s u e s t h a n i n f a t and muscle ( 2 0 , 2 1 ) . It i s n a t u r a l t o a n t i c i p a t e h i g h e r c o n c e n t r a t i o n s of t h e hormone i n i t s n a t u r a l t a r g e t t i s s u e s t h a n t h e r e s t of body t i s s u e s (17,32,33,39). 6. METHODS OF ANALYSIS 6.1 I d e n t i f i c a t i o n T e s t s The f o l l o w i n g t e s t s a r e d e s c r i b e d i n B.P.
1)
1980 (4):-
The l i g h t a b s o r p t i o n , i n t h e range 230 t o 350 nm, of a 2-cm l a y e r of a 0.001 p e r c e n t w/v s o l u t i o n i n a b s o l u t e e n t h a n o l e x h i b i t s a maximum o n l y a t 241 nm; absorbance a t 241 nm, about 1.2. The l i g h t a b s o r p t i o n , i n t h e range 230 t o 450 nm, of t h e i r r a d i a t e d s o l u t i o n prepared a s d i r e c t e d i n t h e a s s a y , e x h i b i t s two maxima, a t 292 n m and 418 nm.
2)
1 7 4
3)
Dissolve 0 . 5 mg in 0 . 2 ml of glacial acetic acid, add 1 ml of orthophosphoric acid and heat on a water-bath for three minutes; a deep yellow color is produced which almost disappears on dilution with 3 ml of glacial acetic acid.
(1) :
xx
1)
The following identification tests are described in USP Prepare an alcoholic solution containing 10 ug of USP diethylstilbestrol RS and diethylstilbestrol respectively in each ml. Determine the absorbance of each solution in the range 230 to 350 nm, using alcohol as the blank. The spectrum of diethylstilbestrol exhibits a maximum and an additional inflection at the same wavelength as that of the solution of USP diethylstilbestrol RS, concomitantly measured, and the absorpitivity of diethylstilbestrol at the wavelength of maximum absorbance does not differ from that of the Reference Standard by more than 3.0%. Prepare the standard preparation as follows: "Dissolve in alcohol a suitable quantity of USP diethylstilbestrol RS, accurately weighed and prepare, by stepwise dilution with alcohol, a solution containing about 20 ug per ml of this solution with an equal volume of dibasic potassium phosphate solution (1 in 55). Transfer 4 ml of this standard preparation to a stoppered, 1-cm quartz cell, place about 5 cm from a low-pressure, short wave mercury lamp, rated at from 2 to 20 watts, and irradiate or about 5 minutes. Measure the absorption spectrum, in the range of 250 to 4 5 0 nm of this yellow solution exhibits inflections only at the same wavelengths as that of the solution obtained after irradiation of the standard preparation.
2)
Stilbestrol dipropionate was determined volumetrically by Gyenes ( 4 0 ) using the bromination method. 72-82 mg in acetic acid (in 20 ml acetic
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a c i d ) were t r e a t e d w i t h 0.1 N KBr03 (10 m l ) , H2S04 ( l : l , 0.5 ml) and K B r (300 m g i n 1 m l of H 0 ) i n a s t o p p e r e d f l a s k and l e f t i n t h e dark a t 3 5 ' + 3' f o r 80 t o 83 min. K I ( 5 0 0 m g i n 20 m l H20)-was added f o l l o w e d by s t a r c h s o l u t i o n and t i t r a t e d a g a i n s t 0.1 N t h i o s u l p h a t e s o l u t i o n . One molecule o f t h e d r u g consumes 4 e q u i v a l e n t s of bromine. However, f o r s t i l b e s t r o l t h e r e a c t i o n t i m e b e f o r e t i t r a t i o n was 25 minutes. The l i m i t of e r r o r f o r s t i l b e s t r o l was 2 0.5%. Elsayed and Obiakara (41) a s s a y e d s t i l b e s t r o l i n t a b l e t s and powders by s l i g h t l y modifying t h i s method and d i s c u s s e d t h e r e a c t i o n k i n e t i c s i n r e s p e c t t o time of a d d i t i o n and bleaching of t h e r e a g e n t . They c o n c l u d e d t h a t t h e method i s s u i t a b l e f o r r o u t i n e work i f o t h e r p h e n o l i c compounds a r e absent. 6.3 Spectropho tome t r y 6.31 C o l o r i m e t r i c Methods B r i t i s h Pharmacopeia 1980(4) d e s c r i b e d t h e followi n g procedure: D i s s o l v e 20 m g i n s u f f i c i e n t absolute ethanol t o produce 100 m l and d i l u t e 10 m l t o 100 m l with t h e same s o l v e n t . To 25 m l of t h e r e s u l t i n g s o l u t i o n add 25 m l of a s o l u t i o n prepared by d i s s o l v i n g 1 g of a n h y d r o u s d i p o t a s s i u m hydrogen orthophosphate i n 55 m l of w a t e r , t r a n s f e r a p o r t i o n of t h e m i x t u r e t o a 1-cm c l o s e d q u a r t z c e l l , p l a c e t h e c e l l 10 cm from a 15-watts, shortwave, u l t r a v i o l e t l a m p , and i r r a d i a t e f o r t e n minutes. Measure t h e a b s o r b a n c e of t h e i r r a d i a t e d s o l u t i o n a t t h e maximum a t about 418 nm, and c a l c u l a t e t h e c o n t e n t of C8H2002 f r o m t h e a b s o r b a n c e o b t a i n e d by r e p e a t i n g t h e o p e r a t i o n using d i e t h y l s t i l b e s t r o l EPCRS i n s t e a d of t h e s u b s t a n c e being examined. United S t a t e Pharmacopia XX( 1 ) d e s c r i b e d t h e f o l l o w i n g procedure: Standard p r e p a r a t i o n : Dissolve i n alcohol a s u i t a b l e q u a n t i t y of USP d i e t h y l s t i l b e s t r o l R S , a c c u r a t e l y w e i g h e d , and p r e p a r e , by s t e p w i s e
176
d i l u t i o n w i t h a l c o h o l , a s o l u t i o n c o n t a i n i n g about 20 ug p e r m l . Mix 25 m l of t h i s s o l u t i o n w i t h a n e q u a l volume of d i b a s i c p o t a s s i u m p h o s p h a t e s o l u t i o n ( 1 i n 55). Assay p r e p a r a t i o n : Proceed with a s u i t a b l e q u a n t i t y , a c c u r a t e l y w e i g h e d , of d i e t h y l s t i l b e s t r o l a s d i r e c t e d under Standard p r e p a r a t i o n . Procedure: (Caution - P r o t e c t t h e e y e s from d i r e c t r a y s oE u l t r a v i o l e t l i g h t t h r o u g h o u t t h i s procedure). T r a n s f e r 4 m l of t h e S t a n d a r d p r e p a r a t i o n t o a s t o p p e r e d , 1 cm q u a r t z c e l l , p l a c e a b o u t 5 cm from a low-pressure, shortwave mercury lamp, r a t e d a t f r o m 2 t o 20 w a t t s , and i r r a d i a t e f o r about 5 minutes. P l a c e t h e c e l l i n t h e sample compartment of a s u i t a b l e spectrophotom e t e r , and m e a s u r e t h e a b s o r b a n c e a t t h e wavelength of maximum absorbance a t about 418 nm, u s i n g water a s t h e blank. Continue i r r a d i a t i o n f o r s u c c e s s i v e 1 t o 3-minute i n t e r v a l s , m e a s u r i n g a t 418 n m u n t i l t h e maximum absorbance (about 0.7) has been o b t a i n e d . I f n e c e s s a r y , a d j u s t t h e g e o m e t r y of t h e i r r a d i a t i o n a p p a r a t u s so a s t o o b t a i n maximum, r e p r o d u c i b l e absorbance a t 418 nm. S i m i l a r l y , i r r a d i a t e a 4-ml p o r t i o n of t h e a s s a y p r e p a r a t i o n , r e c o r d i n g t h e a b s o r b a n c e a t 418 nm, a t s u c c e s s i v e s h o r t i n t e r v a l s u n t i l maximum absorbance i s o b t a i n e d . C o n c o m i t a n t l y d e t e r m i n e t h e a b s o r b a n c e s of t h e Assay p r e p a r a t i o n and t h e S t a n d a r d p r e p a r a t i o n i n 1-cm c e l l s a t 418 nm, u s i n g w a t e r a s t h e b l a n k , and s u b t r a c t t h e s e v a l u e s from t h o s e f o r t h e r e s p e c t i v e i r r a d i a t e d s o l u t i o n s , t o o b t a i n t h e c o r r e c t e d maximum a b s o r b a n c e s . C a l c u l a t e t h e q u a n t i t y , i n ug o f C18H2002 i n e a c h m l of t h e Assay p r e p a r a t i o n by t h e formula C(Au/As), i n which C i s t h e c o n c e n t r a t i o n , i n ug p e r m l , of USP d i e t h y l s t i l b e s t r o l RS i n t h e s t a n d a r d p r e p a r a t i o n , and Au and A s a r e t h e c o r r e c t e d maximum absorbances of t h e i r r a d i a t e d Assay p r e p a r a t i o n a n d S t a n d a r d preparation, respectively. De Almedia B a l t a z a r and V e i r a de Arbeu compared d i f f e r e n t methods used i n d e t e r m i n a t i o n of d i e t h y l s t i l b e s t r o l , h e x e s t r o l and d i e n e s t r o l and developed t h e i r own method f o r d i e n e s t r o l (42).
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I n t h e v i s i b l e r a n g e Goodyear e t a 1 ( 4 3 ) made d i e t h y l s t i l b e s t r o l to develop a yellow colour a f t e r i r r a d i a t i o n of a n a q u e o u s a c e t i c a c i d s o l u t i o n of t h e drug w i t h UV l i g h t , and measured t h e c o l o u r a b s o r p t i o m e t r i c a l l y . They a l s o measured t h e c o n c e n t r a t i o n by a b s o r b a n c y d i f f e r e n c e s of a c i d and a l k a l i n e s o l u t i o n s i n t h e UV range. Cheng and B u r r o u g h s u s e d SbC15 i n e t h y l e n e c h l o r i d e t o develop a c o l o u r w i t h d i e t h y l s t i l b e s t r o l and used a c o l o r i m e t e r w i t h f i l t e r s a t 525 and 430 m u (44). They found t h a t t h i s method is more s e n s i t i v e t h a n t h e method of Goodyear e t a 1 ( 4 3 ) . The y e l l o w c o l o u r p r o d u c e d by n i t r a t e d d e r i v a t i v e s of s t i l b e s t r o l and d i e n e s t r o l w i t h a l k a l i had been used by Tokar and Simonyi (45). The p h o t o m e t r i c d e t e r m i n a t i o n of 126 p h e n o l i c compounds i n w a t e r u s i n g group-specif i c r e a g e n t s i . e . p - n i t r o a n i l i n e , s u l f a n i l i c a c i d , 4-aminoa n t i p y r i n e and 3-methylbenzothiazoline-2-ylhydraz i n e , was c a r r i e d o u t by Koppe e t a1 ( 4 6 ) . I n i n j e c t a b l e p r e p a r a t i o n s of l i p i d s o l v e n t , t h e p h e n o l i c hormone w a s e x t r a c t e d w i t h aqueous 0.1 N NaOH and determined s p e c t r o p h o t o m e t r i c a l l y a t 259 nm, while i n t a b l e t s a f t e r d i s p e r s i o n i n d i l . H C 1 and e x t r a c t e d by 0.1 N NaOH and measured a t t h e same wavelength. The a b s o r b a n c e obeyed LambertBeer's law a t c o n c e n t r a t i o n s ranging between 2.5 12.5 ug/ml. The s t a n d a r d d e v i a t i o n f o r i n j e c t a b l e s o l u t i o n s d e t e r m i n a t i o n s was 2.06% w h i l e f o r t h e t a b l e t s was 2.52% (47). 6.32 F l u o r i m e t r i c Methods Ponder ( 4 8 ) determined d i e t h y l s t i l b e s t r o l i n a n i m a l f e e d s ( 5 u g / k g ) f l o r i m e t r i c a l l y by c o n v e r t i n g i t t o p h e n a n t h r e n e d i o l d e r i v a t i v e . The f e e d m a t e r i a l was e x t r a c t e d w i t h a c e t o n e - i s o p e n t y l alcohol ( 1 : l ) a f t e r i n i t i a l treatment with a c e t i c e t h a n d i o l ( 1 :4) mixture. A f t e r p u r i f i c a t i o n acid w i t h s o l v e n t p a r t i t i o n i n g , t h e drug was c o n v e r t e d by UV i r r a d i a t i o n i n t o t h e phenenthrenedione which was t h e n o x i d i z e d t o t h e d i o l and d e t e r m i n e d as p r e v i o u s l y d e s c r i b e d by Umberger e t a l ( 4 9 ) . Ponder (50) a s s a y e d t h e drug and i t s monoglucuronides i n b e e f meat. Vogt d e t e r m i n e d d i e t h y l s t i l b e s t r o l i n t h e f e c e s and u r i n e of f e e d e r c a l v e s ( 5 1 ) .
178
K o l i n s k i e t a 1 ( 5 2 ) e x t r a c t e d t h e drug from e n t e r i c - c o a t e d and p l a i n - c o a t e d t a b l e t s , e x p o s e d t o U V i r r a d i a t i o n (pH 6 - 7 ) and t h e r e a c t i o n product t r e a t e d w i t h 2% c a t e c h o l s o l u t i o n i n 2 M H C 1 a t 7OoC and t h e r e s u l t i n g 9,lO diethylphenathrene-3,6-diol was determined p h o t o m e t r i c a l l y a t 4 1 0 nm w i t h e x c i t a t i o n a t 3 3 5 nm. F o r 1 0 d e t e r m i n a t i o n s a t d i f f e r e n t d a y s , f o r 1 mg t a b l e t s , t h e c o e f f i c i e n t of v a r i a t i o n was 0.6% and r e c o v e r i e s w e r e q u a n t i t a t i v e down t o 0 . 1 m g/ t a b l et
A f t e r u s i n g ion-exchange column (Amberlite X AD-2) and ( P o l y c o l o r column) followed by L i Chrosorb RP18 column and an on-line r e a c t i o n system, Verbeke and Vanhee (53) f l u o r i m e t r i c a l l y determined s t i l b e s t r o l r e s i d u e s i n u r i n e and animal t i s s u e s . I n t h e on-line r e a c t i o n system o x i d a t i o n was achieved a t 75OC by SO2 i n a l c o h o l i c s o l u t i o n t o form a h i g h l y f l u o r e s c e n t compound, w h i c h , a f t e r e x c i t a t i o n a t 260 nm was measured a t 370 n m and they c o n c l u d e d t h a t t h i s method i s s u p e r i o r t o H. P L. C. methods
The f o l l o w i n g f l u o r i m e t r i c procedure i s recommended by t h e B.P. ( 4 ) f o r t h e drug t a b l e t s : Procedure Weigh and powder 20 t a b l e t s . To a q u a n t i t y of powder e q u i v a l e n t t o 5 m g of s t i l b e s t r o l add 50 m l of a b s o l u t e e t h a n o l , s h a k e f o r 1 5 m i n u t e s , add s u f f i c i e n t a b s o l u t e e t h a n o l t o produce 100 m l and c e n t r i f u g e . D i l u t e 20 m l of t h e s u p a r n a t a n t l i q u i d t o 50 m l w i t h a b s o l u t e e t h a n o l and t o 25 m l of t h e r e s u l t i n g s o l u t i o n a d d 25 m l o f a s o l u t i o n prepared 1 gram of anhydrous d i p o t a s s i u m hydrogen o r t h o p h o s p h a t e i n 55 m l of w a t e r . T r a n s f e r a p o r t i o n of t h e mixture t o 1-cm c l o s e d q u a r t z c e l l , p l a c e t h e c e l l 1 0 cm from a 1 5 w a t t s h o r t w a v e , u l t r a v i o l e t lamp, and i r r a d i a t e f o r 10 minutes. Measure t h e absorbance of t h e i r r a d i a t e d s o l u t i o n a t t h e maximum a t about 418 n m and c a l c u l a t e t h e c o n t e n t of s t i l b e s t r o l f r o m t h e a b s o r b a n c e o b t a i n e d by r e p e a t i n g t h e o p e r a t i o n w i t h d i e t h y l s t i l b e s t r o l EPCRS.
DIETHYLSTILBESTROL
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6.4 Polarography
Direct c u r r e n t and a l t e r n a t i n g c u r r e n t p o l a r o g r a p h i c responses of some p h a r m a c e u t i c a l s , i n c l u d i n g e s t o g e n i c compounds, i n a n a p r o t i c o r g a n i c s o l v e n t s y s t e m w e r e i n v e s t i g a t e d by Woodson and Smith (54). The a p p l i c a t i o n of polarography i n s t i l b e s t r o l a n a l y s i s was demonstrat e d by Erb e t a 1 ( 5 5 ) . P u l s e and d i f f e r e n t i a l p u l s e polarography a f t e r i r r a d i a t i o n of t h e drug by U.V. was c a r r i e d o u t by Kubes ( 5 6 ) t o e n a b l e d e t e r m i n a t i o n of t h e compound a s t h e d i k e t o n e , and i t s peak a t -0.8 V (vs the s.c.e) was measured and t h e r e s p o n s e was r e c t i l i n e a r l y r e l a t e d t o c o n c e n t r a t i o n between 0.75 t o 24 u M - s t i l b e s t r o l .
6.5 Chromatographic Methods 6.51 Paper (PLC) and Thin-Layer Chromatography (TLC): The e a r l i e s t of t h e c h r o m a t o g r a p h i c t e c h n i q u e s used i n e s t o g e n i c pharmaceutical p r e p a r a t i o n s was Paper was impregnated paper chromatography (PLC). i n 5% s i l i c o n e i n cyclohexane, d r i e d a t l l O C and s p o t s of 5-50 ug of t h e o e s t r o g e n i c compounds were a p p l i e d and descending chromato-graphy was c a r r i e d o u t u s i n g t h e lower l a y e r of t h e mixture: o b t a i n e d by mixing 15 m l of w a t e r , 85 m l of methanol, 30 m l of benzene and 70 m l of hexane a s t h e moving phase ( 5 7 ) . S i l i c a g e l G p l a t e s and i n t e g r a t i n g d e n s i t o m e t r y w e r e c o m b i n e d a f t e r column chromatography i n t h e technique used by J o n e s et a 1 ( 5 8 ) . The s o l v e n t s y s t e m used f o r developing t h e chromatograms was : e t h y l a c e t a t e - l i g h t petroleum - anhydrous a c e t i c acid - ethanol (144:27:20:9). T h y m o p l p h t h a l e i n i n d i c a t o r was s p o t t e d a t RF 1 before s p r a y i n g t h e p l a t e w i t h Folin-Ciocalteu d i l u t e d ( 1 : 4 ) r e a g e n t followed by 0.5 N e t h a n o l i c KOH, u n t i l t h e i n d i c a t o r s p o t was p e r m a n e n t l y b l u e . S e p a r a t i o n of s y n t h e t i c e s t r o g e n s from n a t u r a l e s t r o g e n s was c a r r i e d o u t on s i l i c a g e l H u s i n g chloroform a c e t i c a c i d (85: 1 5 ) ( 5 9 ) . O t h e r s o l v e n t s y s t e m s on T.L.C. were t r i e d by Di b m i z i o and Muscarella (60). Quantitat i o n on s i l i c a g e l G u s i n g two-dimensional chromatography and exposing t h e chromatograms t o 254 nm i r r a d i a t i o n f o l l o w i n g by H2SO4 ( 5 0 % ) and
180
h e a t i n g a t 95OC was c a r r i e d o u t by Karkosha ( 6 1 ) . High p e r f o r m a n c e t h i n l a y e r c h r o m a t o g r a p h y (H.P.T.L. C. ) u s i n g two-dimensional chromatography u s i n g hexane methylene d i c h l o r i d e ethyl a c e t a t e ( 1 : 2 : 2 ) and c h l o r o f o r m benzene m e t h a n o l ( 3 6 :4: 1) was u s e d , f o r b i o l o g i c a l e x t r a c t s ( f r o m m e a t , l i v e r and u r i n e ) a f t e r p u r i f i c a t i o n by g e l permeation chromatography, by Smets and Verschaeren (62).
Clarke i n h i s monograph ( 2 ) d e s c r i b e d t h e followi n g PLC condition. Sample P r e p a r a t i o n I f t h e s a m p l e i s u r i n e , i t is r e f l u x e d w i t h h y d r o c h l o r i d e a c i d , e x t r a c t e d w i t h e t h e r and t h e e t h e r e a l e x t r a c t is e v a p o r a t e d t o d r y n e s s . R e d i s s o l v e i n e t h a n o l s o t h a t one m l of t h e e t h a n o l i c s o l u t i o n i s e q u i v a l e n t t o 50 m l o f u r i n e . 20 u l of t h i s s o l u t i o n should be a p p l i e d t o chromatogram. Paper Layer: Whatman No.1, a cylinder. s t a p l e d i n t h e form of
S o l v e n t System: S t r o n g ammonia s o l u t i o n : i s o p r o p r a n o l : water (1:8:1). Equilibration: Development: Location: Rf v a l u e s : None Ascending r e a g e n t (yellow).
Pauly's
S t i l b e s t r o l 0.85.
--
DIETHYLSTILBESTROL
181
170 OC. The dipropionate of diethylstilbestrol can be determined by direct GLC on 3% JXR on Gas Chrom P at 200C using stainless steel column. The sample liquid phase was used by Rutherford (65) to determine the cis and trans forms of the estrogenic compound in feeding-stuff pre-mix. The use of a 5% X E - 6 0 o n G a s C h r o m 2 eliminates interference of polyoxyethylene glycol 200 that occurred on 3 % JXR column. The electron-capture G . L . C . of the fluoropropionyl diethylstilbestrol or trifluoroacetic anhydride was successful in determination of concentration as low as 1-2 ppb in animal chew or urine (66,67). The use of columns of OV-17 was described by Kohrman and MacGee (68) and Van de Vaart et a 1 (69) in determinations carried out in biological and cosmetic materials. Clarke in his monograph (2) described the following G . L . C . conditions: Column : 2.5% SE-30 on 80-100 mesh Chromosorb W AWHMDS, 5 ft x 4 mm ( i . d . ) , glass column. Column Temperature : 225OC. Carrier Gas : Nitrogen. Gas Flow Rate : 50 mllminute. Detector : Flame ionization detector ( F . I . D . ) . Hydrogen Flow Rate : 50 mllminute. Air Flow Rate : 300 mllminute. Retention time 0.78 relative to codeine. At a column temperature of 225OC, the relative retention time to codeine (R.Rt) is 0.78. 6.53 High Resolution Liquid Chromatography ( H . P . L . C . ) and GLC/HPLC HPLC was used by several authors in determination of stilbestrol in various formulations and biological materials. The table summarises some of the HPLC (72-79) conditions of techniques used
Table 4
Mobile #me
Detection
Lintit of detection
Ref.
(72)
w the
20 Pg
s.e.c.
75%Me(xf
_ .
0.2-2 j.lg/all
(73)
L i chrosorb R P 8 or RP-18
Gradient, lO-lCQ% MeOHorRP-8and 20-100% Me(xf for P 1 8 , 1 ml/mn. Et(XHhane (1:39), 1 d/rllin. Gradient elution:A: ~3CN/H20(1:9)
(74)
Zorbax SIL
W 240 nm.
Voltamtry with vitreous - carbon and I - (reference) ~ electrodes, Potential sweep rate is 5 mv/sec.
0.01 pg.
(75)
RF2 R P 1 8 Zork
0 . 3 0 . 5
ng
(76)
(;N
Table contd
.......
B: ~ 3 ~ / H 2 0 ( 9 : 1 ) (25% B a t 0 time t o 45%B a t 5 min). g Eluent contains 1 a of L i C 1 and 1 tlg of LiC104.
I jchrosorb
RP-6
Vitreous carbon or plat& counter electrode and a silvefAgC1 reference electrode. 0.4 ml plasm (78) or urine, 1 g tissue.
RP-8
184
by v a r i o u s a u t h o r s ( 6 6 , 7 0 - 8 2 ) w h i l e combined GLC/HPLC was t r i e d by o t h e r s (66,691. 6.54 Combined Gas Chromatography Spectrometry (GC/MS)
Mass
D e t e r m i n a t i o n s of a n a b o l i c s t e r o i d s and d r u g s , i n c l u d i n g s t i l b e s t r o l i n meat and i t s products by combined gas chromatography mass s p e c t r o m e t r y (GC/MS) were done by S t a n and Abraham (83) a n d Duerbeck and Bueker ( 8 4 ) , i n plasma by Gaskell et a 1 ( 8 5 ) , i n u r i n e by Derks e t a 1 ( 8 6 ) , T u i n s t r a e t a 1 ( 8 7 ) D i e d e r i k e t a 1 ( 8 8 ) and i n baby f o o d s a m p l e s by G a l l i e t a 1 ( 8 9 ) . E.I. mass s p e c t r o m e t r y was u s e d by m o s t o f t h e a u t h o r s w h i l e D i e d e r i k et & ( 8 8 ) u s e d n e g a t i v e c h e m i c a l i o n i z a t i o n mass s p e c t r o m e t r y u s i n g CHh OR CH4 : N20 ( 4 : l ) as chemical i o n i s a t i o n reagents. However, GC-MS t e c h n i q u e i s t h e most s e n s i t i v e t e c h n i q u e , o t h e r t h a n R.I.A. methods f o r e v a l u a t i o n of such drugs i n b i o l o g i c a l s , food and p h a r m a c e u t i c a l s and t h e s e n s i t i v i t y of t h e technique i s 0.1 1 ppb.
6.55 Assay by NMR Al-Badr and Ibrahim (90) developed an NMR s p e c t r o m e t r i c method f o r t h e q u a n t i t a t i o n of d i e t h y l s t i l b e s t r o l i n t a b l e t s a n d a m p o u l e s . The m e t h o d i n v o l v e d c o m p a r i n g t h e i n t e g r a l of t h e t r i p l e t system of s t i l b e s t r o l spectrum ( p o s i t i o n e d a t 0.73 O) t o t h a t of t h e s i n g l e t ( p o s i t i o n e d a t 6.25 a ) of m a l e i c a c i d , a s a n i n t e r n a l s t a n d a r d . The p r o c e d u r e f o r t h e q u a n t i t a t i o n of t h e a u t h e n t i c drug, t h e t a b l e t s and ampoules was described. 6.6 Radio Immuno Assay (R.1.A.)
R.I.A. methods have p r o v e d t o be t h e most s e n s i t i v e methods of a n a l y s i s today. The t e c h n i q u e i s now a r o u t i n e i n most h o s p i t a l s and a n a l y t i c a l l a b o r a t o r i e s . S u c c e s s f u l R.I.A. of d i e t h y l s t i l b e s t r o l and a l l i e d hormones i n b i o l o g i c a l m a t e r i a l s and e s p e c i a l l y i n none t h i c a l u s e ( i n meat p r o d u c t s ) was shown by s e v e r a l a u t h o r s and t h e s e n s i t i v i t y of t h e technique s u r p a s s e s t h a t of GC/MS method. The s e n s i t i v i t y is i n t h e range - l o w 7 ( 9 1 - 9 6 ) . By t h i s t e c h n i q u e i t was
DIETHYLSTILBESTROL
185
determined i n blood of f e e d l o t c a t t l e ( 9 1 ) , i n animal t i s s u e s ( 9 2 , 9 4 , 9 6 ) and i n f e c e s ( 9 5 ) . A r n s t a d t ( 9 2 ) u s e d t h e enzyme immunoassay method by c o m p e t e t i v e b i n d i n g s t i l b e s t r o l and p e r o x i d a s e d l a b e l l e d s t i l b e s t r o l t o a n a n t i b o d y bonded t o DEAE-cellulose. The method is s u i t a b l e f o r a range a s low a s 0.2 pmol (0.05 ng) of s t i l b e s t r o l . G r i d l e y e t a 1 ( 9 3 ) u s e d a n immunogen a n d a s e c o n d a n t i b o d y of g o a t a n t i - r a b b i t - 0 - g l o b u l i n assay f o r s t i l b e s t r o l and i t s m e t a b o l i t e s i n b o v e i n e l i v e r . T r i t i u m l a b e l l e d s t i l b e s t r o l was used and measurement was c a r r i e d by s c i n t i l l a t i o n counting.
7
METABOLISM D i e t h y l s t i l b e s t r o l can be conjugated i n t h e body w i t h H2S04 t o a s m a l l and v a r i a b l e e x t e n t i n r a t s , c a t s and d o g s b u t n o t i n r a b b i t s (97). Metabolism t o monogluaxmiride by s l i c e s o r r a t l i v e r was r e p o r t e d ( 9 8 , 9 9 ) and a l s o i n t h e e v e r t e d s a c s of t h e r a t i n t e s t i n e (99,100,101 ). Formations of d i h y d r o x y - d i e t h y l s t i l b e s t r o l and t h e methoxy d e r i v a t i v e s i n v a r i o u s s p e c i e s were observed (99,102,103,104). The hormones and i t s m e t a b o l i t e s a r e e x c r e t e d v i a t h e kidney, l i v e r b i l e and f e c e s and f r e e s t i l b e s t r o l p r e s e n c e was o b s e r v e d i n f e c e s examined. McLachlan ( 1 0 5 ) s t u d i e d p r e n a t a l exposure t o d i e t h y l stilbestrol i n mice and observed e q u i v a l e n t amounts i n mother and f e t a l plasma. The c o n c e n t r a t i o n of t h e d r u g i n f e t a l g e n i t a l t r a c t was t h r e e - f o l d h i g h e r t h a n t h a t of t h e plasma.
ACKNOWLEDGEMENT
1.
"The United S t a t e s P h a r m a c o p i a " XX R e v i s i o n , U n i t e d S t a t e s Pharmacopoeia1 Conventions, Inc., R o c k v i l l e , MD. page 234 (1980).
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"The Merck I n d e x " , N i n t h e d . , Merck and Co., Rahway, N . J . U.S.A. page 3110 (1976). "The B r i t i s h Pharmacopoeia", Her Majesty's O f f i c e , Cambridge, page 427 (1980).
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DIETHYLSTILBESTROL
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C. Hesse, K . Pietrzik, and D . Hoetzel, Chromatographia, 256 (1977). Kenyhercz and P.T. 1 (1978). Kissinger, J. Anal. Toxicol., Hailey, J . Chromatogr.,
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H.J.G.M. D e r k s , J. F r e u d e n t h a l , J.L.M. L i t j e n s , R. Klaassen, L.G. Gramberg and V. B o r r i a s - v a n T o n g e r e n , Biomed. Mass Spectrom., g ( 3 ) , 209 (1983). L.G.M.T. T u n i s t r a , W.A. Traag, H.J. Keukens and R.J. Van Mazijk, J. Chromatogr., 279, 533 (1983). H. D i e d e r i k , J.G.D. Lambert a n d P.J.D. Toxicol. Suppl., 5, 315 (1983). S a k k e r s , Arch
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527
FLUOXETINE
Donald S . Risley Ronald J. Bopp
Lilly Research Laboratories Eli Lilly and Company Indianapolis, Indiana 46285
193
Copyright 0 1990 by Academic Press. Inc. All rights of reproduclion in any form reserved
194
TABLE OF CONTENTS
1 . Introduction 1.1 History 1.2 Name, Formula, Molecular Weight, Structure 1.3 Appearance, Color, Odor
2. Physical Properties 2.1 Melting Range 2.2 Simple SolubilityProfile 2.3 Elemental Analysis 2.4 Infrared Spectrum 2.5 Nuclear Magnetic Resonance Spectrum 2.6 Mass Spectrum 2.7 Ultraviolet Spectrum 2.8 Optical Rotation 2.9 DifferentialThermal Analysis 2.10 Thermogravimetric Analysis 2.1 1 X-Ray Diffraction Analysis
3. Synthesis
4. Analytical Methods 4.1 Chromatography 4.1 1 Thin Layer Chromatography 4.12 High Performance Liquid Chromatography 4.13 Gas Chromatography 4.2 Spectroscopy 4.21 Infrared Spectroscopy 4.22 Nuclear Magnetic Resonance
5. Stability 5.1 Stability in Bulk 5.2 Stability in Dosage Form 5.3 Stability in Solution
6 . Biopharmaceutical Profile 6.1 Pharmacokinetics 6.2 Drug Metabolism 6.3 Toxicity
7. References 8. Acknowledgements
FLUOXETINE
195
1 . INTRODUCTION
1.1 History Fluoxetine hydrochloride is a selective serotonin reuptake inhibitor which is clinically effective for the treatment of depression (1). Fluoxetine hydrochloride formulation is marketed as 20 mg (base equivalent) capsules under the proprietary name Prozac@. Fluoxetine and its major metabolite norfluoxetine act as neuronal inhibitors of serotonin reuptake and result in both increased serotonin concentration at the synaptic cleft and autoreceptor stimulation (2-3). Fluoxetine hydrochloride has been shown to have comparable efficacy to tricyclic antidepressants but with fewer anticholinergic side effects (1,4-6). Fluoxetine hydrochloride has been primarily studied for the treatment of depression, but more recently has been studied for the treatment of bulimia and severe obesity (7-9). 1.2 Name, Formula, Molecular Weight, Structure Chemical Name: d,l-N-methyl-3-phenyl-3-[(a,a,a-m~uoro-p-tolyl)oxy] propylamine hydrochloride. Emperical Formula: C17H1gF3N0.HCI Molecular Weight: 345.79 Structure:
1.3
196
The solubility properties of fluoxetine hydrochloride are listed in Table I. Fluoxetine hydrochloride is freely soluble in methanol and ethanol; soluble in acetonitrile, chloroform, and acetone; slightly soluble in ethyl acetate, dichloromethane, and water (with sonication at p H 1.2,4.5, and 7.0). The maximum solubility of fluoxetine obtained in water is 14 mg/mL. Fluoxetine is essentially insoluble in toluene, cyclohexane, and hexane. Table I. The Solubility Properties of Fluoxetine Hydrochloride. Solvent Methanol Ethanol Acetone Acetonitrile Chloroform Dichloromethane Water (PH 1.2) (PH 4.5) (PH 7.0) Ethyl acetate Toluene Cyclohexane Hexane
2.3
Solubilitv (mdrnL)
Elemental Analysis
The elemental analysis data for a typical sample of fluoxetine hydrochloride are listed in Table II.
FLUOXETINE
197
9 6 Calculated
59.05 5.54 16.48 4.05 4.63 10.25
!zLEaBd
59.26 5.68 16.52 4.05 4.81 9.93
c 1
2.4 M a r e d Spectrum
The infrared spectrum for fluoxetine hydrochloride in a KBr pellet as obtained on a Mattson Nova Cygni infrared spectrophotometeris illustrated in Figure 1. The major absorption bands for both the infrared and the Raman frequencies and the corresponding assignments are listed in Table III. Table III. Infrared and Raman Spectral Assignments for Fluoxetine Hydrochloride. Frequency (cm -')
Correlations/Assignments
OH stretch - H20 in KBr
3430vb
Infrared
3114,3087 3064,3043 3011 2989,2969 2962,2949 2937,2918 2893,2870 2843,2825 2800,2769 2746,2700 2627,2609 2547,2495 2458 1636
3085,3060 3039,3026 3010 2986,2957 2927,29 16 2884,2861 2838 2805,2790 2772,2730 2638,2614 2547,2490 2435 1636
Aromatic CH stretches
Asymmetric CH2 and CH3 stretches Symmetric CH2 and CH3 stretches NH2+ - NH stretches and 'combination bands'
NH2+ deformations
198
Infrared
1615, 1605 1588 1479, 1470 1445 1429 1326 1306 1259, 1244 1185, 1155 1116 1079,1070 1029 1003 991,959 948,916 907, 848 819 783
Raman
CH2 deformations
Asymmetric CH3 deformations Symmetric CH3 deformations
CF stretches
Phenyl ring vibrations
Phenyl ring vibrations Ring 'breathing' vibrations mono-substituted phenyl Phenyl CH wags
765,746 730
768,747 735
FLUOXETINE
199
Infrared
R&tUB
651,638 622
Unassigned: Infrared: 3225,3173,2355, 1970, 1951, 1907, 1897, 1886, 1808, 1010, 878, 858, 805,671,594,563, 520, 512 Raman: 3225,3202,3170, 1690, 1391, 1358, 1275, 1211, 1099, 1040, 881, 569, 515, 478,414, 363, 306, 294, 281, 261, 215
2.5
The proton magnetic resonance of fluoxetine hydrochloride is represented in Figure 2. The spectrum was obtained on a General Electric QE 300 MHz NMR using CDC1, as the sample solvent. Proton chemical shifts were determined from the two-dimensional l3C/lH correlation data. The 13C spectrum is shown in Figure 3. Structural assignments are listed in Table IV.
13
2.5 100-1
3.0
I
3.5 4.0
I
I
5.0
I
Microns 6
I
8
I
10
I
15
I
20
I
40
I
302010-
Raman - solid
0 i ~ - . r l- .l -, v . - l l . . ,m .~ l l ~. ,, .. ll .. ,, .. ll .. ll .. ll .. ,, .. ll .. ll .. ll .. ,, ~ ~ l l ~ ~ ,, ., ~ ~ .l l ~~ ., , ,. ~~ . , . 4000 3600 3200 2800 2400 2000 1800 1600 1400 1200 1000 800 600 400 2 1 Wavenumber 4
Figure 1. The infrared spectrum offlruoxeetine hydrochloride in a KBrpellet.
a
-ru
- m
-Lo
-10
-r.
- m
-m
I
201
160
1 ~ " ' ~ " " 1 " " ~ " " I " " ~ " " I " " ~ " " 1 " " ~ " " 1 " " ~ " " 1 " " ~ " ~ ~ ~ " ~ ~ " ~ ~ ' l 140 120 100 80 60 40
20
PPM
FLUOXETINE
203
Table IV. The NMR Spectral Assignments for Fluoxetine Hydrochloride. Assignment
*3C (A)
~~
46.03 34.49 77.04 139.72 125.76 126.77 123.33 159.74 115.88 128.99 128.38 124.21 32.89
3.12 2.48 5.47 6.90 7.39 7.31 7.27 7.24 2.62 9.7 1
The electron impact @I) mass spectrum of fluoxetine hydrochloride is illustrated in Figure 4. The spectrum was obtained using a Varian-MAT 73 1 MS. The EI spectrum for fluoxetine hydrochloride shows a main contribution from the base (MW=309). The EI spectrum is dominated by a major fragmentation from CHz=NH-CH3+at m/z 44. Several other fragmentationsare illustrated in Figure 5 and listed in Table V.
+*
44
-N
/H
. HCI
100-44 95 -
5045 40 35 ~ ~
3025 2015105-
FLUOXETINE
205
The field desorption (FD) mass spectrum obtained at the optimum anode temperature consists of the molecular ion of the base at d z 309 and the protonated f o m of the base at m/z 310. A small fragment peak is present at m/z 104. At higher current emissions, both base and protonated base forms are observed along with cluster ions (base + salt + H) at d z 655 and (base + 2x salt + H) at d z 1000. Cluster ion formation is often observed in a FD spectra due to ionization in the condensed phase.
2.7
Ultraviolet Spectrum
The ultraviolet spectrum of fluoxetine hydrochloridein methanol is shown in Figure 6. The ultraviolet absorbance of fluoxetine hydrochloride is due to individual contributionsfrom CF3-Ph-OR and Ph-R. The maximum absorbance from the fluoronated cresol chromophore occurs at 227 nm with a molecular absorptivity of E = 12,900. The peak absorbances are listed in Table VI. Table VI. Peak Absorbances for Fluoxetine Hydrochloride. Wavelength hm)
227 264 268 275
E 1%/1 (cm)
372.0 29.2 29.3 21.5
e 1.286 -
0 C Q
.633-
.ooo -
~L~.""""'"'
L-LII.LI_L_L-JIIL
L-u
FLUOXETINE
207
2.8 Optical Rotation The observed rotation for a 10 m g / d methanol solution of fluoxetine hydrochloride using the sodium D-line on a Perkin-Elmer 241MC Polarimeter was determined to be O.OOo indicating a racemic mixture. 2.9 Differential Thermal Analysis The DTA thermogram for fluoxetine hydrochloride, at a heating rate of 5OC per minute, shows a sharp endotherm at 161OC indicating a melt. A large exotherm occurs at 2 4 1 O C and this is attributed to the decomposition of fluoxetine. 2.10 Thermogravimetric Analysis
3. SYNTHESIS
The schematic diagram for the synthesis of fluoxetine hydrochloride is outlined in Figure 8. Synthesis of fluoxetine began with a-[2-(Chloro)ethyl]benzene methanol. A Finkelstein reaction was performed to yield the corresponding iodo derivative. Reaction of this iodide with aqueous methylamine resulted in formation of a-[2-(Methylamino)ethyI]benzene methanol. This material was then reacted with sodium hydride in dimethylacetamideto generate the alkoxide. Addition of 4-fluorobenzotrifluoride led to a facile nucleophilic substitution. Fluoxetine was then reacted with dilute hydrochloric acid to produce the hydrochloride salt (10).
208
do
31.43 16.14 8.73 8.09 6.7 1 6.38 6.09 5.39 4.94 4.87 4.79 4.62 4.37 4.27 4.2 1 4.04 3.92 3.77 3.75 3.59 3.53 3.47 3.36 3.29 3.23 3.19 3.09 3.05 2.99 2.92 2.75 2.57
UQ
0.7 1 0.66 0.07 0.04 0.02 0.60 0.04 0.90 0.03 0.03 0.21 0.01 0.14 0.06 0.01 1.oo 0.04 0.15 0.11 0.02 0.06 0.01 0.01 0.01 0.1 1 0.09 0.21
0.01
0.01 0.01 0.09 0.01
400 -
350;
300y 2501
200 -
150 100;
i
F p
50 ;
5.0
1 0 . 0
Figure 7 . The X-ray difiraction offluoxetine hydrochloride.
210
H 0
H
0
a-[2-(Methylamino)ethyl]benm1emahano1
NaH,Dimethylacetamide
cF3
a
0
cF3
Fluoxetine
HCL
a
0
HQ
Fluoxetine hydrochloride
FLUOXETINE
211
Table VIII. Thin Layer Chromatography for Fluoxetine Hydrochloride. ComDound Acetophenone Benzylmethylamine p-Chlorobenzomfluoride Paraformadehyde a-(N-methyl-N-benzylamino)propiophenone hydrochloride a-[2-(Methylamino) ethyllbenzene methanol Fluoxetine hydrochloride
Ef
0.84
Identity Starting Material Starting Material Starting Material Starting Material Intermediate
0.58
ND 0.38-0.61 (streak) 0.55 to (solvent front) 0.3 1
Intermediate and Degradation Product New Drug Substance Possible Impurity Degradation Product
0.58
N-Methylbenzenepropanamhe
p-Trifl uorometh ylphenol
0.34
0.86
212
4.13 Gas Chromatography Due to the reasonable thermal stability and the volatility of fluoxetine, a gas chromatography (GC) method has been used to determine fluoxetine in dosage forms. The chromatographic method was developed on a HewlettPackard model 5710 gas chromatograph. A 15 m x 0.53 urn x 1.5 um DB-1 Megabore column (J&W Scientific) is used with an oven temperature of 17OOC. The injection port temperature is 275OC and the FID detector temperature is 25OOC. Helium flow rate is 25.0 mL/min, oxygen flow rate is 300 a m i n , and hydrogen flow rate is 40 mL/min. This procedure involves extraction from basic solution into chloroform. The chloroform extract is filtered through Whatman #1filter paper prior to analysis.
FLUOXETINE
213
A GC method is used for the quantitation of related compounds and raw materials of fluoxetine hydrochloride. Optimized conditions are as follows for a Hewlett-Packard model 402 gas chromatograph with a flame ionization detector. The column is 3 ft. x 1/8" i.d. glass packed with 4% OV-225 on 80/lOO mesh AWDMCS Chromosorb G. Oven temperature is maintained at l8O0C, the injection port temperature is maintained at 245OC, and the detector temperature is 265C. Gas flow rates are 300 mL/min for oxygen, 60 mL/min for helium, and 40 mL/min for hydrogen. N-pentacosane (0.8 mg/mL) in chlorofomi is used as an internal standard. All available precursors, intermediates, impurities, and degradation products were analyzed according to this method; the compound names and approximate retention times are X . listed in Table I A GC method is used for the quantitation of fluoxetine and norfluoxetine in plasma, urine, and tissues. This method requires the formation of the PFB derivative prior to analysis. Conditions were optimized using an HP model 5713 GC with electron capture detection (13). An alternate GC-ECD can be used for the determination of these two compounds in serum (14). 4.2 Spectroscopy 4.21 Infrared Spectroscopy Fluoxetine hydrochloride is mixed with potassium bromide. The mixture is pressed into a transparent pellet and a spectrum is recorded with a suitable infrared spectrophotometer. This infrared spectrum is used for identity confirmation when it compares favorably to a reference standard spectrum run under similar conditions. Alternatively, the infrared spectrum for fluoxetine (free base) can be identified after extraction from a basic solution into chloroform. Positive identification is made when the sample spectrum compares favorably to a reference spectrum obtained in the same manner. 4.22 Nuclear Magnetic Resonance Fluoxetine hydrochloride is added to a nuclear magnetic resonance sample tube and dissolved in deuterated chloroform and a small aliquot of tetramethylsilane. A reference standard spectrum is obtained in the same manner. Positive identification occurs when the chemical shifts and integral values of the sample compare favorably to the reference spectrum.
214
ComDound
p-Chlorobenzotrifluoride 3-Nitro-4-trifluoromethylphenol
2-Nitro-4-uifluoromethylphenol 2-Amino-4-trifluoromethylphenol p-Trifluoromethylphenol (3-Chloropropy l)ben zene
ComDound Use Starting Material Intermediate Intermediate Intermediate Starting Material, Degradation Product Starting Material
3
c1
<1
(1 -Bromo-3-chloropropyl)benzene Intermediate
1.5 5.5
<1
a-(2-Chloroethyl)benzyl-a,a,~- Intermediate
trifluoro-p-to1ylether
N-Methyl-a-phenylpropylamine
Intermediate
6.5 5
4
3.5 0.5
(3-Phenylpropyl)(a,a,a-triIluoro-Impurity
p- toly1)ether
N-Methyl-3-phenyl-2-propen1-mine
6
2.7
FLUOXETINE
215
5 . STABILITY 5.1 Stability in Bulk Fluoxetine hydrochloride is a very stable molecule under normal storage conditions. The only known degradation products are a-[2(methylamino) ethyllbenzene methanol and p-trifluoromethylphenol. They are formed under acidic stress conditions (3 mg fluoxetine/l mL 0.1 N HCL refluxed for 48 hours) or when irradiated for five hours with a mercury arc lamp (15). Fluoxetine hydrochloride is stable as the bulk drug stored at 25C for five years and at 50C for two years. No increase in related substances have been observed using these milder storage conditions. 5.2 Stability in Dosage Form Fluoxetine hydrochloride is marketed as 20 mg (fluoxetine base) capsules. The active ingredient is stable in the starch formulated dosage fomi stored at 25C for five years and 40C/75% relative humidity for two years. Fluoxetine hydrochloride is stable in a mint syrup formulation (20 mg baseR mL syrup solution) stored at 25C for six months. Only a slight increase in related substances was noted at 40C storage for three months.
6. BIOPHARMACEUTICAL PROFILE
6.1 Pharmacokinetics In human volunteers, fluoxetine is readily and completely absorbed from the gastrointestinal tract with peak serum levels occurring 6-8 hours after oral dosing with capsules (16, 17). Fluoxetine and its major metabolite norfluoxetine are distributed in the tissues, predominantly the lung, and gradually released. The elimination half life of fluoxetine is 2-3 days and that of norfluoxetine is 7-9 days (17). Maximal central nervous system efficacy has been shown to be 8-10 hours post dosing (18).
216
6.2 Drug Metabolism The main metabolite of fluoxetine is norfluoxetine, an active metabolite with similar physiological activity as its parent compound. Metabolism occurs in the liver by N-demethylation (17, 19). Studies in animals have shown that fluoxetine is also metabolized into p-trifluoromethylphenol by 0-dealkylation (20). Other known metabolites include glucuronides of both fluoxetine and norfluoxetine. After oral dosing with C-14 labeled drug, 60% of the activity was recoverd in the urine over a 5 week period (2.5-5.0% was recovered as unchanged drug, 10% being norfluoxetine, 5.2% fluoxetine glucuronide, and 9.5% norfluoxetine glucuronide). An additional 16% of the radio-labeled material was recovered in feces (17).
6.3
Toxicity
Acute toxicity of fluoxetine was determined in mice, rats, dogs, and monkeys. LD50 values are listed below in Table X. Table X. LD50 Data for Fluoxetine Hydrochloride. Species Mouse Mouse Rat Rat Dog Monkey
Routc
Oral
LD50-
I.V.
Oral
I.V.
oral Oral
* Not Determined (Dog LDo > 100; Monkey LDo > 50)
Phospholipids were increased in some tissues of rats and dogs, however, phospholipidosis was found to be reversible after cessation of fluoxetine dosing. In rodents, elevated doses of fluoxetine resulted in the following toxicity signs: increased salivation, tremors, ataxia, leg weakness, and chronic convulsions. In dogs, vomiting, mydriasis, tremors, and anorexia were observed. In monkeys, vomiting was the only indication of toxicity. Toxicity studies in animals administered chronic dosing of fluoxetine indicate that the drug was not a mutagen, carcinogen, or teratogen, and did not impair reproductive capabilities (20). Side effects noted after dosing with fluoxetine in human volunteers include: nausea, nervousness, insomnia, headache, tremor, anxiety, and drowsiness. Uncommon side effects include: psychosis, hallucinations, ataxia, dizziness, sensation disturbances, and asthenia (21).
FLUOXETINE
217
8. ACKNOWLEDGEMENTS
The following people are sincerely thanked for providing valuable information for specific sections of this chapter: L. G. Tensmeyer for the infrared assignments. S. R. Maple and J. W. Paschal for the NMR interpretation. G. G. Cooke and J. M. Gilliam for the mass spectral interpretation. G. A. Stephenson for the X-ray crystal interpretation. B. G. Jackson for the synthesis. A. Hunt for the UV interpretation. K. A. McCune for spectral plots. D. R. Long for the thermal analysis data. P. N. Anderson and T. J. Wozniak for chapter review.
218
7. REFERENCES 1. 2. Stark, P. and Hardison, C.D. (1985). J. Clin. Psychiatry, (3, Sec. 2), 53.
a,
Schmidt, M.J., Fuller, R.W. and Wong D.T. (1988). Br. J. Psychiatry, (supp. 3), 40.
3.
4. 5. 6. 7. 8. 9.
Wong, D.T., Bymaster, F.P., Horng, J.S. and Molley, B.B. (1975). J. Pharmacol. and Exper. Therapeutics, U, 804.
Chouinard, G. (1985). J. Clin. Psychiatry, 46, 32. Benfield, P., Heel, R.C. and Lewis, S.P. (1985). Drugs, 32,481. Lader, M. (1988). Br. J. Psychiatry, (suppl. 3), 51.
Ferguson, J.M. and Feighner, J.P. (1987). Int. J. Obesity, 11, (suppl. 3), 163. Freeman, C.P.I. and Hampson, M. (1987). Int. J. Obesity, 1 1 , (suppl. 3), 171. Levine, L.R., Rosenblatt, S . and Bosomworth, J. (1987). Int. J. Obesity, 1 1 , (suppl. 3), 51.
10. Robertson, D.W., Krushinski, J.H., Fuller, R.W., and Leander, J.D. (1988). J. Med. Chem., 2,1412. 11. Orsulak, P.J., Debus, J.R., Himmel, C. and Wittman, P. (1988). Clin. Chem., 2, 6, 1267. 12. Wong, S.H.V., Dellafera, S . S . and Fernandes R.( 1990). J. Chromatogr., 499, 601. 13. Nash, J.F., Bopp, R.J., Carmichael, R.H., Farid, K.Z. and Lemberger, L.( 1982). Clin. Chem., 28, 2100. 14. Lopez, C., Lykissa, E.D. and Kammerer, R.C.(1989). Clin. Chem., 3,6, 1169. 15. Sower, R.W. and Dinner, A. (1976). J. Pharm. Sci.,
a, 3, 457.
16. Bergstrom, R., Wolen, R., Dhaku, P., Hatcher, B., Werner, N., et. al. (1984). 131st Annual Meeting of the American Pharmaceutical Association, Abstract no. 64, vol. 14, no. 1.
FLNOXETINE
219
17. Lemberger, L., Bergstrom, R.F., Wolen, R.L., et. al. (1985). J. Clin. Psychiatry, &, 14. 18. Saletu, B., and Grunberger, J. (1985). J. Clin. Psychiatry, 46,45. 19. Aronoff, G.R., Bergstrom, R.F., Pottratz, S.T., et. al. (1984). Clin. Pharm. Ther., 3,138. 20. Eli Lilly & Co., Data on file. 21. Cooper, G. L.(1988). Brit. J. Psychiatry, .Ll3 (suppl. 3), 77.
Fahad Jaber Al-Shammary Khalid A. Al-Rashood* Neelofur Abdul Aziz Mian Mohammad Saleem Mian*
Clinical Laboratories Department College of Applied Medical Sciences King Saud University, Riyadh
Pharmaceutical Chemistry Department College of Pharmacy, King Saud University Riyadh, Saudi Arabia
221
Copyright 0 1990 by Academic Press, Inc. All rights of reproduction in my form reserved.
222
Contents
1.
Description
1.1
1.2
Nomenclature 1.1.1 Chemical Names 1.1.2 Generic Names Formulae 1.2.1 1.2.2 1.2.3 1.2.4 1.2.5 Empirical Structural CAS Registry Number Optical Rotation Wiswesser Line Notation
2.
Physical Properties 2.1 2.2 2.3 2.4 2.5 2.6 2.7 Melting Range Solubility Stability PH Occurrence X-ray diffraction Spectral Properties
3.
4.
5.
6.
7.
FOLIC ACID
223
8.
Methods of Analysis
8.1 8.2 8.3 8.4 8.6 8.6 8.7 8.8
Elemental Analysis Identification Methods Colourimetric Methods Spectrophotometric Methods Polarographic Methods Fluorimetric Method Radio-Assay Chromatographic Method
8.8.1 8.8.2 8.8.3
8.9
Thermal Analysis
9.
Acknowledgement References
10.
224
1.
b. 4-2-amino-4-hydroxypteridin-6-yl)methylaminobenzoyl-L-glutamic acid ( 2 ) . c. N-[4-[{(2-Amino-1,4-dihydro-4-oxo-6-petridinyl) methyl] amino] benzoy1)-L-glutamic acid (1,3). d. N-[4-(2-Amino-4-hydroxy-ptridine-6-ylmethylamino) benzoyll-L(+)-glutamic acid (4). e. 4-(2-Aaino-4-hydroxy-6-ptridinyl)eethylamino benzoyl-L-glutamic acid ( 5 ) .
Acidum, cytofol, folsavre, folacin, foldine, folaemin, foliamin, folicet, folipac, foletts, folsan, folvile, folicum, folinsyre, incafolic, liver lactobacillus casei factor, mallafol, nifolin, nifola acid, pteroylglutanic acid, PGA vitamin Bc, vitamin M. 1.2 Formulae 1.2.1 Empirical
C i eHi sNrO6
1.2.2
Structural
FOLIC ACID
225
1.2.3
1.2.4
ODtical Botation
25 [ a ] t 23
(C
(1)
= 0 . 5 in O.IN NaOH)
(7)
1.2.5
1.3
Molecular Weight
441.40
1.4
Elemental Commsition
H, 4.34%
N , 22.22% 0 , 21.75%
C, 51.70%
1.5
2 .
Melting Range
m.p. darkens and chars from 250C ( 1 ) .
2.2
Solubilitg
Very slightly soluble in cold water ( 0 . 0 0 1 6 mg/ml at 25C) soluble to about 1% in boiling water. Slightly soluble in methanol, appreciably less soluble in ethanol and butanol. Insoluble in acetone, chloroform, ether, benzene. Relatively soluble in acetic acid, phenol, pyridine, solutions of alkali hydroxides and carbonates ( 1 ) . It is soluble in hot diluted HC1 and HzS04 ( 3 ) . Soluble in HC1 and HzS04 yeilding very pale yellow solutions ( 3 ) .
226
A solution in 0-1M NaoH is dextrorotatory ( 4 ) . Folic acid injection is a sterile solution of folic acid in water with the aid of sodium hydroxide or sodium carbonate, the addition of sod. hydroxide or sod carbonate to the injection result in formation of sodium folate which is the soluble sodium salt of folic acid (8). Commercially available folic acid injection is clear, yellow to orange in color (8).
2.3
Stability
A solution of folic acid 1 mg per ml, in a vehicle of purified water preserved with hydroxy benzoates and adjusted pH 8-8.5 with NaOH, had little loss of potency when stored at 25'C for 8 weeks ( 4 ) . Folic acid is labile to acid, 70-100% of the activity being destroyed on autoclaving at pH 1 (9,lO). It becomes progressively more stable as the pH increases and is relatively stable to heat within the pH range 4 to 12. At pH 6.8, for instance, solutions can be sterilized by heating for thirty minutes without loss of potency. Folic acid is partially inactivated by lead and mercury salts (9) and by treatment with sulphite (10). Aeration at pH 1 also causes partial inactivation. In pure solutions, it is rapidly inactivated by light with the formation of P-aminobenzyoylglutamic acid (11) and 2-amino-4-hydroxy-6formylpteridine ( 12 1, the later is converted first in to the corresponding acid and then into 2-amino-4hydroxypteridine.
A suspension of 1 gm folic acid in 10 ml H2O has a pH of 4 . 0 - 4 . 8 . Aqueous solutions prepared with sodium bicarbonate have a pH between 6.5 and 6.8 (1).
2.5
Occurrence
Folic acid is widely distributed in plants, animals and micro-organisms. Drug is present free or combined with one or more additional molecules of L(t)glutamic acid in liver, kidney, mushrooms, spinach, yeast, green leaves, grasses (1). Drug is present (13) in liver, kidney, yeast mushrooms, grass and other green leaves and also present (14) in many microorganism, the highest yields (0.25 to 1.67 mg. per
FOLIC ACID
221
ml.) being obtained from B. subtilis, B. Vulgatus, serratia marcescens and a Gram-negative bacillus from chick intestine.
2.6
The x-ray diffraction pattern of folic acid (Fig. 1) was determined on a Philips x-ray diffraction spectrogoniometer equipped with PW 1730/10 generator. Radiation was provided by Copper target (Cu anode 2000W, = 1.5418 A ) and high intensity x-ray tube operated at 40 KV and 35 MA. Divergence slit and the receiving slit was 1" and 0.1' respectively. The unit was equipped with Philips PM 8210 printing recorder and digital printer. The x-ray diffraction pattern is listed in Table (1). The crystal structure of folic acid has also been reported by Donald Mastropaolo et al. (16). Fig. (2a) shows a line drawing of the molecule with the numbering scheme which is used in the description of the structure. A stereoscopic view of the molecule (Fig. 2b) shows folic acid to be an extended conformation. The substituted pterin and p-aminobenzoyl groups are planner to within 0.06 and 0.03 A , respectively and the dihedral angle between their plannes is 27". The two substituent atoms N(2) and C(9) are 0.11 W from the least-squares plane of the pteridine ring system; atoms N(18) and C(19) are 0.01 and 0.03 A , respectively, out of the plane of the p-aminobenzoyl group. The values of the following selected torsion angles indicate the extended nature of the conformation. N(5)+(6)-C(9)-N(lO) 31' C(6)-C(S)-N(lO)-C(ll) 180' C(13)-C( 14)-C( 17)-N( 18) 175' C(14)-C(17)-N(18)-C(19) -178" The observed C(4)-0(4) bond distance is 1.23 f 0.03 A; this value plus location of the hydrogen attached to N(3) clearly establishes the keto rather than the enol form of the folic acid molecule in the crystal.
228
45 F i g . 1: X-Ray
Powder D i f f r a c t i o n o f Folic A c i d
FOLIC ACID
229
Fig. (2a): Folic Acid Chemical Structure and Atom Numbering Schem
W'
230
Table (1): Characteristic lines of the X-ray powder diffraction of folic acid
20 5.358 10.811 11.465 12.361 12.979 14.489 16.304 16.804 17.774 18.158 19.203 20.419 20.883 21.664 22.780 24.053 24.739 25.694 26.506 26.964 27.675 28.663 29,374 29.809 30.778 31.169 32.641 33.898 34.373 34.971 36.288 36.703 38.573 40.010 40.215 40.940 41,791 43.559
dR
16.4919 8.1833 7.7180 7.1604 6.8209 6.1133 5.4364 5.2760 4.9900 4.8854 4.6218 4.3493 4,2537 4.1020 3.9036 3.6998 3.5987 3.4670 3.3626 3.3066 3,2232 3.1143 3.0405 2,9972 2.9050 2.8695 2.7433 2.6444 2.6090 2.5657 2.4756 2.4485 2.3340 2.2534 2.2424 2.2044 2.1614 2.0777
1/10
100
55.824 100 12.161 12.161 50.451 3.928 37.582 24.157 9.542 5.930 20.815 16.405 16.405 26.866 10.565 6.803 10.565 13.260 34.527 31.607 40.231 24.668 30.930 16.194 11,920 13.696 11.679 12.086 15.141 9.043 8.865 11.258 9.000 8,067 8.789 5.945 7.706 7.676
FOLK ACLD
23 1
2.7
Swctral Properties
2.7.1
Ultraviolet spectrum of folic acid in 0.1 N NaOH was scanned from 200 to 400 nm using LKB 4054 LKB UV/vis spectrophotometer (Fig. 3 ) . It exhibited the following UV data (Table 2 ) . Table (2): UV Characteristics of folic acid
E
max gn~
256 284 365
2.7.2
Infrared Spectrum
The IR spectrum of folic acid as KBr-disc was recorded on a Perkin Elmer 580 B Infrared spectrophotometer to which an infrared data station is attached (Fig. 4). The spectral band assignments are listed in Table 3 . Table (3): Values of infrared absorption Frequency & 3520-3200 3000-2500 1689 1600 1474 1330 TYDe of vibration NH CH Assignment
- CONH group
CH2 group
c=o
- COOH group
CONH
c=o
CH CH
- CHz group
CH2 group
0 0
co
m
0
CD
*
m
0
cy
m
0 0
c n
0
(v
0
W
(v
0 *
(v
0
(v (v
0 0
0 0 0
c
0
0 Lo
0
0 0
0 0
0
I n
8
d
cy 0
c;
I
232
0 0
a
0
0 0
m
0
rl
0
0 0
rl
0 0
4
0
0 CD
rl
rl
0 0 0
cu
0 0
0
c \ 1
cu
rn
0
0 CD
rn
0
0
0
233
234
2.7.3
SDectra
The F'MR spectra of folic acid was recorded on a Varian T60A, 60 MHz NMR spectrometer using TMS as an internal reference. The spectra are shown in Fig. (5a and 5b).
2.7.3.2
13C
NMR Smctra
The 13C NMR spectra of folic acid in DMSO-ds is recorded on a Joel FX-100 NMR spectrometer and is presented in Fig. ( 6 ) .
2.7.4
Mass SDectrum
Secondary ion mass spectra of folic acid ( 1 7 ) is presented in Fig. ( 7 ) . The measurements were performed by a modified Leybold-Haraeus SIMS apparatus with a Blazer, quadrupole mass filter QMG 1023. The dried samples were introduced into the vacuum chamber via a rod, passing through a lock system. For secondary ion emission the sample was bombarded by a scanned 3-KeVArt ion beam with a current density of 10-2 A/0.1 cm2. For thermal investigations the Ag foils covered with the organic substances were introduced in to the mass spectrometer and directly heated by an electric current. The temperature was determined by a Ni-Cr-Ni element at the lower side of the 0.2 mm Ag foil. Before organic substances were deposited, the Ag foils were heated for 30 min at 4 0 0 C under atmospheric conditions. Some characteristic fragment ions, resulting from predictable bond cleavages is mentioned on the spectra (Fig. 7 ) .
3.
Smthesis ( 6 ) Folic acid may be synthesized by the following method. When 2,3. Dibromopropionaldehyde, dissolved in water-miscible organic solvent (alcohol, dioxane) is added to a solution of equal molecular quantities of 2,4,5-triamino-6-hydroxypyrimidine and p-aminobenzoyl glutamic acid, maintaining a pH of about 4 by the controlled addition of alkali as the reaction progresses.
PPM
8.0
7.0
6.0
5.0
4.0
3.0
2.0
1.0
F i g . 5 ( a ) : PMR S p e c t r u m o f F o l i c A c i d
P F M
8.0
7.0
6.0
5.0
4.0
3.0
L.U
1 .U
231
EIN
0
v)
0 0
0 0
U
I n m
0 0
0
c3
0 -0
2
0
0
LL
cv
LLE
m a
-52
I J-$ O ? IJ$?I
1
z p o
1
f
zf.2 8
c
I n
0 0
, 0 c o c
FOLIC ACID
239
Scheme: (synthesis)
Br
I Br -CHFHO
2 ,3 ,di-bromo propionaldehyde
-CH,
N=C+HNC
II
C-NH2
OH
II
N-C-NH,
2,4,SJtriamino-6-hydroxypyrimidine
NH,
p-Amino-benzyl-glutamic acid
H I
HOOCCH,CHi C-COOH I H
Folic acid
240
4.
Metabolism Folic acid is absorbed rapidly from the GI tract following oral administration, the vitamin is absorbed mainly from the proximal portion of the small intestine. Naturally occurring folate poly-glutamates are enzymatically hydrolysed in the GI tract to monoglutamate forms of folic acid prior to absorption. Following oral administration, peak folate activity in blood occurs within 30-60 minutes. Normal serum conc.have been reported to range from 0.005-0.015 pg/ml. In general, serum folate conc, below 0.005 pg/ml indicate folate deficiency and conc. below 0.002 pg/ml usually result in megaloblastic anemia. Tetrahydrofolic acid and its derivatives are distributed into all body tissues. The liver contains about one-half of total body folate stores. Folate is actively concentrated in CSF, and normal CSF concentrations are reported to be about 0.016-0.021 pg/ml. Normal erythrocyte folate concentrations range from 0.175-0.316 pg/ml. Folic acid is distributed into milk. Following absorption of 1 mg or less folic acid is largely reduced and methylated in the liver to N5-methyltetrahydrofolic acid, which is the main transport and storage form of folate in the body. Larger doses of folic acid may escape metabolism by the liver and appear in the blood mainly as folic acid. Following oral administration of single 0.1-0.2 mg doses of folic acid in healthy adults, only a trace amount of the drug appears in the urine. Following administration of large doses,the renal tubular re-absorption maximum is exceeded,and excess folate is excreted unchanged in urine. After doses of about 2.5-5 mg, about 50% of a dose is excreted in urine and after a 15 mg doses, up to 90% may be recovered in urine. Small amounts of orally administered folic acid have been re-covered from feces. About 0.05 mg per day of normal body folate stores is lost by a combination of urinary and fecal excretion and oxidative cleavage of the molecule ( 8 ) . According to Steinkamp et al. ( 1 8 ) normal subject excretes in urine 2 to 4ug per day of pteroylglutamic acid, as estimated microbiologically with S. faecalis R. Following oral administration of a test dose, 15
FOLIC ACID
2 4 1
to 76% urine.
The amount of drug excreted increased with the amount administered, being as much as 50% with a 5 mg oral dose, nearly all was excreted within 6 hours. The diand tri-glutamate, but not the heptaglutamate, were converted pteroylglutamic acid. The pernicious anaemia patient, receiving 0.85 mg of synthetic folic acid daily, about 15% excreted in urine. Following the intramuscular injection of 30 mg of conjugate, no increase occured in the amount of folic acid excreted but the injection of further 1l.mg resulted in the excretion of 4.1 mg in the following 48 hours. (19).
B.C. Johnson (20) studied that human excrete folic acid in sweat but the amount may be 5 or &fold the amount eliminated per hour in the urine under conditions of profuse sweating.
Following the IV injection of pteroylglutamic acid an encores in blood concentation took place which reached maximum 2 hours later (21). G, Tonnies (22) studied that when triglutamate injected intramuscularly, two third of the amount remaining in the blood stream two hours later was present in monoglutamate form. The blood of many animals incuding man, contains folic acid conjugate capable of releasing pteroylglutamic acid from the heptaglutamate (23).
5.
Deficiencx and Uses Deficiency of folic acid leads to megaloblastic anaemia. Deficiency may result from a diminished intake, as in malnutrition from malabsorption, or from the concomitant use of anticonvulsants or dihydrofolate reductase inhibitors, such as pyrimethamine,trimethoprim, or metho-trexate. Folic acid does not correct folate deficiency due to dihydrofolate reductase inhibitors, calcium folinate is used for this purpose ( 4 ) . Megaloblastic and macrocytic anaemia resulting from folate deficiency is usually indicated in the treatment of nutritional macrocytic anemia,
242
megaloblastic anemia of pregnancy, infancy and childhood, and megaloblastic anemia associated with primary liver disease, alcoholism and alcohliccirrhosis intestinal structures anastomoses, or sprue. Folate deficiency may also result from increased loss of folate secondry to renal dialysis or the administration of some drugs as phenytoin, primidone,barbiturates, oral contrarceptives, or salicyl azosulfapyridine. Folic acid is not effective in the treatment of normocytic, refractory, or aplastic anemias or when used alone,in the treatment of pernicious anemia. Folic acid antago-nistics (eg. methotrexate, pyrimethamine, trimethoprim) inhibit folic acid reductases and prevent the formation of folic acid. Therefore, folic acid is not effective as an antidote following overdosage of these drugs, and leucovorin calcium must be used. Although prophylactic adminsitration of folic acid is not required in msot individuals, suplemental folic acid may be required to prevent deficiency of the vitamin in patients with conditions that increase folic acid requirements such as pregnancy, nursing, or chronic hemolytic anemia (8).
6.
Human Beauirements
Body stores of folate in healthy persons have been 0 mg, however body reported as being between 5 to 1 stores may be much higher. A considerable proportion of folate is stored in the liver. About 400 pg of folate a day is considered a suitable average intake (4). The normal human requirement is thought to be about 50 pg daily ( 5 ) . Folic acid (8) is usually adminsitered orally when oral adminsitration is not feasible or when malabsorption is suspected, the drug may be administered by deep 1M subcutaneous, or IV injection. A dilute solution of folic acid for oral or parental administration may be prepared by diluting lml of folic acid injection containing 5mg of folic acid per ml with 49ml of sterile water for injection to provide a solution containing O.lmg of folic acid per ml.
FOLIC ACID
243
Dosage of folic acid injection (sodiumfolate) is expressed in terms of folic acid in general, although patient response to folic acid therapy depends on the degree and nature of the deficiency. If proper corrective measures are undertaken folate deficient patients generally respond rapidly. During the first 24 hours of treatment, the patient experiences an improved sense of well-being, and within 48 hours, the bone marrow b e g i n s t o become normoblastic. Reticolocytosis generally begins within 2-5 days following initiation of folic acid therapy.
,
To detect the presence of folate deficiency without concealing pernicious anemia in patients with megaloblastic anemia the usual oral or 1 M dosage of folic acid is 0.1-0.2 mg daily for 10 days. During this 10-day period the patient should maintain a diet low in folic acid and vit B i z content. Following adminsitration of these dosages of folic acid in patients with megaloblastic anemia, reticulocytosis reversion to normoblastic hematopoiesis the return of a normal hemoglobin indicates the presence of folic acid deficiency. The usual therapeutic dosage of folic acid for adults and children is 0.25-lmg daily. In alcoholics, patients with hemolytic anemia o r chronic infections, and patients receiving anticonvulsants, higher maintenance dosage may be required. Oral dosage of 3-15 mg daily have been recommended for patients with tropical sprue. In general, an oral dosage of 0.1 mg daily is considered sufficient as a nutritional supplement, To prevent megaloblastic anemia of pregnancy and fetal damage, up to lmg of folic acid daily throughout pregnancy has been suggested.
7.
Cautions Folic acid i s relatively nontoxic. Allergic reactions to folic acid preparations have been reported rarely and have included erythema rash, itching, general malaise, and bronchospatic respiratory difficulty. One patient qxperienced symptoms suggesting anaphylaxis following injection of the drug. Adverse GI and CNS effects have been reported rarely in the patients receiving 15 mg of folic acid daily for one month.
244
Folic acid should be administered with extreme caution to patients with undiagnosed anemia, since folic acid may obscure the diagnosis of pernicious anemia by alleviating hematologic manifestations of the disease, while allowing neurologic complications to progress. This may result in severe nervous system damage before the correct diagnosis is made. Adequate doses of vit Biz may prevent, halt or improve neurologic changes caused by pernicious anemia. ( 8 ) . Folic acid ( 4 ) should never be given alone or conjuntion with inadequate amounts of hydroxocobalamin for the treatment of megaloblastic or pernicioqs anaemia. Though folic acid produces a haemopoietic response, it fails to prevent the onset of subacute combine degeneration of the cord. Folic acid should not be given before a diagnosis has been fully established. The inclusion of folic acid in multivitamin preparations may be dangerous. Large and continuous doses of folic acid may lower the blood concentration of vitamin B i z . Folic acid has been given to correct the folate deficiency associated with the use of anticonvulsants. Folic acid is usually well tolerated. ( 4 ) .
8 .
Methods of Analysis
8 . 1
Elemental analysis
c
H
N
22.22
0
8.2
21.75
Identification Methods
HzS04
When folic acid is heated with formaldehyde in 2 N the yellow colour formed is relatively stable,
FOLIC ACID
245
and absorbance at 397 nm Obeyed Beer's law in the 10-150 pg/ml range. (24).
8.3
Colourimetric Method
1. Folic acid (25) is extracted from tablets and injections with dil. alkali and reduced by zinc and HC1 to 2,4,5, triamino-6-hydroxypyrimidine, which is then treated with ninhydrine to give a purple colour, and the extinction is measured at 555 nm. Beer's law is followed in the range 4.5 to 45 pg/ml-l of folic acid. 2. This method (26) is based on formation of a grayish-blue complex between folic acid in NaoH-Naz Co3 medium and folin-ciocalteu reagent, the absorbance is measured at 760nm and Beer's law is obeyed for 4.4 to 44 pg ml-l of folic acid. N-(4-Aminobenzoyl)glutamic acid (a decomposition product of folic acid) also form a colour with the reagent, if this compound is present folic acid must be seperated by TLC before ethe determination.
3. Folic acid (about 10 ug per ml) is determined (27) colorimetrically after oxidation with KMn04
diazotisation with NaNOz , and coupling and colour development at pH 1.8 to 2.0. The colour is compared at 550 nm with that of a folic acid standard and a blank (3% KzHPO4 solution) as used for diluting sample and standard, treating similarly. The error for folic acid is 4.4%.
4.
Hutchings et a1 (28) describes a chemical method of estimating folic acid. It was based on the
observation that pterylglutamic acid and related compounds were cleaved by reduction with zinc and acid giving a pteridine and an arometic amine. The latter was estimated colorimetrically by reaction with N-naphthylendiamine.
Interference due to the presence of adenine, and nucleic acid was eliminated by reducing with titanous chloride instead of with zinc and acid. (29).
246
8.4
SDectoDhotometric Method
1. In this method the U V spectrum of folic acid solution in 0.1 N-NaoH exhibits characteristic extinction bands at 220, 256, 283 and 366 mu. The extinction at 256 and 283 mu are analytically the most useful as their ratio, which is nearly constant (1-02) for solution of the pure acid indicates the quantity of the sample. (30).
2. 0. Hrdy ( 3 1 ) also describes the various spectrophotometric pharmacopoeia1 methods compared and statistically evaluated and their reliability is discussed. 3. The method is based on the reduction of folic acid with Zn dust and Hcl, the mixture is filtered, and the filterate is treated with (i) ethanolic dimethylamino cinnamaldehyde, (ii) NaNoz , ammonium sulphamate and phloroglucinol , or ( i i i ) NaoH, phenol and NaClO the absorbance of the product is measured at 520, 450 and 610 nm, respectively, (32). 4. Sastry et a1 describes the method which is intended for application to the assay of pharmaceutical preparations, involves mixing 15 ml of potassium hydrogen phthalate buffer solution (pH 3.1) 1 ml of aq. 0.1% catechol, 1 ml of O.01N-iodine and 1.5 ml of the amino solution dilution of the mixture to 25 ml with HzO, and after 5 to 30 minutes (depending on the amine) , measured at 500-520nm (vs, reagent blank). (33). 8.5 Method
1. Rozanski, L. et a1 (34) describes the method in which the finaly powdered sample, containg > 1 mg of folic acid was shaken for 30 minutes with O.1M-HC1 (25ml) aquous, 3% calcium lactate aquous, 8% Na3P04 (1:l) buffer (225 ml) was added, and the mixture was heated at 50' for one or (for slow release tablets) A 20ml portion of the two hours and filtered. filterate was adjusted to pH 6.8 to 7.5 with aquous 10% ascorbic acid and after purging the solution with N 2 , a polarogram was recorded from -0.4V (vs. the s,c.e); 5ml of a standared folic acid solution was then added and a second folic acid was calculated from
FOLIC ACID
247
a given equation. The sensitivity of he method was about 0.1 ug ml-1 for a diffusion current of 1 nA, and accurate and reproducible results were obtained for 1.39 to 1.74 mg of folic acid.
2. Jozan et a1 (35) studied a method that a solution of the tablets in alkaline Na citrate solution (pH 12) w a s analyzed directly by polarography. Although insoluble additives interefered, their effect was constant for contents upto about 30%. The polarogram was recorded from -250 to -1050 mV (vs. the s.c.e) for folic acid. The half-wave potential (mV) was -483.
3. Folic acid in pharmaceutical preparations can also be determined polarographically. Dissolve one tablet (containing 30-60ug of folic acid, and usually Fe salts) in lOml of 0.15 M- diethylenetriamine - N N N NN- penta acetic acid (disslve 60 g of the acid in NaOH, adjust the pH to 8 and dilute to 1:l) and dilute to 50 ml with O.1M-acetate buffer of pH 5.5. De-aerate 20 ml portion with N 2 , record on a.c. polarogram. (use of a phase-sensitive 8.c. polarograph improves the sensitivity substantially), measure the peak height, and determine the folic acid content by use of a calibration graph (rectilinear over the range 20 nm to20 pm if a phase-sensitive a.c. polarograph is used) or by the standard, addition method. (36).
4. W.J. Mader et a1 (37) estimated folic acid polarographically except when iron is present with 1% tetramethylammonium hydroxide solution, pH 9.0 to9.5, as the base solution, it has a half-wave potential verses the S.C.E. of 0.98 volt with cadmium as an internal standard, the error of the estimation is 2%. (38)
0
8.6
Pluorimetric Method
1. U. Hla. Pe. eta1 describes the method for urinary folic acid. Urine is collected for 5 hours after administration (oral or intramuscular) of 5mg of folate, and an aliquot adjusted to pH 3 . 5 is applied to a column of activated A1203 equilibrated with 0.2 M-acetate buffer of pH-4. After washing the column with buffer solution, the folic acid is eluted with saturated NazB407 solution and the fluorescence is
248
developed by IZMn04 oxidation (decolorising with HzOz ) and measred at 470 nm (excitation at 365 nm). (38).
2. The fluorimetric determination of folic acid has been examined. On oxidation with K h 0 4 it is converted in to 2-amino-4-hydroxypteridine-6-carboxylic acid which flourescence strongly at 470 nm. When irradiated with light of wave-length 365 nm; the intensitiy of the fluorescene is proportional to the concentration. When interfering pigments are present, the oxidation product is isolated chromatographically. ( 3 9 ) .
8.7
Radio-Assap
1. Serum folate was estimated by Dunn et al. (40). The serum was heated on a boiling water bath with lysin buffer solution of pH 10.5 to destroy the binding capacity of protein, then the mixture is diluted with L3H1 folate, B-lactoglobulin solution is added and after 45 minutes, the free and bound forms of folate are seperated by centrifugation with haemoglobin-coated charcoal; the supernatent solution is analysed for 3 H by a liquid scintillation technique.
2, In an other method a partially purified folate binding preparation from hog-kidney is incubated with serum and tritiated p t e r y l g l u t a m a t e in phosphate-ascorbate buffer, pH 7.6, at 4C for 30 minutes in dark. Free tritiated pterylglutamateis removed by the addition of cold, albumin-coated charcoal suspension and centrifugation. Free and bound labelled pterylglutamate is measured by scintillation counting. (41).
In this method the assay of folic acid in plasma 3. is based on inhibition by folic acid of the binding of 3H-labelled folic acid to a folic acid specific protein obtained from milk. A commercial test kit is used and reproducible results were obtained in 600 assays on plasma from healthy men and women receiving tablets each containing 0-25 mg of folic acid. Results f o r normal subjects not receiving folic acid ranged from 3.2-20.2 ng ml-l (average 6.8 ng ml-1 ) . This procedure is suitable for differenciating between anaemias due to deficiency of cyanocobalamin and of folic acid. (42).
FOLIC ACID
249
4. Smultaneous radio-assay of serum vitamin Biz (cyanocobalomin) and folic acid was done by Gutcho et al. The procedure describes or determining both these vitamins in same 100 p1 portion of serum. (43).
5. Hendel eta1 used the method in which antiserum was raised in rabbits immunised with a conjugate of folic acid and methylated bovin serum albumin. Erythrocytes and plasma samples were diluted with buffer solution and heated, the mixture were centrifuged and the supernatant solution were used in the assay; urine was assayed directly. The antiserum and sample were incubated for 2 hours at 4 " with [3H] folic acid. Poly ethylene glycol was added in the mixture, centrifuged, and the radioactivity of the precipitate was measured by liquid scintillation counting. (44).
6. Folic acid was also measured in human plasma and erythrocytes. Samples were homogenized with 0.05 M. phosphate buffer (pH 6.1) containing ascorbate. The homogenates were treated with chicken pancreas confugase and incubated for 2 hours at 37" and the enzyme action was stopped by heating the vessel in a boiling water bath. Folic acid was then determined by the radiometric and turbidmetric method. (45).
7,
Waxman et a1 (46) also studied the serum folate levels and serum folic acid binding protein by 3H-PGA (tritiated pterylglutamic acid) radio-assay.
ChroratoptraDhic Methods 8 . 8 . 1
Colurn ChroBatouraDhp
8 . 8
Plasma folate compounds can be seperated from antibiotic and hypnotics by applying a sample solution in an agous NaCl to a column (10cm x 10mm) of TEAE-cellulose (cellex T. calbiochem) and carrying out gradient elution by allowing 0.5M-phosphate buffer of pH 6.5 to drip from an overhead container into a mixing chamber containing 500 ml of H2O at 2 ml per minute while the elute leaves the column at the same rate. Folate is completely seperated from the other compounds, which appear in the first 401111of elute, the folate present, apears later, in the 160 to 2401111 fraction. (47).
250
8.8.2
A summary of some of the TLC systems investigated for the analysis of folic acid are given in the table (4).
8.8.3
The different methods used to determine folic acid by HPLC are summarised in the table (5).
8. 9
acid was obtained Fig (8) on a Perkin-Elmer DSC-2c differencial calorimeter. Nitrogen was used as the purge gas. Scan was performed at the rate of 25"C/min. from 60-380C. The DSC curve revealed an endothermic melting peak (Max. 193.38'C). 9. Acknonledrtements The authors appreciate the technical services extended by Mr. Babkir Awad Mustafa, College of Applied Medical Sciences, King Saud University, Riyadh. The authors are also very much thankful to Mr. Tanvir A . Butt, College of Pharmacy, King Saud University, Riyadh for typing the manuscript.
10.
References
1.
2. 3.
N.J.
"The Merck Index" 10th ed. Merck and Co, Inc., Rahway, U.S.A. (1983).
The British Pharmacopoeia" Her Majesty's Staionary Office, London Vol. I (1980). "The United States Pharmacopeia". 19th ed. , Mack Publishing Company, Easton, PA (1975). "Martindale" , The Extra Pharmacopea" 28th ed. Eds. The Pharmaceutical Press London (1982). "Clarks Isolation and Identification of Drugs" The Pharmacetical Press London, 2nd ed. 1986.
4.
5.
Detection
254 nm
Extd. solvent
Rf
0 . 1 at conc. > 1 Pg Per P1 and 0 . 4 2 at conc. of 0 . 5 Pg 0.41
Ref.
48
Silica gel
G
Propanol: 10% aq. NH3 glycerol ( 4 : l : l ) for 2 hours. Butanol: acetic acid: ethano1:water ( 2 5 0 : l : 100: 125 1. Acetic acid: butanol : HzO (1:4:5)
Greenyellow spot
550 nm
49
Silica gel G 0 . 2 5 mm
50
Kiesel gel G
tiV
51
Table (5) Summary of HPLC conditions for the determination of folic acid
Column
(30 cm X 4 me) packed with p Bonda pak C i 8 (10 pm)
p Bondapak
c18
Mobile phase
5 OlM tetrabutylammonium phosphate in aq. 30% methanol
Flow rate
1 ml/min
Sample
Detection 254 nm
Ref. 52
Nutritional diet
365 nm
53
254 nm
54
Continued (Table 5) Analytical column (30 cm X 4 ram and guard column (5 cm X 4 mm) contained Ci s bonded phase.
lam)
...
-
254 nm
55
[Tetrabutylamm. hydroxide (7.5 ml of aq. 40% solution)]H Z w 4 (2.04 g)[H3P04 (4 ml of 3N)][methanol (240 ml)]Hz0 (to 11) as mobile phase of pH 7.0. Methanol: 4 mM Na heptane sulphonate in aq. 2% acetic acid (1:9). 0.05 M KHZPO4-0.25 M NaC104 buffer pH 7.2.
1.5 ml/min
Multivitamin
280 nm
56
Multivitamin
280 nm
57
254 nm
58
.........................
Continued
/...
Continued (Table 5) Ultraspher 1P and p Bondapak phenyl Pre-column (5 cm X 3 aa) of P Bondapak phenyl/ Corasil (30 w).
...
Selected food Fluorescence
59
0.042 M-NaC104, 1.5 nM-KH2pO4 and 1.6% of methanol adjusted to pH 7 with 1M-KOH
280 nm
60
FOLIC ACID
255
FOLIC ACID
YTI
3 . 2 2 q
25.00 dig/rtn
SCAN RATG
PEAM
Fw))c
P(BET1
L .
FILGGS#KD4
TEMPERATURE (C>
TIME1
0053
DATG
98/81/23
256
6,
7.
Remington's Pharmaceutical Sciences". 5th ed., Mack Publishing Company, Easton, Pennsylvania, (1975). Atlas of Spectral Data and Physical Constants for Organic Compounds. J.C. Grasselli and W.M. Ritchy, 2nd Ed. p. 332 CRC Press Inc., Cleavland, Ohio (1975). "Drug Information 88". Pharmacists. American Society of Hospital
8. 9. 10,
11 *
. Biol. Chem. 149, 323 B.L. O'Dell and A.G. Kline, J (1943).
170, 739
--Biol. Chem.
E.L.R. Stokstad, D. Fordham and A . de Grunigen, J . 167, 877, (1947). O.H. Lowry, O.A. Bessey and E.J. Crawford, J. Biol. Chem. ,180, 389, (1949). H.K. Mitchell, E.E. Snell and R.J. Williams, J. Amer. Chem. SOC, 63, 2284 1941. P.R. Burkholder, I McVeigh and K. Wilson, Arch Biochemi., 1, 287 (1945).
Mohammad Saleem Mian, College of Pharmacy, King Saud University, Riyadh, Personel Communication (1990). Donald Mastropaolo, Arther Camerman, Norman Camerman, Science, 210, 334-336 (1980). Axel Elcke, Volmer Anders, Mathlas Junack, Willi Sichtermann and Alfard Benninghoven. Anal. Chem. 55, 178-182 (1983).
16. 17.
FOLK ACID
251
B.S. Schweigert, J. Lab. Clin. Med. 33, 1271, ( 1 9 4 8 ) . G. Toennies and D.L. Gallant
501 ( 1 9 4 9 ) .
109, 612
24. 25.
R.E. Simpson and B.S. Schweigert, Arch Biochem, 20, 32 ( 1 9 4 9 ) R. Wolff. L . Drouet and R. Karlin, Science,
(1949).
A.F. A. Moussa, Pharmazie, 33, 542 ( 1 9 7 8 ) . Rao, Griddalurn Ramano, Mahajan, Surinder N. Kanjilal Geeta; and Mohan, Katta R. J. Assoc. Off. Anal Chem., 6 0 ( 3 ) , 531-535 ( 1 9 7 7 ) . Rao, G. Ramana; Kanjilal, Geeta; and Mohan, K. Rama Indian J. Pharm. 40 ( l ) , 23-24 ( 1 9 7 8 ) .
V. Stoicescu, H. Beral and C. Ivan; Pharm. Zentralhalle Dtl, 1 0 4 ( 1 2 ) 776-781 (in German) ( 1 9 6 5 ) .
B.L.
26. 27 , 28.
Hutchings, E.L. R. Stokstad, J.H. Boothe, J.H. Mowat, C.W. Waller, R.B. Angier, J. Semb and Y. Subbarow, J. Biol, Chem., 168, 705, ( 1 9 4 7 ) . Glazko and L.M. Wolf, Arch, Biochem. 2 l , 2 4 1 ,
(1949).
29. 30.
31.
A.J.
14 ( 7 1 ,
359-361 ( 1 9 6 5 ) .
32.
33.
Indian Drugs,
Sastry, C.S., Prakasa, Rao, B.G. and Murthy, K.V.S.S. J. Indian Chem. SOC., 2 ( 9 ) , 1107-1109 ( 1 9 8 2 ) . Rozanski, L.
(1978).
34.
35.
(London), N ( l 2 3 0 ) , 950-954
Jozan, Miklos; Szasz, Gyorgy; and Szemeredy, Katalin. Acts PharmL Hung, 5 0 ( 4 ) , 153-160 (in Hangarian)
(1980).
258
--Biol. Chem.
Dunn, Ralph T. and Foster, Lowell B., Clin. Chem. 1 9 ( 1 0 ) , 1101-1105. (1973).
L
Kamen, Barton A,; and Caston, J. Douglas. J . Lab. Clin A Med 8 3 ( 1 ) , 164-174. (1974). Heilmann, E; and Boenninghoft, E., Diagnostic 9 ( 1 0 ) 347-349 1976) (in German).
Gutcho, Sidney; and Mansbach. Lillian. Clin. Chem. 2 3 ( 9 ) , 1609-1614. (1977). Hendel, Joern, Clin. Chem. 2 7 ( 5 ) , 701-703.
(1981).
44. 45
0
Chen, M.F; Hill, J.W.; Mclntyre. P.A. J . Nutri. 113(11) 2192-2196. (1983). Waxmann, Samuel; and Schreiber, Carol. Blod, 4 2 ( 2 ) ,
281-290. (1973).
46. 47. 48
Landon, M.J.
(1974).
49.
50.
51.
JI Pharm.;
31(2),
FOLIC ACID
259
m(l),
Madeleine.
J .
JI L i a .
-Pharm. S c i .
Kothari,
, JI
M.W.,
2 4 7 ( 1 ) , 187-192. ( 1 9 8 2 ) .
J . Chromatom.,
G.R.,
JI
1(2),
Feyns, L.V.; Thakker, K.D.; Reif V . D . ; and Grady, L . T . , J. Pharm. Sci. 7 1 ( 1 1 ) 1242-1246 ( 1 9 8 2 ) . G r e g o r y J . F . , I 1 1 Day, B. P. F. ; a n d R i s t o w , K . A . Food S c i . , 4 7 ( 5 ) 1568-1571 ( 1 9 8 2 ) .
J-
Farid
3.
Muhtadi
Department of Pharmacognosy, College of Pharmacy, King Saud University Riyadh , Saudi Arabia
261
Copyright 0 1990 by Academic Press. Inc. All rights ofreproduction i n any form resewed.
262
FARID J. MUHTADI
1. Description,
1.1 1.2 1.3 1.4 1.5
Nomenclature Formulae Molecular Weight Elemental Composition Appearance, Color and Odor.
2. Physical Properties.
2 . 1 Melting Range
Eutectic Temperature S o l u b i l i t y Data pH Range S p e c i f i c Optical A c t i v i t y Crystal S t r u c t u r e X-Ray Powder Diffraction Spectral Properties 2.8.1 2.8.2 2.8.3 2.8.4 U l t r a v i o l e t Spectrum Infrared Spectrum Nuclear Magnetic Resonance Spectra Mass Spectrum.
3. Isolation of Lobeline,
4. Structure of Lubeline.
5. Synthesis of Lobeline.
6. Biosynthesis of Lobeline.
7. Pharmacology.
8. Methods of Analysis. 8.1 8.2 8.3 8.4 8.5 8.6 Identification Microcrystal Formation T i t r i m e t r i c Determinations Gravimetric Determinations Polarographic Methods Spectrophotometric Methods
LOBELINE HYDROCHLORIDE
263
8 . 6 . 1 C o l o r i m e t r i c Determinations 8 . 6 . 2 UV Determinations 8 . 6 . 3 T u r b i d i m e t r i c Determinations 8 . 7 Chromatographic Methods 8.7.1 8.7.2 8.7.3 8.7.4 8.7.5 Paper Chromatography Thin Layer Chromatography Gas Liquid Chromatography High Performance Liquid Chromatography Ion Exchange R e s i n s .
264
FARID J. MUHTADI
1. Description 1.1 Nomenclature 1.1.1 Chemical Names 2- [ 6- (2-Hydroxy2-phenylethyl)- 1-methyl2-piperidinyl]-1-phenylethanone. 2- [ 6-(8-hydroxyphenethyl)- l-methyl-2-piperidyl] acetophenone. 2-(2-Hydroxy-2-phenylethyl)-N-methyl-6-phenacyl piperidine. 2-phenylethy 1) - 1Ethanone 2- [ 6- (2-hydroxymethyl-2-piperidinyl]-l-phenyl-, [2R-[2a,6a
Names of the acids f o h n s the s a l t s are added a f t e r the chemical names e.g. 2- [6(8-hydroxyphenethyl)-1-methyl-2-piperidyl] acetophenone hydrochloride.
(S*)
11.
1.1.2
Generic Names Lobeline hydrochloride; Alpha lobeline hydrochloride; a-Lobeline hydrochloride; Inflatine hydrochloride.
1.1.3
Trade Names Lobron; Zoolobelin (for the hydrochloride) Bantron; Glenden; Habit-X; Lobatox; Lobeton; Lobidan; Toban o-t-c; unilobin (for the sulfate).
1.2
Formulae 1.2.1 Empirical C22H27N02 C22H28C1 NO2 C44H56N208S 1.2.2 Structural Lobeline is one of the pyridine-piperidine alkaloids. Its chemical structure was proposed by Wieland and co-workers (1-3) and has been confirmed by the total synthesis of the (Lobe1ine) (Lobeline hydrochloride) (Lobeline sulfate)
LOBELINE HYDROCHLORIDE
265
alkaloid, which was first carried out by the same group (2-5) and later by others (6-10).
C"3
1.2.3
1.2.4 Wiswesser Line Notation (11) T6NTJ A BlYQR 6 FlVR *LV (Lobeline). T6NTJ A BlYQR FlVR *LV G GH (Lobeline hydrochloride).
1.2.5
Absolute Configuration The absolute configuration of natural (-) lobeline and of (+)-lobeline were deduced from chemical degradation, synthesis and corelation (12,13). The configuration of natural ( - ) -1obeline was established as (25, 6R, 8 5 ) -8,lO-diphenyllobelionol (12). The configuration of racemic lobeline was determined as (25, 6R, 8s)-8,lO-diphenyllobelionol and its enantiomer (2R, 65, 8R)-8,10-diphenyl-lobelionol (13). The abso Zute configuration of (-1 -lobe line is shorn above.
266
FARID J. MUHTADI
1.3
Molecular Weight 337.47 373.92 773.0 (Lobeline) (Lobeline hydrochloride) (Lobeline sulfate)
1.4 Elemental Composition Lobeline : C, 78.30%; H, 8.07%; N , 4.15%; 0 , 9.48%. Lobeline hydrochloride : C, 70.67%; H, 7.55%; C1, 9.48%; N, 3.75%; 0, 8.56%. Lobeline sulfate : C , 68.37%; H, 7.30%; S, 4.15%; N , 3.62%; 0 , 16.56%. 1.5 Amearance. Color and Odor
2.
Lobeline occurs as needles(from alcohol, ether, benzene (14), it has a bitter taste. Lobeline hydrochloride occurs as rosettes of slender needles (from alcohol (14) or as a white odorless crystalline or granular powder with a bitter taste (15). Lobeline sulfate occurs as hygroscopic crystals (from alcohol (14) or as white crystalline powder, odorless with a bitter taste.
- Lobeline : 130-131' (1,2,14) - Lobeline hydrochloride, the following data have been
reported:178-180" (14); not lower than 180' (15); 182' (1,2,11,16); not below 178" ( 1 7 ) .
2.2 Eutectic Temperature The eutectic temperature of lobeline hydrochloride is recorded as follows (17): Microscope Hot Stage Benz. Sal. Dic. 135' 1 4 6 ' Hot Bar 162" 134'
LOBELINE HYDROCHLORIDE
261
2.3
S o l u b i l i t y Data
Very s l i g h t l y s o l u b l e i n w a t e r ; s o l u b l e i n h o t a l c o h o l ; i n chloroform; i n e t h e r and i n benzene (Lobeline ( l Y 2 , 1 4 ) . - One gram of l o b e l i n e h y d r o c h l o r i d e d i s s o l v e s i n 40 m l water; 1 2 m l a l c o h o l ; v e r y s o l u b l e i n chloroform and very s l i g h t l y soluble i n e t h e r (14,lS). - One p a r t o f l o b e l i n e s u l f a t e i s s o l u b l e i n about 30 p a r t s o f water; s l i g h t l y s o l u b l e i n a l c o h o l ( 1 4 ) . 2.4
p H Range
A 1%s o l u t i o n of l o b e l i n e h y d r o c h l o r i d e i n water h a s a pH of 4.0 t o 6 . 0 ( 1 7 ) .
2.5
Specific Optical Activity The f o l l o w i n g d a t a have been r e p o r t e d : [a]D = -42.85' t o -43' (EtOH) f o r l o b e l i n e ( 1 , 2 y 1 1 y 1 4 ) . 20 [a]D =-43O ( a l c o h o l , C=2) (14) f o r l o b e l i n e HC1 [a]D = - 5 6 t o - 5 8 ' (1% s o l u t i o n ) (17)
15
20 [a]D =-25'
(C=2) f o r l o b e l i n e s u l f a t e ( 1 4 ) .
2.6
Crystal Structure The c r y s t a l s t r u c t u r e o f l o b e l i n e h y d r o c h l o r i d e as C H NO 2 2 27 2' HC1. H 2 0 i s r e p o r t e d ( 1 8 ) . I t was r e c r y s t a l l i z e d from water a s t r a n s p a r e n t n e e d l e s . Lobeline h y d r o c h l o r i d e e x h i b i t e d t h e f o l l o w i n g d a t a : Space group
%(Ao)
&(Ao)
c(Ao)
The above d a t a were o b t a i n e d from o s c i l l a t i o n and Weissenberg photographs, w h i l e t h e d e n s i t y was d e t e r mined by f l o a t a t i o n . C a l c u l a t i o n of t h e u n i t c e l l c o n t e n t s from t h e c e l l dimensions and t h e observed d e n s i t y r e q u i r e s a m o l e c u l a r of water t o be a s s o c i a t e d w i t h each formula u n i t (18).
268
FARID J. MUHTADI
2.7
X-Ray Powder D i f f r a c t i o n The X-ray d i f f r a c t i o n p a t t e r n of l o b e l i n e hydroc h l o r i d e was determined with a P h i l i p s X-ray d i f f r a c t i o n s p e c t r o g o n i o m e t e r equipped with P W 1730 g e n e r a t o r . R a d i a t i o n was provided by a copper t a r g e t (Cu anode 2000 W, y=1.5480 A'). High i n t e n s i t y X-ray t u b e o p e r a t e d a t 40 KV and 35 M V was used. The monochromator was a curved s i n g l e c r y s t a l (PW 1752). Divergance s l i t and t h e r e c e i v i n g s l i t were 0 and 0.1' r e s p e c t i v e l y . The scanning speed of t h e goniometer used was 0.02 28 p e r second. The X-ray p a t t e r n of l o b e l i n e h y d r o c h l o r i d e is p r e s e n t e d i n F i g . 1. I n t e r p l a n n e r d i s t a n c e and r e l a t i v e i n t e n s i t y are t a b u l a t e d i n t a b l e 1. Table 1 : X-Ray Powder D i f f r a c t i o n P a t t e r n o f L o b e l i n e Hydrochloride
16.54 12.01 6.67 6.51 5.99 5.39 5.25 5.06 4.61 4.40
100.0% 45.4% 57.4% 14.4% 23.6% 54.9% 40.4% 49.5% 45.9% 52.1% 49.9% 60.5% 57.8% 22.8% 22.9%
3.40 3.35 3.30 3.24 2.99 2.75 2.39 2.32 2.03 2.00 1.99 1.82 1.61 1.49 1.43
4.23
4.02 3.71 3.65 3.52
LOBELINE HYDROCHLORIDE
269
82
72
62
52
42
32 2 8
2'2
i2
270
FARID J. MUHTADI
2.8
Spectral Properties 2.8.1 Ultraviolet Spectrum The W absorbance spectrum of lobeline hydrochloride in methanol was scanned from 200 to 400 nm using a Pye-Unicm SP 8-100 Spectrophotometer (Fig. 2 ) . Lobeline hydrochloride exhibited the following absorptivity values (Table 2 ) . Table 2 : UV absorptivity values max nm 245 280 log 3.05
E
4.08
0.1NH2S04 2.8.2
Infrared Spectrum The IR spectrum of lobeline hydrochloride as a KBr-pellet (1 : 200 mg) was recorded on a Perkin Elmer 580B Infrared Spectrophotometer (Fig. 3 ) . Assignment of the functional groups have been correlated with the following frequences (Table 3 ) . Table 3 : IR Characteristics of Lobeline Frequency Cm-l
3340 3065-2925 2818
H~C-NH+
1680
c=o
LOBELINE HYDROCHLORIDE
211
200
30 0
400
nm
LOBELINE HYDROCHLORIDE
273
-1
F u n c t i o n a l group
C=C ( a r o m a t i c s ) C H (bending)
The I R of l o b e l i n e h y d r o c h l o r i d e e x h i b i t e d t h e following o t h e r c h a r a c t e r i s t i c absorption bands:2580, 2510, 1420, 1370, 1350, 1290, 1220, 1205, 1135, 1105, 1080, 1055, 1020, 1005, 995, 970, 945, 920, 875, 820, 795, 765, 695, 670, 645, 690, 582, 525 C m - l . C l a r k e (19) r e p o r t e d t h e f o l l o w i n g p r i n c i p a l peaks f o r l o b e l i n e b a s e i n K B r d i s c : 1687; 1 2 1 1 ; 1115 and 700 C m - l . 2.8.3 Nuclear Magnetic Resonance S p e c t r a 2.8.3.1
H-NMR
Spectra
The p r o t o n s p e c t r a o f l o b e l i n e hydroc h l o r i d e were r e c o r d e d , once i n C D C 1 3 on a Varian FT80A (80 MHz) NMR s p e c t r o photometer (Fig. 4 ) , and a n o t h e r i n DMSO-d6 on a Varian XL-200 (200 MHz) NMR spectrophotometer (Fig. 5 ) , u s i n g T M S as an i n t e r n a l reference w i t h b o t h . The p r o t o n chemical s h i f t s are a s s i g ned and p r e s e n t e d i n t a b l e 4.
T a b l e 4 : H-NMR C h a r a c t e r i s t i c s of Lobeline.
~~~~
Proton assignment
2 a r o m a t i c H a t C12& C16
8 a r o m a t i c H a t C13,14,15
$2
,<3,14, i 5 , I 6
Fig. 4 : '11-NMR
275
276
FARID J. MUHTADI
Proton assignment
H a t C2 4 H a t C6
4.07 (d)
H a t Cg
2H (methylene) a t C4 4 C9
2H (CH2) a t C7
N-CH3 2 H (CH2) a t C3 4 C5
2.81(s)
s = s i n g l e t , d = doublet,
m = multiplet
'H-NMR
i n one r e f e r e n c e ( 2 0 ) . 2.8.3.2 Carbon-13 NMR Spectrum The 13C-NMR spectrum o f l o b e l i n e h y d r o c h l o r i d e i n DMSO-d6 was recorded on a Varian XL-200 NMR spectrophotometer, u s i n g T M S a s an i n t e r n a l r e f erence. The spectrum i s shown i n Fig. 6. The carbon chemical s h i f t s were a s s i g n e d and p r e s e n t e d i n t a b l e 5 .
LOBELINE HYDROCHLORIDE
271
278
FARID J. MUHTADI
Carbon-13 Chemical S h i f t s o f Lobeline Chemical S h i f t 6 (PPmI 196.18 145.39 135.84 133.68 128.67 128.06 127.94 126.82 125.51 68.67 61.71 59.77 40.56 39.90 27.00 22.05 21.76 Multiplicity Singlet Sing 1e t Singlet Doub 1e t Doub 1e t Doublet Doublet Doublet Doublet Doublet Doublet Doublet Triplet Tripl e t Quartet T r i p 1e t Triplet
17
13 cllc15
12 14
c7
c1
c5 6 16 2jC4
c3
2.8.4
Mass Spectrum The e l e c t r o n - i m p a c t i o n i z a t i o n ( E I ) mass spectrum o f l o b e l i n e hydrochloride i s present e d i n Fig. 7. The spectrum was obtained u s i n g a Finnigan MAT 5100 s e r i e s GC/MS spectrometer o p e r a t i n g with an i o n i z a t i o n p o t e n t i a l o f 70 eV. The spectrum shows a base peak a t a mass/ charge (m/z) r a t i o o f 96.2. The molecular i o n peak o f l o b e l i n e (337) i s absent o r u n d e t e c t a b l e , t h i s could be explained e i t h e r due t o t h e a l c o h o l i c n a t u r e o f t h e subs t a n c e ( 2 1 ) o r t h e molecule underwent f a s t McLafferty rearrangement. The most prominent i o n s and t h e i r r e l a t i v e i n t e n s i t i e s a r e l i s t e d i n t a b l e 6 . Some p r o posed ion fragments o f l o b e l i n e a r e shown i n Fig. 8.
mss SPEcm
s#pLE:
18/25/89 1214:W
1 8 8 . 0
LmELItE
2 3 0 96.2
I
BIKE RIC:
wz: 96
201472.
r 36486.
5B.B-
4 2 . 1
188.0-
~488.
58.0-
217.2
' _ _ . . . I
297.3 . . . . 315.3 .... . . . . .... .... .3.27 ..0 . .... .... 355.2 .... ....
280
FARID J. MUHTADI
Table 6.
42 51 58 68 70 77 79 81
m/ e
Relative % In t ens it y
30.1 6.9 9.6 9.6 6.9 19.2 12.3 8.2
m/ e
Relative % Intensity
13.7 19.2 100.0 87.7 11.0 6.3 5 .7 14.0
P r i n c i p a l p e a k s o f mass s p ec t r u m o f l o b e l i n e a t m/z 96, 105, 77, 97, 216, 42, 218, 5 1 were r e p o r t e d (22). Fig. 8 L o b e l i n e ion f r a g m e n t s
LOBELINE HYDROCHLORIDE
281
3.
I s o l a t i o n o f Lobeline Lobeline o c c u r s i n l o b e l i a which i s a l s o known a s I n d i a n tobacco. I t is t h e h e r b of Lobelia infZata L. f a m i l y Campanulaceae. Lobelia c o n t a i n s about 0.24-0.4% a l k a l o i d s , t h e most important of which i s l o b e l i n e ( 2 3 ) . L o b e l i a i s s t i l l o f f i c i a l i n s e v e r a l Pharmacopoeias i n c l u d i n g t h e BP 1980 (24). - The powdered l o b e l i a herb i s moistened with water s l i g h t l y a c i d i f i e d w i t h a c e t i c a c i d and l e f t f o r sometime. The r e s u l t i n g mass i s t h e n p r e s s e d and t h e p r o c e s s of moisteni n g and p r e s s i n g i s r e p e a t e d . The c o l l e c t e d p r e s s e d l i q u i d s (extracts) are f i l t e r e d . - The f i l t r a t e i s rendered a l k a l i n e w i t h sodium b i c a r b o n a t e and e x t r a c t e d w i t h e t h e r . The e t h e r e x t r a c t i s t h e n s h a k e n w i t h water a c i d i f i e d w i t h s u l f u r i c a c i d . The a c i d l a y e r i s rendered a g a i n a l k a l i n e w i t h sodium b i c a r b o n a t e and e x h a u s t i v e l y shaken w i t h e t h e r ( a s t e p of p u r i f i c a t i o n ) . - The e t h e r i s evaporated t o d r y n e s s , and t h e r e s u l t i n g yellow o i l y r e s i d u e i s d i s s o l v e d i n water a c i d i f i e d w i t h h y d r o c h l o r i c a c i d , f i l t e r e d and t h e n shaken w i t h chloroform
282
Fig.9
Marc
+ A c e t i c a c i d , Leave and p r ~ s s
Ether layer
I
Extract + sod. b i c a r b o n a t e shake with e t h e r
FARID J . MUHTADI
1.
re s i due
Aq. a c i d l a y e r +
Ether layer
acid layer
shake w i t h CHC13
Chloroform l a y e r
Evaporate Brown r e s i d u e o f
l o b e l i n e HC1
LOBELINE HYDROCHLORIDE
283
4.
S t r u c t u r e o f Lobeline
The foZZowing chemicaz reactions were carried out mostZy by VieZand and co-workers ( 2-5,9 ) t o deduce th e structures of Zobeline, lobe Zanine and Zobe Zanidine.
Lobeline [ I ] can be reduced w i t h sodium amalgam t o produce t h e d i o l l o b e l a n i d i n e [11] Lobeline [ I ] can a l s o be s u b j e c t e d t o mild o x i d a t i o n with chromic a c i d i n a c e t i c a c i d t o g i v e t h e d i k e t o n e l o b e l a n i n e [ I I I ] . Both ZobeZanidine [IIl and ZobeZanine [ I I I l accompany ZobeZine IIl i n the pZant (1,30,31). Lobelanidine [I13 and l o b e l a n i n e [111] can be c o n v e r t e d i n t o l o b e l i n e [I] by o x i d a t i o n and r e d u c t i o n r e s p e c t i v e l y . Degradation of l o b e l i n e [I] (by removing t h e phenacyl s i d e c h a i n ) , g i v e s (2S,8S)-8-phenyl-lobelol [IV] ( 12). Lobelanine [ 1111 undergoes Hofmann e l i m i n a t i o n t o produce t h e n i t r o g e n - f r e e d e r i v a t i v e , 1 , 7 - d i b e n z o y l h e p t 1 , 6 - d i e n e [V] which i s upon mild c a t a l y t i c hydrogenation y i e l d e d t h e d i o n e 1,7-dibenzoylheptane [VI] (3,16,31). Lobelanine [ I I I ] y i e l d s t h e dioxime (Bis oxime) [VII] which undergoes a Beckmann rearrangement and h y d r o l y s i s o f t h e diamide so formed y i e l d s N-methylpyridine d i c a r b o x y l i c a c i d [ V I I I ] and a n i l i n e [ I X ] (3,301. Lobeline [ I ] o r l o b e l a n i n e [111] when h e a t e d t o 140" with molten benzoic a c i d o r a t 125" w i t h e x c e s s d i l u t e h y d r o c h l o r i c a c i d , g i v e s r i s e t o acetophenone [ X I (2,16). Lobelanine [111] on o x i d a t i o n with potassium permang a n a t e produces 2 moles o f benzoic a c i d (16).
SeveraZ d i f f e r e n t syntheses of ZobeZine have been achieved (2-10). The most e f f i c i e n t procedure which i s used on an industria2 scale was reported i n 2935 by Schopf and Lehman ( 8 ). The f i r s t totaZ synthesis of ZobeZine v i a ZobeZanidine was achieved i n 1929 by WieZand and Drishaus ( 4 ). These authors have f i r s t synthesized t h e parent compound Zobe Z a n as fo Z Zows : 2,6-Dimethylpyridine ( l u t i d i n e ) [ I ] was condensed with two molecules of benzaldehyde [11] t o a f f o r d 2 , 6 - d i s t y r y l p y r i d i n e [ I I I ] . T h i s was hydrogenated with sodium i n a l c o h o l t o g i v e a m i x t u r e of cis-andtrans-2,6-diphenethylp i p e r i d i n e (norlobelan) [ I V ] . The c i s - f o r m upon t r e a t ment with methyl i o d i d e was c o n v e r t e d i n t o l o b e l a n [ V ] . Lobelan [V] h a s a l s o been o b t a i n e d when 2 , 6 - d i p h e n e t h y l l-methylpyridinium p - t o l u e n e s u l f o n a t e [ V I ] i s hydrogenat e d o v e r Adam's c a t a l y s t ( 6 ) .
284
FARID J. MUHTADI
1 I
Acetophenone
r XI
H OH
I
Lobelanidine [ 111
Lobeline [I]
Bis oxime
OH
1,7-dibenzoylhept1,6-diene [V]
+ CH3
[VIII]
Aniline
r 1x1
LOBELINE HYDROCHLORIDE
285
condensati o n
reduction
N-Methyl.
CH3I
286
FARID J. MUHTADI
Synthesis of ZobeZan i s shown on scheme I . The f i r s t t o t a l synthesis of ZobeZine was carried out via ZobeZanidine ( 4 ):Ethyl g l u t a r a t e [ I ] was condensed with acetophenone [ 111
i n t h e p r e s e n c e o f sodamide t o g i v e t h e adduct 1,7dibenzoylhepta-2,6-dione [ I I I ] . This upon t r e a t m e n t w i t h Cataammonia a t 100' gave t h e p i p e r i d i n e d e r i v a t i v e [ I V ] . l y t i c hydrogenation o f t h e l a t t e r over p l a t i n i c oxide p r o duced t h e g l y c o l [V] which was i s o l a t e d i n two i s o m e r i c forms : a - n o r l o b e l a n i d i e n e and 6-norlobelanidiene. Reduct i o n o f t h e &form i n e t h e r s o l u t i o n with aluminum amalgam gave r i s e t o n o r l o b e l a n i d i n e [ V I ] ( i d e n t i c a l i n every resp e c t with t h e n a t u r a l l y o c c u r r i n g base) ( 5 ) . N-methylat i o n of [ V I ] produced l o b e l a n i d i n e [ V I I ] , which was t h e n transformed i n t o l o b e l i n e [VIII] by mild o x i d a t i o n with chromic a c i d . This f i r s t synthesis i s presented i n scheme I I .
The above synthesis has been considerab Zy simp Zified as foZlows ( 7 ):2 , 6 - D i s t y r y l p y r i d i n e added bromine t o g i v e 2 , 6 - d i s t y r y l p y r i d i n e t e t r a b r o m i d e which was shaken with a l c o h o l i c potash t o a f f o r d 2,6-di-@-phenethinylpyridine [ 1x1 Hydrat i o n w i t h s u l f u r i c a c i d (by h e a t i n g for 10 minutes) y i e l d e d 2,6-diphenacylpyridine [ X I . Catalytic reduction of [XI o v e r a p l a t i n i c oxide-barium s u l f a t e c a t a l y s t gave 2,6d i [B-hydroxy-6-phenethyl] p y r i d i n e which was f u r t h e r reduced t o n o r l o b e l a n i d i n e [ V I ]
Comercia2 synthesis of Zobeline has been achieved by an eZegant method which .invoZved, a Mannich condensation and Robinson-type biomimetzc reaetzon (81 :
A m i x t u r e of g l u t a r i c d i a l d e h y d e [ I ] , b e n z o y l a c e t i c a c i d [11] and methylamine h y d r o c h l o r i d e [111] was k e p t i n a b u f f e r s o l u t i o n a t pH 4 . 0 and 25' f o r 8 h o u r s , gave
LOBELINE HYDROCHLORIDE
287
[VI
WI
N-methyl. Lobelanidine
PI11
oxid.
Lobeline
[VIII]
288
FARU) J. MUHTADI
This conunerciaZ synthesis i s presented i n scheme III. A recent synthesis of ZobeZanine has been carried out ( 1 0 ) . LobeZanine can then be partiaZZy reduced t o afford Zobe l i n e (1I .
Hepta-1,6-diyne [ l ] was t r e a t e d w i t h 2 moles of e t h y l magnesium bromide (Grignard r e a c t i o n ) [ 2 ] t o produce t h e bis-Grignard d e r i v a t i v e [ 3 ] . This upon condensation w i t h 2 moles o f r e d i s t i l l e d benzaldehyde [ 4 ] gave 1,g-diphenylnona-2,7- d i y n e - 1 , g - d i o l [S]. The d i o l [S] was o x i d i z e d with a s o l u t i o n chromium t r i o x i d e ( c o n t a i n i n g c o n c e n t r a t e d H2SO4) t o f u r n i s h 1,9-diphenylnona-2,7-diyne-l,9-dione [6]. This a c e t y l e n i c d i k e t o n e was p a r t i a l l y hydrogenated i n benzene w i t h L i n d l a r ' s c a t a l y s t t o g i v e c i s , c i s - 1 , 9 diphenylnona-2,7-diene-l,9-dione [ 71. The d i k e t o n e [ 7 ] was t r e a t e d with methylamine t o produce l o b e l a n i n e [8]. Reduction o f [8] w i t h sodium amalgam a f f o r d e d l o b e l i n e [ 9 ] .
LOBELINE HYDROCHLORIDE
no +a
Lobeline.
0%
H2N-CH3
289
[I11
[I1
1111
at 25
p H 4
for 8 hr.
290
FARID J. MUHTADI
Ph
Ph
Ph
Ph
CH3NH2
>Go,&
t -
I
Ph
Ph
Ph
Ph
CH3
[91
CH3
[81
LOBELINE HYDROCHLORIDE
291
6.
B i o s y n t h e s i s of Lobeline Robinson was t h e f i r s t t o s u g g e s t t h a t l o b e l i n e i n t h e p l a n t LobeZia i n f l a t a i s a r i s e d from l y s i n e and p h e n y l a l a nine ( 3 2 ) . Leete l a t e r proposed t h a t l o b e l i n e i s b u i l t up i n n a t u r e from benzoic a c i d and a c e t a t e o r from a c e t a t e a l o n e ( 3 3 ) . T r a c e r s t u d i e s have demonstrated t h a t l o b e l i n e i s d e r i v e d from p h e n y l a l a n i n e and l y s i n e ( 2 6 , 3 4 ) , t h u s confirming Robinson's s u g g e s t i o n . The s t u d i e s have s p e c i f i c a l l y shown t h a t t h e p i p e r i d i n e n u c l e u s o f l o b e l i n e i s d e r i v e d from l y s i n e and t h e two c 6 - C ~u n i t s a r e d e r i v e d from p h e n y l a l a n i n e ( 2 6 ) . F u r t h e r r a d i o a c t i v e s t u d i e s have e s t a b l i s h e d t h e b i o s y n t h e t i c pathway o f l o b e l i n e i n Lobelia infZata ( 35). T h i s pathway i s presented i n scheme V Phenylalanine [ I ] on deamination with t h e enzyme p h e n y l a l a n i n e ammonia-lyase (which has been i s o l a t ed from plant sources) ( 36 ) y i e l d s t r a n s c i n n a m i c a c i d [11] . Hydroxylat i o n of [ 111 g i v e s 3-hydroxy-3-phenylpropionic a c i d [ 1111. (This has previous Zy been i so l a t e d from LobeZia) ( 37 ) The l a t t e r upon b i o l o g i c a l o x i d a t i o n a f f o r d s b e n z o y l a c e t i c acid [IV] Lysine [V] i s converted e i t h e r v i a 5-aminopentanal [VI] o r v i a pentane-1,s-diamine [ V I I I ] i n t o 2 , 3 , 4 , 5 - t e t r a h y d r o pyridine [VII]. Condensation o f [ I V ] w i t h [VII] y i e l d s t h e amino-ketone [ I X ] which on condensation w i t h a n o t h e r mulecule o f benzoyl a c e t i c a c i d [IV] a f f o r d s n o r l o b e l a n i n e , which upon Nm e t h y l a t i o n y i e l d s l o b e l a n i n e [XI. This i s transformed by p a r t i a l r e d u c t i o n i n t o l o b e l i n e [XI].
I n c o r p o r a t i o n of a number of t h e above i n t e r m e d i a t e s i n t o l o b e l i n e i n l o b e l i a p l a n t s has been demonstrated ( 35 Upon f e e d i n g i n s e p a r a t e experiments each o f (+)- [3-14C] p h e n y l a l a n i n e [ I ] ; [3-14C] cinnamic a c i d [11] ; 3-hydroxy3-phenyl [3-14C] p r o p i o n i c a c i d [111] ; [ Z - l ' k ] l y s i n e [V] and 2 , 3 , 4 , 5 - t e t r a h y d r o [2-14C] - p y r i d i n e [ V I I ] t o s e p a r a t e ZobeZia infZata p l a n t s , r a d i o a c t i v e l o b e l i n e was i s o l a t e d from each experiment. The i n c o r p o r a t i o n of l a b e l l e d l o b e l a n i n e [ X I i n t o l o b e l i n e [ X I ] i n high y i e l d has a l s o been r e p o r t e d ( 38 ) .
3.
292
FARID J. MUHTADI
H2N
nn-0
NH CO2H NH2 CHO [VIII]
CH I 3
# 0 J *
11x1
Lobeline
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7.
Pharmacology
39 ).
L o b e l i n e mainly s t i m u l a t e s t h e r e s p i r a t o r y ce.-ter by d i r e c t c e n t r a l s t i m u l a t i o n of t h e c e n t e r i n t h e medulla o b l o n g a t a and by r e f l e x l y from t h e chemoreceptors i n t h e c a r o t i d (40,41 ) and a o r t i c b o d i e s (42,43 ) . T h i s a t t h e r a p e u t i c doses of l o b e l i n e leads t o i n c r e a s e i n both t h e r a t e and depth o f r e s p i r a t i o n ( 44 ) . Larger dose may induce cough. Lobeline c a u s e s d i r e c t c e n t r a l s t i m u l a t i o n o f t h e medullary v a g a l c e n t e r , vaso-motor c e n t e r and chemor e c e p t o r t r i g g e r zone (CRTZ) o f t h e vomiting c e n t e r which produces n a u s e a and vomiting. Mild g e n e r a l c e n t r a l s t i m u l a t i o n leads a l s o t o tremors (39,45). L o b e l i n e i s a weak p e r i p h e r a l g a n g l i o n i c s t i m u l a n t . I t produces d i f f e r e n t pharmacological e f f e c t s depending on t h e d o s e and t h e s t a t e o f t h e f u n c t i o n a l a c t i v i t y o f t h e o r g a n s s u p p l i e d by t h e g a n g l i a . These i n c l u d e b o t h s y m p a t h e t i c and p a r a s y m p a t h e t i c e f f e c t s due t o s t i m u l a t i o n o f t h e autonomic g a n g l i a by d e p o l a r i z a t i o n o n l y and when l a r g e d o s e s a r e used ( 4 6 , 4 7 ) . a ) Sympathetic e f f e c t s : are mainly on t h e c a r d i o v a s c u l a r system through s y m p a t h e t i c g a n g l i o n i c s t i m u l a t i o n , i n c r e a s e d catecholamine r e l e a s e (norepinephrine, epinephrine and dopamine) from t h e a d r e n a l medulla and s t i m u l a t i o n o f n o r e p i n e p h r i n e t r a n s m i t t e r release. T h i s l e a d s t o i n c r e a s e c a r d i a c o u t p u t and blood p r e s s u r e (39,43 ) . b) Parasympathetic e f f e c t s : are mainly m a n i f e s t e d on t h e g a s t r o i n t e s t i n a l t r a c t and sweat g l a n d s i n form o f i n c r e a s e d s a l i v a t i o n and m o t i l i t y o f t h e i n t e s t i n e w i t h d i a r r h e a . I t s d i a p h o r e t i c a c t i o n is due t o s t i m u l a t i o n o f t h e sweat gland s e c r e t i o n (48,49 ) .
I t h a s been r e p o r t e d t h a t l o b e l i n e a d m i n i s t e r e d t o human s u b j e c t s caused a s l i g h t b u t d e f i n i t e s u p p r e s s i o n o f a p p e t i t e ( a n o r e x i g e n i c a c t i o n ) ( 50 ) . T h i s s u p p r e s s i o n o f a p p e t i t e can a r i s e from a number o f mechanisms known t o be e l i c i t e d by l o b e l i n e ( 51 ) : - Action on t h e c e n t r a l nervous system, p r o b a b l y on t h e a p p e t i t e c e n t e r o r on CRTZ of t h e emetic c e n t e r . - Action on t h e a d r e n a l medulla, c a u s i n g hyperglycemia. - Action on g a s t r o i n t e s t i n a l t r a c t , d i r e c t l y a f f e c t i n g n i c o t i n i c receptors. - Action on pulmonary r e c e p t o r s , c a u s i n g r e f l e x i n h i b i t i o n of i n t e s t i n a l m o t i l i t y (48).
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The most r e c e n t a p p l i c a t i o n o f l o b e l i n e (as t h e hydrochloride or s u l f a t e s a l t taken o r a l l y ) i s t o administ e r it a s a smoking d e t e r r e n t ( t o c o n t r o l symptoms i n p a t i e n t s undergoing withdrawal t r e a t m e n t f o r t h e tobacco h a b i t ) (50,51,52 1. Large t o x i c doses o f l o b e l i n e l e a d s t o b o t h g a n g l i o n i c and neuro-muscular blockade by e x c e s s i v e d e p o l a r i z a t i o n with s e v e r e hypotension, shock, coma and p a r e s i s o r p a r a l y s i s (24,39). Lobelia i s t h e d r i e d aerial p a r t s of LobeZia i n f l a t a L. , i t c o n t a i n s n o t less t h a n 0.25% o f t o t a l a l k a l o i d s , c a l c u l a ted as lobeline (53). Lobelia is s t i l l o f f i c i a l i n s e v e r a l pharmacopoeias, t h e s e i n c l u d e A u s t r i a n , Belgian, B r i t i s h , B r a z i l i a n , Egyptian, French, P o l i s h , Portugese and Spanish pharmacopoeias (24).
I t i s used mainly a s Ethereal l o b el i a t i n ct u r e which c o n t a i n s 0.05 t o 0.075% o f a l k a l o i d s c a l c u l a t e d a s lobeline (24).
L o b e l i a i s i n c o r p o r a t e d i n some cough mixtures as s e d a t i v e e x p e c t o r a n t . I t s t h e r a p e u t i c v a l u e i s due t o r e f l e x s t i m u l a t i o n o f t h e b r o n c h i a l s e c r e t i o n modifying i t s p h y s i c a l c h a r a c t e r t o be e a s i l y e x p e l l e d . I t h a s a l s o a c e n t r a l s t i m u l a t i o n effect on t h e cough c e n t e r t h a t f o r c i b l y helps t o c l e a r t h e a i r passages avoiding chest c o m p l i c a t i o n s (39). Storage Lobeline h y d r o c h l o r i d e should be kept i n a t i g h t l y c l o s e d c o n t a i n e r s p r o t e c t e d from l i g h t ( 1 7 ) . Lobeline h y d r o c h l o r i d e i n j e c t i o n s should be kept p r e ferably i n single-dose hermetically-closed containers o r i n m u l t i p l e - d o s e c o n t a i n e r s p r o t e c t e d from l i g h t ( 1 7 ) . S o l u t i o n s f o r i n j e c t i o n s a r e s t e r i l i z e d by f i l t e r a t i o n and s u p p l i e d i n s i n g l e dose a l k a l i - f r e e c o n t a i n e r s , p r o t e c t e d from l i g h t , no b a c t e r i o c i d e should be added (15).
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8.
Methods o f A n a l y s i s 8.1
I d e n t if ic a t i o n
The following identification tests have been mentioned under ZobeZine hydrochZoride (17). Warm about 1 m l o f a 1.0% s o l u t i o n w i t h a few d r o p s
of sodium hydroxide TS; t h e a r o m a t i c odor o f a c e t o phenone i s p e r c e p t i b l e . - D i s s o l v e a few mg i n 1 m l o f s u l f u r i c a c i d and add 1 d r o p o f formaldehyde; a r e d c o l o r i s produced ( s e n s i t i v i t y 0 . 1 ug) ( 1 9 ) . - To 1 m l o f 1.0% s o l u t i o n add a d r o p o f ammonia TS; a milky l i q u i d i s o b t a i n e d which c r y s t a l i z e s on s t a n d i n g f o r some time. M e l t i n g - t e m p e r a t u r e of t h e c r y s t a l s , a f t e r washing with a l i t t l e water and d r y i n g , about 120O. - Yields t h e r e a c t i o n s c h a r a c t e r i s t i c of c h l o r i d e s .
The following tests are used f o r the identification of Zobeline and salts:- When drops o f F r o e h d e ' s r e a g e n t a r e added t o few c r y s t a l s o f l o b e l i n e ; a r o s e r e d c o l o r i s produced
which changes t o a b l u e c o l o r (25).
- When d r o p s of Erdmann's r e a g e n t
are added t o a few c r y s t a l s o f l o b e l i n e ; a f a i n t green c o l o r i s produced which i n t e n s i f i e s on warming. - Ammonium molybdate r e a g e n t g i v e s w i t h l o b e l i n e a g r e y c o l o r which changes t o p u r p l e ( s e n s i t i v i t y 1 . 0 ug) (19). - Ammonium v a n a d a t e s o l u t i o n g i v e s with l o b e l i n e a g r e y c o l o r ( s e n s i t i v i t y 0.5 pg) ( 1 9 ) .
M i c r o c r y s t a l Formation
8.2
w/v s o l u t i o n of l o b e l i n e HC1 was p r e p a r e d f o r t h e microcrystal tests. 1 t o 2 drops o f t h i s s o l u t i o n was t r e a t e d with e q u a l d r o p s o f t h e s p e c i f i c r e a g e n t on a microscopal g l a s s s l i d e , a f t e r about 5 m i n u t e s , t h e c r y s t a l s s o formed were m i c r o s c o p i c a l l y examined (54). Potassium c y a n i d e r e a g e n t (5%) f u r n i s h e d c l u s t e r s and some i r r i g u i a r r e c t a n g l e s ( p l a t e A ) . Sodium c a r b o n a t e s o l u t i o n (5%) produced c l u s t e r s ( p l a t e B ) , Clarke (19) r e p o r t e d r o s e t t e s w i t h t h i s reagent. Wagner's r e a g e n t gave c l u s t e r s and p r i s m s ( p l a t e C ) . Disodium hydrogen phosphate f u r n i s h e d r o s e t t e s ( p l a t e D).
A 0.4%
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FARID J. MUHTADI
Mic r oc ry st al s of Lobe1i ne
Plate A
X40
Plate C
Plate D
Plate B
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8.3
Titrimetric Determinations
8.3.1
Aqueous T i t r a t i o n
Markwell i n 1936 ( 55 ) developed an aqueous t i t r a t i o n method t o determine t h e t o t a l a l ka l oids of l o b e l i a . The method was modified and t h e use of 0.02N s u l f u r i c acid as titrant was recommended (56). The B.P. ( 53 has adopted t h i s modified method f o r the assay of ZobeZia a s follows:
The t o t a l l o b e l i a a l k a l o i d s (from log f i n e powder) a r e e x t r a c t e d f i r s t with a mixture of f o u r volumes of e t h e r and one volume o f e t h a n o l (96%) and t h e n a f t e r p u r i f i c a t i o n w i t h chloroform. The chloroform l a y e r i s removed by d i s t i l l a t i o n and t h e r e s u l t i n g r e s i d u e of t o t a l a l k a l o i d s i s d i s s o l v e d i n e t h a n o l (2 ml), 0.01M s u l f u r i c a c i d (10 ml) i s added and t h e e x c e s s of a c i d i s t i t r a t e d w i t h 0.02M sodium hydroxide, u s i n g methyl r e d s o l u t i o n a s an i n d i c a t o r . Each 1 m l o f 0.OlM s u l f u r i c acid i s equivalent t o 0.006749 g of lobeline C22H27N02. Lobelia a l k a l o i d s can a l s o be e s t i m a t e d by a c i d base t i t r a t i o n (57,58). The e x t r a c t e d t o t a l a l k a l o i d s a r e t i t r a t e d w i t h 0.1N HC1 u s i n g methyl r e d a s an i n d i c a t o r . Each 1 r n l of t h e acid = 0.03372 g of
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FARID J. MUHTADI
a r e added. T i t r a t i o n t o t h e end p o i n t i s c a r r i e d o u t with 0.1N a c e t o u s p e r c h l o r i c a c i d and a f t e r adding 2-3 drops of a c e t o u s crystal violet. Each mZ of 0.1N acetous perchZoric acid is equivaZent t o 0.03739 g of ZobeZine hydroGood r e s u l t s of e s t i m a t i o n i n t h e non-aqueous media a r e a l s o o b t a i n e d by t r e a t i n g t h e t o t a l a l k a l o i d s with dimethylaminobenzene and t i t r a t i n g w i t h 0.05N p - t o l u e n e s u l f o n i c a c i d ( 60 ) . Lobeline h y d r o c h l o r i d e a s i n j e c t i o n s can b e t i t r a t e d i n non-aqueous media e i t h e r w i t h 0.005 N 4- (benzenesulfonyloxy) benzene s u l f o n i c a c i d o r with 0.01 N 3,4-dichorobenzene s u l f o n i c a c i d u s i n g dimethyl yellow i n both t i t r a t i o n s a s indicator (61). I t has been claimed that these acids gave
LOBELINE HYDROCHLORIDE
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tate is filtered off after 12 hours and incinerated. The weight of the ash multiplied by 0.414 gives the content of alkaloids calculated as lobeline. The above method was further modified to determine the alkaloidal content of galenic preparations of LobeZia infZata after extraction of the alkaloids (66) Barra ( 67 ) used the same method to determine lobeline, but he has simplified the extraction procedure prior to precipitation.
A combined precipimetric-titrimetric method was reported to determine the lobelia alkaloids in drugs (68) :Precipitation of lobelia alkaloids with silicotungstic acid was first effected. The silicotungstates so formed were collected, decomposed with ammonia and extracted with ether. The residue after evaporation of ether was dissolved in dilute sulfuric acid and determined titrimetrically. Complex thiocyanate salts as precipitating reagents for determining lobeline have been reported ( 69 ) . The use of tripotassium hexathiocyanate 6 9 ) . for determining several alkaloids is recommended (
Other gravimetric determinations were also reported (70,711.
8.5
Polarographic Methods Several alkaloids and salts including lobeline are determined qualitatively and quantitatively by a polarographic method ( 7 2 ) . Concentrations of 0.001 to 1% of alkaloids are separated quantitatively on aluminum electrode as anode (wrapped in parchament) and a steel one as cathode. The alkaloids collected at the cathode are washed, dried and their melting points determined for identification. An oscillopolarographic study o f some alkaloids including lobeline has been reported (73) A dropping mercury electrode served as a polarizable electrode and a graphite one served as a reference. All alkaloids gave characteristic cuts in alkaline solutions (0.8 M KOH; 0.5 M LiOH; 5 . 5 M NaOH).
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heparation of chromatograms Paper s h e e t s are impregnated with a mixture s o l u t i o n c o n t a i n i n g formamide (9 ml), ammonium fvrmate (0.8 g ) , formic a c i d ( 1 ml) and absol u t e methanol (20 ml). The p a p e r s are d r i e d a t room temperature f o r 50 minutes. Separation of lobeline Spots of l o b e l i n e s o l u t i o n o r l o b e l i a a l k a l o i d s i n chloroform are a p p l i e d on t h e s t a r t i n g l i n e s of t h e above chromatograms and t h e s e a r e developed with t h e s o l v e n t chloroform-benzene ( 9 : l ) s a t u r a t e d w i t h formamide. After developement t h e chromatograms are d r i e d . CoZorimetric determination The s p o t s corresponding t o l o b e l i n e are c u t o u t and shaken f o r 3 minutes i n a s t o p p e r t u b e w i t h 2 m l of b u f f e r e d t r o p a e o l i n 00 s o l u t i o n (pH 3 . 4 ) and 5 m l chloroform. The r e s u l t i n g mixture i s c e n t r i f u g e d f o r 2 minutes. A n aliquot of the chloroform l a y e r i s measured u s i n g a s u i t a b l e f i l t e r photometer. A blank i s t r e a t e d s i m i l a r l y and t h e l o b e l i n e c o n t e n t i s t h e n read from a c a l i b e r a t i o n curve. The mean e r r o r i s 2 2 .O% (75).
LOBELINE HYDROCHLORIDE
30 1
F u r t h e r two c o l o r i m e t r i c methods have been d e s c r i b e d f o r t h e d e t e r m i n a t i o n of l o b e l i n e and t h e o t h e r a l k a l o i d s of l o b e l i a . These methods depend on formation of a dye complex w i t h a l k a l o i d s and measuring t h i s complex a t c e r t a i n wavel e n g t h s (76,77). In t h e f i r s t method ( 7 6 ) , l o b e l i n e ( ~ 0 . 5mg) i s e x t r a c t e d from paper chromatography (which used f o r i t s s e p a r a t i o n ) with c i t r a t e - p h o s p h a t e b u f f e r o f pH 7.5 (20 m l ) , 0.15% Bromothymol b l u e s o l u t i o n ( 1 ml) i s added and t h e m i x t u r e is t h e n e x t r a c t e d with chloroform (3x20 ml). The combined chloroform e x t r a c t s are mixed w i t h 2% e t h a n o l i c b o r i c a c i d (25 ml). The r e s u l t i n g m i x t u r e i s f i l t e r e d , d i l u t e d t o 100 m l w i t h e t h a n o l and i t s e x t i n c t i o n i s measured at 436 run a g a i n s t a r e a g e n t blank i n 2-cm. c e l l . The r e p r o d u c i b i l i t y t 2% ( 76 ) . In t h e o t h e r method, l o b e l i n e and t h e t o t a l a l k a l o i d s of l o b e l i a and i t s p r e p a r a t i o n s can be determined by almost s i m i l a r t e c h n i q u e (77). The powdered drug i s e x t r a c t e d by s h a k i n g w i t h a mixture of methanol - 0.1 N H C l ( 1 : l ) and centrifuging. An a l i q u o t of t h e s u p e r n a t a n t l i q u i d ( n e u t r a l i zed w i t h NaOH s o l u t i o n ) o r of l o b e l i n e i n j e c t i o n i s mixed w i t h 0.01% methyl orange i n McI l v a i n e b u f f e r s o l u t i o n (pH 5.0) and t h e r e s u l t i n g dye complex-alkaloids a r e e x t r a c t e d i n chloroform. The chloroform e x t r a c t i s shaken with 0.1 N HC1 c o n t a i n i n g 5 % N a C l and t h e a b s o r bance o f t h e l i b e r a t e d dye i n t h e a c i d s o l u t i o n i s measured at 510 nm. Lobeline remains i n t h e chloroform l a y e r ( a s i t s HC1 s a l t ) and t h i s l a y e r is t r e a t e d w i t h more dye s o l u t i o n t h e n t h e m i x t u r e i s e x t r a c t e d with 0 . 1 N HC1 and t h i s a c i d e x t r a c t c o n t a i n s dye e q u i v a l e n t t o t h e l o b e l i n e . The e x t i n c t i o n o f t h i s i s a l s o measured a t t h e same wavelength. B e e r ' s law i s obeyed f o r 0.04 t o 0.7 mg o f l o b e l i n e . The c o e f f i c i e n t of v a r i a t i o n o f t h e method i s 1.24% ( 7 7 ) . Other c o l o r i m e t r i c method f o r l o b e l i n e d e t e r m i n a t i o n h a s been r e p o r t e d ( 7 8 ) .
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FARID J. MUHTADI
8.6.2
UV Determinations Lobeline was determined i n ampoules, e t h e r e a l l o b e l i a t i n c t u r e and powder l o b e l i a by c h a r g e - t r a n s f e r complexation t e c h n i q u e ( 7 9 ) . S e p a r a t e p o r t i o n s o f l o b e l i n e e x t r a c t s were t r a n s f e r r e d i n t o two f l a s k s (A 6 B), 5 m Mi o d i n e (2 ml) was added t o f l a s k A and t h e c o n t e n t s of b o t h flasks were made up t o 20 m l with chloroform. The absorbance o f t h e s o l u t i o n i n f l a s k A was measured first a t 292 run a g a i n s t a blank o f 0.4 m M-iodine i n chloroform and a g a i n a t 292 nm a g a i n s t t h e s o l u t i o n i n f l a s k B t o o b t a i n a d i f f e r e n c e reading. Beer's law was obeyed f o r 1.6 t o 9.6 mgl-' ( 7 9 ) . Lobeline h y d r o c h l o r i d e i n j e c t i o n s are assayed by a UV t e c h n i q u e ( 1 7 ) : A n a c c u r a t e l y measured volume ( e q u i v a l e n t t o about 0.002 g o f l o b e l i n e HC1) i s d i l u t e d w i t h a b u f f e r s o l u t i o n (prepared by d i s s o l v i n g 3.4g of sodium a c e t a t e i n 5 m l a c e t i c a c i d and s u f f i c i e n t w a t e r t o produce 250 m l , pH 4.7) t o produce 100 m l . The absorbance o f an a l i q u o t o f t h i s i s determined a t 248 nrn and t h e c o n t e n t o f l o b e l i n e HC1 i s t h e n c a l c u l a t e d u s i n g lobel i n e H C 1 as a s t a n d a r d r e f e r e n c e . T u r b i d i m e t r i c Determinations Lobeline i n b i o l o g i c a l f l u i d s (urine and bZood serum) has been determined by a s p e c t r o p h o t o m e t r i c method (80). The method i s a s f o l l o w s : To a u r i n e sample (10 ml), mercuric c h l o r i d e (0.1 g) and 2 M NaOH ( 1 ml) are added. The mixture is t h e n f i l t e r e d through a f i l t e r p a p e r 10% HC1 i n anhydrous a c e t i c a c i d (2 ml) i s added t o t h e f i l t r a t e , and t h e mixture i s t h o r o ughly mixed. To an a l i q u o t o f t h e mixture (5 ml), Nessler r e a g e n t (0.2 ml) i s added and a f t e r 20 minutes, t h e t u r b i d i t y s o produced is measured a t 580 nm a g a i n s t a blank. Beer's law i s obeyed with 2 t o 20 ug o f lobeline per m l biological fluid. The mean e r r o r o f t h e procedure is 2 1 . 2 %
(80)
8.6.3
LOBELINE HYDROCHLORIDE
303
8.7
Chromatographic Methods
8.7.1
Paper Chromatography
Clarke ( 19 1 described the following technique f o r the i d e n t i f i c a t i o n of lobeline. This technique was originally deviced t o screen n i t r o genous bases (81,82). Whatman No.1 s h e e t s 14x6 i n c h e s , were b u f f e r e d by d i p p i n g i n 5% s o l u t i o n o f sodium dihydrogen
c i t r a t e , b l o t t i n g and d r y i n g a t 25' f o r 1 hour, i t can be s t o r e d i n d e f i n i t e l y . A s o l v e n t composed o f 4.8 g c i t r i c a c i d i n a mixture o f 130 m l w a t e r and 870 m l n-butanol was employed. Lobeline e x h i b i t e d Rf v a l u e o f 0.82. Lobeline was v i s u a l i z e d w i t h one o f t h e followings : - Examination under UV (254 nm), g i v e s s t r o n g absorption. - Spraying with i o d o p l a t i n a t e r e a g e n t . - Spraying with D r a g e n d o r f f ' s r e a g e n t .
A s o l v e n t system c o n s i s t i n g o f chloroform/ benzene ( 9 : l ) was used t o s e p a r a t e and i d e n t i f y l o b e l i a a l k a l o i d s on paper chromatography. Lobeline e x h i b i t e d Rf v a l u e o f 0.78 i n t h i s system (83).
Other systems f o r p a p e r chromatography have a l s o been r e p o r t e d (75,841. Quantitative determination of lobeline h y d r o c h l o r i d e ( a s 0.2 m g i n j e c t i o n s ) was p e r formed on paper chromatography ( 85 ) . Lobel i n e was produced as s p o t s on 0 . 3 C a t i o n i t e paper and a f t e r developement, s p o t were measured by a p l a n i m e t e r . A s t a n d a r d e r r o r o f 2 2.06 was r e p o r t e d . 8.7.2 Thin Layer Chromatography (TLC)
Many TLC techniques were reported f o r the f a s t and reZiabZe i d e n t i f i c a t i o n of ZobeZine and other lobelia alkaloids. Several of these are presented in the following table 7 .
304
FARID J. MUHTADI
Table 7 : Thin Layer Chromatography of Lobeline Chromatogram mm layers) 2. Silica gel G layers dipped in or sprayed with 0.1 M potassium hydroxide in methanol and dried 3. Silica gel G layers I1 4 .
(0.25
So 1vent
System
Rf
0.55
Methanol-strong ammonia (100:1.5) Methano1-strong ammonia solution (1OO:l.S) Cycloh.exanetoluenediethylamine (75 :15 :10) Chloroform-methanol
(90: 10)
0.61
0.171
0.35
0.68
0.90
0.48
0.63
Cyclohexane-chloroform) diethylamine (5 :4 :1 6. 11 Cyclohexane-diethylamine ( 9 : 1) II 7. Benzene-ethylacetate) diethylamine (7 :2 :1 8. Basic silica gel Methano 1 9. Aluminum oxide Chloroform layers II 10. Cyclohexane-chloroform (7:3) - 0.05% diethylaminc ( 3 drops/100 ml) 11. Kieselgel (silica Methano 1- 2 5 % ammonia (100 :1.5) gel) F254
5.
It
0.14 0.48
0.55
0.55
0.60
1.25
relative to bupranolol
LOBELINE HYDROCHLORIDE
305
8.7.3
Few GLC systems have been described t o i d e n t i f y and determine lobeline. The folzowing are these systems:
System I ( 22,921 Column Condition :
2 . 5 % SE-30 on 80-100 mesh Chromosorb G ( a c i d washed and d i m e t h y l d i c h l o r o s i l a n e t r e a t e d ) 2m x 4mm i n t e r n a l diameter g l a s s column. Column t e m p e r a t u r e 100-300.
Nitrogen a t 54 ml/minute n-Alkanes w i t h an even number of carbon atoms. R I (Retention Index) f o r l o b e l i n e 1780.
Glass column 6 f t . x 2 mm i n t e r n a l d i a m e t e r . Packed w i t h 3% OV-1 on Chromosorb W-HP 100-120 mesh. Column temperature 150-250, programmed a t 10c/minute. Nitrogen a t 50 ml/minute; a i r 120 ml/minute; hydrogen 2 ml/minute. N-FID.
2 -amino- 5 - c h l oroben zophenone
C a r r i e r Gas:
Rel. t R ( r e l a t i v e r e t e n t i o n time) f o r l o b e l i n e 0.71. R I 1823. Glass column 6 f t . x 2mm i n t e r n a l diameter. Packed w i t h OV-17 on Chromosorb W-HP, 100-120 mesh. Column t e m p e r a t u r e 15O-25O0c, programmed a t 10c/minute. Nitrogen a t 50 ml/minute; a i r 120 ml/minute; hydrogen 2 ml/minute.
C a r r i e r Gas:
306
FARID J . MUHTADl
N-FID.
Methagualone.
8.7.4
For the separation, identification as well as quuntitation of lobeline, few HPLC systems were reported and these are as follows:
D e t e c t i o n : UV a t 249 nm.
The caliberation graph was rectiZinear for 0.03 to 0.09% of Zobeline in the sample. System 2 : T h i s system i s used t o i d e n t i f y l o b e l i n e (89).
Apparatus: A Perkin Elmer LC-series 312. Column: Mobile phase :
RP-18, 10 pm, 250x4 mmz.
LOBELINE HYDROCHLORIDE
307
Detection:
UV a t 220 nm.
Rel. t R 0.73
A Perkin E l m e r LC-series 3 1 2 .
8.7.5
This technique is used for separation and purification of organic substances as we22 as for quantitative determinations of these substances. - An i o n exchange method was used f o r t h e q u a n t i t a t i v e a n a l y s e s o f several a l k a l o i d s
including lobeline ( 9 4 ) The s o l u t i o n o f l o b e l i n e h y d r o c h l o r i d e passed through a column (14 c m x 1 cm) packed with Wofatit KPS (Zn 2 + form). The Zn2+ i n t h e e l u a t e was determined with 5 m M EDTA i n t h e p r e s e n c e of Eriochrome b l a c k T i n an ammonia b u f f e r medium o f PH 10.4. - A l g i n i c a c i d a f t e r t r e a t m e n t with formaldehyde was used a s c a r b o x y l i c c a t i o n exchange medium. The a b s o r p t i o n from aqueous s o l u t i o n s and subsequent e l u t i o n with ammonium s u l f a t e s o l u t i o n followed by s p e c t r o p h o t o m e t r i c d e t e r m i n a t i o n o f s e v e r a l a l k a l o i d s i n c l u d i n g l o b e l i n e were performed ( 9 5 ) .
308
FARID J. MUHTADI
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LOBELINE HYDROCHLORIDE
311
51. D.M. Aviado, Krantz and Carr's Pharmacologic P r i n c i p l e s o f Medical Practice, 8 t h e d . , p. 369, The Williams and Wilkins Co., Baltimore (1969). 52. P.W. Bradshaw, I n t . J. Addict, 8, 353 (1973).
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LOBELINE HYDROCHLORIDE
313
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52
(Z),
61
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ACKNOWLEDGEMENT
86, 32
(1961).
The a u t h o r would l i k e t o thank M r . Uday C. Shanna, Dept. o f Pharmacognosy, College o f Pharmacy, Riyadh, Saudi Arabia f o r h i s v a l u a b l e and s i n c e r e e f f o r t s i n t y p i n g t h i s manuscript.
Clinical Laboratories Department, College of Applied Medical Sciences, King Saud University, P.O. Box 10219, Riyadh-11433, Saudi Arabia.
315
Copyright 0 1990 by Academic Press. Inc. All rights of reproduction in any form reselved
316
Content
I.
Description
1.1
1.2
Nomenclature 1.1.1 Chemical Names 1.1.2 Generic Names Formulae 1.2.1 Empirical 1.2.2 Structural 1.2.3 CAS Registry Number Molecular Weight Elemental Composition Appearance and color
2.
Physical Properties 2.1 Melting Range 2.2 Solubility 2.3 Stability 2.4 X-Ray Powder Diffraction 2.5 Spectral Properties 2.5.1 Ultraviolet spectrum 2.5.2 Infrared spectrum 2.5.3 Nuclear Magnetic Resonance Spectrum 2.5.3.1 Proton spectrum (PMR) 2.5.3.2 Carbonis NMR 2.5.4 Mass spectrum
3.
4.
5.
6.
7.
MMUSTINE
3 17
7.6
Spectrophotometric Polarographic Chromatographic 7 . 5 . 2 Gas Chromatography 7.5.2 Thin layer chromatography 7.5.3 High performance liquid chromatography Thermal Analysis
8. 9.
Acknowledgements References
318
I..
DescriDtioJ
1.1
l-(2-chloroethyl)-3-cyclohexyl)-l-nitrosourea (1,2,3,4,5)*
(a)
1.1.2
Generic Names
Formulae
1.2.1
Emirical
CsHi sClN302
1.2.2 Structural
No, CI
-CH~CH,/
N-C-NH
II
1.2.3
13010-47-4 (4).
LOMUSTINE
319
1.3
1.4 C. N. 1.5
A
H.
0.
6.90% 13.69%
CI.
15.18%
2.
Solubilitx
Practically insoluble in water(2,3,5) very slightly soluble in water (1 mg/20 ml) (4) freely soluble in chloroform and soluble in ethanol and acetone(3,4) and highly soluble in lipid (5,6), also soluble in saline (7,8)* 2.3 Stability
Drug solutions are stable for 7 days at 0C ( 2 ) . Commercially available lomustine capsules should be stored in well closed containers at a temperature less than 40'C preferably between 15-30'C. Lomustine capsules are stable for at least 2 years when stored in well closed containers at room temperature(b).The bulk drug should be stored in a deep freeze and protected from moisture(1).
2.4
The X-Ray diffraction pattern of Lomustine was determined on a Philips X-Ray diffraction spectrogoniometer equipped with PW-1730/10 generator (8). Radiation was provided by a copper target (cu anode 2000W,y = 1.5418A) and high intensity X-ray tube operated at 40 KV and 35MA. Divergence slit and he
320
Table 1:
5.371 7.346 8.222 11.550 13.088 16.244 1.513 17.480 18.342 19.296 2 1 582 22.154
I
4 6125
1.611 100 0.552 0.523 1.695 16.60 0 501 6.071 0.370 1.010 0,692 2.349 4.062 0.433 0.554 4.814 1.644
4 I848
1.894 0.802
2.1071
4.8368 4 6 5998 4.1174 4.0123 3.9662 3.8359 3.6993 3.6659 3.5789 3.5158 3.4058 3.3585 3.2710 3.1716 3.0733 3.0102 2.9364 2.9006 2.7764 2,7488 2.6852 2.6074 2.5871 2.4864 2.4330 2.4159 2.3728 2 * 3434 2.2519
1/10 =
22.416 23.187 24 I 056 24.279 24.878 25.332 26.164 26.540 27.263 28.135 29,054 29.677 30.441 30.825 32.241 32.574 33 368 34.394 34,672 36.123 36,945 37.216 37,918 38.413 40.039
LOMUSTINE
321
receiving slit were 1 and 0.1 respectively. The unit was equipped with Philips PM 8210 printing recorder and digital printer. The x-ray pattern of lomustine is presented in fig. (1). Interpplanner distance and relative intensity are listed in table (1).
2.5
Smctral Pro~erties
2.5.1
Ultraviolet Spectrum
The UV spectrum of Lomustine in ethanol was scanned from 200 to 3 5 0 n m using 4054 UV/VIS L K B spectrophotometer (8). It exhibited a maximum at 230 nm (Fig 2 ) .
2.5.2
Infrared Spectruu
The infrared spectrum of Lomustine as KBr disc i s presented in (Fig. 3) and is recorded on Perkin-Elmer infrared spectrometer model 5808. Frequency assignments for some of the characteristic bands are listed in table (2). Table 2: Infrared Spectral Assignments for Lomustine. Freauencv (cm-1 1 3360 2850-2960 1703 1534 1491 1083 Assignment
N-H stretch
CHz = CHz
322
LOMUSTINE
323
0.
nm
*
0 0 W
aD
0 0
0
0 0
z m a W
o m
OI z s
0 0
;:
-3
0 0 0 N 0
0
4
0 D
0 0
m N
0
m Y)
LOMUSTINE
325
2.5.3
The PMR spectrum of lomustine in DMSO-ds presented in Fig (4), was recorded on a varian XL-200 NMR spectrometer using TMS as an internal reference. The structural assignments have been listed in table ( 3 ) . Table ( 3 ) Group PMR characteristics of Lomustine Chemical shift (porn) 1.28 m 3.47 t
3.49 4.15
m
N-CH2 -CHZ
t
s
7.27
13C-NMR Spectra
The 13C-NMR spectrum of lomustine in DMSO-ds using TMS as an internal reference is recorded on a Joel FX 100 FT NMR spectrometer ( 8 ) and is presented in Fig. ( 5 ) .
2.5.4
Mass SDectrur
The mass spectrum of lomustine is presented in Fig. (6). This was obtained by electon impact ionization on a Finnigen 300 mass spectrometer by direct inlet probe at 270'C. The electron energy was 70 eV. The most prominent fragments their relative intensities and some proposed ion fragments are given in table
(4)
326
. c
N
a J
Fig. 5:
bp
"I
0 N
Cu
LOMUSTINE
329
Table 4 :
m/e
233
Relative intensity%
Ions
Mi
(Lomustine)
126
56
108
t N
\ CHZ-CHZ-C1
100
83
55 41
3.
59
CH-CH2-N-N
36
Synthesis ( 9 )
N-CH2 -CH+
antitumor compound (Lomustine) is based on the reaction of 2-chloroethyl isocyanate with 2 , 4 , 5 , trichlorophenol to produce 2 , 4 , 5 , trichloropheny1-N(2-chloroethy1)carbamate which on nitrosation with nitrosyl chloride in pyridine yeilds 2 , 4 , 5 trichlorophenyl-N-(2-chloroethyl) N-nitrosocarbamate as intermediate followed by the formation of N-(2chloroethy1)-N-cyclohexyl-N-nitrosourea (lomustine), The product is isolated as crystalline, stable compound in very good yeilds.
330
Scheme:
ClCHCH,-NC=O
2
+HO
2-Chloroethyi isocyanate
CI
2,4,5 trichloro phenol
Cl
2,4,5 trichloro phenyl 2 (N-Chloroethyl) carbamate
CI CH
NO
Cl
2,4,5 trichloro phenyl
I N-(2-chloroethyl)N-nitrosocarbamate.
NO ClCH CH N
2 2
-c
0
N-(2-chloroethyl) N-cyclohexyl-N-nitrosourea. (Lomust ine)
II
NH
LOMUSTINE
331
4.
Metabolism and Mechanism Lomustine is absorbed (2) from the gastro-intestinal tract and is rapidly metabolised; metabolites have a prolonged plasma half life reported to range from 16-48 hours. The active metabolites readily appear in the crebrospinal fluid. About half a dose is excreted as metabolites in the urine within 24 hours but less than 75% is excreted within 4 days. About 60% of the cyclohexyl moiety of lomustine is reported to be bound to plasma proteins. Lomustine and its metabolites (6) cross the blood brain barrier and are rapidly transported into cells due to their high lipid solubility. Drug is not detectable in CSF but active metabolites appear in substantial concentrations within 30 minutes after oral administration of lomustine CFS concentrations of metabolites have ben reported to be 15-50% or greater than concurrent plasma concentrations. Lomustine metabolites are present in milk, but in concentrations less than those in maternal plasma. Lomustine is metabolized (6) in one hour after oral administration. The half life of lomustine metabolites is biphasic; although the initial plasma half life is 6 hours. The second phase plasma half life is 1-2 days and 15-20% of the metabolites remain in the body 5 days after administration of lomustine. Prolongation of plasma concentration is thought to reflect a combination of protein binding and enterohepatic circulation of metabolites. It is distributed among the tissues with a volume of distribution greater than total body water. In the cerebrospinal fluid, the concentration of metabolites reaches 150% of that in plasma. Biotransformation occurs throughout the body, the half life is less than 1 hour. Lomustine probably acts by a dual mechanism the cytotoxic effect involves the inhibition of DNA and RNA synthesis through alkylation and interference with histidine utilization, thereby upsetting the 1-carbon metabolic transfer process.
332
5.
m.
Lomustine has been used ( 2 ) in the treatment of brain tumors, Hodgkin's disease, and also lung cancer, malignant melanoma and various solid tumors. Clinical studies ( 6 ) of lomustine alone in the treatment of bronchogenic carcinoma, non-Hodgin's lymphomas, malignant melanoma, breast carcinoma, renal cell carcinoma, and carcinoma of the GI tract, Lomustine has been used topically in the treatment of psoriasis and mycosis fungoides. Lomustine is given (10) by mouth to adults and children as a single dose of 130 mg per m 2 body surface, should be given to patients with compromised bone marrow function. Doses are also generally reduced when lomustine is given as a part of combination regimen. Providing blood counts have returned to acceptable levels, that is, platelets have 100,000 per mm3 and leucocytes above 4000 per m m 3 , doses may be repeated every 6 weeks, and should be adjusted according to the haemotological response.
6.
Cautions and Adverse Effects Lomustine is highly ( 6 ) toxic drug with a low therapeutic index. Nausea and vomiting occur in 45-100% of patients within 1-6 hours, after ingestion of an oral dose of lomustine. Thrombocytopenia and leukopenia reach ( 5 ) nadirs in 4 and 6 weeks respectively and last 1-2 weeks. Stomatitis, alopecia, anemia, and mild transient hepatotoxicity occasionally occur. Dysarthria, ataxia, lethargy and disorientation have been reported. Monitoring of leukocyte counts is required. When other myelosuppressive drugs are in use or have been used within the prior 4 weeks, the dose of lomustine should be reduced. Other less frequently ( 6 ) reported adverse effects of lomustine include hepatotoxicity manifested by transient elevation of liver function test results and alopecia. A decrease in kidney size, progressive azotemia, and renal failure have occured in patients who received large cumulative dose after prolonged
LOMUSTINE
333
therapy with lomustine and related nitrosoureas, renal damage has also occured occasionally in patients receiving lower total doses. A few cases of pulmonary infitrates and fibrosis, with onset occuring 6 months or longer after initiation of lomustine therapy and and cumulative doses of 600-1040mg have been reported-neurologic reactions including disorientation, lethargy, ataxia and dysarthria have been reported in some patients receiving lomustine. Adverse dermatologic effects resulting from topical application of lomustine for the treatment of psoriasis and mycosis fungoides including contact dermatitis, short term hyperpigmentation, long term telangiectasia, cutaneous pain, pruritus, and a Nikolsky-like epidermal separation in inflamed uninvolved skin. Adverse systemic myelosuppressive effects have also been reported following topical use of the drug.
7.
Methods of Analysis
7.1
C
7.2
6.90% 13.69%
C1
15.18%
Identification
a) The infrared absorbtion spectrum, is concordant with the reference spectrum of lomustine (3). b) Carry out the test in subdued light and prepare the solution immediately before use. The light absorbtion, in the range 200 to 350 nm of 0.002% w/v solution in ethanol (96%) exhibits a maximum of 230nm. The absorbance at 230nm is about 0.52 (3) c) To 0.2 g add 20 ml of a 20% w/v solution of potassium hydroxide and boil under a reflex condenser, for 2 hours. Add 75 ml of water and 4 ml of nitric acid, cool and titrate with 0.05M silver nitrate vs determining the end point potentiometrically. Repeat the operation without the substance being examined. The difference between the titrations represents the amount of silver nitrate required. Each ml of 005M
334
For the analysis (11) of lomustine encapsulated in liposomes, after isolation of the drug containing liposomes from free drug, a portion of liposomes was mixed with an equal amount of conc HC1 and heated at 1000 until the dispersion was optically clear. The liquid was evaporated, and the residue was taken up in 2ml of acetate buffer solution (PH 4.62) and treated with 0.2-0.5 m1 of a 0.5% s o l u t i o n o f 4-(4-nitrobenzyl) pyridine in acetone. The mixture, in a sealed container, was heated in boiling water for 15-30 minutes and then cooled in ice. After diluting the filtrate to 5101 with acetone (avoiding exposure to light), 0.5ml of O.5M-NaoH was added and 1 minhtes later, the absorbance was measured at 450nm to determine the alkylating activity. 7.4 PolaroRraDhic Method
The method (12) involves the acid hydrolysis of lomustine which liberates HN02, an azo-dye is formed when a solution containing 0.01 to 0.04% of lomustine, 0.09% of sulphanilic acid 0.03% of N-l-napthylethylenediamine dihydrochloride in aqueous 40% dimethylformamide is heated for 5 minutes on a boiling water bath. The mixture is then cooled and absorbance is measured at 562 nm. The limit of detection is 0.4 to s optimum for 06 pg/ml. A solution of 0.05M H2S04 i the pulse polarographic determination of lomustine; The limit the E valve is -0.475 V (vs. the s.c.e.). of determination i s 5 ng/ml. 7.5 ChromatoaraDhic Methods 7.5.1 Gaa ChromatonraDhy Different methods of Gas chromatography have been used for the determination of lomustine are summarised in the table ( 5 ) .
Table 5:
Column support Glass column (1.5 m X 2 mm) packed with 3% (1.2 m X 2 mm) 10% of SE-30 on Gas-Chrom Q. (1.2 m X 2 mm) packed with ultrabond 20 M 25-M fusedsilica, SE 30 capi 11ary column.
Mesh 100-120
Temperature
Low rate
Sample Plasma
Ref. 13
--
ov-1.
100-120
150"
Plasma
14
Nz gas
carrier gas
15
--
16
336
FAHAD JABER A L - S H A M M Y
The separation of drug is carried out by TLC (3) using Merck silica gel and a mixture of toluene and glacial acetic acid (80.20) as the mobile phase. Apply seperately to the plate 4 yl of each of three freshly prepared solutions of the substance being examined in methanol, containing (1) 2-5% w/v, ( 2 ) 0.010% w/v and After removal of the plate heat it (3) 0.0050% w/v. at 110' for one hour, place the hot plate in a closed tank containing chlorine, produced by adding HC1 to a 5% w/v solution of pot. Permanganate contained in a beaker placed at the bottom of the tank, and allow to stand f o r two minutes. Dry in a current of cold air until an area of the plate below the line of application produces at most a very faint blue colour with 0.05 ml of 0.5% w/v solution of potassium iodide in starch mucilage, avoid prolonged exposure to cold air, Spray the plate with a 0.5% w/v solution of potassium iodide in starch mucilage. Any secondry spot in the chromatogram obtained with solution (1) is not more intense than the spot in the chromatogram obtained with solution (2) and not more than one such spot is more intense than the spot in the chronatogram obtained with solution (3). 7 . 5 . 3 Biah Performance Liauid ChromatonraDhx
B.P.L.C.
High performance liquid chromatography HPLC method (3) used to estimate lomustine is carried out by using stainless steel column ( 2 0 cm X 4mm) packed with stationary phase (10um) (Nucleosil Cis) and a mixture of equal volumes of methanol and water as a mobile phase with a flow rate of 2 ml per minute at the warelength of 230 nm.
7.6
A differential scanning calorimetry (8) curve was obtained Fig. (7) on a Perkin-Elmer DSC-2C differential calorimeter. Nitrogen was used as the purge gas scan was performed at a rate of 25'C/min from 6O"-38O0C. The DSC curve revealed an endothermic melting peak (Max. 91.79'C).
a
40N3
!
33S/lV3N
Thermal curve of Lomustine.
Fig. 7
338
FAHAD JABER A L - S H A M W Y
8.
Acknowlednements The author is highly thankful to Mr. Tanvir A. Butt, Pharmaceutical Chemistry Department, College of Pharmacy, King Saud University, who extended a lot of efforts and t a k e n great p a i n s in typing t h e manuscript. The author also appreciates the technical services provided by Mr. Babkir Awad Mustafa of the College of Applied Medical Sciences, King Saud University, Riyadh, Saudi Arabia.
LOMUSTINE
339
9.
Beferences "The Merck Index", 10th ed. Merck and Co., Inc., Rahway, N.J., U.S.A. 1983. "Martindale", "The Extra Pharmacopea" 28th ed. Jamee E.F. Reynolds and Anne B. Prasad. The Pharmaceutical Press, London, 1982, "The British Pharmacopoeia" Volume I. Her Majesty's Stationary Office, London p. 339, 1988. The Annual Drug Data Report, p. 132, 1979/80. "Remington's Pharmaceutical Sciences" 16th ed. , Mack Publishing Company, Easton, Pennsylvania, p. 1091, 1980. "Drug Information 88" American Society of Hospital Pharmacists, p. 522, 1988. "Cancer Chemotherapy Handbook", Robert T. Dorr; William L. Fritz, Elsevier Science Publishing Co., Inc., New York, p. 486-482, 1980. Mohammad Saleem Mian, Neelofur Abdel Aciz Mian, Unpublished Data, 1990. Martinez, Jean; Oiry, Joel; Imbach, Jean Louis; Winternity, Franscois. J. Med. Chem. 5 2 ( 2 ) , 178-82. Eng. (1982). "Martindale", The Extrapharmacopea" 29th ed. James, E.F. Reynolds. Anne and Sean. "The Pharmacetical Press, London (1989). Grossmann, A.; Reszka, R.; Arndt, D. Pharmazie, 39(10), 719 (Ger) Oct. (1984).
1.
2.
3. 4. 5.
6. 7.
8. 9.
10.
11.
12. 13.
Farm. a ( 9 ) ,
Vachek, Jaroslav; Svatek, E.; and Kakac, B. Cesk. 351-352 (in Czech.) (1982).
Weinkam, Robert J. and Liv, Tsui-Yun-I J. Pharm. Sci., 71(2), 153-157 (1982).
340
14.
K.;
Smith, Ronald G.; Blackstock, Silas C.; Cheung, Lily and Loo, Ti L i . Anal. Chem., 53(8), 1205-1208
(1981).
15. 16.
TABLE OF CONTENTS 1. Description Name, Formula and Molecular Weight 1.1 1.2 Appearance 1.3 History 2. Synthesis 3. Physical Properties 3.1 Infrared Spectra 3.2 NMR Spectrum 3.3 Mass Spectrum 3.4 Ultraviolet Spectrum 3.5 Melting Range 3.6 Differential Scanning Calorimetry 3.7 Thermal Gravimetric Analysis 3.8 Ionization Constant, pK 3.9 Solubility 3.1 0 Crystal Properties 4. Methods of Analysis 4.1 Drug Substance 4.2 Drug Product 4.3 Biological fluids 5. Stability-Degradation 6. Drug Metabolism, Pharmacokinetics 7. References 8. Acknowledgement
341
Copyright 0 1990 by Academic Presc. Inc. All rigllts 01 reproduition 111 any fom1 resew1
342
1. DescriDtion 1.1 Name. Formula and Molecular Weiaht Loperamide hydrochloride or R 18553 '4-(4-chlorophenyl)-4-hydroxy-N,N-dimethyl-ala-diphenyl-l piperidinebutanamide monohydrochloride CAS-34552-83-5. RINN, USAN, BAN
/a,
O\
' C
.HCI
, N %
C , H ,C I N , O , . H C I
M.W.477.04+36.46 = 513.50
1.2 ADDearanCe White to slightly yellowish crystalline powder. 1.3 History Loperamide hydrochloride is an antidiarrheal synthesized in 1969 in the laboratories of Janssen Pharmaceutica, Beerse, Belgium. The synthesis of loperamide hydrochloride followed the synthesis of diphenoxylate hydrochloride (Janssen, 1956) as an antidiarrheal with less opiate like central nelvous system (CNS) activity and the discovery of fentanyl citrate (Janssen, 1960) as a potent centrally acting narcotic analgesic with antidiarrheal activity. The dissociation of the opiate-like and antidiarrheal activities resulted in a very safe and effective antidiarrheal which today is marketed in 126 countries and was recently approved for over-the-counter marketing in the United States. Loperamide hydrochloride is an USP article' and is contained in the Merck Index'. The pharmacology and biochemical properties of loperamide hydrochloride have been reviewed3.
LOPERAMIDE HYDROCHLORIDE
343
2. Svnthesis The Janssen synthesis of loperamide hydrochloride is phenyIbenzeneacet onitriIe detaiIed in Figure1'. &-(2- Bromoet hyI):ais converted through a series of reactions to N-[dihydro-3,3diphenyl -2(3H)- furanylidene -N-methyl methanaminium bromide and ethyl 4-0x0-1-piperidinecarboxylate is converted to 4-(4 chlorophenyl) -4- piperidinol. The condensation of the basic piperidine nitrogen with furanylidene results in the formation of loperamide base which is then crystallized as the hydrochloride salt. Recrystallization has resulted in the identification of two polymorphs and a tetrahydrate form which will be detailed later. Although the patent on loperamide has expired and the product is available generically other syntheses for the compound have not been published. 3. Phvsical ProDerties 3.1 Infrared SDectra The infrared spectrum of loperamide hydrochloride, polymorph I, polymorph II and a tetrahydrate form are presented The in Figure 2'. All spectra were obtained as Rbl pellets. polymorphic forms are readily distinguishable through their IR spectra. The tetrahydrate contains the characteristic OH stretch centering at 3400 cm-'. In the carbonyl stretch region polymorphs I, II and the tetrahydrate absorb at 1622 cm-' , 1601 cm-' and 1618 cm-' respectively. 3.2 NMR SDectrum The 200 MHz proton NMR Spectrum of loperamide base in CDCI, is shown in Figure 36. The spectrum was obtained with a Bruker W.P. 200 Fourier Transform spectrometer equipped with an Aspect 2000 computer with the following instrument settings: sweep width 3521 Hz; pulse angle, 30'; pulse delay, 1 sec; data points, 32,000; measuring mode, quadrature - 8 pulse sequence; temperature, ambient. The structure with proton assignments is defined in Table 1. 3.3 Mass Spectrum The mass spectrum of loperamide hydrochloride was obtained using a Varian MAT 311 instrument operating in the electron impact mode'. The spectrum was recorded using the direct inlet system at 160C with a source pressure of 10" Torr. A current of 300 uA and energy 70 eV. The mass fragmentation
344
COOH
FIGURE 1.
LOPERAMIDE HYDROCHLORIDE
345
20 rm
4000
3Mx)
2000
1500
loo0
500
180
FREQUENCY (CM 25 5
10
20 pm
4ooo
3ooo
2000
1500
loo0
500
180
FREOUENCY (CM')
FIGURE 2.
Infrared Spectra of Loperamide Hydrochloride Polymorph II and Tetrahydrate. Instrument: Perkin-Elmer Model 580B
FIGURE 3. Proton 200 MHz NMR Spectrum of Loperamide Hydrochloride Instrument: Bruker W. P. 200 Fourier Transform Spectrometer
LOPERAMIDE HYDROCHLORIDE
347
Structure.
.HC1
c1
C
29 33
C1N 0 .HC1
2 2
Results
.
Relative Surf ace Multiplicity
J
Protons
(Hz)
-7.2--7.5
multiplet
2.96 2.68
broad singlet
multiplet multiplet
2.25-2.50
1.90-2.15
1.60
Table 1 Structure and Proton Assignments for 200 MHz NMR of Loperamide Hydrochloride
348
behavior showing some of the possible fragmentation ions is contained in Figure 4; the mass spectrum is contained in Figure 5. The proposed structure of the base peak containing chlorine at m/e 238 is supported by the peak at m/e 240 approximately onethird in size. Likewise, the structure of the strong peak at m/e 224 is supported by the peak one third in size at m/e 226.
3.4 Ultraviolet sDectrum
The ultraviolet absorption spectrum of approximately 40 mg loperamide hydrochloride in 100 mL of 0.1 N hydrochloric The acid/2-propanol (10/90,v/v) is shown in Figure 6'. absorptions (detailed below) are the sum of the three substituted phenyl groups.
Maxima
3.5 Meltina Ranae Loperamide hydrochloride (polymorph I) melts with decomposition at -224C'. Poymorph II- 218'C Tetrahydrate- 190'C 3.6 Differential Scannina Calorimetry The DSC curves of polymorphs I, II and the tetrahydrate are presented in Figures 7,8 and 9 respectively". All curves were obtained with a Dupont 910 Differential Scanning Calorimeter and a Dupont 1091 data analyzer. The instrument was calibrated using an accurately weighed amount of pure indium under the same conditions used for sample measurement (melting point of pure indium: 156.6'C; heat of fusion: 28.4 J/g). From the DSC curves the melting point of
LOPERAMIDE HYDROCHLORIDE
349
c a
d e 165 Cl d e 210
d e 238
d e 224
d m 239
1
d e 192 d c 220
n2
1-
./a
206
d. 194
M'Y-M2
1.for
d e 166
I--
d c 56
d . 44
FIGURE 4.
Ions
Loperamide
350
t
m
c '
FIGURE 5.
Electron Impact Mass Spectrum of Loperamide Hydrochloride Instrument: Varian MAT 311
LOPERAMIDE HYDROCHLORIDE
35 1
1.8
8. 88
8.88
8.78 0.60
0.58
0.40 8.30
8.28 8. 18 8.8
FIGURE 6.
5
F i l r r V820-156.81
O p r r a t o n JDI Plottrch 1-Oat-82 141 311 00
c : : : : : : : :
n -.
D a t r g
1-OOC-82
VI W
Ratrm 5 DEG/MIN
V2.a
: : : : : : : : : :
Program I n t r r a o t i v r DSC
DSC
5 m
-7 + \\
t +
-2-
-3-
-4-
( D
; r
-0
5 3
-5-
C D
-6--
I a
-7-
m
2 2kO-C ?&UO-C
2.
284
2#B
z z
212
-e
198
a ,
aRB
229
232
238
'
"
'
"
2
ai. 3
J/S 224- 4 r
0
-2-
3 . -
a .
LL
-4.-
-0 0
a I
-5-
-5--
-7-
.
zsj4
l .
isij
-.
ti2
tie
zia
254
2ie
ziz
2ie
zte
354
FIGURE 9.
Hydrochloride
LOPERAMIDE HYDROCHLORIDE
355
polymorph I is 224.4"C; the heat of fusion is 91.3 J/g. For polymorph II the melting point is 218.472; the heat of fusion is 76.2 Jlg. 3.7 Thermal Gravimetric Analvsis TGA of the tetrahydrate form of loperamide hydrochloride was performed with a Dupont 1090 Thermal Analyzer at a heatin rate of 20"CImin to a maximum temperature of 230' C1 9. Weight loss due to the evaporation of solvated water was 14.5%. 3.8 Ionization constant, eK The ioniziation constant of loperamide hydrochloride was determined by potentiometric titration in methanol-water mixtures of varying composition and extrapolation of the values to pure water '*. The ionization of the piperidine nitrogen results in a pKa of 8.6613. 3.9 Solubilitv The solubility of loperamide hydrochloride in various solvents is contained in Table 214. The Merck index reports the solubility at physiological pH as 0.002/02.
3.10 Crvstal Proeerties (see also Sections 3.1, 3.5, 3.6) Loperamide hydrochloride has been obtained in three crystalline forms; two distinct polymorphs and a tetrahydrate. Polymorph I is obtained by crystallization in 2-propano1, cooling with stirring, washing in ethylacetate and filtration. Polymorph II is obtained by cooling and spontaneous crystallization from 2-propanol without stirring. The tetrahydrate form was obtained from ethanoVwater with cooling and stirring. X-ray diffraction patterns for polymorphs I and II and the tetrahydrate are presented in Figures 10, 11 and 12 re~pectively'~.The patterns were obtained by the powder method using CuKw.
Y-
356
a, P
LOPERAMIDE HYDROCHLORIDE
359
TABLE 2 Solubility of Loperamide Hydrochloride in Various Solvents Solvent water (pH = 1.7) citrate-phosphate pH 6.1 citrate-phosphate pH 7.9 methanol ethanol 2-propanol dichloromethane acetone ethyl acetate diethyl ether hexane toluene -N,N-dimethylformamide tetrahydrofuran 4-methyl-2-pentanone propylene glycol polyethylene glycol 400 dimethylsulfoxide 2-butanone 4. Methods of Analvsis 4.1 Drug Substance Elemental analysis for a specific lot of reference standard is given beIowl6. C,H,N and 0 were determined on a Carlo Erba Elemental Analyzer. Chlorine was determined with a Dionex 2010 ion chromatograph.
% Calculated for
Solubilitv in aA00 mL solution 0.14 0.008 <0.001 28.6 5.37 1.11 35.1 0.20 0.035 <0.001 <0.001 0.001 10.3 0.32 0.020 5.64 1.40 20.5 0.18
Found for Ref. Std. V860-87 67.60 6.60 5.29 6.33 13.90
+0.09
360
Assay of loperamide hydrochloride by non-aqueous titration of the piperidine nitrogen (one basic equivalent per mole) is described in the current USP. For reference standard V860-87 a result of 99.9% was obtained. The purity of loperamide hydrochloride has been determined by both thin-layer chromatograpys8(tlc) and high performance liquid chromatographylg (HPLC). The current Janssen tlc system utilizes a KC18F reversed-phase 20x20 cm precoated Whatman plate with a 1,4 dioxane/lM ammonium acetate/methanol/tetrahydrofuran (40:40:10:10 vol) solvent system. A 500 ug amount of the substance is applied as a 5% solution in dichloromethane/methanol (2:l vol). Detection is by iodine vapors or UV at 254 nm. The limit of detection is approximately 0.2% with iodine vapors. In this system loperamide has an Rf of approximately 0.54. The Janssen gradient elution HPLC system employs a 30 cm by 4.6 mm Hypersil ODS (5um) column. A 10 uL portion of a 1% solution in methanol is injected on the column with solvents, elution mode and instrument parameters as follows.
- elution solvents : A
- elution mode:
time I minutes)
20
30
LOPERAMIDE HYDROCHLORIDE
361
4.2 Drug Product Several systems have been developed for the analysis of loperamide hydrochloride in pharmaceutical dosage forms"-22. The USP method for loperamide hydrochloride capsules involves chloroform extraction followed by a colorimetric reaction with Tropaeolin 00. A normal phase HPLC employing a 25 cm by 4.6 mm 10 um silica column, using chloroform/methanol/ammonia (955450.5) was reported as applicable for capsules, tablets and syrup2'. A nonpublished Janssen method for capsules and tablets uses a C18 reversed phase HPLC system with 0.5% ammonium acetate in water/acetonitrile/methanol (25:38:37) as mobile phase, a flow rate of 1.5 mUmin and UV detection at 220 nmB. 4.3 Bioloaical fluids A specific and sensitive radioimmunoassay for loperamide has been developed24. Loperamide is well absorbed from the gastrointestinal tract, but due to a very large first pass effect, therapeutic plasma levels are extremely low". The limit of detection of the assay is 0.5 ng/mL of sample.
5. Stabilitv-Dearadation Loperamide hydrochloride is a stable drug substance at room temperature and protected from direct daylight. It is not hygoscopicB. The stability of the dryp substance has been studied under various stress conditions . The drug was stable when exposed to 17000 lux (1580 foot candles) for 7 days and After 5 days in water at in 1 N sodium hydroxide at 1OO'C. 100' approximately 0.1O h of the loperamide hydrochloride is hydrolytically cleaved at the nitrogen of the piperidine ring. In 1 N hydrochloric acid at 100C the drug is dehydrated forming a double bond in the piperidine ring. After 4 hours approximately 5% of the dehydrated compound is formed. With the stress conditions studied the drug is most unstable in the presence of a strong oxidant. A sample analyzed immediately after preparation of a 1.5% peroxide solution showed the presence of 3.2% of the cis N-oxide of loperamide and 2.4% of the trans N-oxide of loperamide. In all studies samples were analyzed by HPLC and decomposition compounds were identified by mass spectrometry.
362
The &oxides were also identified by NMR. All structures were confirmed by synthesis of reference samples. Loperamide hydrochloride capsules, tablets and oral liquid stability has been studied. All are stable formulations 28v29. Plasma samples containing the drug are stable when stored frozen (-20C)m.
6. Drua Metabolism, Pharmacokinetics
Early work on the pharmacokinetics of loperamide in man suggested an apparent half-life of the compound in the order of 40 The data on which this estimate was based were collected after administration of tritium labeled loperamide. It was subsequently determined that there may have been a loss of some of the radioactivity from the molecule in-vivo resulting in the formation of Vitiated water. Since the radioactivity was the parameter being monitored this phenomenon introduced an error in the estimation of the drug's apparent half-life. Subsequent studies utilizing a specific radioimmune assay suggested a mean half-life of 10.8 & 0.6 hours for the half-life of this compound in lnan31*32. The half-life was comparable for a syrup formulation and a capsule dosage form. Peak plasma levels were obtained at 1.8 hours for the syrup formulation and 4.3 hours for the capsule formulation. Although the syrup formulation is more rapidly absorbed comparable maximum serum concentrations were attained for both dosage forms. The pharmacokinetic model that best fits the data was the one compartment open model with first order absorption. Only 1% of the drug is excreted unchanged in the urine3'. The drug is metabolized by N-demethylation of one or both methyl groups from the amide nitrogen3'.
LOPERAMIDE HYDROCHLORIDE
363
7. References 1. "The United States Pharmacopeia", vol XXII, Mack Printing Company, Easton, Pa., p. 779 (1990). 2. S. Budavari, " The Merck Index", 11 ed., Merck and Co, Inc, Rahway, NJ, p. 876 (1989). 3. D. A. Shriver, M.E. Rosenthale, B.E. McKenzie, H.S. Weintraub and J. L. McGuire, Pharmacol. Biochem. Prop. of Drug Substances, 2, 461 (1981). 4. R. A. Stokbroekx, J. Vandenberk, A.H.M.T. Van Heertum, G.M.L.W. van Laar, M.J.M.C. Van der Aa, W.F.M. Van Bever and P.A.J. Janssen, J. Med. Chem.,& 782 (1973).
Foundation,
7. W. Lauwers, Janssen Research Foundation, Personal Communication. 8. D. Deleersnijder, Janssen Research Foundation, Personal Communication. 9. J. Van Rompay, Janssen Research Foundation, Personal Communication. 10. J. Peeters, Janssen Research Personal Communication.
11. J.
Foundation, Foundation,
364
Personal Communication.
14. R. Crauwels, Janssen Research Foundation,
Personal Communication.
15. C. DeRanter, University of Louvain, Belgium,
Personal Communication.
16. J. Dominicus, Janssen Research Foundation,
Personal Communication.
17. J. Dominicus, Janssen Research Foundation,
Personal Communication.
18. A.
Foundation,
Personal Communication.
20. R.T. Sane, R.S. Samant, V.G. Nayak, Indian Drugs, 24,150 (1986). 21. C.P. Leung and C.Y. Au-Yeung, J. Chromatog., 449, 341 (1988). 22. 1. Dol, M. Knochen and C. Altesor, Bolletino 18 (1989). Chimico Farmaceutico, 128, 23. J. Van Berendoncks, Janssen Research Foundation,
Personal Communication.
24. M. Michiels, R. Hendriks and J. Heykants, Life Sci., 21,451 (1977).
25. J. Heykants, M. Michiels, A. Knaeps and J. Brugmans, Arzneim-Forsch., 24,1649 (1974).
Personal Communication.
LOPERAMIDE HYDROCHLORIDE
365
27. R. Crauwels, Janssen Research Foundation, Personal Communication. 28. J. Van Berendoncks, Janssen Research Foundation, Personal Communication. 29. H. Dingfeld, T. Onderko and K. Paras, Janssen Research Foundation, Personal Communication. 30. W. Mechlinski, R. Woestenborgs and J. Heykants, Janssen Research Foundation, Personal Communication. 31. H.S. Weintraub, J.M. Killinger, J. Heykants, M. Kanzler, and J.H. Jaffe, Curr. Therap. Res., 21, 867 (1977)
32. J.M. Killinger, H.S. Weintraub and B.L. Fuller, J. Clin. Pharmacol., 19, 211 (1979)
8. Acknowledaement We are indebted to our colleagues at Janssen, Beerse, Belgium and Janssen, Piscataway, New Jersey for contributions to this profile. The manuscript was expertly typed by Mrs. Audrey Rafalko.
Metipranolol
Jifi Dohnal,Ivan Jelinek .Iva VanEurovA, Vdclav Rejholec
Research Institute for Pharmacy and Biochemistry Kourimska 2 7 , 230 60 Prague 3 , Czechoslovakia
1. Foreword 2.Description 2 . 1 .Nomenclature 2.2.Formulat Molecular weight 2.3.Elemental Analysis 2.4 .Structural Origin 2.5.Used Chemical Forms E. 6 .Optical Activity 2 . 7 .Appearance,Colour , Odour 3.Physical Properties 3.1.Spectral Properties 3.1.1 .Ultraviolet Spectrum 3.1.2 .Inf rared Spectrum 3 . 1 . 3 .Nuclear Magnetic Resonance Spectrum 3 . 1 . 4 .Mass Spectrum 3.2.Thermal Properties 3.2.l.MeltingRange 3.2.2.Dif ferential Thermal Analysis 3.2.3 .Thermogravimetry 3-3 .Solub i1ity 4. Synthesis 5. Stability 6.Pharmacology 7 .Dosage - Dosage Forms 8 .Drug Metabolism and Pharmacokinetics 9.Methods o f Analysis S.l.1dentif ication 9 . 2 .Spectrometry 9.3.ChromatographicMethods
2 2 2 2 3 3 3
4 4 4
6 6 11 13 13 13 13 13 16 17 18 19 2 0 21 21 21 22 2 2 23
24
9.3.2.HighPerformance Liquid 9.3.3.GasChromatography 9 . 4 .Titration-Electrochemical Determination 9.5.Determinationof Metipranolol and its Metabolites in Biological Fluids 10. References
ANALYTICAL PROFILES OF DRUG SUBSTANCES VOLUME 19
361
25
2 5 2 6
Copyright 0 1990 by Academic h s s , Inc. All rights of reproduction i n any form resewed
368
1 . Foreword
Metipranolol is a non-selective adrenergic @-blocking a g e n t with high i n t r i n s i c sympatomimetic e f f e c t on organism. I t h a s been f i r s t prepared i n Research I n s t i t u t e for Pharmacy and Biochemistry /VUFB, Prague/ <I,2) and pharmacologically t e s t e d t h e r e b u t a l s o by many o t h e r w e l l known world i n s t i t u t i o n s. The drug h a s been primarily used i n t h e management of p a t i e n t s with ischemic h e a r t d i s e a s e i n order t o supress t h e a c u t e m a n i f e s t a t i o n s of a n g i n a p e c t o r i s and improve t h e t o l e r a n c e of organism a g a i n s t physical exertion. Favourable a n t i a r r h y t h m i c e f f e c t m a y be u t i l i z e d i n t h e medical treatment of various types of tachycardia. Additionally, metipranolol h a s been found e f f e c t i v e i n t h e t r e a t m e n t of hypertension and psychoses of somatic o r i g i n .
2 . Desoripkion
2 . 2 . Nomencl at U p @
,HZ 7N01
309.38
METIPRANOLOL
369
OCOCH
I
@ + -
CF13
DCH CHCH2NHCH
2 OH 1
CH
CT% 1
T heor et. ical Experimental
66 .OO 66.15
HC%l
8.79 8.70
%I
45 3 4.51
0 [ % 3
20 .Ei8
2.4. Structural O r i g i n
Metipranolol is a member of r e l a t i v e l y large group of non-selective @-blockers, derived from 3-isopropylarnino or 3-ter-t-butylamino-Z-propanol , involving carazolol C63976-7491, alprenolol 1.13655-52-21, bupranolol C 14536-46-81, atenolol C 2 9122-68-7 1, pr inodolol C 13523-86-9 1, practolol L6673-35-41, 4--hydroxypropranolol ClO476-53-6 1 and propranolol C525-66-63.
2.5. Used Chemical Forms F r e e base 122664-55-7 1 is t h e most commonly used form f o r o r a l administration. Alternatively neut-ral salts of rnetipranolol with furnaric or t a r t a r i c acid 1.36592-78-61 have been recomended f o r parenteral usage and hydrochloride for t h e preparation of eye dropsC.3,.
370
F r e e base of metipranolol, f u m a r a t e and tartrate salts are white c r y s t a l l i n e and odourless powders .
3 .P h y s i c a l properGies
3.2.Spectral Properties
The presence of aromatic r i n g i n t h e molecule in n e a r UV region, The u l t r a v i o l e t spectrum of metiprsnolol base i n n e u t r a l methanol C 1.027 mgJml3, recorded on P y e Unicam PU 8800 spectrometer, is shown i n Fig.1. The spectrum e x h i b i t s two c h a r a c t e r i s t i c m a x i m a a t 278 nm CA'" =51.33 and 274 n m CA'" =50.53.
Icm
icm
I d n
E
L +
; a
ffl
312
Frequency
Ccm-'l
Assignment solit.
890
1130 1089
>CH-OH
H on A r
; Ar-0-R
1209 1234
1610 158Q 1738
I
1
-0-CO-CH3 Ar
-0-CO-CH3
-OH -NH-
Alkyl
spectrometer u s i n g TMS C t e t r a m e t h y l s i l a n e 3 as a n spectral i n t e r n a l r e f e r e n c e C Fig.31. Corresponding assignments are summarised i n t a b l e 11. The 13C NMR noise decoupled and off-resonance spectrum of metipranolol base i n CDCIBC100mg/ 1. 5 ml ; TMS-internal s t a n d a r d ) , recorded on BS 567 A spectrometer, is presented i n Fig.4. The carbon chemical s h i f t values and s p e c t r a l assignments are l i s t e d i n t a b l e 111.
f
m
Y
L.
c,
3
A
I
4
(d
0 0
rd L
Q
(rl
0 r
G 0
Y
i 0
314
@ k3
b
~ C CHCH~NHCH H 2 OH id \ 9
GH3
Froton assignments
d Cppml
6.60 3.96 2.80
B36
M u 1t ip l i c it y
C NMK assignments
M
OCQCH
0
H3C P
H3C
@tH3
H
I J
CH3 L
K/
OCl-1 CHCH2NHCH 2 OH 1 \L
CH;,
Carbon
6 Cppml
Carbon
B C D E F G H
w May be interchanged
4
0
i
P
*
120
160
160
100
PM
a0
bo
40
20
F i g . 4 The
13
d
I
spectrum
METIPRANOLOL
377
3. I. 4. Mass Spectrum
T h e electron i m p a c t m a s s spectrum C Fig 3 1 w a s recorded on Varian MAT 44 S spectrometer with a n ion source temperature 195"C, emission c u r r e n t 0.2 mA and electron energy of 70 e V . The list of m o r e s i g n i f i c a n t f r a g m e n t a t i o n p e a k s and t h e i r r e l a t i v e i n t e n s i t i e s is given i n t a b l e I V .
Tah.IV Electron impact m a s s spectrum of metipranolol base. Peak i n t e n s i t y d a t a .
Peak
1
I/Base
2.03% 8.14% 6.05% 3.36% 16.08% 6.36% 2.79% 8.62% 5.36% 4.07% 2.31% 1.70% 1.74% 2.18% 2.99% 100.00% 7.76% 1.98%' 1.51% 1.72% 1.55% 2.37% 3.11% 3.81% 1.47% 3.40% 13.68% 1.68% 1.50% 0.13% 1 .OW% 0.217: 0.16% 0 29%
Mass
39 40 41 42 43 44 55 56
2
3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24
57
58 60 67 69 70 71 72 73 74 79 91 98 100 102 116 137 151 152 153 194
26
26 27 28 29 30
31
233
265 266 294 309
32 33 34
J .
0
.L
I
I
..
I.
metipranolol
METPRANOLOL
379
3.2.2. Me1 t ing Range Metiprannlol base m e l t s between 108.5 110.5"C. The melt.ing range of metipranolol f u m a r a t e is 170 - 172C. t h a t of n e u t r a l tartrate salt is 157 - 1 5 8 C .
3.2.3.Thermogmwimetry
The thermogravimetr i c curve for metipranolol base C f ig.73 cnnf i r m s t h a t t h e compound is s t a b l e up t o t h e temperature of approximately 190C. The decrease i n t h e s a m p l e weight above t h i s temperature i n d i c a t e s t h e beginning of t h e substance decomposition.
3.3.Sotubil i t y
According t o s t a n d a r d s o l u b i l i t y test- and nomenclatureC5,6>, metipranolol base should be c h a r a c t e r i z e d as f r e e l y soluble i n 957: ethanol, chloroform and benzene s l i g h t l y soluble i n ether and practically insoluble i n water. The s o l u b i l i t y of metipranolol base i n water s o l u t i o n s could be increased subst.antially by inclusion complex formation with /3-cyclodextrin C 7 > . Both f u m a r a t e and Lartrate n e u t r a l salts of metipranolol are f r e e l y soluble i n water.
100
102
104
-"C _.,
106
of
IF R
. u0 s
0 (Y
=
1
J
0
382
J N DOHNAL ETAL.
4. SynGhesis
The complete reaction scheme of metipranolol base i s given in fig.8. In principle it does not differ from syntheses o f other biologically active aryloxyisopropanolamines. Corresponding substituted s condensed with epichlorophenol C intermediate 3 3 i hydrine to epoxide C43 and then by reaction with isopropylamine converted to metipranolol base C 5>. More detailed information about single reaction steps could be found in literature Cd,2,8-2O>.Pure optical antipodes o f metipranolol were isolated from racemic base by enantioselective crystallization with mandelic or tartaric acid C 4 > .
OCOCHB CH3 CCH3C0120
CZn3
HsC
@
2
CHB
NHa
OH
1
OCOCHs
OCOCH
3+
@CHCHCH2C1
OH
3
HzNCH OCOCH
4
\
CH3
OCHz CHCHzNHCH AH
8
CH3
METIPRANOLOL
383
5.Stabilit.y From t h e preliminary short-term s t a b i l i t y test C d d ) it should be noted t h a t metipranolol quickly decomposes i n a l k a l i n e C N a O H l and oxidizing C Hz02> solutions. Deacetylmetipranolol as a m a i n product of alkaline hydrolysis is a l s o p r i m a r y metabolite. Metipranolol s e e m s t o be r e s i s t e n t a g a i n s t a c i d i c hydrolysis i n diluted hydrochloric and a c e t i c acid solutions. The exposition t o UV l i g h t CHg-lamp, h 258 nml accelerates s i g n i f i c a n t l y the
max
decomposition of metipranolol i n w a t e r solution and also i n substance. Long t e r m s t a b i l i t y test t h e confirmed excellent s t a b i l i t y of t h e substance and 40 m g t a b l e t s stored under various thermal conditions C 5 , 25, 38 and 60C> f o r t h r e e y e a r s . In all regimes t h e sum of decomposition products C deacetylmetipranolol C DAT3, trimethylbenzochinone C TMBll did not exceed t h e l i m i t declared. L e s s favourable is t h e s t a b i l i t y of n increase metipranolol fumarate 1% e y e drops. A i n content of decomposition products with increasing temperature and t i m e of exposition is evident from table V. Tab.V S t a b i l i t y of metipranolol fumarate 1% e y e drops Exposition [days1
Temperature CI
*
0.059
0.085 0.125 0.316
0
40
25 25 38 60 25 38 60 25 38 60
25 38 60
0.002 0.006 0.015 0.034 0.012 0.029 0.050 0.019 0.043 0.068 0.029 0.058 0.086
90
180
365
384
J&f W H N A L ETAL.
Temperature C"C1
25 38
25
0.193 0 . 2 4 6
0207
Determined spectrophotometrically
6 . Pharmacology
Metipranolol was characterised as highly potent @-blocker with little intrinsic P-stimulating activity.The relations between some biological and physical-chemical properties in series of derivatives of metipranolol were found C 12,133. P-adrenolytic activity decreases with increasing lipophil i c ity . Correlation between partition coefficients and the P-adrenolytic activity of metipranolol and its analogues was experimentally confirmed C M > . The effect of.metipranolol on metabolic variables in patients with ischemic heart disease, hyperkinetic syndrome, hyperthyreosis and in healthy subjects after sympathetic stimulation was widely studied. Metipranolol administered orally decreases heart rate C35,26> and prolongs systolic time intervals C 3 7 . 1 8 ) . The antiarrhythmic effect of metipranolol in comparison with tr imecaine was tested on the ventricular fibrilation threshold in anesthetized closed chest dogs. The study of bronchopulmonary and cardiovascular effects confirmed that metipranolol significantly increases the pulmonary resistence C 1 9 J . T h e ability of metipranolol to reduce blood f pressure was experiment-ally confirmed on a group o hypertensive patients C 2 0 > . The antihypertensive effect was m o r e pronounced with combination of metipranolol and butizide. Metipranolol can substantially reduce post-operative ocular hypertension (21.22). Elevated intraacular pressure . 6 % after cataract extraction was decreased b y 0 metipranolol eye drops administered before and during the first days after surgery. The effect of
METIPRANOLOL
385
i n t r a o c u l a r pressure decrease supporting t h e normalisation of i n t r a o c u l a r l i q u i d c i r c u l a t i o n m a y be successfully u t i l i z e d i n medical t r e a t m e n t of glaucoma C23,24>. Metipranolol and o t h e r P-blockers found t h e i r a p p l i c a t i o n a l s o i n neurology and psychiatry as neuroleptic a g e n t s . S t a t e s of depression, a n x i e t y , tremor and mania o r i g i n a t e d i n psychosomatic disorder could be positively a f f e c t e d by adminis t r a t i o n of metipranolol C25). Since metipranolol h a s been introduced i n t o c l i n i c a l p r a c t i c e t h e complex of secondary metabolic changes i n exposed organism w a s described. Important is t h e i n f l u e n c e on t h e a c t i v i t y of adenylcyclase enzyme which a c c e l e r a t e s t h e format ion of cyclic adenosinemonophosphate C26.27). Such equilibrium s h i f t alters t h e metabolism of glycides and l i p i d e s . S i g n i f i c a n t decrease i n glucose l e v e l s i n human blood a f t e r t h e adminis t r a t i o n of metipranolol w a s observed C 2 8 > and explained by blocking e f f e c t on t h e e f f i c a c y of i n s u l i n . Increase i n human plasma l e v e l s of growth hormone and s e c r e t i n w a s found C29).
7,Dosage
- Dosage Forms
Single
Daily
Oral
Intravenous
Oral Intravenous
The experimental use of various m i x t u r e s of metipranolol with o t h e r biologically a c t i v e components w a s described. Summary and b r i e f c h a r a c t e r i z a t i o n .of mixtures t e s t e d is given i n table V I I .
386
Tab.VII Metipranolol mixtures Components Metipranolol-Clopamide TorratR 17Z4 1 6 0 3 6 1 Metipranolol-Butizid Metipranolol-Butizid -Dihydralazin
I Ref.
20.32
Combined @-blocking, 33 diuretic and vasodilatating effect for hypertendon treatment Combined treatment of hypertension Improved effect of intraocular pressure reduction Amplified suppression of acute angina pectoris manifestations
34
35
36
8. D r u g
Orally administered metipranolol i s rapidly and almost completely absorbed. In normal 0 4 0 mgl volunteers, administration of met ipranolol C 2 0 3 0 min produced blood levels of 1-3 pg/mL in 2 CiS,37). The blood levels decreased with a half-life of 17 min whereas the urinary exertion proceeded with a half-life of 1-3 hours. The 0 mg of metipranolol starts P-blocade due to 10 or 2 at 20-30 min and is extended at least up to 12 h following oral administration C382. Kinetic parameters depend strongly on type of pharmaceutical formulation administered. The comparative pharmacokinetic study proved statistically significant prolongation of half-1if e time and @-blocking effect after administration of experimental
METIPRANOLOL
387
slow-release p r e p a r a t i o n C39>. Elimination is mainly b y biotransformation i n t h e l i v e r . Metipranolol is almost, completely and v e r y rapidly metabolized t o a deacetylated of metabolite C57193-14-33 C 4 0 > . Urinary excretion unchanged drug is approximately 4% of t h e dose ( 4 2 ) . A s proved on normal volunteers and p a t i e n t s with kidney i n s u f f i c i e n c y t h e r e n a l clearance of doacetylated metabolite decreases and t h e t e r m i n a l h a l f - l i f e of t h e metabolite i n c r e a s e s as t h e degree of kidney i n s u f f i c i e n c y grows ( 4 2 ) . Maximum i n blood serum concentration occurs at 1.1 h a f t e r admini strat ion.
9.Methods of Analysis
9 . 2 . Identification
HNO,
i n t e n s i v e brown t o red c o l o r a t i o n appears. By d i l u t i n g with 5.0 mL H 2 0 t h e s o l u t i o n t u r n s yellow and p r e c i p i t a t e s . b3 About 0.lg of meti.pranolo1 mixed with 5 m L of d i l u t e d NaOH s o l u t i o n is warmed i n w a t e r b a t h for 15 minutes. Then t h e s o l u t i o n is d i l u t e d with 5 m L of w a t e r . cooled and a c i d i f i e d with d i l u t e d H2S04.By adding two drops of f r e s h
FeC13
s o l u t i o n , i n t e n s i v e blue c o l o r a t i o n appears.
9 . 2 . Spect r o p h o t omet r y
W e l l defined absorption m a x i m u m s e e m s t o be
388
convenient for direct spectrophotometric assay of metipranolol in substance and various pharmaceutical formulations. Nevertheless the choice of optimal wavelength ensuring maximum selectivity and high sensitivity may be critical due to possible peak coincidentions of metipranolol, its impurities and degradation products or other absorbing components from placebo. Metipranolol has been determined spectrophotometrically in methanol C Amax--297.5nm,concentration range 2 0 3 2 0 pg/mL> 0.1M H2S04 in water CX =277nm,concentration range 20-400 C(g/mL3 and max 0.1M NaOH in water-methanolic C 1+91 solution CXU l a X =238nm,concentration range 5-85 pg/mL or Xmax =296nm,concentration range 15-240 pg/ml> C44,45>. Spectrophotometric determination based on the quantification of quinone a5 a product o f oxidation of metipranolol with KBrOB or CeC SO4l2 C 4 6 > made it possible to determine low concentrations of met ipranolol and deacetylmetipranolol in biological material. An introduction of suitable pre-extraction step together with alcaline hydrolysis prior to the measurement Cformation of deacetylderivativel makes it possible to determine accurately the levels of metipranolol in the mixture with chlorthalidon and DH-ergocrysti n C 4 7 ) .
Sensitive and selective chromatographic techniques were used predominantly for analytical evaluation of complicated pharmaceutical formulations without sample pre-treatment and for monitoring of drug serum levels for the purposes of pharmacokinetic studies.
METIPRANOLOL
389
m e t i p r a n o l o l a n d its d e a c e t y l d e r i v a t i v e i n s u b s t a n c e a n d d r u g f o r m u l a t i o n s C 4 8 ) . C o m m o n l y used c o n d i t i o n s for separation are g i v e n i n table VIII. M i c r o g r a m q u a n t i t i e s of m e t i p r a n o l o l w e r e successf u l y d e t e r m i n e d t h r o u g h TLC separation and f l u o r i m e t r i c d e t e c t i o n of d a n s y l d e r i v a t i v e C.49).
T a b . V I I 1 C o n d i t i o n s for t h e s e p a r a t i o n m e t ipranolol
of
I
Sample preparat. stationary phase
TLC
2% ethanolic sol.
Kieselgel GF/'254/' WOELM-2 plates
11U V 2 5 4 q u e n c h i ng
2 l S p r a y i n g w i t h acid i c p o t a s s i u m perm a n g a n a t e solution 3jSpraying w i t h FeC13 +K3 EFeC CN16 3
w a t e r soluteion 4 3 D e n s i t o r n e t r y C 47 >
390
J M DOHNAL E T A L
hydroxide C 850:100:50:13mixture as mobile phase. When analysed on reversed phase HPLC columns it is recomended to suppress positive charge of the molecule of metipranolol in order to obtain sharp, non-difussion peak. Ion pair HPLC on reversed phase with 1-heptanesulfonic acid as a counterion proved to be suitable for the resolution and quantitative evaluation of metipranolol and other structurally related @-blockers in the mixture (59). Complete resolution of metipranolol and its deacetylderivative could be achieved on pBondapak Cie column using acetonitrile-water C l:l> mobile phase with added 1-hexanesulfonic acid as a counterion C52). Simple simultaneous determination of propranolol , metipranolol and atenolol on LiChrosorb Ck8 10pm stationary phase using phosphate buffer with octyl sodium sulfate as mobile phase has been described (53). Separation of metipranolol enantiomers after f diastereomeric derivatives with preparation o symmetrical anhydrides of Boc-L-Ala and Boc-L-Leu was described C 5 4 ) . Proposed experimental conditions C stationary phase-pBondapak Cie; mobile . 0 with the addition of phase-phosphate buffer pH 3 acetonitrile3 made it possible to monitor serum levels of both enantiomers for pharmacokinetic purposes.
9 . 3 . 3 .Gcls Chromatography
Gas chromatography was used for monitoring of drug levels in various biological fluids. Simple determination of underivatized met ipranolol and propranolol in urine after extraction with organic solvent C petroleum ether - 2-methylbutanol ; 7:33 has been reported (55). The use of sensitive EC detector requires suitable derivatization step prior to GC. Met ipranolol has been converted to electron-capturing derivatives with methyld ichlorophosphine and sulfur C56) or ~,4-dichlorobenzeneboronicacid C 3,Ei-bisC trifluoromethyllbenzeneboronic acid3 (57). I n another procedure metipranolol was transferred to perf luoroacylderivatives with trifluoroacetic
METIPRANOLOL
391
anhydride or N-heptaf luorobutyrylimidazole C58.59). Retention indices of metipranolol, some other (3-adrenolyticsand their perf luoroacylderivatives were published (60). Direct enantiomeric resolution of metipranolol racemate derivatised with phosgene to corresponding 2-oxazolidone was achieved on chiral polysiloxane XE-60-1-valine-C W-a-phenylethylamide stationary phase (613.
Electrochemical Determination
Metipranolol may be assayed in acetic acid containing KBr and HC1 by titration with 0.1N KBr03. The endpoint i s determined biamperometrically using double Pt electrode C 4 8 ) . This method proved to be sufficiently selective and suitable for the determination of metipranolol in substance. various pharmaceutical formulations and also in biological mater i a l C46). Direct voltametric determination of metipranolol C I3 and deacetylmetipranolol C 113 based on the anodic oxidation on a graphite electrode has been described (62). Determinatio-% of I-tan be done in a concentration r a - e 9.10 to 1.10 @ o l / L and of I1 in a range 1.10 Y to 1 .5.10- mol/L.
In addition to cited and briefly described standard GC and HPLC techniques, gas chromatography-mass spectrometry C GC-MS3 combination has been utilised for monitoring and identification of metipranolol and its metabolites in biological fluids. A typical analytical procedure consists of extraction and derivatization step C obviously trifluoroacetylationl followed by GC separation and on-line detection using quadrupole mass spectrometer. s Due to the high biological background it i
392
advantageous t o use chemical i o n i s a t i o n mass spectrometric method producing high-mass molecular i o n s of g r e a t e r r e l a t i v e i n t e n s i t i e s t h a n electron- i m p a c t m a s s spectrometry. Highly specif i c and s e n s i t i v e measurement of deacetylmetipranolol i n p l a s m a was achieved with methane used both as t h e c a r r i e r g a s and chemical i o n i z a t i o n r e a c t a n t C 6 3 . 4 1 ) . Metipranolol and o t h e r (3-blockers, t o g e t h e r with t h e i r m e t a b o l i t e s , w e r e d i f f e r e n t i a t e d and i d e n t i f i e d i n u r i n e by computerized G C M S C643. Retention i n d i c e s COV-101 s t a t i o n a r y phase) and r e f e r e n c e m a s s s p e c t r a w e r e documented.
Acknowledgements
The a u t h o r s would l i k e t o t h a n k M r s . M. Hajkova, ing.J. Holubek, ing.1 .Koruna, Dr.M. Peterkova , D r .M. R y s k a , and Dr .Z .Volkova C VUFB , Prague) f o r kindly provided s p e c t r a l and thermal d a t a and helpf u l l a s s i s t a n c e i n t h e i r i n t e r p r e t a tion.
10.References
1.Blaha L. ,Weichet J . ,Hodrova J . .Trcka V.:Czech. 128.471,
2 B l a h a L.,Weichet J . ,Str ibrny J .:Czech. 150.020. 3.Graichman T . ,Hermansky M.,Mrvova Z.,Pesak M.: Czech. P V 6727-87. 4.Blaha L. ,Weichet J.:Czech. 152.096. 5.United S t a t e s Pharmacopeia, 2 1 s t Rev.,p.1441, U S Pharm. Conv., Rockville C Maryland) C 19853. 6 . B r i t i s h Pharmacopoeia, Vol.1. p.9, H e r Majestys S t a t i o n e r y Off ice London C 19883. 7.Kralova K.,Mitterhauszerova L.:Farm.Obz. 52C73, 295 C 19833.
METIPRANOLOL
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1 2 . Z a k h a r i S . : E u r . J . P h a r m a c o l . 2 9 C 13 Z 2 C 19743.
13.kejholec V . , K a k a c B . , K u c h a r M . , H a v l i k I . , J a n k u I . , T r c k a V..Blaha L..Weichet. J . : E x p e r i e n t i a , Supp1.23 C Quant.Struct.-Act.Relat.3,115 C 19763.
21 . S c h m i t z V a l c k e n b e r g P.:Klin.Monatsbl. A u g e n h e i l k d . 182C23.150 C 1 9 8 3 3 .
22.Krieglstein G.K. ,Schrems W.:Fortschr. O p h t h a l m o l . 8 1 C 2 3 1-27 C 19843.
2 3 . H o p k i n s G.A.:Am.J.Optom.Physiol.Opt. 6 1 C 121, 756 C 19843.
394
24.Kern R.:Klin.Monatsbl.Augenheilkd.186C 63, 442 C 19853. 25.Poldinger W.:Z.Allgemeinmed. 61C 1-23, 7 C 19851.
26.Dollet-yC.T. ,Peterson J .W. ,Conolly M.E.:Clin. 6 5 C 19691. Pharmacol.Ther.10. 7
27.Shanks R.G.:Indian J.Med.Sci. 2.351 C 19691. 28.Zamrazil V.,Felt V.,Nemec J..Vana S . : Cas.Lek. Cesk. 11lC 141,312 C 19723. 29.Nedvidkova J.,Felt V.:Cas.Lek.Cesk. 112C341,1014 C 19731. 30.Cs.Pharmacopoea ,4th Rev. ,Vol.III p.454,Avicenum-Zdravotnicke nakladatelstvi Praha C 19873. 31.Schuetz W.:Brit. 1417.864. 32.0verlack A.,Kolloch R.,Stumpe K.O.:Herz Kreisl. 13C73,324 C 19813. 33.Teuf e l W ..Rartsch W.,Glocke M.,Hacker W.: Therapiewoche 35C73.691 C 1 9 8 5 ) .
METIPRANOLOL
395
A v i c e n u m - Z d r a v o t n i c k e n a k l a d a t e l s t v i Praha C 19873
44 . K r a c m a r J. , A l v a r e z Sotolongo M ., K r a c m a r o v a J ., R e m s o v a M. , H o r s k a J .:Pharmazie 3 1 C 6>,363 C 19763. 4 5 . K r a c m a r J. . A l v a r e z Sotolongo M. , K r a c m a r o v a J . , H o r s k a J ., P e t r a n o v a J. . M o r a v c o v a B.:Cesk . F a r m . 2 5 C 7 3 , 2 4 3 C 19763.
5 3 . W i n k l e r H . , R i e d W..Lemmer 22.3 C 1 9 8 2 2 .
B . : J . C h r o m a t o g r . 228,
396
NIZATIDINE
Timothy J. Wozniak Lilly Research Laboratories Eli Lilly and Company Indianapolis, Indiana 46285
391
398
TIMOTHY J. WOZNIAK
TABLE OF CONTENTS 1 . Description Name, Formula and Molecular Weight 1.1 1.2 Appearance, Color and Odor 1.3 History 2. Synthesis 3. Physical Properties 3.1 Infrared Spectra 3.2 Nuclear Magnetic Resonance Spectra 3.3 Mass Spectra 3.4 Ultraviolet Spectra 3.5 Melting Range 3.6 Differential Thermal Analysis 3.7 ThermogravimemcAnalysis 3.8 Crystal Properties, Polymorphism 3.9 Solubility 3.10 Partition Coefficients 3.1 1 Ionization Constant, PKa 4. Methods of Analysis 4.1 Identity 4.2 Elemental 4.3 Ultraviolet 4.4 Chromatographic 4.41 Thin-layer 4.42 High-PerformanceLiquid
5. Stability - Degradation 5.1 Potential Routes of Degradation 5.2 Solid State Stability 5.3 Solution Stability
NIZATIDINE
399
1. DESCRIPTION
1.1 Name, Formula and Molecular Weight Nizatidine is marketed by Eli Lilly and Company under the trade name, Axid@. It was referred to as LY139037 in the early literature. Chemically it is known as N-[2-[ [ [2-[(dimethylamino)methyl]-4 thiazolyl] methyl] thio] ethyl] -N-methyl-2-nitro-1,l-ethenediamine. The CAS Registry Number is 76963-41-2. Empirical Formula: Molecular Weight: Structure: C 2H2 N502S2
33 1.46
400
TIMOTHY J. WOZNIAK
2. SYNTHESIS
The cyclization of dimethyarninothioacetamide ( I with ) ethyl n refluxing ethanol gives ethyl 2-(dimethylarninomethyl)bromopyruvate (II) i 4-thiazolecarboxylate@ which I ) is ,reduced w i t hl i t h i u m triethylborohydride in tetrahydrofuran yielding 2-(dimethylaminomethyl)-4-thi~lemethanol (IV). The condensationof (IV) with 2-aminoethanethiol(V) by means of 48 percent hydrogen bromide affords 2-(dimethylaminomethyl)-4-(2-aminoethylthiomethyl) thiazole (VI),which is finally condensed w i t h 1-(methylthi0)-2nitro-N-methylethyleneamine i n water (7). The synthesis is illustrated i n Figure 1.
- 0
(cH3)2NcH2
y>
0
C02CH2CH3 + Li(CH2CH3)sH
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(CH3)2NCH2
y>
N
CH2OH + HSCH2CH2NH2 03
-0
HBr
(CH3)2NCH2
(CH3)2NCH2
r> r>
c H N 0 2 II CH2SCH2CH2NHCNHCH3
Nizatidine
NIZATIDINE
401
3. PHYSICAL PROPERTIES
3.1 Infrared Spectrum The infrared spectrum for nizatidine as a potassium bromide pellet is illustrated in Figure 2. The spectrum was recorded on a Nicolet Model 5SXC Fourier Transform infrared spectrophotometer. The major adsorption bands for the infrared frequencies and the corresponding assignments are listed in Table I. The infrared spectra of nizatidine in a variety of solvents at room temperature indicate the presence of two species in solution (8-9). These species differ most in the region of the nitroketaminal group and have been confmed to be cis/trans isomers around the double bond. This is evidenced by the presence of both intramolecularly non-bonded and H-bonded N-H structure in nonprotic solvents @).The hydrogen-bonding observed in the infrared spectra was found to involve the nitro group. The absence of a C=C stretch provides additional information regarding the delocalization of the electrons in the nitroketaminal system. Such delocalization is consistent with the ultraviolet and N M R spectral data, indicating extensive delocalization of the amine nitrogen lone-pairs throughout the system. Table I. Infrared Band Assignments for Nizatidine Infrared Assignment Wavenumber, cm 3280,3210 3107 3094 2945,2860 2829,2784 1622 1587 1521 1470, 1458 1435,1422 1377, 1359
I
/'
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0 0 0
NIZATIDINE
403
3.2 Nuclear Magnetic Resonance The 300 MHz lH spectrum of nizatidine (100mg/mL)in CDC13 with 0.5% v/v tetramethylsilane is shown in Figure 3. The spectrum was obtained on a Varian Unity spectrometer using the following instrumental parameters: 5 mm 1W13Cdual probe; spectral width, 481 1 Hz; 50" pulse width; 64K time-domain data points; acquisition time, 6.8 seconds; 100 scans and probe temperature, 27C . The proton-decoupled l3C spectrum of nizatidine (100 mg/mL) in CDC13 with 0.5% v/v tetramethylsilane is shown in Figure 4. The data were obtained using a 5 mm lW13C dual probe; spectral width, 20 KHz; 90"pulse width; 64K time-domain data points; acquisition time, 1.6 seconds; relaxation decay, 2.4 seconds; WALTZ-16 proton decoupling; 4000 scans and probe temperature, 27C. The spectrum was processed with 1.0 Hz Lorentzian line broadening followed by the addition of 64K zero-fill data points. Nizatidine exists as a mixture of cis/trans isomers of the nitroketaminal moiety in solution (Figure 5). The presence of a doublet resonance at approximately 95-100 ppm in the 13C spectrum eliminates several possible tautomers. This is further supported by the occurrence of peak doubling of the N-methyl and N-methylene resonances of the nitroketaminalregion in both the 1H and 13C spectra. The group can exist in either of two conformations of similar energy, and these interconvert slowly enough to lead to doubling of many of the NMR resonances. This is evidenced by N M R and infrared studies of nizatidine at different temperatures in solution (8-9). The two hydrogen-bonded NH groups come into resonance near 10 ppm, while the nonhydrogen-bonded NH groups come into resonance in the 6-7 pprn region of the lH spectrum.
0-
-0
im
404
405
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TIMOTHY J. WOZNIAK
The 1H and proton-&coupled 13C NMR spectra of nizatidine at probe temperaturesranging from -3C to 57OC (lOOmg/mL in CDCl3) are shown in Figures 6 and 7, respectively. The IH spectrum of nizatidine at 57OC shows one set of signals due to fast interconversion of the rotamers (Figure 6). When the probe temperature is lowered to -3OC, the interconversion is much slower and two sets of signals are observed for all the protons associated with the dialkylaminonitroethenegroup. Spin decoupling experiments on the two N H quartets and two NH triplets c o n b e d the assignmentsof the signals for the individual rotamers. Structural assignments for both proton and carbon nuclear magnetic I I . resonance spectra are listed in Table I
Table III. N M R Chemical Shift Assignments of Nizatidine at 3OC Site 2 4 5 2' N(CH3)2 6 8 9 10 11 12 13 14 'H
13
7.15 3.74, 3.77 2.36 3.85, 3.86 2.79 3.40, 3.49 6.72, 10.35 7.25, 10.24 2.84, 3.00 6.63, 6.64
171.77, 172.06 152.28, 152.72 116.45, 116.59 60.77, 60.87 45.73, 45.76 30.98, 32.22 30.65, 31.24 41.04, 41.51 156.52, 156.74 27.73, 29.07 98.21, 98.26
'
Figure 7. 13C NMR spectrum of nizatidine in CDC13 at -3 "C(bottom),27OC (middle) and57"C (top).
NIZATIDINE
409
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959085807570.
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271 288
300
350
400
NIZATIDINE
411
The field desorption mass spectrum of nizatidine is shown in Figure 10. The spectrum was obtained using a Varian-MAT Model 731 double sector instrument. The spectrum consists of the protonated molecular ion at m/z 332 and a h e r ion at m/z 663. 3.4 Ultraviolet Spectrum The ultraviolet spectra of nizatidine in methanol and water are shown in Figure 11. Spectral acquisition was performed on a Perkin Elmer Model Lambda 6 spectrophotometerusing 1-cm quartz cells. The ultraviolet spectra in both methanol and water contain two absorption maxima, both of which are abolished by the addition of acid and restored by the addition of base. The r o m the diaminonitroalkenechromophore occurs at maximum absorbance f 325 nm (methanol) and 314 nm (water) with molecular absorptivities of e=19,600 and e=15790, respectively. The peak absorbances for methanol and water solutions are listed in Table V. The pH dependence of the UV spectrum is critical for nizatidine. At pH values below 4.5, a hypochromic effect is observed for the chromophore assignable to the substituted conjugated diaminonitroalkene. The lack of chromophore at low pH, attributable to loss of conjugation by protonation of the nitro group-bearing carbon atom in aqueous solution and which is complete in hydrochloric acid, is shown in Figure 12. Table V. UV Absorbances and Molecular Absorptivities Methanol E l%/lcm 325 592 19600 314 Water E l%/lcm 476 11820 15790
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Figure 12. Ultravioletabsorption spectra of nizatidine, obtained a tpH I (bottom),pH 2 ( lower middle), pH 3 (upper middle) and pH 5 (top).
NIZATIDINE
415
3.7 Thermopvimetric Analysis The TGA thermogram for nizatidine, at a heating rate of 5 O C per minute, shows no significant weight loss through 180C. These data are consistent with nizatidine's properties as an anhydrous and non-hydroscopic material. 3.8 Crystal Properties, Polymorphism The X-ray powder diffraction pattern of nizatidine is shown in Figure 13. The spectrum was obtained using a Nicolet powder diffractometer using copper Kairradiation (1.5418 A) with a graphite monochrometer. A total of 21 peaks were detected at scattering angles between 5 and 35 degrees 2-theta. Table VI summarizes the data from X-ray powder diffraction where d is the & I is the relative intensity of the X-ray line. interplanar spacing (A), and , Nizatidine has been crystallized from solutions of ethyl acetate, butyl alcohol, methylene chloride and ethanol. X-ray diffraction studies indicate the presence of a single crystal form in all cases. Table VI. Powder X-ray Diffraction Data for Nizatidine D-Spacing (A) 12.59 6.36 6.11 5.98 5.72 5.46 5.25 4.43 4.38 4.18 3.98 3.85 3.71 3.63 3.42 3.36 3.33 3.22 3.07 2.99 2.88 Intensity ( I . & ) 0.39 0.08 1.oo .26 .ll 0.20 0.17 0.15 0.04 0.48 0.30 0.43 0.35 0.15 0.28 0.13 0.43 0.28 0.15 0.15 0.13
NIZATIDINE
417
3.9 Solubility
Nizatidine is freely soluble in chloroform ; soluble in methanol; sparingly soluble in water and buffered solutions; slightly soluble in ethyl acetate and isopropanol. Nizatidine is essentially insoluble in benzene, diethyl ether and octanol. The solubility data for nizatidine are shown in Table V I I . Table VII. Solubility of Nizatidine Solvent Water Buffer - pH 7.0 Buffer - pH 4.5 Buffer - pH 1.2 Isopropanol Diethyl ether Ethyl acetate Methanol octanol Benzene Chloroform 3.10 Partition Coefficient The octanol-water partition coefficient was determined to be 0.3 (wtanolbuffer, pH 7.4),indicating that nizatidine exhibits little lipophilic character. Solubility (mg/ml) 210.0 210.0 210.0 210.0 23.33 -
USP Solubility
Sparingly Soluble Sparingly Soluble Sparingly Soluble Sparingly Soluble Slightly Soluble Very Slightly Soluble Slightly Soluble Soluble Very Slightly Soluble Very Slightly Soluble Freely Soluble
250.0 - ~ 1 0 0 . 0
c0.5 c0.5 2100.0
418
TIMOTHY J. WOZNIAK
H N
0
S
4 . 3 Ultraviolet
Nizatidine potency can be determined by ultraviolet spectroscopic assay in methanol at 325 nm, which avoids interference from known impurities and degradation products. The procedure is done at a concentration of 0.004 mdmL in methanol using a 1 cm cell length.
4 . 4 Chromatography 4.41 Thin Layer A TLC method can be used for the identity and purity of raw material for nizatidine. Precoated silica gel 60 F254 TLC plates are used as the stationary phase and a binary solvent system consisting of chloroform-methanol (98:2) is used as the developing solvent. Visualization is performed by exposing the plate to iodine vapors prior to viewing under short UV light (254nm). This method will resolve known process related substances and degradation products from nizatidine.
NIZATIDINE
419
4.42 High Performance Liquid Conditions for quantifying nizatidine have been optimized using reversedphase HPLC. The mobile phase consists of an ammonium acetate buffer (O.lM, pH 7.5 with 0.1% diethylamine) and methanol (76:24). A Jones Apex ODs column (150 x 4.6 mm; 5 micron particle size) is used in conjunction with a flow rate of 1mL/min. Detection is obtained with an UV detector set at 254 nm. The method is stability-indicatingas indicated by its ability to separate nizatidine and known degradation products. Figure 14 shows the separation of nizatidine and two known degradation products (nizatidine sulfoxide and nizatidine amide). Gradient reversed-phase HPLC methodology is used to quantify nizatidine and its potential process related substances. A Supelco LC-18-DB column (250 x 4.6 mm; 5 micron particle size) is used in conjunction with a flow rate of 1 mL/min and detection at 254 nm. The mobile phase components are an ammonium acetate buffer (0. lM, pH 7.5 with 0.1 % diethylamine) and methanol (76:24)(A), and HPLC-grade methanol (B). A linear gradient from 100% A to 66%A:34%B over 20 minutes is followed by a isocratic period of 25 minutes before recycle to 100% A. The sample is analyzed at a concentration of approximately 5 mg/mL. The determination of nizatidine and its metabolites (des-methyl nizatidine and nizatidine sulfoxide) in plasma and urine is achieved by isocratic reversed-phase HPLC. The separation utilizes a Jones Apex ODs column (150 x 4.6 mm; 5 micron particle size) at a flow rate of 1.4 mL/min and detection at 313 nm. A Brownlee guard column (RP-8,30 x 4.6 mm; 5 micron particle size) is used to minimize contamination of the analytical column. The mobile phase consists of an ammonium acetate aqueous pomon (O.lM, pH 7.5 with 0.1% diethylamine) and methanol (76:24). The column temperature is maintained at 3OoCby a thermostated column oven. Plasma and urine samples are pH adjusted with sodium bicarbonate prior to extraction with methylene chloride. Nizatidine and its metabolites are quantified versus a multi-point standard curve. Recoveries are corrected by use of N-[2-[[[tdimethy laminomethyl]-Cthiazoyl]-methyl]thiolethyl-N-ethyl-2-nitro1,lethylenediamine as an internal standard. Typical recoveries from both biological fluids are about 85 percent. Plasma samples were found to be stable for 3 months at 5OC and 6 months at -2OOC. Urine samples were found to be stable for 2 weeks at 5OC and 1month at -2OOC.
10
15
20
Time (minutes)
Figure 14 HPLC chromatogramo f stability-indicating assayfor nizatidine and &gradation products (A), nizatidine dkradation products only (B). Peak identification: ( I ) nizatidine sulfoxide, (2) niktidine h i d e , (3)nizatidine.
NIZATIDINE
42 1
5. STABILITY - DEGRADATION
5.1 Potential Routes of Degradation Nizatidine bulk drug substance was found to be stable when exposed to thermal stress of 100C for 7 days. The compound was also tested under harsh conditions of acid, base, peroxide and photodegradation. In all of these studies the compound was evaluated by specific HPLC andor TLC procedures. The conclusions of these studies demonstrate that, while some decomposition was seen under extreme conditions, the nizatidine drug substance is very stable. When exposed to the harsh conditions of heating under reflux for 24 hours in 1.O N hydrochloric acid, nizatidine was found to be less stable. Three acid degradation products, 4-[[(2-aminoethyl)thio]methyl]-N,Ndimethyl-2-thiazolemethanamine (I),2-[(dimethy1amino)methyll -4-thiazoleand 5,6-dihydro-3-(methylamino)-2H1,4-thiazia-Zoneoxime methanol (a), ( 1 1 1 )were formed under these conditions (Figure 15). Exposure to refluxing 0.1 N sodium hydroxide for 72 hours yielded three degradation products. These products, 4-[[(2-aminoethyl)thio]methyl]N,N-dimethyl-2-thiazolemethanamine (I), N-methyl-2-nitroacetamide (IV) and N-(thiazoleamine)-2-nitroacetamide (V) are shown in Figure 15. One of the degradation products is common between both acid and base hydrolysis. When exposed to a solution of 0.3% peroxide for 96 hours, nizatidine degraded to form nizatidine sulfoxide. The structure of N-[2-[[[2[(dimethy1amino)methyll -4-thiazolyl]methyl] sulfmyl]ethyl]-N-methyl-2nitro-1,l-ethenediamine(VI) is shown in Figure 15. i t h a mercury lamp for seven hours in a water solution, When irradiated w nizatidine degraded to N-[2-[[[2-[(dimethylamino)methyl]-4-thiazolyl]methyl] thiolethyll-N-methylurea (VII). This compound arises from the addition of water to the nitro-substituted double-bond followed by cleavage. 5.2 Solid-state Stability None of the degradation products produced through stress testing studies were found in lots of bulk nizatidine stored at room temperature for at least 48 months. Stability studies of the capsule formulation (150 mg and 300 mg dosage strength) were stable for at least 24 months at room temperature and 12 months at 40C.
422
TIMOTHY J. WOZNIAK
[:1mcH
cH3\
(333
/N
NOH
II
I11
NIZATIDINE
423
6. DRUG METABOLISM AND PHARMACOKINETICS Metabolism and pharmacokinetics have been studied with 14C-labelled nizatidine in the rat, dog, monkey and man (3, 10-18). In the rat and dog, nizatidine was excreted primarily in the urine as the parent drug. Nizatidine was metabolized to nizatidine N2-oxide in the dog, and to N2-monodesmethyl nizatidine in the rat (10). After oral administration in man, 14C-labelled nizatidine was almost totally absorbed based upon the recovery in urine of over ninety percent of the radiolabel (11, 14, 18). Almost all of the radioactivity in urine is recovered within 16 hours. Unchanged nizatidine accounted for over sixty percent of the recovered dose. The three metabolites nizatidine N2-oxide and were identified as N2-monodesmethylnizatidine, nizatidine sulfoxide (11, 16-19). Single doses of nizatidine 30, 100 and 300 mg inhibited gastric acid secretion by 57,73 and 90 percent, respectively, for up to ten hours after ingestion (20). The mean decrease in acid secretion produced by these doses was significantly greater than that caused by placebo. In male hypersecretors of gastric acid, nizatidine inhibited gastric acid secretion for up to eight hours following intravenous infusion (21). In seriously ill patients at risk for stress gastritis, constant intravenous infusion was shown to be effective in maintaining gastric pH 2 4 (22-23). The pharmacokineticprofile of oral and intravenous nizatidine were similar, with an elimination half-life of between 1.3 and 1.6 hours in healthy patients (10-11, 19). Increases in half-life were noted for patients with renal dysfunction (24-25). The similar pharmacokinetic profiles for both the oral and intravenous administrationindicate that the disposition of nizatidine is largely independent of the route of administration. Peak plasma concentrations were achieved within one to three hours and increased linearly with dose. The absolute mean bioavailability of oral nizatidine has been determined with reference to the intravenous formulation and found to be in excess of 95 percent. The pharmacokinetics are unaffected by concurrent food ingestion; however the simultaneous administration of an antacid containing aluminum hydroxide gel and magnesium silicate decreased nizatidine absorption by ten percent (19). Unlike cimetidine and ranitidine, nizatidine does not inhibit the hepatic mixed function oxidase system in animals and man (3-6,28-32). The therapeutic efficacy of oral nizatidine has been investigated in patients with duodenal ulcer, benign gastric ulcer and gastreoesophalgeal reflux disease (33-43). Nizatidine administered 150 mg twice daily or as a single bedtime dose of 150 or 300 mg was found to heal duodenal ulcers by the end of the clinical treatment period. The overall duodenal ulcer healing rates following eight weeks of treatment were similar to those of ranitidine (nizatidine,91.8%; ranitidine, 92.5%) (42). In multicenter clinical trials for the treatment of benign gastric ulceration, nizatidine had an equivalent healing rate to that of ranitidine (nizatidine, 90%; ranitidine, 87%) (43). In a 12-week study of patients with gastro-oesophagealreflwc disease a significant reduction in severity was noted for patients receiving nizatidine 150 mg twice daily (34-37).
424
TIMOTHY J. WOZNIAK
ACKNOWLEDGMENTS The author wishes to express his sincere thanks to the following people who have provided information for portions of this chapter: S.R. Maple and D.E. Dorman for the NMR spectra and interpretations; G.G. Cooke and J. Gilliam for the mass spectra and assignments; C.D. Underbrink and L.G. Tensmeyer for the infrared spectra and assignments; G.A. Stephenson for the x-ray diffraction spectra and assignments, D.R. Long for the thermal analysis data, and A.D. Kossoy for the pK/partition coefficient data.
NIZATIDINE
425
REFERENCES 1 . Evan, D.C., Ruffolo, R.R., Warrick, M.W. and Lin, T.M. (1984). Fed. Proc. 43, Abstr. 4618. 2. Lin, T.M., Evans, D.C., Warrick, M.W., Pioch, R.P. and Ruffolo, R.R. (1983). Gastroenterol. 123 1.
a,
3. Meredith, C.G., Speeg, K.V. and Schenker, S. (1983). Clin. Res. 31, 765A.
4 . Dammann, H.G., Klotz, U., Gottlieb, W.R. and Walter, T.A. (1986). Digest Dis. Sci. 31,395s. 5 . Klotz, U., Dammann, H.G., Gottlieb, W.R., Walter, T.A. and Keohane, P.P. (1987). Brit. J. Clin. Pharmacol. 23, 105.
6 . Klotz, U., Gottlieb, W.R. Keohane, P.P. and Dammann, H.G. (1987). J. Clin. Pharmacol. Z, 210.
7 . Pioch, R.P. (Eli Lilly and Company) Brit. 2,084,581; Eur. Pat. Appl. 49,618; Japan K82 91,980; US 4,375,547.
8 . Dorman, D.E. (Eli Lilly and Company) "Confirmation of Structure of Nizatidine" internal report, 9 September 1981.
9. Cholerton, T.J., Hunt, J.H., Klinkert, G., Martin-Smith, M. (1984). J. Chem. SOC.,Perkin Trans. 11, 1761.
10. Callaghan, J.T., Bergstrom, R.F., Obermeyer, B.D., King, E.P. and Offen, W.W. (1985). Clin. Pharmacol. Ther. 2, 163.
1 1 . Knadler, M.P., Bergstrom, R.F., Callaghan, J.T. and Rubin, A. (1986). Drug Metab. Dispos. l4,175. 12. Lin, T.M., Evans, D.C., Warrick, M.W. andPioch, R.P. (1986). J. Pharmacol. Exper. Ther. 239,406.
13. Meredith, C.G., Speeg, K.V. and Schenker, S . (1985). Toxicol. Appl. Pharmacol. 7 7 , 315.
14. Morton, D.M. (1987). Scan. J. Gastroenterol. 22. 1. 15. Vargas, R., Ryan, J., McMahon, F.G., Regel, G., Offen, W.W. and Matsumoto, C. (1988). J. Clin. Pharmacol. 28, 71.
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TIMOTHY J. WOZNIAK
16. Callaghan, J.T., Bergstrom, R.F., Rubin, A., Chernish, S., Crabtree, R.,
Knadler, M.P., Obermeyer, B., Offen, W.W., Schneck, D.W., Aronoff, G. and Lasseter, K.C. (1987). Scan. J. Gastroenterol. 22,9.
17. Knadler, M.R., Bergstrom, R.F., Callaghan, J.T. and Rubin, A. (1985). Pharmacologist 2, 180.
u, 1031.
s, A90.
24. Aronoff, G.R., Sloan, R.S., Bopp, R.J., Walters, J.B., Bergstrom, R. F. and Callaghan, J . T . (1986). Clin. Pharmacol. Ther. 3,178. 25. Callaghan, J.T., Rubin, A., Knadler, M.P. Bergstrom, R.F. (1987). J. Clin. Pharmacol. 2, 618. 26. Knadler, M.P., Rubin, A., Bergstrom, R.F. and Callaghan, J.T. (1984). Pharmacologist z,236. 27. Biollaz, J., Duroux P., Baverfield, P., Emde, C., Koelz, H.R., Margalith, D., Keohane, P.P. and Blum, A.L. (1988). Clin. Pharmacol. 174. Ther.
a,
28. Cournot, A., Berlin, I., Salord, J.C. and Singlas, E . (1987). Fund. Clin. Pharmacol. 1,372. 29. Forsyth, D.R., Jayasinghe, K.S. and Roberts, C.J. (1988). Br. J. Clin. 672. Pharmacol. 2, 30. Forsyth, D.R., Jayasinghe, K.S. and Roberts, C.J. (1988). Eur. J. Clin. Pharmacol. 85.
s,
NIZATIDINE
421
32. Secor, J.W., Speeg, K.V. Meredith, C.G., Johnson, R.F., Snowdy, P., Schenker, S. (1985). Brit. J. Pharmacol. 20,710. 33. Cloud, M.L., Matsumoto, C. and Offen, W.W. (1986). Am. J. Gastroenterol. 81.866. 34. Cloud, M.L. and Offen, W.W. (1988). Am. J. Gastroenterol. 83, 1019. 35. Cloud, M.L., Offen, W.W. and Cherner, J. (1988). Am. J. Gastroenterol. 1045.
a,
A91. 36. Cloud, M.L., and Offen, W.W. (1989). Gastroenterol. 96, 37. Cooper, M.J., Hentschel, E. and Schutze, K. (1989). Z . Gastroenterol. Z, 161. 38. Dammann, H G., Walter, T.A., Muller, P., Simon, B. and Keohane, P. (1986). 2. Gastroenterol. 24,469. 39. Offen, W.W., Matsumoto, C. and Cloud, M.L. (1986). Am. J. Gastroenterol. 81,. 867. 40. Pamparana, F., Battaglia, A. and Garrotta, F. (1989). Z. Gastroenterol. 27, 185. 41. Cloud, M.L., Offen, W.W., Matsumoto, C. and Chernish, S.M. (1989). Clin. Pharmacol. Ther. 4,310. 42. Simon, B., Cremer, M., Dammann, H. G., Hentschel, S . , Keohane, P. P., Mulder, H., Muller, P. and Sarles, H. (1987). Scan. J. Gastroenterol. 22,61. 43. Naccaratto, R., Cremer, M., Dammann, H.G., Keohane, P P., Mulder, H., Sarles, H. and Simon B. (1987). Scand. J. Gastroenterol. 22.71.
Fahad J aber AI-Shammary Mohammad Uppal Zubair* Mohainmad Saleem Mian** Neelofur Abdul Aziz Mian
Clinical Laboratories Department, College of Applied Medical Sciences, King Saud University, Riyadh.
*
**
Women Center for University Studies, King Saud University, Riyadh, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia.
429
Copyright 0 1990 by Academic hess. Inc. All rights of reproduction in any form reserved
430
Contents
1.
Description
1.1 Nomenclature 1.1.1 Chemical Names 1.1.2 Generic Names 1 . 2 Formulae 1.2.1 Empirical 1.2.2 Structural 1.2.3 Cas Registry Number 1.2.4 Wiswesser-Line-Notation 1 . 3 Molecular Weight 1 . 4 Elemental Composition 1 . 5 Appearance, Color, Odor and Taste
2.
Physical Properties
2.1 2.2 2.3 2.4 2.5 2.6 2.7
Melting Range Solubility Stability pH Occurance X-Ray Powder Diffraction Spectral Properties 2 . 7 . 1 Ultraviolet Spectrum 2.7.2 Infrared Spectrum 2 . 7 . 3 Nuclear Magnetic Resonance Spectra 2.7.3.1 Proton Spectra (PMR1 2 . 7 . 4 Mass Spectrum
3. 4.
5.
6,
RIBOFLAVIN
431
7.
8.
Elemental Analysis Identification Tests Titrimetric Method Colourimetic Method Spectrophotometric Method Polarographic Method Fluorimetric Method Solid Phase Enzyme-linked assay Radioactive isotopes Competitive Binding Assay Chromatographic Method 8.11.1 Ion Exchange Paper Chromatography 8.11.2 Column Chromatography 8.11.3 Liquid Chromatography 8.11.4 Thin Layer Chromatography 8.11.5 High Pressure Liquid Chromatography 8.12 Extraction from formulation 8.13 Thermal Analysis Acknowledgements
9.
10. References
432
1.
1.1
a) b)
c)
d)
e)
6,7-Dimethyl-g-(D,l -ribityl)-isoalloxaeine.
3,10-Dihydro-7,8-dimethyl-lO-(D-ribo-2,3,4,5tetrahydroxypentyl)benzopteridine-2,4-dione (2).
1.1.2
Generic Names
Vitamine G, Beflavine, Hepatoflavine, Lactoflavine, Lyochrome, Ovaflavine, Riboflavinum, Riboflav, Ribipea, Uroflavin, Vitamin Bz. 1.2 Formlae 1.2.1 EmDirical
Ci 7 Hz 0 N4 0 6
1.2.2
Structural
CH, OH (CH OH), I
I
0 Riboflavin
RIBOFLAVIN
433
1.2.3
83-88-5,
1.2.4
Wiswesser-Line Notation
C17H2oN406
= 376.4
(2) 376.36 ( 3 )
1.4
Elemental Comwsition ( 3 )
1 . 6
ODtical Activitx
The optical activity of riboflavin in neutral and acid solutions is exceedingly small. In an alkaline medium, the optical rotation is strongly dependent upon the concentration: [a121 = - 70 (c = 0.06%; 0.1 N NaOH); [a&*1 = - 117 (c = 0 . 5 % ; 0.1 N NaOH) ( 4 ) . Borate-containing solutions are strongly dextroro= t 3 4 0 ( p H 12); in this case the tatory: [ a 1 2 0 rotation depends only slightly upon the riboflavin concentration (5).
2.
434
due to the variation in the internal crystalline structure. The solubility of riboflavin in water only to an extent of 10 to 13 mg in 100 ml at 2 5 " to 2 7 . 5 ' , 19 mg in 100 ml at 4 0 " , and 230 mg in 100 ml at 100". The vitamin ( 6 ) dissolves in ethanol to 4.5 mg% and is slightly soluble in amyl alcohol, cyclohexanol, benzyl The impure alcohol, and phenol or amyl acetate. material has a much higher solubility than the pure substances. Riboflavin is more soluble in physiological saline and in 10% urea solution. Practically insoluble in alcohol acetone, ether, chloroform or benzene. Formic acid dissolves more than 1% riboflavin. For intravenous administration, sterile supersaturated solutions of riboflavin in normal saline could be employed (7). By heating to boiling and on exposure to sunlight, more than half of riboflavin is destroyed within 2 hours ( 8 ) . The rate of destruction by light becomes higher with increasing temperature and pH. Alkali decomposes riboflavin rapidly.
2 . 3 Stabilitp
Riboflavin is stable to acids, air and the common oxidising agents (except chromic acid, KMn04 and potassium persulphate), bromine and nitrous acid. The stability of riboflavin is used for the purification of the crude synthetic product; in acid solution impurities are oxidized at a temperature below 100' with use of Clz, HzO2, HNO3 or HC103, but the vitamin is destroyed by hydrogen peroxide in the presence of ferrous ions (9).
2.5
Occurrence ( 10)
Riboflavin is present in animal and plant cells but very few common food stuffs contain large amounts. Comparatively high concentrations occur in yeast cells and fermenting bacteria. Appreciable amounts are present in the liver ( 2 - 3 mgs/lOO g), kidneys whole grain, dry beans, peas, nuts, milk, eggs and green
RIBOnAVIN
435
leafy vegetables. In tissues it occurs as FMN and FAD. Milk contains free riboflavin. Drying and cooking may increase the oxidisability of riboflavin. Nutritional factor (3) found in milk, eggs, malted barley, liver, kidney, heart, leafy vegetables. Minute amounts present in all plant and animal cells.
2.6
The x-ray diffraction pattern of riboflavin was determined (Fig. 1) using Philips full automated x-ray diffraction spectrogoniometer equipped with PW 1730/10 generator. Radiation was provided by copper target (Cu anode 2000 W) high intensity X-ray tube operated at 40 KV and 35 MA, The monochromator was a curved single crystal one (PW 1752/00). Divergance slit and the receiving slit were 1 and 0.1" respectively. The scanning speed of the goniometer used was 0.02-2 8 per second. The instrument is combined with Philips PM 8210 printing recorder with both analogue recorder and digital printer. The goniometer was aligned using silicon sample before use. Values of 2 8, interplaner distance dA and 1/10 X 100 are listed in Table (1).
2.7
Spectral Properties
2.7.1
Ultraviolet SDectrur
The ultraviolet spectrum of riboflavin (Figs. 2 & 2a) was scanned in 95% ethanol from 200 to 550 nm, using Pye Unicam PU 8800 spectrophotometer. The exhibited UV data is shown in Table 2 .
436
iI
,
45
Fig. 1.
RIBOFLAVIN
437
213
dA
1/10
x 100
28
dA
1/10
100
5.269 5.518 7.209 8.677 10.454 11.572 12 369 14.328 17.526 18.006 16.491 19.392 19.550 20 I281 20.660 21.135 21.847 21.924 23.420 23.871 24.185 24.514 24.876 25.408 25.676 27.095 26.900 27.544 29.858 29.994 31.002 31.603 20.281 20.660 21.135 21.847 21.924 23.420 23.871
I
16.7732 16.0162 12.2617 10.1673 8.4621 7.6468 7.1559 6.1817 5.0601 4 9263 4.7981 4.5772 4.5407 4.3786 4.2990 4.2035 4 0681 4.0539 3.7983 3.7276 3.6799 3.6313 3.5792 3.5055 3.4694 3.2908 3.3143 3.2383 2.9923 2.9791 2.8845 2.8310 4.3786 4.2990 4.2035 4.0681 4.0539 3.7983 3.7276
I
54.190 49.799 15 045 21.360 28.024 88.553 19.572 100.000 49.129 18.644 17.250 28.163 50.313 18.110 23 194 13.605 28.418 41.095 16.531 24.820 36.823 31.274 26.886 33.898 40.004 23.914 33.991 24.494 51.056 82.029 12.096 12.955 18.110 23.194 13.605 28.418 41,095 16.531 24.820
I
24.185 24.876 25.408 25.676 27.095 26.900 27.544 29.858 29.994 31.002 31.603 32.359 32.899 33.558 33.837 35.010 35.526 35.831 36.099 36.563 37.317 37 * 974 38.422 39.156 39.535 40.024 40.333 41.631 43.045 43.554
3.6799 3.5792 3.5055 3.4694 3.2908 3.3143 3.2383 2.9923 2.9791 2.8845 2.8310 2.7665 2.7224 2.6704 2.6490 2 5587 2.5269 2.5060 2.4881 2.4575 2 4096 2.3694 2.3428 2.3006 2.2794 2.2526 2 2361 2.1693 2.1013 2.0779
I
36.823 26.886 33.898 40.004 23.914 33.991 24.494 51.056 82,029 12.096 12.955 12.421 12 630 10.033 8.381 10.030 14.488 16.043 16.624 10.076 8.637 9.217 9.705 13.396 11.214 9.333 9.031 10.448 10.378 12.026
d A = Interplanner distance.
1/10
438
Amua!!
446 358 270 222 2.7.2
Abs
0.167 0.129 0.431 0.393
(Ethanol1
6279.2 4850.4 16205.6 14776.7
Infrared Saectrum
Infrared spectrum of riboflavin as KBr disc, was scanned on F.T.I.R., 1500 model Perkin Elmer Infrared spectrophotometer (Fig. 3 ) . The structural assignments have been correlated with various frequencies in Table
3.
2.7.3
pW SDectra
The PMR spectra of ribolfavin in DMSO was recorded on a Varian T 60A, 60 MHz NMR spectrometer using TMS as internal reference. The spectra is shown in Fig. 4. The structural assignments have been reported in Table ( 4 ) .
2.3.7.2
1 3C-NMU
SDectra
The 13C-NMR spectrum of riboflavin in DMSO-d6 is obtained on a Joel 100 FT NMR spectrometer and is presented in Fig. ( 5 ) .
2.7.4
Pass Spectrum
The mass spectrum of riboflavin is presented in the Fig. ( 6 ) . The spectrum was obtained by electron impact ionization on a Varian MAT 1020 by direct inlet probe at 270'C. The electron energy was 70 eV. The spectrum . 0 . 8 . was scanned from 100 to 400 8 The spectrum Fig ( 6 ) shows a molecular ion peak M ' at m/e 376 with a relative intensity of 10%. The base peak is 243 with a relative intensity 100%.
RIBOKAVIN
439
222nm
270nm
446nm
Fig. 2
440
0.5 00 0.4 00
0.300 -
2 00
400
600
SCALE
= 20
nm.
55.13
R
3500 3000
0.771 4000
2500
2000
1800
1600
1400
1200
1000
800
600
Fig. 3
-1 Frequency c m
Fig. 4 .
RIBOFLAVIN
443
Table (3): IR characteristics of riboflavin. Freauencv cm3500, 3350 3210 Assignment N-H and 0-H stretching, and possibly intramolecular hydrogen bonded -OH groups. NLC = 0, 'N
1730 1650 1620 1580 1560 1500 1450 1390 1340 1240 1170 1070 1010
N d c=
- A - H vibration frequencies.
N\
C = 0 Diene, trienes; C = N C = C ;
Aryi
-H -
- C
H deformations
0 - H bending
- H bending
C - 0 stretching. c - 0
c - 0
meta-disubstituted aromatic ring ortho-disubstituted aromatic ring due to -H, moving out of plane of the benzene ring.
The most prominant fragments, their relative intensities and some proposed ion fragments are given in the table (5).
Fig. 5
100 ) .
24 3
!Z 8 0 v,
Z
I -
z 60 z
CI
40
130 143
20 116
b , h I k
MASS/CHARGE
F i g . 6 . Mass Spectrum of R i b o f l a v i n .
446
Table 4: GrOUD
2.8
5
(m)
(9)
NH
(s)
s = singlet, 3.
m = multiplet
(11)
Some of the riboflavin is obtained from "distillery slope" formed in the alcohol determination of cereal grains. On commercial scale it is prepared synthetically. The basic material for the synthesis are 3,4-xylidine (4-amino-O-xylene), the sugar ribose, and barbituric acid or alloxan. Xylidine is prepared by nitrating o-xylene and reducing the NO2 in the resulting nitro compound to NH2 by reduction. Ribose portion is introduced to the molecule by dissolving glucose in aq. KOH and is oxidized with oxygen to potassium salt of arabonic acid which is converted to calcium salt and treated with oxalic acid to get free ribonic acid. Xylidine is heated with ribonic acid yeilding ribonoxylidine which is then acetylated by treating with acetic anhydride forming tetera-acetyl-ribonoxylidine then which is further treated with phosphorous pentachloride to get tetraacetylribitylxylidine treating the teteraacetyl-
RIBOFLAVIN
441
m/e
116
130
243
Fragments QH OH OH CH-CH-C~-C-N+
9 OH OH
QH C-CH-CH-CH-C+
256
60%
285
44%
315
18%
345
18%
358
12%
376
10%
M+ riboflavin.
448
Scheme I (Synthesis).
Riboflavin
RIBOFLAVIN
449
Scheme I1 (Svnthesis).
c1
O L i
1,
I
CH, OAc
(ncoAc1,
f
CH, OAC (HCOAC1,
I
CH, OH
(CHOH),
Riboflavin
450
ribitylxylidine with benzene diazonium chloride (CsHs-NzC1) or similar diazonium salt and then reducing with sodium hydrogen sulfite. When the resulting intermediate is reacted with alloxan or barbituric acid teteraacetyl riboflavin is formed. Acetyl group is removed by digesting with methanol containing a small amount of sodium methylate. Alloxan can be prepared by oxidation of uric acid or barbituric acid with potassium permanganate or nitric acid. Scheme I 1 (12) The method involves the reductive condensation of 3,4-dimethylaniline in the presence of palladium as a catalyst with tetraacetyl-D-ribonitrile with the loss of NH3 gives N-tetraacetyl-D-ribitylamino-3,4-dimethylaniline. (Ribonitrile can be prepared from ribionic acid via the amide), the N-tetraacetyl-D-ribitylamino3,4-dimethylaniline is coupled with p-nitrophenyldiazonium chloride, the product is reduced in the presence of platinum catalyst to 1-N-tetraacetylribityl-amino-2-amino-4,5-dimethyl benzene. This compound is then condensed with 5,5-dichlorobarbituric acid to form tetraacetylriboflavin which is then hydrolysed to riboflavin. Scheme I11
(13)
In this method o-nitroxylidine is condensed with D-ribose to get 1 , 2 - d i m e t h y l - 4 - a a i n o - ( D - l ribitylamine) benzene and then it is condensed with alloxan which reacts in its lactim form. The reaction takes place in acid solution by using the boric acid as a catalyst to increase the yield, other
RIBOFLAVIN
45 1
catalyst which can be used are HzS, SnClz or alloxantin in the presence of 1 mol of HC1. Scheme III(Synthesis).
p10
r F (CWH), n,
CnOH
CHOH
CnOH
O-nicroxylidhe
Cn, OH
CFOH),
Mbafl.rin.
4.
Metabolism of Riboflavin Riboflavin ( 2 ) is absorbed from the gastro-intestinal tract and in the circulation it is bound to plasma proteins. Although riboflavin is widely distributed, little is stored in the body, and amounts in excess of the bodys requirements are excreated in the urine. Riboflavin in the faeces is probably the product of intestinal micro-organisms. Riboflavin is converted in the body to flavine mononucleotide (FMN) and then to flavine adenine dinucleotide (FAD). Patients with hepatitis and cirrhosis of the liver and those given probenecid had reduced absorption of r iboflav in. Renal clearance of riboflavine involved renal tubular secretion and exceeded endogenous creatinine clearance by up to 3 times. Clearance was reduced at low serum concentrations of riboflavine. Ribof lavine was 60% bound to serum protein. Prior administration of probenecid decreased the renal clearance of riboflavine but did not effect its protein binding.
452
Riboflavin causes discoloration of the urine. A review chiefly from animal studies, of the effects hormones and drugs on riboflavine. Thyroid hormones, corticotrophin, and aldosterone, enhanced the formation of FMN while phenothiazines and possibly tricyclic antidepressants inhibited FAD formation. Boric acid increased the excreation of riboflavin. In the single (14) whole lens of rat [14Cl riboflavin uptake increased in proportion to the substrate concentration in the inccubation medium, reaching a plateau at I 60 min. At 4' the uptake was lowest, at 30, 35O and 40" it was similar and higher than that at 4". Neither uncouplers (2,4-DNP and monoiodoacetate) 35% of nor ovabain inhibited the uptake. In S 15 min transported [14C3 riboflavin was converted to ester forms of riboflavin, this ratio remained constant until 120 min incubation. Characteristically 2-3% of [14Cl riboflavin was bound to lens protein 2,4-DNP or monoiodoacetate inhibited the synthesis of ester forms of riboflavin but ovabain did not. No synthesis of ester forms of riboflavin, was observed in the lens capsule with epithelium. Apparently, 2 enzymes, flavokinase and FAD pyrophosphorylase, which convert riboflavin to FMN and FAD, respectively exist in the lens of the rat. These enzymes may participate in riboflavin uptake and riboflavin may pass through the lens capsule by simple diffusion without undergoing a conformational change. Riboflavin then may be metabolized to ester forms with subsequent partial binding to lens protein.
The effect of phenothiazine drugs and tricyclic antidepressants upon the conversion of riboflavin (15) into its active co-enzyme derivatives FAD. FAD was studied in rat tissues, chlorpromazine-HC1, phenothiazine derivative, imipramine-HC1 and amitriptyline-HC1 both tricyclic antidepressants, each inhibited the incorporation of [14Cl riboflavin into [14C] FAD in liver cerebrum and heart. A variety of psychoactive drugs structurally unrelated t o riboflavin were ineffective. Chlorpromazine, imipramine, and amitriptyline in vitro inhibited hepatic flavokinase, the first of two enzymes in the conversion of riboflavin to FAD.
RIBOFLAVIN
453
5.
Riboflavin Deficiency (Ariboflavinosis) For the treatment of riboflavin deficiency ( 6 ) in adults, the usual oral dosage of riboflavin is 5-30 mg daily given in divided doses. For the treatment of riboflavin deficiency in children the usual oral dosage of riboflavin is 3-10 mg daily. The therapeutic response to the drug in riboflavin-deficient patients may not be dramatic. After several days, the occular and dermatologic manifestations of deficiency improve. In deficient patients with normocytic, normochronic anemia, an increase in reticulocyte count usually occurs within a few days following oral administration of 10 mg of riboflavin daily. The vitamin deficiency ( 1 1 ) in animals is characterised by a reduced rate of growth, alopecia, dermatitis, cheilosis, cataract, bradycardia, and general collapse. Whereas deficiency in human the most frequently observed symptoms are cheilosis, a characteristic seborrhea, occular manifestations that include photophobia, conjuetivitis, and corneal vascularization. The symptoms o f human riboflavinosis include cheilosis (reddening of the lips and the appearance of tissues at the corners of the mouth, characteristic changes in the color o f mucous membranes, inflammation of the tongue and denuding of the lips. Lessions of a seborrheic nature has alsa been observed in riboflavin deficiency. Occular manifestations that appear in man and animals are characterized chiefly by corneal vascularization, in which the cornea is invaded by small capillaries, which is usually accompanied by sensations of itching, burning and roughness of the eyelid, lacrimation, photophobia, and visual fatigue.
6.
Human Reauirements The recommended daily dietary allowance (RAD) of riboflavin is 0.4-1.4 mg in children and 1.2-1.7 mg in adults ( 6 ) . Requirements for riboflavin generally parallel the caloric intake or the metabolic body size. Oral riboflavin dosage of 1-4 mg daily are usually considered sufficient as a dietary supplement in patients with normal GI-absorption. During pregnancy
454
and lactation, riboflavin requirements are increased, however, adequate amounts of the vitamin are generally obtained from increased food intake in most of these women.
7.
Uses
Riboflavin is used to prevent riboflavin deficiency and to treat ariboflavinosis. Whenever possible, poor dietary habits should be corrected, and many clinicians recommended administration of multivitamin preparations containing riboflavin in patients with vitamin deficiences since poor dietary habits often result in concurrent deficiences. ( 6 ) Although an adequate amount of riboflavin is usually obtained from dietary sources, riboflavin deficiency may occur in patients with long standing infections liver disease, alcoholism malignancy and those taking probenecid, Increased riboflavin requirements may be associated with pregnancy and lactation or oral contraceptive use, however, riboflavin deficiency is rarely associated with these conditions. Although recommended daily dietary allowances (RDA) for riboflavin have been related to protein allowances, energy intake and metabolic body size, there is no evidence that riboflavin requirements are increased when energy utilization is increased. Diagnosis of riboflavin deficiency ( 6 ) can be added by measuring erythrocyte or urinary riboflavin concentrations. Although these tests are not diagnostic, a urinary riboflavin conc. of less than 27-30 pg/g of creatinine, daily urinary excretion of less than 50 pg of riboflavin, or an erythrocyte riboflavin conc. of less than 10 pg/dL of erythrocytes is suggestive of deficiency. Corneal vascularization is another diagnostic sign. Occasionally, when a patients diagnosis is not clear, a trial of riboflavin may be used to diagnose riboflavin deficiency. Riboflavin may be useful in treating mycrocytic-anemia that occurs in patients with a familiar metabolic disease associated with splenomegaly and glutathione reductase deficiency.
RIBOEAVIN
455
Because riboflavin is readily measured in urine, riboflavin (e.g. 2.5 mg) has also been mixed with various drugs as a marker to test for patient compliance with the therapeutic regimen of these drugs. Although riboflavin has not been shown by well controlled trials to have any therapeutic valve, the drug has been used for the management of acne, migraine headache, congenital methemoglobinemia, muscle cramps, and burning teet syndrome.
8.
Methods of Analysis
8.1
Elemental Analrsis
E1ement
C
Theoretical
54.25%
5.36% 14.89% 25.51%
H
N
0
Identification Tests Dissolve 1 mg in 100 ml of water (1). The solution has a pale greenish-yellow colour by transmitted light and by reflected light has an intense yellow-green fluorescence which disappears on the addition of mineral acids or alkalies. Dissolve 50 ( 1 ) mg in 1.5 ml of carbonate free ethanolic potassium hydroxide solution and dilute with freshly boiled and cooled water to 10 ml. Specific optical rotation of the resulting solution is determined within thirty minutes of preparation - 115" to - 140".
456
8.3
Titerimetric (16)
The formation of complexes of several vitamins with sex n different picrates was studied, the riboflavin formed stable complex with Pb" or Zn picrates. The excess of picrate can be titerated with ethyleen tetraacetic acid solution and this fact has been used as the basis of a method for determining the composition of the complexes of Pb picrate with riboflavin.
8.4
Colourimetric
(i) To the 2 ml solution containing 1 l a 1 to 15 pg of riboflavin add 5 ml methanol and 1 ml of 0.2 N NaOH and the mixture is diluted to 10 ml of the reagent solution. [Dissolve 0 . 2 gm of cupric chloride triphenyl - phosphine complex in benzene ( 1 0 ml) and dilute the solution to 100 ml with methanol]. The extinction of the orange solution is measured at 460-465 nm. (17)
I f the extraction of riboflavin is required, the reagent is prepared in butanol instead of methanol. In this case the 2 ml solution containing 10-70 yg of riboflavin is mixed with 1 ml of 0.2 N NaOH followed by 7 ml of the reagent solution.
After centrifugation 5 ml of organic extract is separated and diluted with 5 ml of methanol and its extraction is measured at 460-465 nm. (17)
(ii) The oxidation of riboflavin with periodate and formaldehyde produced is colouriaetrically determined with chromotropic acid. To 0.2-0.8 ml solution containing 40-162 pg of riboflavin is diluted with 2 ml D. H2O. 0.5 ml of 0.1 M sod. metaperiodate solution added and kept for 30 minutes in dark at room temperature. 0.5 ml of 5% sodium metabisulphite or sodium sulphite or sodium bisulphite is added to remove interferring iodate or periodate ions. To 1 ml of aliquot is mixed 5 ml of chromotropic acid*and heated at lOO'C for 30 minutes. Coold and 0.5 ml of half saturated thiourea solution is added to remove the background colour. The contents are mixed and the
RIBOFLAVIN
457
1 ) Riboflavin is detected by ( 1 9 ) powdering the tablets and mixing with CH30H - CH30Na buffer at 90' for 10 minutes, filtering and then diluting two fold Relative and measure the absorbance at 265.5 nm. standard deviations were 50.8%. 2) To the injections ( 2 0 ) or tablets extract (1 ml 0.5 to 2.0 mg of riboflavin) add 20 ml of dioxane centrifuge for 10 minutes at 500 r.p.m. and decant the clear solvent layer. To the residue, add 0.2 ml of HzO, 20 mg of nicotinamide and 10 ml of dioxane, centrifuge and repeat this operation until the extract contains no fluorescent colour. Treat the combine extracts with 5 ml of acetate buffer solution (prepared by adjusting a 10% solution of Na. acetate to pH 4 with anhydrous acetic acid) and dilute to give a final concentration of 1 mg of riboflavin per 100 ml. Measure the extinction at 444 nm against a reagent blank and calculate the amount of riboflavin in the sample assuming an E(l%, lcm) valve of 323. Average recoveries were 95% with a coefficient of variation of 1.6%.
3) 5 M1 of sample (21) is shaken with about 12 mg of active carbon to adsorb the vitamin. The suspension is centrifuged and the solid is shaken with 5 ml of pyridine-acetic anhydride ( 4 : l ) . The mixture is heated for 5 minutes in a water-bath at 60' to 70" then centrifuged and the fluorescence of riboflavin tetra-acetate in the supernatent solution is measured at 505 nm, with excitation at 448 nm. The final solution is stable at room temperature for about 24 hr and the calibration graph is rectiliner for up to about 25 pg ml-1 of riboflavin.
4) 3 gm of yeast is extracted with hot HzO (22) in an autoclave and the extract is deproteinised with sulphosalicylic acid, the ppt centrifuged off. The pH of supernatent liquid is adjusted to 7.0 with NaOH solution, the hexamine buffer solution of pH 7 is added and the mixture is transferred to a dark glass vessel. Then 0.2 M AgN03 is added. The solution is diluted to
458
known volume and after 10 min the absorbance is measured at 500 nm (4-cm cells) against H2O. Beers Law is obeyed for upto 5 pg ml-1 of riboflavin in the extract upto 30 pg ml-1 for pure solution.
5) To 75 mg of riboflavin add 150 ml of H2O and 2 ml of glacial acetic acid and heat on a water bath with frequent shaking until dissolve (1). Cool and dilute to 1000 ml with H 2 O . To 10 ml add 3.5 ml of 0.1 M sodium acetate and dilute to 50 ml with H2O. Measure the absorbance of resulting solution at the maximum at about 444 nm, Calculate the contents of riboflavin taking 323 as the valve of A(1%, 1 cm) at the maximum at about 444 nn.
8.6
PolaroaraDhic Method
(1) Riboflavin can be determined (23) polarographically in multivitamins tablets, capsules and syrup. Dissolve the sample by boiling with 0.05 M KCl (100 ml) filter the suspension through paper, if necessary, add 0.2 M - KOH to bring the solution to pH 5.7-6.0 and dilute with 0.05 M - KC1 to give a solution containing > 0.003% of riboflavin. Pass N2 gas for 8 minutes and submit the solution to single-sweep cathode-ray polarography. Measure the peak height at about - 0.3 V for riboflavin.
(2) Another method (24) to determine the riboflavin by d.c. polarography from - 0.15 V vs the silver-AgC1 reference electrode in 0.1 M phosphate buffer medium of pH 72; the optimum analytical concentration between 15-50 ppm. This method was directly applicable to two vitamin preparations but a third contained an interferring constituent (thought to be the coloring matter) this compound could be removed by ion-exchange or Dowexl-X8 resin (Cl- form), with H2O as eluent for the vitamin.
( 3 ) In this method a solution of the tablets in alkaline Na citrate solution (pH 12) was analysed directly by polarography (25). Although insoluble additives interferred, their effect was constant for 30%. The polarogram was recorded from contents upto : 100 to 800 mV for riboflavin. The respective half-ware potentials (mV) was 446. For 1-5 mg of
RIBOFLAVIN
459
Fluorimetric
1) The method (26) involves the hydrolysis of the sample in trichloroacetic acid medium, separation of riboflavin from flavine mononucleotide on a column of florisil, with collidine buffer solution as eluent, and spectrofluorimetric determination of riboflavine in the eluate with use of the standard-addition method. The sensitivity is 0.01 pg ml-l and 0.5 to 1.0 ml of sample is used. The normal level in 1-day old babies averaged 17.1 pg dl-1 and in women it was 14.2 pg dl-1 the contents in cord blood and maternal venous blood were also determined. 2) Samples of skimmed partially skimmed or homogenised milk and aq. ethanol extracts of non fat dried milk powder are deprotenised with acidified Pb acetate solution and riboflavin is determined directly in the clarified filtrates by use of a Turner fluorometer with a 110-812 primary filter (color specification 405) and 110-817 secondary filter (colour specification 8). There is a rectilinear relationship between fluorescence and riboflavin concentration upto 0.25 pg-1 or higher (r = 0.997). Recoveries of added riboflavin were 90 to 100 V with standard deviation of 1.71 to 3.16% (27).
3) The fluorimetric apoprotein titration of urinary riboflavin is done by the isolation and purification of the apoprotein (from chicken egg white) is as: the apoprotein solution in 0.05 - Tris buffer of pH 7.5 (1 mg ml-1) was stored frozen in 2 ml aliquots. When required, each was thawed and diluted (1:3) with buffer solution. The diluted titrant was kept in an ice bath. The stock solution of pure riboflavin (18.9 mg in 500 ml of HzO) containing 1 ml of conc. HC1) was diluted (1:199) with buffer solution to prepare a working standard. Portions of this standard were diluted to 1 0 ml (0.9 to 40 ng ml-1) with buffer, 3 ml portions were placed in a fluorimetric cell, and the fluorescence at 520 nm was measured with excitation at 450 nm. Portions (10 pl) of titrant were added, and the fluorescence was measured after each addition, titrant
460
was added until three successive additions left the fluorescence unchanged ( 2 8 ) . Urine samples were diluted ( 1 : 9 ) with buffer solution and treated as for the standrds additional dilutions were made as necessary after the first addition (max. vol of titrant 150 pl). Recovery of added riboflavin averaged 98% the coefficient of variation ranged from 17% (for < 60 ng ml-l) to 2% (for > 200 ng ml-l). Results for both standards and samples were generally higher than those by the assay based on lactobacillus casei.
4) By the use of physico-chemical method of analysis in quality control eye-drops. The method involves the measurement of the absorbance (blue filter) after diluting the sample with HzO ( 2 9 ) .
8.8
The assay of riboflavin is based on the competition between analyte vitamin molecules and a glucose-6-phosphate dehydrogenase-3-carboxymethyl riboflavin conjugate for a limited number of riboflavin-binding protein sites adsorbed on sepharose particles. Significant improvements in conjugate catalytic activity and thus detectability are possble by optimizing the reaction conditions used to covalently attach 3-carboxymethyl riboflavin to the enzyme. Optimization studies include, reaction, medium pH and organic solvent composition. Final assay detection limits and the sensitivity of the doseresponse plots are also dependent on the ratio of conjugate to binding protein sites occupied in an equilibrium assay layout. Selectivity of the method correlates reasonably well with the predicted one, based on the known association constants of riboflavin-binding protein with flavin analogues. The assay gives reasonable detection limits for its determination in biological and drug samples (30).
8.9
Radioactive IsotoDes
The method is competitive protein-binding assay for urinary riboflavin. It is suggested that the method may also be applicable to determine the vitamin in food
RIBOFLAVIN
46 1
and pharmaceutical products. In this method 24-hr urine is collected in dark glass vessel containing 8 M-HC1 and preferably referigerated; it should not be frozen, nor should it be stored for longer than one week. An aliquot of the urine is centrifuged (2000 r.p.m.; 5 min.) and the riboflavin is extracted into benzyl alcohol, with mechanical shaking for 10 seconds, the efficiency of extraction is about 83%. An aliquot of the extract is evaporated to dryness at 80" in a stream of N and an aq. solution of residue is allowed to equilibrate for one hour in a refrigerator with the protein solution (prepared from egg white) that has been saturated with 14C-labelled riboflavin. Florsil is than added to adsorb free riboflavin and bound riboflavin is calculated by liquid scintillation counting of the supernatant solution. This method is specific and has a useful range of upto 500 pg of riboflavin in the aliquot analysed ( 3 1 ) .
8.10 Competitive Binding Assays
A competitive binding procedure that can be used to determine either riboflavin or riboflavin-binding protein was developed. Riboflavin-binding protein from chicken egg white bind firmly to DEAE-cellulose while free riboflavin does not. Stock (2-14 C) riboflavin solutions, diluted with different amounts of a standard unlabeled riboflavin solution or an unknown sample, are mixed with aporiboflavin-binding protein and eluted through a small DEAE-cellulose column. The protein-bound riboflavin is batch eluted into scintillation vials, counted, and the unknown samples compared to a standard curve. This is a simple, rapid method for assaying riboflavin by isotope dilution. By a slight modification of the incubation conditions of this procedure, the degree of saturation and amount of riboflavin-binding protein can be determined. Data from both assays can be represented by linear plots in which slopes or intercepts correspond to unknown values
(32).
462
The vitamin can be separated by using the ion-exchange paper 2. The strips (3 to 12 cm X 1 em) of Amberlite papers SA-2 (H+ form), WA-2 (NHr+ or Na+ form) and SB-2 (OH- form) are connected in series with adhesive cellulose tape, so that the solvent ascends from the top of the one strip to the bottom of the next. 0.2 to 5 mg of total vitamin are separated by using strips so connected, with HzO or 0 . 2 M-Na acetate as solvent. The length of each strip and the order of connection vary with the composition of the test solution. Development takes 1 to 2 hrs with 0.5 ml of solvent (33).
8.11.2
Co1u.n ChromatonraDhn
(a) In this method 2 ml of an aq. solution containing 0.9 to 1.2 mg of riboflavin applied to a column (8 cm X 2 em) of activated acidic alumina (122 g) suspended in CHCls-ethanol-acetic acid (500:500:3) and wash the column with the same solvent mixture until the yellow riboflavin band is near the base of the column. Elute the colour band with the same solvent mixture, collect the eluate, evaporate to 10 ml on a boiling water bath, cool and add about 20 ml of HzO, and 5 ml of acetate Dilute the solution to 50 ml, buffer solution pH 4 . with HzO, mix, filter if necessary and measure the extinction at 444 nm. The recoveries ranged from 96.0 to 99.2% (34). (b) Riboflavin was enriched by liquid solid extraction from large volumes of aqueous samples on a short pre-column. The enriched compound was transferred to an analytical reversed-phase column [25 X 0.41 cm packed with LiChrosorb Si 100. RE18 (19% c wt./wt) with 0.005 M Na pentanesulfonate-0.005 M Na heptanesulfonate-Ne0H (55:25:20) mix with 1 g H3W4/L as eluant] and separated by ion-pair chromatography. The equipment used provides the possibility of automation for routine analysis (35).
RIBOFLAVIN
463
8.11.3
with flourometric detection has been used to assay riboflavin present in food stuff. Chromatograms of several such samples showed the presence of two distinct peaks of interest, due to the presence of riboflavin and flavin-mononucleotide (FMN). Relatively high levels of FMN were found in raw beef, corned beef, chicken liver and canned mushrooms. When riboflavin and F M N contents were summed up the liquid chromatograph values were comparable to those obtained by the AOAC standard procedures. However, the LC technique was simple, sensitive and rapid, yielding a mean standard deviation of 3.1% comparable to AOAC fluorometric method (3.0%) and better than the AOAC Mean spike recoveries microbiological assay (9.6%). were as follows (36): LC 91.8% AOAC (fluorometric method) 90.5% AOAC (microbiological method) 89.6% 8.11.4 Thin-Layer ChromatoRraDhy (TLC)
A summary of some of the TLC systems investigated for the analysis of riboflavin are given in the Table (6).
8.11.5 High Pressure Liquid Chromatography (HPLC)
High pressure liquid chromatography (HPLC) method has wide application for the estimation of riboflavin. A summary of variable parameters in a few cases is given in Table ( 7 ) .
8.12
The mixture of methyl alcohol, glacial acetic acid, pyridine and water in the ratio of (30:l:lO:lO) is used as extraction mixture. An accurately weighed amount of the sample is placed in a flask and the extraction mixture to the ten times of the dry weight of the sample is added. The flask is shaken well and refluxed for one hour and then cooled. I f lumping is observed,
Table ( 6 ) :
~~~ ~
Summary of conditions used for the TLC of riboflavin Solvent system Pyridine: acetic aicd : Detection Fluorescence Expose dried chromatogram to C1 then spray o-tolidine Ki reagent. U.V. 254. Extd. solvent Ref.
37 38
Support
0 . 2 mm
D. HzO
0.4 mm layer
cellulosesilica gel
GP2 5 4
U.V.
0 . 1 N HC1
( 4 ml)
39
(2:l)
Silica gel
U.V.
40
Table (7):
Summary
column
Mobile phase
F l o w rate mlfmin
Detection
Sample
Ref.
Radial Pak A cartridge (C18) column (10 CB x 18 u)ID, radial Pak C8 (10 lm) and guard column of Bondapak C18jPorasil. Nucleosil C18 ( 5 m)
2 mljmin
Urine
41
1.5 or 3 mljmin
Food
42
0.01 M phosphate buffer pH 5.0, methanol (13:7). 3 to 8 rpI Na hexane sulphonate in aq. 25% methanol containing 1% of acetic acid.
Flourimetric
Blood
43
p Bondapak C18
1 mljoin
254
44
Lichrosorb NH2
Spectrofluorimetric 525 nm
Food
55
Continued Table ( 7 ) . . .
(30
CD
X 3.9
of
0 4 0 % of methanol in HZO
2 illrin
I1.Y.
280
p Bondapak phenyl
Hultivitaain tablets
46
(10 lu).
(30 CI X 4 w ) of
p Bondapah c18
1 mllrin
U.V.
250 nm
Food
47
Flourimetry 270 M
Heat
48
Stainless steel
calm (30 a X 4
0.5 mllmin
U.V. 270
Multivitaiin
19
0.025
n HNO~
10-20 ml/hr.
Multivitamin
50
-----------------Continued J . . .
Continued Table ( 7 ) .
..
65:35 Isocratic mix of 0.1% NaH2P04. pH 3, containing 0.005 M heptanesulphonic acid t MeOH I containing 0.005 ? heptanesulphonic acid. Flourometrically (375/
525 M )
Milk
51
Zorbax-NHZ
Fluorwetric
Serum
52
CHC13: methanol: acetate buffer solution (120:56:9) 0.03 M - KC1 in 0.1 M K phosphate buffer pH
(8.0).
0.95 mllmin
U.V. 254 nm
Multivita=in
53
2 rljmin
Spectro-
Urine
55
f lourimetric
Continued Table ( 7 )
...
0-0.05 M KH2P04 Fluorhetry Tissues 56
(25 cm X 4 m ) with 1EX-540 Guard column ( I CI X 4 =) Spherisorb ODS + (15 rm X 4 I) Uagnusil C22.
(30 cm X 3.9 n) of
p Bondapak C16 +
Fluorhetry m 520 z
Food
57
methanol (191:59:50:200).
Aq.
30% methanol.
1 mllmin
Fluorhetry 530 M.
Urine
58
guard column of Bondapak C18lCorasil. Precolumn (11.5 a X 1.5 I) with Corasil C18 (37-50 p) t (25 a X 4 I) Zorbax PB-TMS (7 p ) . (25 CE X 4 540.
.P)
Aq.
Baemodalysate
59
IBX-
Plouriietry
Serum or blood
60
........................
Continued
I...
Continued Table ( 7 )
...
10 m-diauonium hydrogen: phosphate (pH 5.5 and H3P04): acetonitrile (25:3). 2 ml/iin
254 nm
Plaaa
61
1.0 rl/iin
U.V. detect
62
470
the mixture is agitated. It is diluted to a known volume with the extracting mixture, keeping in mind that the concentration of ribolfavin in the assay solution should not fell below the sensitivity of the method to be used for analysis. For fluorometric method, the concentration of ribolfavin should be 0.1 pg/ml. The solution is filtered. The procedure has been used for the extraction of riboflavin in multivitamin tablets, capsules, liquids and mineral dietary supplements (63). b) AdsorDtion on Purified Talc
X 200 mm, with a stop clock connected to a suction pump is employed and a slurry of talc having a particle size 20-50 p in water, sufficient to form about an 80 mm bed is poured into the column. A flow rate of about 4-6 ml/minute is maintained by adjusting the suction. The diluted sample is allowed to pass through the talc column followed by a sufficient volume of 0.01 N HC1 and 10% Dioxan in order to elute other constituents adsorbed on the talc. The yellow-coloured band of riboflavin adsorbed on the talc bed from the s then eluted with 10 ml of 20% dioxan. assay sample i The determination of the amount of riboflavin thus eluted by a spectrophotometric method by the diluting the above solution to a volume containing 1 mg/100 ml and then measuring the absorbance of the yellow colour at 267, 374 and 445 mp (64).
A column 12
8.13
A DSC (differential scanning calorimetry curve) of riboflavin was obtained'Fig. (7) on a Perkin Elmer DSC-2C differential calorimeter. The analysis was conducted under Nz atmosphere, at a scan rate of 25'C/min. The DSC curve revealed an endothermic melting peak max. 309.61"C.
9.
Acknowledptements The authors are highly thankful to Mr. Tanvir Ahmad Butt, Pharmaceutical Chemistry Department, College of Pharmacy and Mr. Babkir Awad Mustafa, College of Applied Medical Sciences, King Saud University, Riyadh
RIBOFLAVIN
UTs
3 . 2 0 mg
25.00 drg/rnin
SCAN RATED
MAXD 389.81
TEMPERATURE (C>
DSC
412
for, their sincere help in the preparation of this manuscript. 10. References 1. "The British Pharmacopoeia" Her Majesty's Office (1980). Stationary
2. "Martindale" The Extra Pharmacopoea" 28th Ed. Eds, J .E. Reynold and A.B. Prasad. The Pharmaceutical Press London ( 1982). 3. "Merck Index" 10th Ed, Merck and Co., Inc. Rahway, N. J. U.S.A. (1983).
4 . R. Kuhn, H. Rudy, F. Weygand,
5. R. Kuhn, H. Rudy,
7. C.C. Tsong, J, Fermentation Technol. (Japan) 2, 56, 187 (1946) [C.A. 44, 59751. 8. W.J. Peterson, F.M. Haig, A.O. Shaw. J. Am. Chem. SOC. 66, 662, 1944. 9. R. Posternack and E.U. Brown, U.S. 221, 19441. 20, 1944) [C.A. 3, Pat. 2324800 (July
10. Textbook of Biochemistry by Mohammad Rafique Khan, p. 433, 1972. Shan Electric Press, Lahore, Pakistan.
11.
Remington's Pharmaceutical Sciences, 1 3 t h Ed. p . 1099-1100, Mack Publishing Co, Easten, Pennsylvania, 1965.
12
u,
2165
13. The vitamins Vol. 111, W.H. Sebrell, Jr and Robert S. Harris, Academic Press, Inc. New York (1954). 14. One, Shigeru; Hirano, H, Oahthalmic Res. 15(3), 140-5 (1983).
RIBOFLAVIN
473
JI
17. M . H .
Rasheed,
Pharm. 30, 70
19. Pan, Demin, Yaoxue Tontzbao, 20(3), 159-161 (1985). 20. Dessouky, Yehia M . ; Hussein, F . T . ; Pharmazie., 23(11-121, 792 (1973).
and Ismaiel, S.A.
21. Werner, W.; and G a n i , A . F r e s e n i u s Z. Anal. Chem., 300(5), 416 (1980). 22. Macpherson, A.M.D. ; and O t t a w a y , J.M. (1229), 830-836 (1978). 23. S c h e r t e l , M.E.; a n d S h e p p a r d , A . J . 60(7), 1070-1074 (1971). 24.
Analyst,
103
J . Pharm.
Sci.,
25. Jozan, Miklos; S z a s z , Gyorgy; and Szemeredy, K a t a l i n . Acta. Pharm. Hung., 50(4), 153-160 (1980). 26. Knobloch, E.; Hodr, R.; J a n d a , J . ; Herzmann, J . ; and Houdkova, Vera. I n t . J . Vitam. N u t r , Res., 49(2), 144-151 (1979). 27. Rashid, I n a y a t ; and P o t t s , Donald. J. Food S c i . , 45(3), 744-745 (1980).
and Bashor, 28. T i l l o t s o n , J . A . ; 107(1), 214-219 (1980).
M.M.
Anal.
Biochem., (Kiev),
29.
3, 18-19 (1982).
414
30. G.S. Cha and M.E. Meyerhoff. J . Anal. Biochem., 216 (1988). 31.
168,
Fazekas, Arpad G.; Menedez, Carlos E.; and Rivilin, Richard S. Biochem. Med. 9(2), 167-176 (1974).
32. Lotter, S.E., Miller, M.S., Bruch, R.C., and White, H.B. 111.; Anal. Biochem., m ( 1 ) , 110 (1982). 33 *
34. Ismaiel, Saad A. Analyst, Lond. 97, 644-646 (1972). 35. Jaumann, G. ; Engelhardt, H. ChromatoRraDhia, 615-17 (1985).
a( lo),
36. E.S. Reyes, K.M. Norris, C. Taylor and D. Potts. J . Assoc. Off. Anal. Chem., 7 l , 16 (1988). 37. Kraemer, U.; Bitch, R.; and Hoetzel, Klin. Wochenschr 55(5), 243-244 (1977). 38 39
0
40.
Haworth, C.; Oliver, R.W.A.; and Swaile, R.A. Analyst. 432-436 (1971).
m.,s,
41. Mansourian, R. Barclay, D. and Dirren, H. Int. J. Vitam. Nutr. Res. 52(2), 228 (1982).
42. Fellman, J.K., Artz, W.E.; Tassinari, P.D.; Cole, C.L., and Augustin, J. J. Food Sci., 47(6), 2048-2050 (1982).
43.
Yasudo, Kazuto; Ikeda, Ritsuko; and Kawada, Akiko. Rinsho Byori, 29(6), 564-568 (in Japanese), 1981.
44. Walker, M.C.; Carpenter, B.E. and Cooper, E.L. Pharm. Sci. 70(1), 99-101 (1981).
JI
45. Bognar, Antal. Dtsch. Lebensm. Rundsch. 77(12), 431-436 (in German), 1981.
RIBOFLAVIN
475
46.
Kwok, Roderic, P . ; Rose, W.P., Tabor, Rick and Pattison, Thomas S. J. Pharm. Sci., m ( 9 ) , 1014-1017,
(1981).
47
Skurray, Geoffrey, R. Food. Chem. 1 ( 2 ) , 77-80 ( 1 9 8 1 ) . Ang. Catharina, Y.W.; and Moseley Frederick, A. J . Agric. Food Chem. 2 8 ( 3 ) , 483-486 (1980).
48.
49 * 50. 51. 52. 53. 54
67(10),
Kirchmeier, R.L.;
J. Pharm. Sci.
1444-1446 (1978).
Kneifel, W, Dtsch. Mo1k.-Ztg, m ( 9 ) , 212-213 ( 1 9 8 6 ) . Ichinose, Norio; Adachi, Kyoko; Schwedt, Georg. 1505-8 (1985). Analyst. Lond. m(12), Wittner, D.; and Haney, W.G. Jun. J. Pharm. Sci., 6 3 ( 4 ) , 588-590 (1974). Flondi, A.; Fini, C., Palmerini, C.A.; and Rossi, A. Riv, Sci. Tecnol. Alimenti nutr. Um., 6 ( 4 ) , 197-203 (in Italian), 1976. Smith, Marilyn Dix, J. Chromatogr. m ( 3 - 4 ) ,
Appl. 8 ( 3 - 4 ) , 285-291 (1980).
Biomed;
106(1267),
Analyst (London),
m. (Winston-Saleem N.C.),
(1981).
Mohammed, Hussain Y, Veening, Hans; and Dayton, David A. J. Chromatogr. = ( 2 ) , Biomed. Appl. 1 5 ( 2 ) , 471-476 Ohkawa, Hiroshi, Ohishi, Nobuko; and Yagi, Kunio, Biochem. Int. 4 ( 2 ) , 187-194 (1982).
60.
476
61.
Pietta, Piergiorgio; Calatroni, Almo and Rava, Angelo, J. Chromatoar. m ( 2 ) , Biomed. Appl. 1 8 ( 2 ) , 445-449
(1982).
62.
63. M.J. Deutsch, H.C. Pillsbury, S.S. Schiaffino and H.W. Loy, J. Assoc. Offic. A m . Chemists, 43, 42 ( 1 9 6 0 ) .
64.
N . Wahba and E. Fahmy, J. Pharm. Pharmacol., l7, 489 (1965).
Department of Pharmacognosy, College of Pharmacy, King Saud University Riyadh, Saudi Arabia.
477
Copyright 0 1990 by Academic Press, Inc. All rights of repduction in any form %%Ned
478
SCOPOLAMINE HY D ROBROM ID E
Contents
1. Description
Nomenclature Formulae Molecular Weight Elemental Composition Appearance, Color and Odor.
2. Physical Properties
2.1 2.2 2.3 2.4 2.5 2.6 2.7 2.8 2.9
Melting Range E u t e c t i c Temperature S o l u b i l i t y Data p H Range S p e c i f i c Optical Rotation Dissociation Constant Crystal Structure X-Ray Powder D i f f r a c t i o n Spectral P r o p e r t i e s 2.9.1 2.9.2 2.9.3 2.9.4 U l t r a v i o l e t Spectrum Infrared Spectrum Nuclear Magnetic Resonance Spectra Mass Spectrum.
3. Isolation of Scopolamine
4. Synthesis of Scopolamine
4.1 P a r t i a l Synthesis 4 . 2 Total Synthesis 4.3 Synthesis o f Tropic Acid.
5. Biosynthesis of Scopolamine
6. Pharmacokinet ics
SCOPOLAMINE HYDROBROMIDE
479
9. Methods of Analysis 9.1 9.2 9.3 9.4 9.5 Identification M i c r o c r y s t a l Tests T i t r i m e t r i c Determinations P o l a r o g r a p h i c Methods S p e c t r o p h o t o m e t r i c Methods 9.5.1 Colorimetric Determinations 9 . 5 . 2 UV Determinations 9 . 5 . 3 . I R Determinations 9 . 5 . 4 GC/Mass Methods 9.6 Chromatographic Methods 9.6.1 9.6.2 9.6.3 9.6.4 9.7 Paper Chromatography TLC Chromatography GLC Chromatography HPLC Chromatography
Acknowledgement References
480
1. Description 1.1 Nomenclature 1.1.1 Chemical Names a) a-(Hydroxymethyl) benzeneacetic acid 9methyl-3-oxa-9-azatricyclo [3.3.1.02,4] non-7-yl ester. b) 68, 78-epoxy-laHJ SaH-tropan-3a-01 (-) tropate. c) 68, 78-epoxy-3a-tropanyl S (-) -tropate. d) 6,7-epoxytropine tropate. e) Benzeneacetic acid, a- (hydroxymethyl)- , 9-methyl-3-oxa-9-azatricyclo r3.3.1 .O2,4] non-7-yl ester, [ 7 ( S ) -(la ,28,48,5a,78) 1. f ) (-) - (1s,3s,5RJ6R,7s)-6,7-Epoxytropan-3yl ( s ) -tropate. Example for the hydrobromide salt: Benzeneacetic acid, a- (hydroxymethyl)- ,9methyl-3-oxa-9-azatricyclo [3.3.1.02J4] non-7-yl ester hydrobromide, [7(S)-(la,2B, 48,5aJ78)]. 1.1.2 Generic Names Scopolamine hydrobromide; Hyoscine hydrobromide; Scopolammonium bromide; Scopolamine bromohydrate; Escopine tropate hydrobromide; Tropic acid ester with scopine as the hydrobromide. 1.1.3 Trade Names Transderm Scop (forl-scopolamine) Joy-rides; Quick K wells; Scopos; Sereen (for scopolamine hydrobromide)
1.2 Formulae 1.2.1 Empirical C17H21N04 C17H22Br NO4 Structural The structure of scopolamine has been confirmed by total synthesis, which was achieved (scopolamine) (scopolamine hydrobromide)
1.2.2
SCOPOLAMINE HYDROBROMIDE
48 1
0c -CH
1 ' 0 ll
CH2 OH
I
1.2.3
C A S Registry Number
1.2.4
1.2.5
Stereochemistry The stereochemistry of scopolamine has been determined by chemical means as well as t h e X-ray crystalographic study of t h e hydrobromide s a l t ( 6 ) . I t i s established t h a t n a t u r a l (-)-scopolamine has t h e (S) -configurat i o n (by rezationship with (-)-t r o p i c acid
482
six-membered r i n g i n t h e c h a i r conformation. The epoxide oxygen atom on t h e methylene b r i d g e is i n t h e b o a t c o n f i g u r a t i o n with r e s p e c t t o t h e n i t r o g e n atom, and t h e methyl group C ( l ) a t t a c h e d t o t h e n i t r o g e n atom i s i n t h e a x i a Z p o s i t i o n with r e s p e c t t o t h e s i x membered r i n g (unZike the equatoriai! configura-
t i o n of t h i s methyi! group as found in cocaine hydrochloride ( 8 ), tropine ( 9 ) and pseudotropine ( 10) The e s t e r group a t t a c h e d t o C(13) i s i n t h e
a x i a l (a) p o s i t i o n o f t h e six-membered r i n g .
0 YO
I
Molecular Weight
303.35 384.30
SCOPOLAMINE HYDROBROMIDE
483
C, 67.31%; H, 6.98%; N, 4.62%; 0 , 21.10% (Scopolamine). 53.13%; H, 5.77%; Br, 20.80%; N, 3.65%; 0 , 16.65% (Scopolamine hydrobromide).
odorless. It forms a crystalline monohydrate (11). Scopolamine hydrobromide occurs a rhmobic crystals o r as a white crystalline powder, slightly efforescent in dry air ( 12 ,13 ) , odorless and has a very bitter taste (13).
2.
Physical Properties 2.1 Melting Range 5 9 ' scopolamine monohydrate (11) . The following melting range has been reported for scopolamine hydrobromide: Melting Range Reference 197-200' (after drying at 1 0 5 ' ) Between 195-199" (after drying at 105") At about 1 9 7 ' (with decomposition) 195' 193-194' 2.2 Eutectic Temperature The eutectic temperature of scopolamine hydrobromide is recorded as follows ( 13 ) : Microscope Hot Stage Sal. Dic.
~
165' 126'
Sal. 2.3
-
Solubility Data Soluble in 9.5 parts of water at 1S0, freely soluble in hot water, in alcohol, ether, chloroform, acetone. Sparingly soluble in benzene and petroleum ether (scopolamine) ( 11 ) .
484
One gram dissolves i n 1.5 water, 20 m l alcohol. S l i g h t l y soluble i n chloroform and almost i n s o l u b l e i n e t h e r (scopolamine hydrobromide) (11). The B.P. ( 1 2 ) reported t h e following s o l u b i l i t y data f o r scopolamine hydrobromide: soluble i n 3.5 p a r t s of water and i n 30 p a r t s of ethanol (96%); p r a c t i c a l l y insoluble i n chloroform and i n e t h e r .
2.4
p H Range
Between 4.0 and 5.5. i n a s o l u t i o n (1 i n 20) (12,13),
2.5
28'
(C=2.7)
(11) (15)
- 24' t o
26'
(C=5) (11,14)
(12)
[.ID 2.6
24' to
25.9'
27'
(H20); [a]D
15.72'
(EtOH) (15)
2.7
Crystal Structure
The c r y s t a l s t r u c t u r e of (-) - ( S ) -scopolamine hydrobromide as Cl7HZ1NO4, HBr i s reported ( 6 ) . The c r y s t a l s a r e c o l o r l e s s needles, elongated along C , Lane group ~ 4 / m m m , space group - P ~ Z ~ Z ~ Z , a= 1196.5+0.7, c=2652?2 pm, Z=8. One h a l f molecule of water per molecule of scopolamine has been found crystallographically ( 6 ) . The d i s t a n c e s of t h e nitrogen atom from t h e various atoms of t h e molecule a r e : N-O(1) 247; N-O(2) 388, N-O(3) 541 and N-O(4) 804 pm. The molecule of (-) (S) -scopolamine hydrobromide projected down i s shown i n Fig. 1.
~2
2.8
X-Ray Powder Diffraction The X-ray d i f f r a c t i o n p a t t e r n of scopolamine hydrobromide was determined with a P h i l i p s X-ray d i f f r a c t i o n sDectroeoniometer eauimed with P W 1730 generator.
Y
-I
SCOPOLAMINE HYDROBROMIDE
485
R a d i a t i o n was p r o v i d e d by a copper t a r g e t (Cu anode W, High i n t e n s i t y X-ray t u b e o p e r a t e d a t 40 KV and 35 M V was used. The monochromator was a curved s i n g l e c r y s t a l (PW 1752). Divergance s l i t and t h e r e c e i v i n g s l i t were 0 and 0.1' r e s p e c t i v e l y . The s c a n n i n g speed of t h e goniometer used was 0.02 2 0 p e r second. The X-ray p a t t e r n o f scopolamine H B r is p r e s e n t e d i n F i g . 2 . Interplanner d i s t a n c e and r e l a t i v e i n t e n s i t y are shown i n t a b l e 1.
y= 1.5480 A')
11.45 9.57 7.73 6.99 6.16 5.81 5.29 5.01 4.76 4.51 4.31 4.18 4.14 3.99 3.88 3.62 3.58 3.45 3.38 3.30 3.15 3.12
92.9 13.8 16.7 9.8 36.1 61.9 74.9 17.4 100 49.9 63.1 55.0 43.0 55.5 10.5 24.1 54.4 36.0 17.0 30.8 50.6 24.9
3.04 2.98 2.91 2.86 2.76 2.66 2.59 2.52 2.47 2.37 2.33 2.27 2.20 2.13 2.07 2.03 2.01 1.99 1.78
11.8 27.4 11.2 11.0 36.5 21.6 20.0 13.9 21.2 22.4 12.4 16.9 10.0 10.6 10.1 10.0 12.8 11.4 10.3
d = i n t e r p l a n n e r d i s t a n c e , 1/10 = r e l a t i v e i n t e n s i t y (based on t h e h i g h e s t i n t e n s i t y of 1 0 0 ) .
SCOPOLAMINE HYDROBROMIDE
481
2.9
Spectral Properties
2.9.1
U l t r a v i o l e t Spectrum (UV) The UV absorbance spectrum o f scopolamine hydrobromide i n methanol was scanned from 200 t o 400 n m u s i n g a Pye-Unicum SP 8-100 spectrophotometer (Fig. 3). Scopolamine hydrobromide e x h i b i t e d t h e f o l l o w i n g absorpt i v i t y v a l u e s (Table 2). Table 2 : UV a b s o r p t i v i t y v a l u e s max n m
E
Ref.
I'
0.1N H2S04
14)} 11.2)
(17 )
'I
I'
Scopolamine hydrochloride
water
Scopolamine
aqueous
( ( ( (
I'
'I
I' I'
:;}
4) 3)
( 17 )
I'
(A1 3.7)
1
I'
N-butylbromide a c i d
258 ( 264 (
"
4.6) 3.6)
(16)
2.9.2
I n f r a r e d Spectrum (IR) The I R spectrum of scopolamine hydrobromide as K B r d i s c (1:200) was recorded on a P e r k i n E l m e r 580B I n f r a r e d spectrophotometer ( F i g . 4 ) . Assignment o f t h e f u n c t i o n a l groups have been c o r r e l a t e d with t h e following frequencies (Table 3).
488
240
300
4OOnm
0
1000
3500
3000
2500
2000
1800
1600
WOO
1200
1000
(Mo
600
100
490
Table 3 : I R C h a r a c t e r i s t i c s of Scopo 1amine Frequency Cm 3350 (s) 2950 2810 1728 (5) 1600 1166(s) , 1045 (s) 780 ,735,700 (s)
-1
Functional groue
OH (hydrogen bonded) CH ( s t r e t c h ) N-CH3
s = strong absorption
The I R exhibited t h e following o t h e r absorption bands :1470, 1455, 1440, 1378(s), 1345, 1308, 1262, 1222(s), 1200, 1138(s) 1078, 1068, 1015, 980, 915, 858, 850, 610 cm- i
Clarke ( 1 7 ) reported t h e following p r i n c i p a l peaks f o r scopolamine: 1725, 1165, 1060, 1041 c m - l . For scopolamine hydrobromide i n K Br-disc t h e following p r i n c i p a l peaks were reported ( 16 ) : 1730, 1166, 1047, 853, 736 and 705 cm-l. 2.9.3 Nuclear Magnetic Resonance 2.9.3.1 H-NMR Spectra
The proton s p e c t r a of scopolamine hydrobromide were recorded, once i n D20 on a Varian FT80A (80 MHz) NMR spectrophotometer (Fig. 5 ) , and another i n D20 using a Varian XL 200 (200 MHz) spectrophotometer (Fig. 6 ) using 4,4-dimethyl-4silapentane s u l f o n i c acid (DSS) as an i n t e r n a l reference with both. The proton chemical s h i f t s a r e assigned and shown i n t a b l e 4.
SCOPOLAMINE HYDROBROMIDE
49 1
f l
'
'
'
'
'
'
'
'
'
'
'
'
'
'
'
A + , , ,., , ,
,
, , ,
, ,
, ,, ,
, , , I
PPYO
,b
t:lg,
(>
1
: 'H-NMII Spectrum
492
0-c-cti 9
Table 4: 'H-NMR Characteristics of Scopolamine Proton assignment
5 H aromatics (at
Chemical shifts 6 (ppm) 80 MHz 200 MHZ 7.41 (s) 7.42,7.47 (d) 5.05(t) 4.75 (s) 4.07 (m)
3.84(d)
5.17(t) 4.81 (s) 4.02 (m) 3.88 (d) 3.13(d) 2.88 (s) 1.88-2.24 (m)
c4
s = singlet, d = doublet, t = triplet, m = multiplet Other 1H-NMR data for scopolamine were also reported ( 18 - 2 0 ).
2.9.3.2
Carbon-13 NMR Spectrum The "C-NMR spectrum of scopolamine hydrobromide in D20 was recorded on a Varian XL-200 NMR spectrometer, using 4,4-dimethyl-4-silapentane sulfonic acid (DSS) as an internal reference. The spectrum is shown in Fig.7. The carbon chemical shifts were assigned and listed in table 5 .
SCOPOLAMINE HYDROBROMIDE
8
493
11
4
9
II
Multiplicity Singlet Singlet Doublet Doublet Doublet Doub 1e t T r i p 1e t Doublet Doub 1e t Doublet Quartet T r i p 1e t
c9
C
12
13 15 14
17
129.89 129.09
16
128.90 67.36
cll cl c5
6
clo
c8 c29 c4
494
I W .
w.
SCOPOLAMINE HYDROBROMIDE
495
2.9.4
Mass Spectrum
The e l e c t r o n - i m p a c t i o n i z a t i o n ( E I ) mass spectrum o f scopolamine H B r i s p r e s c n t c d i n Fig. 8. Thc spcctrum was o b t a i n e d u s i n g a Finnigan MAT 5100 s e r i c s GC/MS s p c c t r o m e t e r o p c r a t i n g w i t h an i o n i z a t i o n p o t e n t i a l of 70 cV. The spcctrum e x h i b i t e d a m o l e c u l a r i o n peak a t a mass/charge (m/z) r a t i o o f 303.2 w i t h r e l a t i v e i n t e n s i t y of 6.4% and a b a s e peak a t m/z r a t i o of 94.1. The most prominent i o n s , t h e i r r e l a t i v e i n t c n s i t i e s as w c l l as some proposed i o n fragments are shown i n t a b l e 6. T a b l e 6 : Mass Fragments o f Scopolaminc
m/ z
Ions
M+
139
6.4
[ 139-HI
[138-H]
[ 137-HI
121
120
[ 121-HI
110
13.3
496
m/
Relative % Intensity
11.4 44.3 20.3 28.5 11.4
Ions
[ 110-HI
[ 109-H]
[ 98-HI
r
96 14.6
H2c I
+
F 3
94
100
91
17.7
83
11.4
82
17.1
81 79
25.3 13.3
A!.
+
[ 82 -HI
SCOPOLAMINE HYDROBROMIDE
497
m/ z
77 71 70 69
68
Relative % Intensity
19.0 8.9 15.8 15.8 15.8 15.8 9.5 28.5 11.4 24.0 24.0 23.4 63.3 36. '1 44.3 [CH. =N=CH
Ions
[71-HI
[ 70-HI
[69-HI [68-HI
67 65 57
56
+
[57-HI
55 44 43 42 41 40
- CH2]
+
[44-HI
[CH~=N=CH~]
[42-HI [41-HI
Other mass s p e c t r a l d a t a of scopolamine have been r e p o r t e d ( 2 4 - 2 7 ) . The chemical i o n i z a t i o n (CI) mass s p e c t r a of scopolamine have been r e p o r t e d ( 25, 27 ) . Scopolamine e x h i b i t e d t h e following prominent i o n s w i t h t h e i r relative intensities. m/ z
Relative % In t ens it y
(4) (21)
(100)
Ions
M*H+
base peak
(6 1
498
3.
I s o l a t i o n of Scopolamine Scopolamine occurs along with hyoscyamine and/or atropine i n several Solanaceous p l a n t s , such as species of Atropa, Datura, Hyoscyamu~, Duboisia, Mandragora and ScopoZia ( 2 8 ) , In some of t h e s e p l a n t s (Atropa and SeopoZia), hyoscyamine is t h e dominant a l k a l o i d throughout t h e l i f e c y c l e of t h e p l a n t . In Datura stramoniwn, hyoscyamine i s t h e p r i n c i p a l a l k a l o i d a t t h e time of flowering and a f t e r . Whereas young p l a n t s contain p r i n c i p a l l y scopolamine. In many o t h e r s p e c i e s o f Datura (e.g. D.ferox; D. metel; D. meteZoidGs), scopolamine i s t h e p r i n c i p l e alkaloid of t h e leaves a t a l l times ( 2 8 ) and t h e s e species a r e used t o i s o l a t e scopolamine. One o f the methods f o r t h e i s o l a t i o n of scopolamine i s described as follows ( 2 9 ) : The powdered Datura species i s throughly moistened with an aqueous s o l u t i o n of sodium carbonate and extracted with e t h e r o r benzene. The a l k a l o i d a l bases are e x t r a c t e d from the solvent with d i l u t e a c e t i c acid, t h e acid solut i o n is then shaken with e t h e r a s long a s t h e l a t t e r t a k e s up coloring matters. The a l k a l o i d s a r e p r e c i p i t a t e d with sodium carbonate, f i l t e r e d o f f , washed and dried. The d r i e d p r e c i p i t a t e i s dissolved i n e t h e r o r acetone, t h e s o l u t i o n i s dehydrated with anhydrous sodium s u l f a t e and f i l t e r e d . The f i l t r a t e i s concentrated, cooled when crude hyoscyamine and a t r o p i n e c r y s t a l i z e from s o l u t i o n , The c r y s t a l s a r e c o l l e c t e d by f i l t r a t i o n and t o t h e mother liquor d i l u t e hydrobromic acid i s added t o give scopolamine hydrobromide as c r y s t a l s , which i s c o l l e c t e d , washed, d r i e d and r e c r y s t a l l i z e d t o give pure c r y s t a l s .
4.
Synthesis of Scopolamine
4.1
P a r t i a l Synthesis
SCOPOLAMINE HYDROBROMIDE
499
500
N
POC15
,CHI
HO
HO
?3
[21
*collidine or N(Ef)a
[41
h
OAc
1 , C H I
CHI
,CHI
B?..
CHa
OAc
[31
/Ph
JHJ
H
OH
[61
Ph-N H CO- 0
h
OAe
SCOPOLAMINE HYDROBROMIDE
501
[41
OAC
502
to 6-methoxytropan-3a-01 [4] which is de-0-methylated with aqueous hydrobromic acid to afford (t) -tropan-3a, 68-diol [5]. Internal cyclization with p-toluenesulfonic acid anhydride gives 3a, 6a-oxidotropane [ 6 ] . [6] upon cleavage with acetylbromide (acetobromolysis) gives 68-bromo-3a-acetoxytropane [ 7 ] . Piperidine is used to eliminate hydrogen bromide and the ester exchanged in a two-step process to produce 6,7-dehydrohyoscyamine [8]. Epoxidation of the hydrobromide of [ 8 ] with 30% hydrogen peroxide in the presence of sodium tungstate as catalyst leads to scopolamine 1 hydrobromide [ 9 This improved totaZ synthesis i s presented i n scheme II [after ( 2 ) ] . A further modification of the totaZ synthesis of scopolamine has been reported 3 ) though t h i s modification depends on the same principles of the previous two syntheses:2,5-Diethoxy-2,5-dihydropyran [I] (made by anodic oxidation of furan in ethanol) is converted to its bromohydrin [I13 and this on basic hydrogenolysis yields 2,5-diethoxy-3-hydroxytetrahydropyran [III]. Mild acid hydrolysis of [111] leads to malic dialdehyde [IV] which undergoes Robinson-Schopf condensation to produce (f)-6-hydroxytropinone [V]. Treatment of [V] with phenylisocyanate leads to a urethane derivative capable of catalytic reduction to tropan -3a,68-diol monophenylurethane [VI] Acylation of the latter, followed by distillation results in cleavage of the phenylcarbamyl moiety to phenylisocyanate and the formation of 3a-acetoxy 68-hydroxytropane [VII]. This is converted into its corresponding tosyl ester with p-toluenesulfonyl chloride, elemination of toluenesulfonic acid could be induced with triethylamine to generate acetyl-6-tropene 3a-01 [VIII]. Epoxidation of the trifluoroacetate salt of [VIII] with trifluoroperacetic acid leads to acetylscopine [IX], this upon gentle basic hydrolysis (N NaOH in acetone) affords scopine [XI. Treatment of [XI with (t) -acetyltropoyl chloride followed by hydrolysis with dilute hydrochloric acid produces (+>scopolamine [XI]. Resolution of [XI] with (+)tartaric acid leads to (-)-scopolamine. This modified totaZ synthesis of scopoZamine is show i n scheme III.
SCOPOLAMINE HYDROBROMIDE
503
I
4
2
0
N
Y
br
v
X
It
n
Y
cn
504
OO Et
h O E t Y [I11 O
[I111 E
HO
&+n 1
[I1
N-CH3
[VI
[I V I
H\ /N '6'5
H -y" . l O
OH
[VI 1
6'.*OUC
J[vlll
H
~
/H o OAC
OAC
11x1
[VIII]
___it
H
~
~H
HO
[XI
H-
---
CH20H
'gH5
[XI1
SCOPOLAMINE HYDROBROMIDE
505
A d i f f e r e n t approach t o the synthesis of scopine and hence t o scopoZamine has been recentZy reported
( 4 I: When a m i x t u r e o f tetrabromoacetone [ I ] , l - c a r b o methoxypyrrole [11] and d i i r o n e n n e a ( 3 : l : l . S mol r a t i o n ) i n benzene i s h e a t e d a t SO" f o r 72 hours under n i t r o g e n atmosphere, a m i x t u r e o f t h e dibromotropenone a d d u c t s [ I I I a , I I I b ] i n a 2 : l r a t i o i s o b t a i n e d . Zinc-copper r e d u c t i o n o f t h e adducts i n methanol c o n t a i n i n g 5% ammonium c h l o r i d e a t 25O f o r 10 minutes, a f f o r d s t h e tropenone adduct [ I V ] . Reduct i o n of [ I V ] with diisobutylaluminum h y d r i d e (DIBAH) f o r 2 3 hours a t -78O then f o r 8 hours a t 25' g i v e s r i s e t o t h e a l c o h o l s [Va and Vb]. These can b e p u r i f i e d by chromatographic column and c o n v e r t e d t o s c o p i n e [ V I ] and t h e n i n t o scopolamine.
4.3
S y n t h e s i s of Tropic a c i d S e v e r a l schemes f o r t h e t o t a l s y n t h e s i s o f t r o p i c a c i d are known (Scheme I t o I V ) . Scheme I : Landenburg's s y n t h e s i s ( 32 ) . Acetophenone [ l ] i s c o n v e r t e d i n t o a, a - d i c h l o r o e t h y l benzene [2] by t h e a c t i o n o f phosphorous p e n t a c h l o r i d e . [ 2 ] i s r e a c t e d with potassium cyanide t o f u r n i s h a ethoxy-a-cyanoethylbenzene [ 3 ] . T h i s is hydrolysed w i t h barium hydroxide s o l u t i o n t o g i v e a t r o l a c t i c e t h y l e t h e r [ 4 ] . The l a t t e r i s heated w i t h hydrogen c h l o r i d e t o y i e l d a t r o p i c a c i d [ 5 ] which i s c o n v e r t e d t o t r o p i c a c i d [6]. Scheme 11: McKenzie and Wood's s y n t h e s i s ( 3 3 ) . Acetophenone [ l ] i s c o n v e r t e d by t h e a c t i o n o f p o t a s sium c y a n i d e t o acetophenone cyanohydrine [2]. This upon h y d r o l y s i s i s c o n v e r t e d i n t o a t r o l a c t i c a c i d [ 3 ] . The l a t t e r i s h e a t e d under p r e s s u r e t o y i e l d a t r o p i c a c i d [4]. A t r o p i c a c i d [ 4 ] i s t r e a t e d w i t h hydrogen c h l o r i d e i n e t h e r e a l s o l u t i o n t o form B-chlorohydrat r o p i c a c i d [5]. This upon b o i l i n g w i t h aqueous sodium c a r b o n a t e i s changed t o t r o p i c a c i d [ 6 ] . Scheme 111: MGller's s y n t h e s i s ( 3 4 ) . Ethylphenyl a c e t a t e [ l ] is condensed w i t h e t h y l f o r m a t e t o g i v e e t h y l a-formyl a c e t a t e [ 2 ] . T h i s on r e d u c t i o n w i t h aluminium amalgam y i e l d s d l - t r o p i c e s t e r [3] which upon h y d r o l y s i s g i v e s t r o p i c a c i d [ 4 ] .
506
5;,
[IIIa]
B V r
0B
r
0
[IIIb]
b 0
N-CH3
OH
SCOPOLAMINE HYDROBROMIDE
507
FH>COOH 0 ~ 2 ~ 5 HC1
ac-z* @
CH-COOH [51 [61
[31
141
CH2C1
CH20H
1
508
CH20H
@H-COOEt
[41
Scheme I V :
Br
I
@CH-COOEXn
Z n Br CH-COOEt I
__c. HCHO
+
[I1
[21
C H20H I
CH2OH
SCOPOLAMINE HYDROBROMIDE
509
Scheme IV: Chambon's s y n t h e s i s ( 35 ) . Ethyl a-bromophenylacetate [ l ] i s t r e a t e d w i t h Zn t o g i v e ethyl-a-zincbromophenylacetate [ 2 ] which i s t r e a t e d with formic a c i d t o g i v e d l - t r o p i c e s t e r [3] which upon h y d r o l y s i s y i e l d s t r o p i c a c i d [ 4 ] .
510
[yk
1
S-Adenosylmcthione
N-Methylpyrrolinium ion
+-
EH,COOH
[2-14C]-Acetate
~.Phenyl-[Z.~~C].alanine
Itranraminatiin
Tropina
(-)-Tropic Acid
(-)-Hyoscyamine
SCOPOLAMINE HYDROBROMIDE
511
Scopolamine appears to be formed in the plants from hyoscyamine ( 45,46,47 ) . It is believed that hyoscyamine [l] is metabolized in the plant to 6-hydroxyscopolamine [2], and this is further metabolized into 6,7-dehydrohyoscyamine [5]. Epoxidation in vivo of [5] gives rise to scopolamine [6]. Leete however, suggested that the dehydration takes place by a two step mechanism. A phosphorylated 6-hydroxyhyoscyamine [3] could be attacked by a nucleophilic reagent (represented by the SH-group of an enzyme) to afford [ 4 ] . The double bond of [4] is then generated by a trans elimination to give [5]. The biosynthesis of scopolamive from hyoscyamine i s presented i n scheme 1 1 [ a f t e r Leete ( 36 ) I .
NMe
, *
q
0 Tropyl H
------>
0 Tropyl
Hyoscyarninc
Enzyme -SH
[ 21
"Oq
[31
141
0 Tropyl H
[ 11
6-Hydroxyhyoscyarn~nc
NMe
H
0 Tropyl
c -
& $
0 Tropyl H
* -
Enyme-S E
[ 51
qH
0 Tropyl
Scopolamine
[6 1
6,7--Dehydrohyoscyarninc
512
6.
Pharmacokine t i c s 6.1 Drug Absorption Scopolamine i s r a p i d l y absorbed from t h e g a s t r o i n t e s t i n a l t r a c t f o l l o w i n g o r a l doses o f t h e hydrobromide (17,48,49}.It a l s o e n t e r s t h e c i r c u l a t i o n when a p p l i e d l o c a l l y t o t h e mucosal s u r f a c e s of t h e body ( 4 8 ) . Only l i m i t e d a b s o r p t i o n o c c u r s from t h e i n t a c t s k i n (48). The q u a t e r n a r y d e r i v a t i v e s o f scopolamine, such as t h e N-butylbromide o r t h e methobromide are p o o r l y absorbed from the g a s t r o i n t e s t i n a l t r a c t (49 ) and do n o t r e a d i l y p a s s t h e blood-brain b a r r i e r (49). The t o t a l a b s o r p t i o n o f q u a t e r n a r y ammonium d e r i v a t i v e of t h e b e l l a d o n n a a l k a l o i d s , a f t e r an o r a l dose i s only 10 t o 20% (50,51). 6.2 Onset and Duration
Following i n s t i l l a t i o n o f 1 drop o f 0.5% s o l u t i o n , maximum m y d r i a s i s occurs w i t h i n 20 t o 30 minutes; m y d r i a s i s is observed f o r up t o 7 days ( 3 t o 7 days) c 48 1. Following s i n g l e I M d o s e s of 0.05 t o 0.4 m g scopolamine, peak d e c r e a s e s i n p u l s e r a t e were e v i d e n t a t 1 t o 2 hours; d e c r e a s e s i n p u l s e r a t e p e r s i s t e d f o r approximately 8 hours ( 5 2 ) . Following s i n g l e I M doses o f 0.05 t o 0.4 mg s c o p o l a mine, peak d e c r e a s e s i n s a l i v a flow were e v i d e n t a t 1 t o 2 hours; t h i s s a l i v a r y flow was reduced f o r approximately 8 hours (52 j . Distribution Scopolamine H B r i s bound t o plasma p r o t e i n s ( 17 ) . Following a s i n g l e o r a l dose e q u i v a l e n t t o 415 pg of scopolamine t o 10 s u b j e c t s , a mean peak plasma c o n c e n t r a t i o n o f 0.0003 ug/ml was a t t a i n e d i n 0.5 t o 1 hour, d e c r e a s i n g t o 50% o f t h e peak c o n c e n t r a t i o n i n 2 t o 4 hours ( 5 3 ) . Scopolamine c r o s s e s t h e b l o o d - b r a i n b a r r i e r and it h a s been s t a t e d t o c r o s s t h e p l a c e n t a (49).
6.3
6.4
Excretion
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'
I n r a b b i t s , 2% of an o r a l dose and 30% of an i n t r a venous (IV) dose a r e e x c r e t e d i n 3 days (17). - About 5% o f an o r a l dose i s e x c r e t e d i n t h e u r i n e a s unchanged drug (16). Urinary e x c r e t i o n o f scopolamine was determined u s i n g a radioligand binding assay i n 9 healthy subjects f o l l o w i n g a d m i n i s t r a t i o n o f approximately 450 pg o f t h e drug o v e r 64 hours v i a a t r a n s d e r m a l d e l i v e r y system. During t h e time o f medication and 48 hours t h e r e a f t e r , a mean t o t a l o f 156 p g o f scopolamine i s e x c r e t e d i n t h e u r i n e o f which 21% was unchanged drug and t h e remainder 79% metabolized mainly a s g l u c u r o n i d e a n d / o r s u l f a t e c o n j u g a t e s . Steady s t a t e u r i n a r y c o n c e n t r a t i o n s were achieved about 1 2 hours a f t e r a p p l y i n g t h e medication. C o n c e n t r a t i o n s i n plasma were below t h e d e t e c t a b l e level o f 1 . 2 ng p e r m l (49,54). - Following a subcutaneous i n j e c t i o n o f 190 mg of scopolamine N-butylbromide i n 3 d i v i d e d d o s e s o v e r 4 hours, t h e u r i n e c o l l e c t e d contained t h e equivalent o f 26 m g o f t h e drug (55). - Scopolamine i s e x c r e t e d i n minimal amounts i n b r e a s t milk ( i f a t a l l ) and t h e d r u g can be a d m i n i s t e r e d t o n u r s i n g mothers. I t does n o t s i g n i f i c a n t l y a f f e c t m i l k s e c r e t i o n (56). - About 90% o f an o r a l d o s e of scopolamine butylbromide i s e l i m i n a t e d i n t h e faeces and less t h a n 10% i s e x c r e t e d i n t h e u r i n e ( 16 ) . A f t e r I V a d m i n i s t r a t i o n o f t h i s s a l t , about 40% of t h e dose i s e x c r e t e d i n t h e u r i n e (16).
6.5
Metabolites
A s scopolamine i s an e s t e r a l k a l o i d , it i s p o s s i b l e t h a t s m a l l amounts a r e hydrolysed i n t h e serum ( 57 ) g i v i n g r i s e t o tropic acid as well a s scopine o r
(-)
5 14
7.
This section is written by Dr. Zaki (59). Scopolamine e x e r t s t h e following pharmacological e f f e c t s : Central :
1) Sedative and t r a n q u i l i z i n g e f f e c t s with euphoria, but i n e l d e r l y and females, i t leads t o confusion a n d e x c i t e ment 2) Amnestic a c t i o n : I t leads t o t w i l i g h t s l e e p with morphine i n analgesia during labor.
3) A n t i e p i l e p t i c a c t i o n i n grandma1 a c t i o n on c o r t i c a l centres.
epilepsy by
4) Antikinetic a c t i o n : t o control r e g i d i t y and tremors i n chorea and Parkinsonjsm t o block t h e c e n t r a l cholinergic system i n basal ganglia.
trigger
7)
Peripheral:
1) I t possesses parasympatholytic action similar t o atropine but f i v e times more powerful on exocrine s e c r e t i o n s e.g. lacrymal, s a l i v a r y , and bronchial a s well as on eye i n form of passive mydriasis, cycloplegia and increase i n t r a o c u l a r pressure. 2 ) On cardiovascular system: it produces vasodilat i o n o f t h e blush skin a r e a with s l i g h t lowering i n blood pressure and tachycardia by decreasing vagal t o n e on t h e heart. 3) On g a s t r o - i n t e s t i n a l t r a c t : it decreases tone and amplitude of m o t i l i t y with marked decrease i n s a l i v a r y s e c r e t i o n but less decrease i n g a s t r i c and pancreatic secretions.
Therapeutic uses:
1) Pre-anesthetic medication: t o produce sedation thus shortens s t a g e of induction and antagonizes t h e r e s p i r a t o r y depression o f morphine and o t h e r depressants. I t is a l s o more powerful on glandular s e c r e t i o n s eg. bronc h i a l and s a l i v a r y decreasing r e s p i r a t o r y complications. 2)
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3) In l a b o r an a 1ges ia .
w i t h morphine t o induce t w i l i g h t s l e e p
Contraindicahions
Scopolamine should n o t be a d m i n i s t e r e d t o p a t i e n t s with asthma, h e p a t i t i s , o r toxemia o f pregnancy ( 6 0 ) .
8. Drug S t a b i l i t y and S t o r a g e
Scopolamine i s r e a d i l y racemized i n t h e p r e s e n c e o f d i l u t e a l k a l i (61). Scopolamine hydrobromide s o l u t i o n s a r e incompatible with a l k a l i s , s i l v e r s a l t s and t a n n i c a c i d . (49). Scopolamine hydrobromide as it is o r as t a b l e t s should be preserved i n t i g h t , l i g h t r e s i s t a n t c o n t a i n e r s (14). Scopolamine i n j e c t i o n s are preserved i n l i g h t r e s i s t a n t s i n g l e dose o r m u l t i p l e dose c o n t a i n e r s (14). Scopolamine hydrobromide ophthalmic s o l u t i o n s should b e s t o r e d i n t i g h t c o n t a i n e r s a t a temperature less t h a n 4OoC, p r e f e r a b l y between 15-3OoC, f r e e z i n g should b e avoided (14, 61). Scopolamine hydrobromide ointment is preserved i n c o l l a p s i b l e ophthalmic ointment t u b e s (14)
516
9.
The following identification tests are mentioned in the British Pharmacopoeia ( 1 2 1 under hyoscine hydrobromide.
To 1 m g add 0 . 2 m l o f fuming n i t r i c a c i d and e v a p o r a t e t o d r y n e s s on a water bath. Dissolve t h e r e s i d u e i n 2 m l of acetone and add 0.2 m l o f a 3% w/v s o l u t i o n of potassium hydroxide i n methanol; a v i o l e t c o l o r i s produced. Yields t h e r e a c t i o n s c h a r a c t e r i s t i c of a l k a l o i d s and t h e r e a c t i o n s c h a r a c t e r i s t i c of bromides.
( 14 )
- Dissolve 3 m g i n 1 m l a l c o h o l , and e v a p o r a t e t h e
s o l u t i o n on a steam b a t h t o d r y n e s s . Dissolve t h e r e s i d u e i n 0.5 m l chloroform, add 200 m g of potassium bromide and 15 m l o f e t h e r , and s t i r f r e q u e n t l y d u r i n g 5 minutes. Decant t h e s o l v e n t , d r y t h e r e s i d u e on a steam b a t h u n t i l t h e odor of t h e s o l v e n t no longer i s p e r c e p t i b l e , and compress t h e r e s i d u e t o a d i s c . The i n f r a r e d a b s o r p t i o n spectrum o f t h e r e s u l t i n g p o t a s sium bromide d i s p e r s i o n , p r e v i o u s l y d r i e d a t 105' f o r 3 h o u r s , e x h i b i t s maxima only a t t h e same wavelengths a s t h a t of a similar p r e p a r a t i o n o f LISP Scopolamine Hydrobromide R.S., t r e a t e d i n t h e same manner. TO 1 m l o f a s o l u t i o n (1 i n 20) add a few drops o f c h l o r i n e TS, and shake t h e mixture with 1 m l c h l o r o form, t h e l a t t e r assumes a brownish c o l o r . Add t o scopolamine hydrobromide i n j e c t i o n s i l v e r n i t r a t e TS, a y e l l o w i s h w h i t e p r e c i p i t a t e i s formed, which i s i n s o l u b l e i n n i t r i c a c i d b u t s l i g h t l y s o l u b l e i n 6 N ammonium hydroxide.
Other identification tests are as fo2Zows:Gold c h l o r i d e t e s t ( 62 ) . To a few m l o f a 1%aqueous s o l u t i o n o f scopolamine hydrobromide a c i d i f i e d with h y d r o c h l o r i c a c i d , add a few drops of gold c h l o r i d e s o l u t i o n ; a lemon yellow o i l y p r e c i p i t a t e i s formed which c r y s t a l l i z e s a f t e r a while. The p r e c i p i t a t e i s t h e n r e c r y s t a l l i z e d from b o i l i n g water a c i d i f i e d with d i l u t e HC1 and d r i e d , scopolamine produces l u s t r o u s y e l l o w i s h broad p r i s m s ; m.p. 208-209'. Gerrard r e a c t i o n ( 6 3 ) . To a few m g o f t h e a l k a l o i d , a 2% v/w s o l u t i o n o f
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9.2
M i c r o c r y s t a1 Tests
A 0.1% w/v o f scopolamine H B r i n w a t e r was prepared
Gold c h l o r i d e s o l u t i o n , f u r n i s h e d a f t e r 4 minutes curved p l a t e s (Fig. 1 0 ) . C l a r k e r e p o r t e d a s e n s i t i v i t y (1:1500) f o r t h e f i r s t t e s t , and (1:400) f o r t h e second t e s t (17). M i c r o c r y s t a l t e s t can be performed t o i d e n t i f y t r o p a n e a l k a l o i d s a f t e r e x t r a c t i o n from animal t i s s u e s (65) : These a l k a l o i d s a r e e x t r a c t e d from animal t i s s u e s with t h e u n i v e r s a l b u f f e r s o l u t i o n o r with a c i d s o l u t i o n a t p H 4.0 t o 5 . 0 ( o x a l i c o r t a r t a r i c a c i d ) . The a l k a loids a r e then i d e n t i f i e d microcrystallographically by r e a c t i o n with Rieneck's s a l t and by V i t a l i r e a c t i o n (65).
518
Fig 9 :
Fig 10 :
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9.3
T i t r i m e t r i c Determinations 9.3.1 Aqueous T i t r a t i o n s Scopolamine H B r a s s a l t o r a s some of i t s f o r m u l a t i o n s can be assayed by a c i d - b a s e t i t r a t i o n ( 66 ) : The scopolamine b a s e i s e x t r a c t e d with c h l o r o form from ammonical s o l u t i o n . The combined chloroform e x t r a c t s i s washed , evaporated t o d r y n e s s and t i t r a t e d t o t h e end p o i n t with 0.05N a c i d ( s u l f u r i c a c i d o r HC1) u s i n g methyl r e d as an i n d i c a t o r 1 ml 0.05N acid = 0.02192g
Determination o f s m a l l amounts o f n i t r o g e n o u s b a s e s ( i n c l u d i n g t r o p i n e a l k a l o i d s ) i n aqueous s o l u t i o n s such a s eye-drops and i n j e c t i o n s h a s been d e s c r i b e d (67). The method depends on p r e c i p i t a t i o n o f t h e a l k a l o i d w i t h t e t r a p h e n y l b o r o n a t pH 3 . 7 and t h e e x c e s s o f t h e r e a g e n t i s t h e n determined by b a c k - t i t r a t i o n with a s t a n d a r d s o l u t i o n o f q u a t e r n a r y ammonium s a l t t o a v i s u a l end p o i n t .
Melting points of t h e organic tetraphenylboron saZts may be used i n the i d e n t i f i c a t i o n of many of these compounds f66,67). Scopolamine butylbromide as well as o t h e r
q u a t e r n a r y ammonium b a s e s o f t r o p a n e a l k a l o i d s can b e e s t i m a t e d by t i t r a t i o n a f t e r p a s s a g e o f t h e i r aqueous s o l u t i o n s through a s u i t a b l e i o n exchange r e s i n as f o l l o w s ( 68 ) : A weighed q u a n t i t y o f t h e sample i s d i s s o l v e d i n 10 m l o f w a t e r and p a s s e d through a r e s i n column packed with I R A 400 a t a r a t e o f 1 m l p e r minute. The column i s f i n a l l y washed w i t h water. 10 m l o f 0.1 N HC1 and 10 m l o f w a t e r are added t o t h e e l u a t e and t h e e x c e s s o f a c i d i s back t i t r a t e d withO.1NNaOH s o l u t i o n .
9.3.2
Non-aqueous t i t r a t i o n The USP (14) d e s c r i b e s a non-aqueous t i t r a t i o n method f o r t h e a s s a y o f scopolamine hydrobromide. D i s s o l v e about 750 mg o f scopolamine hydrobromide, a c c u r a t e l y weighed i n a m i x t u r e of 30 mL o f g l a c i a l a c e t i c a c i d and 10 mL of mercuric c h l o r i d e TS, warming s l i g h t l y t o
520
e f f e c t s o l u t i o n , c o o l a t room temperature, add 2 drops o f c r y s t a l v i o l e t TS and t i t r a t e w i t h 0.1 N p e r c h l o r i c a c i d VS. Perform a blank d e t e r m i n a t i o n and make any n e c e s s a r y c o r r e c t i o n . Each 1 mZ o f 0.1 N perchZoric acid is equivalent t o 38.43 mg of C17H21N04. HBr.
The BP (12) recommends t h e f o l l o w i n g procedure: Dissolve 0.4 g o f scopolamine H B r ( o r 0 . 3 g scopolamine butylbromide) i n 20 m l o f anhydr o u s g l a c i a l a c e t i c a c i d , add 10 m l o f m e r c u r i c (11) a c e t a t e s o l u t i o n TS and l-naphtholbenzein s o l u t i o n as an i n d i c a t o r . T i t r a t e with 0.1 M p e r c h l o r i c a c i d VS, determining t h e end p o i n t potentiometrically. Each mZ o f 0.1 M perchloric acid VS is equivalent t o 0.03843 g of C17H21N04,HBr. or is equivalent t o 0.04404 g o f C21H30Br NO4 (Scopolamine buty lbromide)
Small amounts o f a l k a l o i d s (scopolamine H B r o r a t r o p i n e s u l f a t e ) i n i n j e c t i o n can b e e s t i m a t e d i n non-aqueous medium by u s i n g toZuene-p-sulfonic acid a s f o l l o w s (69). Aqueous s o l u t i o n (2 t o 5 m l , c o n t a i n i n g 2 t o 5 m g o f t h e a l k a l o i d ) i s t r e a t e d with sodium b i c a r b o n a t e t o pH 8 t o 9. The a l k a l o i d i s e x t r a c t e d with chloroform (15, 1 0 and 5 m l ) and t h e combined e x t r a c t s a r e f i l t e r e d through f i l t e r paper. The f i l t r a t e i s t i t r a t e d with 0.005 N toluene-p-sulfonic acid i n dioxan cont a i n i n g 1% phenol i n t h e presence o f dimethylyellow as an i n d i c a t o r . The method i s used f o r t h e d e t e r m i n a t i o n o f scopolamine hydrobromide ( o r a t r o p i n e s u l f a t e ) i n t h e presence o f morphine h y d r o c h l o r i d e :The sample i s made a l k a l i n e with NaOH s o l u t i o n t o pH 11 and scopolamine (or a t r o p i n e ) i s e x t r a c t e d with chloroform and determined as above. Many o t h e r t i t r i m e t r i c methods f o r t h e a s s a y of scopolamine have been p u b l i s h e d , some o f t h e s e a r e i n r e f e r e n c e s (70-74).
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9.3.3
Potentiometric T i t r a t i o n s Scopolamine among o t h e r a l k a l o i d s i s e a s i l y t i t r a t e d i n aqueous s o l u t i o n s a t conc e n t r a t i o n s o f 0.01 t o 0.03M u s i n g t h e g l a s s e l e c t r o d e or d i r e c t replacement r e a c t i o n s ( 7 5 ) . P o t e n t i o m e t r i c t i t r a t i o n may be c a r r i e d out by u s i n g a g l a s s e l e c t r o d e and a s t a n d a r d calomel c e l l a s r e f e r e n c e e l e c t r o d e (12). T i t r a t e with t h e t i t r a n t t o t h e c o l o r change o f t h e i n d i c a t o r t h a t corresponds t o t h e maxim u m v a l u e o f dE/dV (where E is t h e e l e c t r o motive and V t h e volume o f t i t r a n t ) . Hydrochlorides of s e v e r a l a l k a l o i d s and r e l a t e d s u b s t a n c e s i n c l u d i n g scopolamine were t i t r a t e d i n dimethyl s u l f o x i d e medium w i t h 0.1M AgNOj. End p o i n t s were determined by conductometric, p o t e n t i o m e t r i c and p o l a r i m e t r i c t e c h n i q u e s and t h e r e s u l t s were s a t i s f a c t o r y by t h e s e t h r e e techniques (76).
9.4
P o l a r o g r a p h i c Methods S e v e r a l a l k a l o i d s i n c l u d i n g scopolamine a s s a l t s (h ydrobromid e , hy droch 1o r i d e , n i t r a t e ) were d et ermi ned q u a l i t a t i v e l y and q u a n t i t a t i v e l y by t h i s method (77) * C o n c e n t r a t i o n s o f 0.001% ( o r lower) t o 1%o f a l k a l o i d s can be performed. A l k a l o i d s were q u a l i t a t i v e l y s e p a r a t e d a t t h e cathode o f an e l e c t r o l y t i c c e l l . O f t h e s e v e r a l k i n d s o f e l e c t r o d e s t e s t e d , aluminum a s anode (wrapped i n parchement) and a s t e e l one as cathode were most s a t i s f a c t o r y . The a l k a l o i d s c o l l e c t e d a t c a t h o d e were washed, d r i e d and t h e i r m e l t i n g p o i n t s were determined f o r i d e n t i f i c a t i o n . A d d i t i o n a l of NaCl t o t h e e l e c t r o l y z e d s o l u t i o n h a s t e n e d t h e s e p a r a t i o n o f a l k a l o i d s . Some a l k a l o i d s were q u a n t i t a t i v e l y determined. - O c i l l o p o l a r o g r a p h i c s t u d i e s of s e v e r a l a l k a l o i d s w i t h t r o p a n e and i s o q u i n o l i n e l i n k a g e s have been r e p o r t e d (77a). Various r e l a t e d a l k a l o i d s can b e d i s t i n g u i s h e d even i n m i x t u r e s by i d e n t a t i o n s i n t h e o s c i l l o g r a m s . Thus i t was p o s s i b l e t o d i s t i n g u i s h a t r o p i n e , hyoscyamine, scopolamine, homatropine H B r , c o c a i n e , h y d r a s t i n e , berberine a s well a s o t h e r a l k a l o i d s .
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9.5
Spectrophotometric Methods 9.5.1 Colorimetric Determinations Morin (78 ) suggested t h e use of V i t a l i ' s r e a c t i o n f o r t h e determination of small amounts of atropine. Allport and Wilson (79 ) have a l s o adopted V i t a l i ' s reaction f o r t h e rapid determination of t h e a l k a l o i d s i n belladonna and stramonium. The method was found not applicable t o Hyoscyamus niger o r i t s g a l e n i c a l preparations (66 ) Allport and Jones (80 ) confirmed t h a t a t r o p i n e r e a c t s q u a n t i t a t i v e l y t h e same as hyoscyamine and t h e method i s a l s o applicable t o scopolamine. A s u m a r y o f t h i s determination can be described as follows :A q u a n t i t y of a l k a l o i d a l s o l u t i o n o r t a b l e t s g of atropine containing between 1.6 t o 2 . 4 m i s rendered a l k a l i n e and extracted with chloroform. The a l k a l o i d i s re-extracted from t h e chloroform with 6% a c e t i c acid and ethanol. An a l i q u o t of t h e r e s u l t i n g e x t r a c t is t r a n s f e r red i n t o an evaporating d i s h and evaporated j u s t t o dryness on a water bath, fuming n i t r i c a c i d (0.2 ml) i s immediately added t o t h e r e s i due and again evaporated t o dryness. The r e s u l t i n g residue i s dissolved i n acetone and made up t o volume (10 ml). A 3.0% potassium hydroxide i n methanol (0.1 ml) i s added and t h e mixture allowed t o stand f o r 5 minutes. A purple c o l o r i s developed and t h e i n t e n s i t y of t h i s c o l o r is then measured i n a photoe l e c t r i c absorptiometer. The concentration is c a l c u l a t e d from a c a l i b r a t i o n curve with q u a n t i t i e s of 0.025 m g t o 0.15 m g of pure hyoscyamine t r e a t e d s i m i l a r l y . A newer approach t o t h e v i t a l i type of r e a c t i o n has been reported by Freeman ( 8 1 ) : A measured q u a n t i t y of a l k a l o i d a l s o l u t i o n (containing about 0.05 t o 0.15 mg alkaloid) i s evaporated t o dryness on a water-bath, t h e residue i s n i t r a t e d with fuming n i t r i c a c i d ( 0 . 2 t o 0 . 3 m l ) and evaporated again t o dryness. The residue i s t r a n s f e r r e d t o a 10-ml graduated f l a s k with t h e a i d of small quantit i e s of dimethylformamide, 25% w/w aqueous
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s o l u t i o n of tetramethylammonium hydroxide (0.3 ml) i s added t o t h e f l a s k which d i l u t e d t o volume with dimethylformamide. The r e s u l t i n g m i x t u r e i s allowed t o s t a n d f o r 5 minutes and t h e e x t i n c t i o n o f t h e developed c o l o r i s measured a t 540 wn i n 1-cm c e l l s a g a i n s t d i methylformamide. The a l k a l o i d a l c o n t e n t i s a s c e r t a i n e d from a c a l i b r a t i o n c u r v e which i s l i n e a r (66,81).
A m i x t u r e o f a t r o p i n e and scopolamine were q u a n t i t a t i v e l y s e p a r a t e d by e l e c t r o p h o r e sis and e s t i m a t e d by t h e same method ( 82 ) : Atropine and scopolamine were s e p a r a t e d w i t h 0.1 N aqueous ammonia as t h e e l e c t r o l y t e s . A f t e r e l u t i o n o f each a l k a l o i d , t h e e l u a t e was evaporated on a water-bath t o d r y n e s s and n i t r a t e d w i t h fuming n i t r i c a c i d , t h e r e s i d u e was d i s s o l v e d i n dimethylformamide and t r e a t e d as above. The e x t i n c t i o n (y) o f t h e produced c o l o r was measured a t 545nmand t h e c o n c e n t r a t i o n (X ug p e r ml) o f each a l k a l o i d was c a l c u l a t e d from t h e f o l l o w i n g e q u a t i o n :
f o r atropine f o r scopolamine
A c o l o r i m e t r i c method f o r t h e determinat i o n o f small amounts o f t r o p i c a c i d , mandelic a c i d and t h e i r e s t e r s ( a t r o p i n e , scopolamine and homatropine) h a s been r e p o r t e d ( 8 3 ) . Scopolamine i s n i t r a t e d f o r 15 minutes w i t h a s o l u t i o n o f 20% KNO3 i n c o n c e n t r a t e d H2SO4. O n making t h e n i t r a t e d p r o d u c t a l k a l i n e w i t h h o t 18-20% NaOH, a c o l o r d e v e l o p s i n 30 minut e s . This c o l o r i s e s t i m a t e d by u s i n g an S42, S47 o r S5o f i l t e r i n t h e P u l f r i c h photometer. The s e n s i t i v i t y i s 50 and 60 pg of scopolamine p e r m l . The p r o b a b l e e r r o r is t3.0%.
C o l o r i m e t e r i c e s t i m a t i o n of a t r o p i n e and r e l a t e d a l k a l o i d s ( i n c l u d i n g scopolamine) i n pharmac e u t i c a l p r e p a r a t i o n s h a s been r e p o r t e d by two procedures ( 8 4 ) Procedure ( a ) : A n a l i q u o t chloroform e x t r a c t p r e p a r e d by t h e USP method ( c o n t a i n i n g 0.25 t o 1.0 m g o f a l k a l o i d s ) was evaporated t o d r y n e s s on a w a t e r b a t h . Fuming n i t r i c a c i d (0.3) was added and h e a t e d t i l l fumes c e a s e d , t h e n t h e r e s i d u e was d r i e d a t 105' f o r 15 minutes and
524
allowed t o c o o l , The r e s i d u e was d i s s o l v e d i n acetone and d i l u t e d t o 25 m l . A n aliquot (5ml) was mixed w i t h isopropylamine ( 2 ml) and 0.1% methanolic KOH (0.1 m l ) . The e x t i n c t i o n o f t h e produced c o l o r a t 540 nm was measured a f t e r one minute. Procedure f h l : The r e s i d u e was n i t r a t e d a s i n procedure ( a ) and d i s s o l v e d i n 50% e t h a n o l (10 ml). The e t h a n o l i c s o l u t i o n was heated on a water b a t h w i t h 10% HC1 ( 2 . 5 ml) and z i n c d u s t (0.1 g) f o r 10 minutes, cooled and f i l t e r e d . The zinc r e s i d u e was washed w i t h w a t e r and t h e washings were added t o t h e f i l t r a t e . 1% NaN02 ( 1 m l ) was added, mixed and allowed t o s t a n d f o r 10 minutes. 2.5% s o l u t i o n o f ammonium s u l f a m a t e ( 1 ml) was added, t h e m i x t u r e was shaked and allowed t o s t a n d f o r 10 minutes. 1%N-1-naphthylethyl-enediamine d i h y d r o c h l o r i d e s o l u t i o n (1 ml) was added and d i l u t e d t o 25 m l w i t h water. The e x t i n c t i o n of t h e produced c o l o r was measure a f t e r 30 minutes a t 550 run. The c o n c e n t r a t i o n was c a l c u l a t e d by r e f e r e n c e t o a s t a n d a r d curve. Recovery experiments i n both procedures i n d i c a t e d an accuracy o f ?l%.
A photometric method f o r t h e q u a n t i t a t i v e d e t e r m i n a t i o n o f t r o p a n e a l k a l o i d s has been d e s c r i b e d (85). The d e t e r m i n a t i o n of scopolamine ( o r a t r o p i n e o r hyoscyamine) i s based on t h e r e a c t i o n o f t h e a l k a l o i d with p-dimethylaminobenzaldehyde r e a g e n t i n c o n c e n t r a t e d H2S04. The i n t e n s i t y o f t h e c o l o r s o produced being measured i n a p h o t o e l e c t r i c a b s o r p t i o m e t e r u s i n g a green filter. This method can be a p p l i e d f o r t h e microd e t e r m i n a t i o n o f scopolamine ( o r a t r o p i n e ) which r e q u i r e d s p e c i a l t r e a t m e n t , and measuring t h e e x t i n c t i o n a t 500 nm using a s u i t a b l e spectrophotometer ( 8 6 ) . A method f o r t h e d e t e r m i n a t i o n o f scopolamine hydrobromide o r a t r o p i n e b a s e has been r e p o r t e d ( 87 ) . In t h i s method, t h e a l k a l o i d i s p r e c i p i t a t e d with molybdophosphoric a c i d , t h e p r e c i p i t a t e can be d i s s o l v e d and reduced t o molybdium b l u e which can be c o l o r i m e t r i c a l l y measured. The following procedure was d e s c r i b e d : To 1 m l sample ( c o n t a i n i n g 0.2 t o 1 m g alkaloid)
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add 10% H2S04 ( 1 d r o p ) , 5% NH4Cl s o l u t i o n (0.2 ml) and 0.5% molybdophosphoric a c i d (dropwise 1 m l ) . After 10 minutes, f i l t e r t h e m i x t u r e , r e p e a t t h e f i l t r a t i o n , wash t h e p r e c i p i t a t e w i t h 0.15% H2SO4 (5x1 ml) and w i t h w a t e r (5x1 ml), d i s s o l v e t h e p r e c i p i t a t e i n a c e t o n e (2 m l ) , add e t h a n o l (2 ml) and 2 % a s c o r b i c a c i d s o l u t i o n (1 ml), set a s i d e f o r 15 m i n u t e s , add a c e t o n e (1 m l ) , c o o l t o 20' and d i l u t e with w a t e r t o 10 m l . Measure t h e e x t i n c t i o n a t 430 nm ( o r use an a p p r o p r i a t e f i l t e r ) a g a i n s t w a t e r i n 2 - m l c e l l s . Beer's law i s obeyedwith s t a t e d c o n c e n t r a t i o n s . The e r r o r i s 3.0% (87) N-butylscopolamine bromide a s w e l l a s o t h e r a l k a l o i d s can be assayed a s f o l l o w s
(88).
Scopolamine s a l t (< 0.5 mg) i s e x t r a c t e d from paper chromatography w i t h c i t r a t e - p h o s p h a t e b u f f e r s o l u t i o n (pH 7 . 5 ) (20 ml), 0.15% bromothymol b l u e s o l u t i o n ( 1 m l ) i s added and t h e mixture e x t r a c t e d with chloroform (3x20 ml). The combined chloroform e x t r a c t s a r e mixed w i t h 2 % e t h a n o l i c H3B03 (25 ml), f i l t e r e d and t h e r e s u l t i n g f i l t r a t e i s d i l u t e d t o 100 m l w i t h e t h a n o l . The e x t i n c t i o n i s measured a t 436 nm a g a i n s t a r e a g e n t blank i n 2-cm c e l l s . The reproducibility f . 2%. The c o l o r i m e t r i c r e a c t i o n o f T r o p a e o l i n 00 with a l k a l o i d s under a c i d i c c o n d i t i o n s i s used f o r m i c r o q u a n t i t a t i o n of a l k a l o i d s (Haussler 89). The aqueous s o l u t i o n o f an a l k a l o i d (5 ml) ( c o n t a i n i n g E 100 ug) i s mixed with a similar q u a n t i t y o f an a c e t i c b u f f e r (pH 4.6) and 3 m l o f a s a t u r a t e d aqueous T r o p a e o l i n 00. The r e s u l t i n g mixture i s t h e n e x t r a c t e d w i t h c h l o r o form (4x5 ml). The combined e x t r a c t s a r e a c i d i f i e d w i t h 2 m l o f an a c i d r e a g e n t ( 1 m l concent r a t e d H2SO4 and 99 m l methanol) and d i l u t e d t o 25 m l w i t h chloroform. The a l k a l o i d i s t h e n determined s p e c t r o p h o t o m e t r i c a l l y at 545 n m and c a l c u l a t e d from a s t a n d a r d curve ( 8 9 ) . The above method was a p p l i e d f o r t h e d e t e r m i n a t i o n of s m a l l amounts o f hyoscyamine and scopolamine i n crude drugs ( 9 0 ) : These a l k a l o i d s were f i r s t s e p a r a t e d by p a p e r
526
chromatography with t h e solvent n-butanolg l a c i a l a c e t i c acid ( l O : l ) , s a t u r a t e d with water. After development, t h e spots were eluted, t r e a t e d and determined as above. Tropane a l k a l o i d s including scopolamine can be determined c o l o r i m e t r i c a l l y as follows ( 91 ) : Alkaloidal s a l t (1 mg) i s dissolved i n water (100 ml). To an a l i q u o t of t h i s (1 ml), mM bromocresol purple (3 ml) and b u f f e r s o l u t i o n of p H 4 . 0 (2 ml) a r e added. The s o produced c o l o r i s extracted with chloroform (4x5 ml). The combined e x t r a c t s a r e d i l u t e d t o 10 m l with chloroform. The absorbance of t h i s a t t h e absorption maxima (405 to 410 nm) i s measured. The alkaloid cont e n t i s then c a l c u l a t e d from a c a l i b r a t i o n g r a p h . Hydrolysis products of a l k a l o i d s do not i n t e r f e r e unless present i n threefold amounts. The r e l a t i v e e r r o r of t h e method does not exceed 2 1%. The hydrobromide and methylbromide s a l t s o f scopolamine i n t a b l e t s can be assayed by t h e following method (92). Powdered t a b l e t s a r e extracted with water and g s u i t a b l y d i l u t e d . To an a l i q u o t (5 m l :13 m of a l k a l o i d ) i n 50 m l f l a s k placed i n an i c e water bath, s a t u r a t e d aqueous hydroxylammoniwn c h l o r i d e s o l u t i o n (1 ml) and 10.5 M KOH (1 ml) a r e added, mixed and set a s i d e f o r 1 hour. 4 M HC1 (2 ml) i s added t o t h e mixture t o give a p H range of 1 . 2 t o 1.4. 0.37 M FeC13 s o l u t i o n i n 0.1M HC1 ( 1 ml) i s then added and mixed. The f l a s k is removed from t h e bath, gas evolut i o n i s allbwed t o subside and t h e e x t i n c t i o n of t h e product i s then measured a t 540 nm against a blank. Other c o l o r i m e t r i c methods have a l s o been reported (93-99).
9.5.2
U l t r a v i o l e t Determinations
A physical method is described f o r t h e determination of scopolamine H B r i n diphenhydramine-scopolamine t a b l e t s (100). 20 crushed t a b l e t s a r e shaked with 10 m l absol u t e ethanol f o r 5 minutes and centrifuged.
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The s u p e r n a t a n t s o l u t i o n (8 ml) i s evaporated on a steam water b a t h u n t i l d r y n e s s , t h e r e s i due i s d r i e d o v e r n i g h t i n a vacuum. The d r i e d r e s i d u e is warmed a t 50' f o r 15 t o 20 minutes 1 m l o f NaC1-saturated d i e t h y l a c e t a m i d e and c e n t r i f u g e d . The r e s u l t i n g s o l u t i o n i s examined s p e c t r o s c o p i c a l l y i n t h e r e g i o n o f 11 t o 1 2 p using a solvent blank. An accuracy > 90% i s a t a i n e d and t h e method i s u n a f f e c t e d by a high p r o p o r t i o n o f diphenhydramine HC1. Systematic t o x i c o l o g i c a l a n a l y s i s by s p e c t r o p h o t o m e t r i c method h a s been published (101). The sample o f t i s s u e i s homogenized with 0.1N HC1 (25-ml). The homogenate-is e x t r a c t e d on a water b a t h with 95% e t h a n o l (75 ml) and 10% Na2W04 (2 m l ) . The r e s i d u e i s d i s s o l v e d i n MaIlvain's b u f f e r a t pH 7.0 and e x t r a c t e d with chloroform (50 ml) The s e p a r a t e d chloroform l a y e r is then e x t r a c t e d with 0.1N HC1 (100 ml). The c h a r a c t e r i s t i c UV a b s o r p t i o n curves f o r 30 a l k a l o i d s i n c l u d i n g scopolamine i n d i l u t e HC1 are p r e s e n t e d . Scopolamine hydrobromide a s well as a t r o p i n e s u l f a t e i n eye-drops, each can b e d e t e r mined by UV t e c h n i q u e ( 102 ) . Both a l k a l o i d s show maxima a t 186 nm. To determine scopolamine, d i l u t e 1 m l sample t o 1 I t . with w a t e r , 20 m l o f t h i s s o l u t i o n i s f u r t h e r d i l u t e d t o 100 m l with water. The e x t i n c t i o n a t 186 nm i s measured a g a i n s t w a t e r . B e e r ' s law i s obeyed o v e r t h e range o f 0 t o 6 pg o f scopolamine p e r m l . The r e s u l t s o b t a i n e d are w i t h i n 1%o f t h o s e o b t a i n e d by e x t r a c t i o n methods.
S e v e r a l a l k a l o i d s i n c l u d i n g scopolamine can be assayed i n aqueous s o l u t i o n s of t h e i r s a l t s p a r t i c u l a r l y ampoules by UV s p e c t r o photometric method ( 103 ) . The e x t i n c t i o n o f t h e d i l u t e d sample i s determined a t t h e wavelength f o r maximum a b s o r p t i o n (257 to 286 nm). Scopolamine i n scopolamine butylbromide
528
mixture of chloroform-carbontetrachloride (1:2) (5 x 1 0 ml). The combined e x t r a c t s a r e d r i e d over anhydrous sodium s u l f a t e and evaporated t o dryness under reduced pressure. The residue i s extracted with carbon t e t r a c h l o r i d e (5 x 10 ml) and t h i s e x t r a c t i s again evaporated t o dryness under reduced pressure. The residue i s then dissolved i n ethanol ( 1 0 ml). An a l i q u o t of t h i s (1.5 ml) i s d i l u t e d with water ( t o 100 ml) and t h e e x t i n c t i o n o f t h e d i l u t e d s o l u t i o n i s measured a t 205 nm against 1.5% ethanol i n water. A standard s o l u t i o n i s prepared by subjecting scopolamine (10 mg) t o t h e same procedure. The recovery of scopolamine i s 96.5+1.63%, and t h e r e s u l t s agree with those obtained by GLC of t h e sample ( a f t e r t r i m e t h y l s i l a t i o n ) on a column of 1.5% of SE-30 on Chromosorb W at 220' using N as a c a r r i e r gas. Unit-dose assay o f tropine a l k a l o i d s can be performed by charge t r a n s f e r complex technique (105). Samples of powdered t a b l e t s , i n j e c t i o n solut i o n s , eye drops a r e extracted with 1 , 2 dichloroethane. A volume of t h e r e s u l t i n g e x t r a c t (containing 0.05 t o 0.15 m g of alkal o i d ) i s mixed with mM-iodine i n dichloroethane (1 ml). The mixture i s then d i l u t e d with d i chloroethane (10 ml). The e x t i n c t i o n of t h e charge t r a n s f e r complex i s measured a t t h e maximum of 280 nm o r a t 295 nm against a reagent blank. The c o e f f i c i e n t of v a r i a t i o n was 1.6 t o 2.8%. 9.5.3 I n f r a r e d Determinations The a p p l i c a t i o n of I R spectrophotometry t o t h e q u a n t i t a t i v e determinations of a t r o p i n e and scopolamine has been reported (106). The pressed K B r p e l l e t technique was applied i n t h e s e determinations. Recoveries from standard mixtures showed a mean value of 104% f o r a t r o pine and 98.2% f o r scopolamine. I R spectroscopy has been recommended f o r t h e i d e n t i f i c a t i o n of scopolamine (107). To obtain reproducible s p e c t r a and avoid polymorphic e f f e c t s , t h e following technique was performed.
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An ammonical aqueous s o l u t i o n o f t h e t a b l e t s o r i n j e c t i o n s o f scopolamine was e x t r a c t e d w i t h chloroform and t h i s e x t r a c t was a p p l i e d t o a column o f C e l i t e impregnated w i t h NaBr and H3P04. The hydrobromide so formed was e l u t e d with w a t e r s a t u r a t e d chloroform. The e l u a t e was evaporated, t h e r e s i d u e was mixed w i t h K B r and compressed i n t o a d i s c f o r I R identification. 9.5.4 GLC-Mass S p e c t r o m e t r i c Determination
A GLC-mass s p e c t r o m e t r i c method f o r submicrogram (50 pg/ml) a s s a y of scopolamine i n plasma and u r i n e h a s been developed (108). The method used a d e u t e r a t e d i n t e r n a l s t a n d a r d t o minimize v a r i a b i l i t y i n a b s o l u t e r e c o v e r y i n t h e e x t r a c t i o n procedure. S c o p o l i n e and d e u t e r a t e d s c o p o l i n e were formed from t h e b a s e - c a t a l y z e d h y d r o l y s i s of s c o p o l a mine and t h e i n t e r n a l s t a n d a r d and were a n a l y zed a s t h e h e p t a f l u o r o b u t y r a t e s , u s i n g a GLCmass s p e c t r o m e t r i c system by monitoring t h e m/e 138 and 1 4 1 fragments r e s p e c t i v e l y .
Procedure:
A plasma o r u r i n e sample (2-4 ml) i s mixed
with (-)-N-trideuteroscopolamine as i n t e r n a l s t a n d a r d and t h e m i x t u r e is a d j u s t e d t o pH 9.75 with 1 M c a r b o n a t e b u f f e r (2 ml) and e x t r a c t e d with methylene c h l o r i d e . The e x t r a c t i s p u r i f i e d by s o l v e n t p a r t i t i o n , t h e n t h e a l k a l o i d s a r e hydrolyzed t o s c o p o l i n e and d e u t e r o s c o p o l i n e by h e a t i n g with 5N NaOH a t 50" f o r 30 minutes. The s u b s t a n c e s a r e f u r t h e r p u r i f i e d by s o l v e n t p a r t i t i o n and converted t o t h e i r heptafluorobutyryl derivat i v e s . The d e r i v a t i v e s a r e t h e n s u b m i t t e d i n t o t h e f o l l o w i n g GLC-mass system: S i l a n i z e d g l a s s column (1.8m x 2mm i . d . ) packed with 3% OV-17 ( f o r plasma samples) o r with 1% OV-225 ( f o r u r i n e samples) on Gas-Chrom Q (100-120 mesh), o p e r a t e d a t 95". The s i g n a l r a t i o s a t m/e 138 and 141 a r e measured. The procedure i s s e n s i t i v e t o 50 pg m l - 1 . The c o e f f i c i e n t o f v a r i a t i o n a t t h e l e v e l o f 250 pgm-l ( 5 d e t e r m i n a t i o n s on d i f f e r e n t days) was 2.5% (108).
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9.6.1
Paper Chromatography
Clarke ( 17 ) described the following three systems for the identification of scopolamine and derivatives:1)Whatman No. 1, sheet 14 x 6 inches, buffered by dipping in a 5% solution of sodium dihydrogen citrate, blotting and drying at 25' for one hour. It can be stored indefinitely. A solvent composed of 4.8 g of citric acid in a mixture of 130 ml of water and 870 ml of n-butanol was used (109). The following Rf values were reported: Scopolamine 0.23 Scopolamine butylbromide 0.93 Scopolamine methonitrate 0.20 Location reagent: Iodoplatinate spray. 1I)Whatman No. 1 or No.3,sheet 17 x 19 cm, impregnated by dipping in a 10% solution of tributyrin in acetone and drying in air. Solvent system: acetate buffer (pH 4.58). Equilibration: The solvent in a beaker was equilibrated in a thermostatically controlled oven at 9 5 ' for about 15 minutes (110). Rf value of scopolamine = 0.93. Location reagent: as for I. 1II)Chromatogram: as for 11. . 4 0 ) . Solvent system:phosphate buffer (pH 7 Equilibration: The solvent in a beaker was equilibrated in a thermostatically controlled 6 ' for about 15 minutes (111). oven at 8 Location reagent: as for I. Rf values: for scopolamine 0.57; for scopolamine methonitrate 0.93. Paper chromatography has been used for quantitative determinations of the tropane alkaloids or for their separation from crude drugs prior to determination. The following system was reported for the microdetermination of solanaceous alkaloids (112) Ethereal extract of a crude drug was applied to strips of filter paper impregnated with potassium chloride solution. The chromatograms were developed in the solvent n-butanol-aqueous
SCOPOLAMINE HYDROBROMIDE
531
HC1 by t h e ascending t e c h n i q u e f o r 20 h o u r s . A f t e r development, t h e chromatograms were d r i e d , sprayed w i t h modified Dragendorff I s r e a g e n t and a r e a s o f t h e s p o t s were measured. The r e l a t i v e c o n c e n t r a t i o n s o f t h e i n d i v i d u a l a l k a l o i d s were c a l c u l a t e d by r e f e r e n c e t o c a l i b r a t i o n curves. R f v a l u e s : hyoscyamine 0.85; scopolamine 0.63 and a t r o p i n e 0.34 (112).
(-)-Scopolamine can be determined i n t h e p r e s e n c e o f excess morphine and ethylmorphine ( 113 ) . A f t e r s e p a r a t i o n o f t h e mixture on paper chromatograms, t h e s p o t s were measured by means o f a d e n s i t o m e t e r and t h e c o n s t r u c t e d curves evaluated planimetrically. Tropane a l k a l o i d s i n crude drugs can be q u a l i t a t i v e l y i d e n t i f i e d , s e p a r a t e d by p a p e r chromatography and q u a n t i t a t i v e l y assayed by colorimetric determination ( 114 ) Whatman no.3 f i l t e r paper was used and t h e chromatograms were developed with t h e s o l v e n t water s a t u r a t e d n - b u t a n o l - g l a c i a l a c e t i c a c i d (25 :1 ) f o r 18 hours. Corresponding a r e a s on t h e chromatograms were i d e n t i f i e d , c u t o f f , e l u t e d w i t h e t h a n o l and determined c o l o r i m e t r i c a l l y .
Other paper chromatographic systems have been r e p o r t e d (115-118). 9.6.2 Paper E l e c t r o p h o r e s i s Measurements o f t h e e l e c t r o p h o r e t i c m o b i l i t y of 68 d i f f e r e n t a l k a l o i d s i n c l u d i n g scopolamine were reported ( 119 ) This was performed i n an LKB a p p a r a t u s on Whatman no. 1 p a p e r (18 x 46 cm) a t 8v/cm f o r 3 hours i n t h e p r e s e n c e o f u n i v e r s a l b u f f e r s a t v a r i o u s pH v a l u e s . The r e l a t i v e d i s p l a c e m e n t s ( r d ) f o r s c o p o l a mine a t v a r i o u s pH v a l u e s were r e p o r t e d as follows: pH 2.3, 4.3, 6.4, 8.2, 10.5 and 11.4 r d 67, 66.5, 104, 60, 33 and 1 3 The a l k a l o i d s were i d e n t i f i e d i n f i l t e r e d UV o r by s p r a y i n g w i t h v a r i o u s a l k a l o i d a l r e a g e n t s .
9.6.3
Thin Layer Chromatography (TLC) Many TLC systems have been r e p o r t e d f o r t h e i d e n t i f i c a t i o n o f scopolamine and o t h e r t r o p a n e a l k a l o i d s . S e v e r a l o f t h e s e systems a r e p r e s e n ted i n table 7.
532
1.
2.
Zhromatogram
~~~ ~
Solvent System
Rf 0.54
Ref.
Methano 1-strong ammonia Silica gel G (0.25 mm layers) (100: 1.5) Silica 250 pm iipped KOH i n gel G thick, i n 0.1M methanol Chloroform-methanol (90: 10) Chloroform-acetonediethyl-amine (5:4:1) Chloroform-diethyl amine (9 :1) Cyclohexane-chloroformdiethylamine (5 :4 :1)
11
II
0.39
3.
4.
5. 6.
7.
8.
Aluminium oxide G. layers Basic s i l i c a gel G. Si l i ca gel G layers Alkaline s i l i c a gel G layer dipped i n 0.5N KOH
9.
0.73
0.83
10
Belladonna a l k a l o i d s can be determined by q u a n t i t a t i v e TLC (123). Samples of Belladonna a r e extracted according t o t h e method o f Pharm. Helv. V (Swiss Pharmacopeia V ) . The a l k a l o i d s so extracted a r e then separat e d on k i e s e l g e l G p l a t e s with t h e solvent acetoneaqueous ammonia (19 :1 ) . After development , t h e chromatograms a r e d r i e d , sprayed with Dragendorff s reagent and t h e areas of t h e spots a r e measured.
SCOPOLAMINE HYDROBROMIDE
533
The r e s u l t s o b t a i n e d by t h i s procedure a g r e e with t h o s e o b t a i n e d by t h e modified Pharm. Helv. V methods (123). Hyoscyamine and scopolamine can be d e t e r mined by d i r e c t photodensitometry on t h i n l a y e r chromatograms (124). After e x t r a c t i o n o f a l k a l o i d s from powdered hyoscyamus (4 g) and p u r i f i c a t i o n , an a l i q u o t i s a p p l i e d t o 0.5 mm l a y e r s o f s i l i c a g e l G which developed f o r I1 hour with t h e s o l v e n t h y d r o u s methanol-aqueous ammonia ( 2 0 0 : l ) . After development, t h e p l a t e s a r e d r i e d a t room t e m p e r a t u r e , sprayed with modified Dragendorff's r e a g e n t . The s p o t s a r e scanned a t 490 n m with a r e c o r d i n g and i n t e g r a t i n g densitometer. The i n t e g r a t o r count i s a r e c t i l i n e a r f u n c t i o n of t h e weight o f a l k a l o i d o v e r t h e range o f 4 t o 65 pg f o r hyoscyamine and 7 t o 60 pg f o r scopolamine. The r e s u l t s agreed well with t h o s e o b t a i n ed by t h e s p e c t r o p h o t o m e t r i c method o f Freeman
(81)
Tropane a l k a l o i d s i n g a l e n i c a l p r e p a r a t i o n s
(syrups, tablets, suppositories) can be d e t e r -
mined c o l o r i m e t r i c a l l y a f t e r s e p a r a t i o n on TLC p l a t e s (125). The a l k a l o i d s are e x t r a c t e d w i t h ammonical e t h y l ether-chloroform mixture. The o r g a n i c l a y e r o f t h e e x t r a c t i s evaporated and d i s s o l v e d i n e t h a n o l . This i s a p p l i e d i n t o t h i n l a y e r s o f s i l i c a g e l GF254 which developed i n t h e s o l v e n t e t h a n o l w a t e r - t r i e t h a n o l a m i n e (5:4: 1 ) . After development, t h e zones a r e scrapped from t h e p l a t e s and d i s s o l v e d i n d i l u t e n i t r i c a c i d . The a c i d s o l u t i o n i s evaporated and t h e r e s u l t i n g r e s i d u e i s d i s s o l v e d i n anhydrous e t h a n o l - a c e t o n e (3:97), 3% methanolic KOH is added and t h e e x t i n c t i o n of scopolamine a t 575 nm i s measured w i t h i n 1 minute. The c o n c e n t r a t i o n o f t h e s u b s t a n c e i s determined by r e f e r e n c e t o a c a l i b r a t i o n graph. Q u a n t i t a t i v e d e t e r m i n a t i o n o f scopolamine by TLC-fluorimetry h a s been d e s c r i b e d ( 1 2 6 ) . The method depends on measurement o f t h e f l u o r e s cence o f scopolamine s p o t s a f t e r h e a t i n g w i t h H2SO4. The f l u o r e s c e n c e i s measured with a Turner f l u o r o meter f i t t e d with a r e c o r d e r . TLC system i s as follows :
534
K i e s e l g e l G l a y e r s , and t h e s o l v e n t c o n s i s t s o f anhydrous e t h a n o l - c o n c e n t r a t e d H2S04 (39:7 by weight), l e n g t h o f run 7 cm. After development, p l a t e s are d r i e d f i r s t i n a i r and t h e n by h e a t i n g a t 170' or 45 minutes. (The absorbent must be f r e e from s u b s t a n c e s t h a t f l u o r e s c e under c o n d i t i o n o f t h e method). Rectil i n e a r response was o b t a i n e d up t o a l e v e l o f 6 pg a l k a l o i d (126). S t a b i l i t y o f scopolamine H B r i n eye drops can be i n d i c a t e d by TLC systems ( 1 2 7 ) : Scopolamine and i t s decomposition p r o d u c t s s c o p i n e , aposcopolamine (apohyoscine) and t r o p i c a c i d can be i d e n t i f i e d by TLC on k i e s e l g e l G , R f v a l u e s i n f i v e s o l v e n t systems a r e r e p o r t e d . Other TLC system have a l s o been r e p o r t e d (128,129). 9.6.4 Gas Liquid Chromatography (GLC) ManyGLC systems have been r e p o r t e d f o r t h e i d e n t i f i c a t i o n and q u a n t i t a t i o n o f t r o p a n e a l k a l o i d s i n c l u d i n g scopolamine.
System I : T h i s system was recommended t o d e t e r mine a t r o p i n e and scopolamine q u a n t i t a t i v e l y i n t h e i r crude drugs (130).
E x t r a c t i o n : Alkaloids a r e e x t r a c t e d from a sample o f powdered belladonna o r stramonium (log) by t h e method o f USP X V I I f o r t o t a l a l k a l o i d s o f belladonna l e a f . 2 p l a l i q u o t s of t h e e x t r a c t a r e a p p l i e d i n duplicate. Column c o n d i t i o n : Glass (6 f t . x 0.075 inch i . d . ) packed with 2.5% SE-30/S on a c i d washed s i l a n i z e d Chromosorb G (80-100 mesh). Temperat u r e programmed from 150' t o 275' a t ' 6 perminute. I n l e t p o r t maintained a t 315'. C a r r i e r gas : Helium (100 ml/minute). Detection : Flame i o n i z a t i o n . C a l c u l a t i o n : After development, t h e peak areas a r e measured, The p r e c i s i o n f o r each a l k a l o i d i s s +2.5% and t h e method is q u a n t i t a t i v e f o r amounts i n t h e range 2 pg t o 53 m g (130).
SCOPOLAMINE HYDROBROMIDE
535
Ref.
Argon , 80 ml/minute
11.
Nitrogen , 50 ml/minute
Flame i o n i z a t i o n
(133)
IV.
A s f o r system I1
V.
Nitrogen, 30.7ml/minute
(135)
Column c o n d i t i o n
Detect o r
Ref.
VI.
2.5% SE-30 on 80-100 mesh Chromosorb G ( a c i d washed and dimethyldichlorosilane treated) , 2 m x 4 m m i.d., glass. Temperature 100-300.
( 136)
V I I . 3% Poly A103 on 80-100 mesh Chromosorb W YP, lm x 4 m m i.d., glass. Temperature 200.
Nitrogen, 60 ml/minute
(137)
VI
N-FID
(138)
as f o r system VIII
N-FID
(138)
538
9.6.5
High Performance Liquid Chromatography (HPLC) System I : The f o l l o w i n g HPLC system has been a p p l i e d t o t h e s e p a r a t i o n and q u a n t i t a t i v e d e t e r m i n a t i o n of tropane alkaloids including scopolamine (146)
cozm :
A s t a i n l e s s s t e e l column (lm
Mobi Z e phase :
(28% NH3 by weight i n water) and tetrahydrofuran i n t h e r a t i o 1 : l O O v/v. d e t e c t o r having a range o f 1.301.45 R I u n i t s and a high s e n s i t i v i t y UV d e t e c t o r ( a t 254 nm).
Detection : D i f f e r e n t i a l R e f r a c t i v e Index
The average deviation i n integrator counts, over a concentration range of 5-5Opg was within t 1% f o r a21 the aZkaZoids examined. System I1 : This system i s a reversed-phase
l i q u i d chromatography o f b a s i c drugs ( i n c l u d i n g scopolamine) and p e s t i c i d e s with a f l u o r i g e n i c i o n p a i r e x t r a c t i o n d e t e c t o r (147).
Colm :
Two t y p e s were used: 10 c m x 3 mm ( i . d . ) packed chemic a l l y bonded 10pm s i l i c a g e l of t h e d i o l and CN t y p e o f Lichros o r b RP-2, RP-8 and RP-18. Micro-Pack CN-10 column (30 c m x 4 mm i . d . ) . 25% methanol i n water c o n t a i n i n g 0.1N NaH2P04 (pH 3 . 5 ) . t h e s e n s i t i v e and s e l e c t i v e f l u o r e scence d e t e c t i o n .
SoZvent :
Detection : Ion p a i r e x t r a c t i o n d e t e c t o r o r
SCOPOLAMINE HYDROBROMIDE
539
System 111 : The f o l l o w i n g HPLC system was recommended f o r a n a l y s i s and q u a n t i t a t i o n o f belladonna a l k a l o i d s and can b e a p p l i e d t o e l i x i r s , t a b l e t s and c a p s u l e s o f t h e s e a l k a l o i d s c o n t a i n i n g phenobarbitone (148).
cozwnn :
Mobile phase :
x 4mm) o f
Detection : UV a t 2 2 0 nm.
Mobile Phase 0.1M N a decyl s u l f a t e 0.1M NH4NO3 i n aqueous 60% methanol o r 55% ethanol.
A s o l u t i o n containing
Detect o r
UV at 254nm
Ref. (149)
2-
UV/electro-
(150)
5 m )
1.175 g (0.01M) of ammonium perchlorate i n 100 m l methanol adjusted t o pH 6 . 7 by 1 m l of 0.1M N a O H in methanol 156 g a c e t o n i t r i l e + 344 g phosphate b u f f e r (4.8 g 85% H3PO4 and 6. 66 g KH2PO4) pH 2.3 flow rate 1 ml/minute ( i s o c r a t i c a l l y )
50% methanol (adjusted t o pH 4.0 with a c e t i c acid) containing 5mM sod. hept ane- 1 - s u l f onat e
RP-18 (loum)
.
I
L-Hyoscyamine, scopolamine HBr.
4-
A 15cm x 4.6mm
of Shodex O D S pak.
5A 30cm x 3.9mm
I (151)
(152)
(1i m i t s 0.151J.g)
UV 254nm
SCOPOLAMINE HYDROBROMIDE
541
Other HPLC have a l s o been r e p o r t e d (153155). F u r t h e r important r e f e r e n c e s on v a r i o u s chromatographic t e c h n i q u e s were found i n t h e l i t e r a t u r e s (156-158). 9.7 Radioligand Assay Methods
A simple- and s e n s i t i v e r a d i o l i g a n d binding a s s a y i s d e s c r i b e d f o r t h e d e t e r m i n a t i o n o f scopolamine i n human u r i n e . A s a measure f o r t h e drug c o n c e n t r a t i o n , t h e q u a n t i t a t i v e displacement o f scopolamine o f t r i t i a t e d q u i n u c l i d i n y l b e n z y l a t e from r a t b r a i n r e c e p t o r s was used. The a s s a y is s e n s i t i v e t o c o n c e n t r a t i o n s a s low as 1 . 2 ng/mL. I t can be performed e a s i l y and q u i c k l y , a l s o no p r i o r e x t r a c t i o n procedure i s r e q u i r e d . Scopoline and s c o p i n e , p o s s i b l e m e t a b o l i t e s o f scopolamine do n o t i n t e r f e r e with t h e a s s a y (54).
A n t i c h o l i n e r g i c drugs i n c l u d i n g scopolamine i n d i c a t i n g t h a t t h e i r i n c u b a t i o n with m u s c a r i n i c r e c e p t o r a t 0' b e f o r e and a f t e r a d d i t i o n o f t h e r a d i o l a b e l l e d l i g a n d ['HI dexetimide can p r o v i d e lower d e t e c t i o n l i m i t s (by a f a c t o r o f 2.5 t o 9) with c o e f f i c i e n t o f v a r i a t i o n 3 t o 9% (159). Acknowledgement The a u t h o r s would l i k e t o thank M r . Uday C. Sharma, Department o f Pharmacognosy, College o f Pharmacy, Riyadh, Saudi Arabia f o r h i s v a l u a b l e and s i n c e r e e f f o r t s i n t y p i n g t h i s manuscript.
542
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SCOPOLAMINE HYDROBROMIDE
543
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102. E. Zhbrdk and S. Farkas, Acta Pharm. Hung. (1964); Anal. Abst., 13, 349 (1966). 103. Hans J. Uhlmann, Pharm. Ztg. Berl., Anal. Abst. , 28, 1E4 (1975).
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105. C. Gomaa and A. Taha, J. Pharm. S c i . , 64 (8), 1398 (1975). 106. R.S. Browning, S.E. Wiberley and F.C. 27 (1) , 7 (1955). Nachod, Anal. Chem.,
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113. 0. Markovic and L. Rexova, Chem. Z v e s t i , 5, 2361 (1958). (1957); Anal. Abst., -
1 1 (4) , 192
114. W. Debska and K. Kostujak, B i u l . I n s t . R o s l i n Leczniczych, 5 (Z), 97 (1959); Anal. Abst., 7, 1538 (1960). 115. J. Buchi and H. Schumacher, Pharm. Acta Helv., (1956); Anal. Abst., 4, 1007 (1957).
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549
116. A. Del Pazo, J . M . P l a and F. Suner, Galenica Acta Madrid, 8, 27 (1955); Anal. Abst., 4, 1955 (1957). 117. J. R e i c h e l t , C'eskosl. Farm., 6 ( 5 ) , 249 (1957); Anal. Abst., 2, 2362 (1958). 118. F. Abaffy and S. Kveder, Acta Pharm. Jugoslav., 6 , 207 5, 1966 (1958). (1956); Anal. Abst., 119. G.B. Marini-Bettolo and J . A . Coch Frugoni, Rend. i s t . s u p e r s a n i t a , 2, 319 (1958); C.A., 53, 1633e (1959). 120. I. Sunshine, Amer. J. C l i n . P a t h . ,
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123. J. Buchi and A. Zimmermann, Pharm. Acta Helv., 40, 395 (1965); Anal. Abst., 13, 6471 (1966). 124. B.L. W u Chu, E.S. Mika, M . J . Solomon and F.A. J. Pharm. S c i . , =(9), 1073 (1969). 125. C. Levorato, B u l l . Chim. Farm., =(9), 18, 507 (1970). Anal. Abst., Crane,
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130. M . J . Solomon, F.A. Crane, B.L. W u Chu and E . S . Mika, J . Pharm. S c i . , 58 ( 2 ) , 264 (1969). 131. R.O. Zimmerer and Lee T. Grady, J. Pharm. S c i . , 59 ( l ) , 87 (1970).
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SCOPOLAMINE HYDROBROMIDE
551
Flanagan, J. Chromat.,
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D e Zeeuw, Anal. L e t t . , 17 (B 1 4 ) ,
SULFOXONE SODIUM
Vijay K . Kapoor Department of Pharmaceutical Sciences Panjab University Chandigarh 160014, India 1 .
2 .
Introduction Description 2 . 1 Namer Formula and Molecular Weight 2 . 2 Appearancer Color and Odor Physical Properties 3 . 1 Optical Rotation 3 . 2 Melting Range 3.3 Solubility Synthesis Stability Biological Activity Metabolism and Pharmacokinetics
3 .
4 .
5 .
6 .
7 .
9 .
Methods of Analysis
553
Copyright D 1990 by Academic Press, Inc. All nghts of reproduction in m y form reserved.
554
VIJAY K. KAPOOR
9 . 1 9 . 2
Elemental Composition Identification Tests 9 . 2 1 Color Tests 9.22 Pharmacopeial Tests Spectrophotometric Analysis 9.31 Colorimetric 9 . 3 2 Fluorometric Chromatographic Analysis
9 . 3
9 . 4
1 0 .
References
SULFOXONE SODIUM
555
1 .
Introduction
Sulfoxone sodium belongs to the class of sulfones which are derivatives of 4,4'-diaminodiphenylsulfone (dapsone, DDS). The sulfones were synthesized on analogy of sulfonamides. Dapsone was found in 1937 to be thirty times more active as sulfanilamide when used in streptococcal infections in mice. In the 1940s sulfones were found to be effective in suppressing experimental infections with the tubercle bacillus and for rat leprosy. The usefulness of sulfones in the chemotherapy of human tuberculosis was very limited, but their cl'n cal trials in h u m p leprosy were successful. i#$ The sulfones are presently the most important drugs for the treatment of leprosy. Sulfoxone sodium acts through I t s conversion to dapsone in the body.
2.
Sulfoxone sodium is also known as sodium sulfoxone, aldesulfone sodium8 and as sulfoxydiasulfone sodium. Chemically, it is disodium [sulfonylbis ( phenyleneimino) Idimethanesulfinate. Other chemlcaf-names are: dlsodiyn salt of [sulfonylbis (1,4=phenyleneimino)Jbismethanesulfinic acid; disodium 4,4'-dlaminodiphenylsulfone bisformaldehydesulfoxylate; disodium formaldehydesulfoxylate diaminodiphenylsulfone. The CAS registry number for sulfoxone is 144-76-3, and for sulfoxone sodium is 144-75-2. The proprietary name f o r sulfoxone sodium is Diasone or Diasone Sodium.
556
VIJAY K. KAPOOR
2 . 2
A white to pale yellow powder w i t h a characteristic odor. Sulfoxone sodium USP is a mixtur of disodium [sulfonylbis(E-phenyleneimino)Tdimethanesulfinate and suitable buffers and inert ingredients. It contains not less than 7 3 . 0 per cent and not more than 8 1 . 0 per cent of C14H14N $?a206S3, calculated on the dried basis
3 .
activity
Melting Range The melting range3 of sulfoxone sodium after drying at 100-llOo is 263-265O (decomp). Another report mentions the melting point of amorphous product as 268O (decomp).4 3 . 3 Solubility
Sulfoxone sodium is soluble (1 in about 14) of water yielding a clear to hazy pale yellow s~lution.~ A lC% solution in water ha6 a pH of Sulfoxone sodium is very slightly 1 0 . 5 to 1 1 . 5 . soluble in alcohol, chloroform, and ether . 5 4 . Synthesis
Sulfoxone sodium was prepared by Raiziss et a1 . by adding finely powdered sodium formaldxydesulfoxylate (OHCH2S02Na) to a solution of 4 , 4 ' diaminodiphenylsulfone in specially denatured alcohol, and refluxing the mixture for five hours on a steam bath. The sulfoxone sodium is obtained as a tetrahydrate amorphous powder in 95% yield by this method. Sulfoxone sodium was also independently prepared using a different method by In the latter method Bauer and Rosenthal.6'8 the combination of 4,4D-diamlnodiphenylsulfone
SULFOXONE SODIUM
557
Sulfoxone Sodium
Scheme I
558
VlJAY K . KAPOOR
Sutfoxone Sodium
Scheme I1
with sodium formaldehydesulfoxylate was done in glacial acetic acid. Upon addition of alcohol to the neutralized aqueous solution the reaction product crystallized as n edles with two moles of water of crystallisation.g Schemes (Scheme-I, Scheme-114) for complete synthesis of sulfoxone
SULFOXONE SODIUM
559
sodium have also been described. 48 Other synthetic routes to 4,4'-diaminodiphen lsulfone (dapsone) have been reported earlier. 11 Preparation of a salt of sulfoxone sodium w i t h antimalarial amodlaquin, useful against Plasmodium berghei infection, has been reported.12
5,
Stability
The combination of 4,4a-diaminodiphenylsulfone and sodium formaldehydesulfoxylate in sulfoxone sodium is reported3 to be firm and can withstand the splitting effect of various agents. In sealed glass ampoules under high vacuum sulfoxone sodium remains water-soluble indefinitely. Exposed to air for several days it undergoes some change that renders part of it insoluble, but mixed w i t h small amount of sodium bicarbonate it remains unchanged for several months and is easily soluble in water.308 A 0,4% hydrochloric acid solution at 3 7 . does not, over a period of 2 hours, cause splitting off of the formaldehydesulfoxylate or liberation of 4,4'-diaminodiphenylsulfone. Acetic acid or carbon dioxide merely causes precipitation from alkaline solutions and the precipitate redissolves on adding alkali. 3 United States Pharmacopeia recommends that sulfoxone sodium be preserved in tight, light-resistant Containers under the atmosphere of nitrogen, in a freezer.13
6,
Bioloqical ActiviQ
Sulfoxone sodium was prepared in a successful attempt to reduce the toxicity of 4,4'-diaminodiphenylsulfone (dapsone), and w a s reported to have a therapeutic index considerably greater than that of the latter.14 Sulfoxone sodium w s found to be decidedly less toxic than dapsone.15*16 ef fectivs Sulfoxone sodium was also found to It was, agent in experimental tuberculosis. however, found ineffective clinically as suppressive in human tuberculosis. 27 There are several reports on the effectiveness of sulfoxone sodium in experimental toxoplasmosis.~8-~~ Sulfoxone has also been studied for e erirnental meningococcus infection in mice. It showed no
e-32
560
VIJAY K. KAPOOR
bacteriostatic activity & vitro against Paracoccidioides brasiliensis33, E b e m l a t hosa f a s t baci llf isolated from + j epers q8 or on and Stefansky's bacillus.35 Powell et al. 36 have indicated a potential role of s u n o s e in the prevention and treatment of Infections with chloroquin-resistant Plasmodium are other reports on different ties involving sulfoxone gy and other related as ects of sulfoxone sodlum have been reviewed. 418 45 Therapeutically sulfoxone sodim is used for the treatment of leprosy. It has actions similar to those of dapsone and is given to patients who experience se ere gastrointestinal side-effects with dapsoneOg In higher doses it is used for h e mechanism of action dermatitis herpetiformis. T of sulfones is probably similar to that of the sulfonamides since both interefere with incorporation of aminobenzoic acid Into dehydrofolate 8 2 The possi le relation between the fact that sulfoxone enters washed mycobacterial cells and the mechanism of bacteriostasis has been discussed.43 Total protein, total globulin, pseudoglobulin and euglobulin concentratlons of the serums of lepers varied greatly with the progress of the disease. Higher values for these fractions have been found in advanced cases than in earlier cases. It has been observed that after six months treatment with sulfoxone most of the protein fractions decreased, especially euglobulin.44 It has also been reported that compounds which inhibited phenoloxidase of Mycobacterium leprae also suppressed Its multiplication in mice, suggesting that phenolase mi ht be of metabolic significance to the organisrn.42 Electron micrographs of A I shadowed ,M. le rae from patients treated with sulfoxone showe swellingofthe cytoplasm and a granular state of M. le rae and a disappearance of the peripheral Eal*Swislocki et a1.47 have discussed the mechanism of effec- Z sulfones, and have reported that sulfoxone increased the activities of adenylate cyclase and protein kinase in erythrocytes.
%-
Regarding the mechanism of action of sulfoxone sodium in the treatment of dermatitis herpetiformis,
SULFOXONE SODIUM
561
it has been observed48 t h a t t h e drug i n h i b i t s both neutrophil iodination and q t o t o x i c i t y f o r tumor cells, T h i s may represent an important mechanism by which sulfoxone sodium produces i t s therapeutic effect when used t o t r e a t inflammatory skin disease.
7.
sodium are closely r e l a t e d t o the blood concentr4, 4'ations of 4,4'-diaminodiphenylsulfone.4g~50 Diarninodiphenylsulfone a f t e r absorption i s metabolised t o a number of productsll; monoacetyldapsone (MADDS) being one of t h e major metabolites.
studied by Francis and Spinks.49 The drug gets hydrolysed i n t h e g a s t r o i n t e s t i n a l t r a c t t o 484'diaminodiphenylsulfone (dapsone; DDS) I t was shown t h a t t h e therapeutic effects of sulfoxone
4,4~-Diaminodiphenylsulfone (DDSl8R=H
Monoacetyldapsone (MADDS),
R=-COCH3
Several pharmacokinetic studies have been done The concentration of on sulfoxone sodium.41,51-56 sulfoxone i n the blood of fortyseven p a t i e n t s receiving o r a l l y 1 g of t h e drug d a i l y f o r 1 t o 4 years8 varied from 0 t o 3 . 6 mg X ; t h maximum concentration i n urine was 100 mg x,fl f i e sulfoxone concentration i n t h e u r i n e of twentyone . 5 1 patients. receiving 0.66 g d a i l y was 3 2 mg % Determination i n blood, urine, t i s s u e and faeces of thirtytwo biopsied lepers t r e a t e d w i t h sulfoxone f o r 4 months t o 7 years led t o the conclusion t h a t sulfoxone i s retained i n t h e body up t o 2, metimes up t o 4 weeks after cessation of treatment. 53 some amount of t h e drug was found i n t h e faeces, Excretion occurs through t h e kidney rapidly but may be disturbed by abnormal i n t e s t i n a l or impaired
562
W A Y K. KAPOOR
renal function. A tendency t o storage i n the skin e x i s t s f o r sulfoxone. Liver, spleen, kidneys nerves a l s o serve as organs of concentrations. I n another study54 free and combined sulfone were found i n t h e blood of 47.3% of the lepers 24 hours a f t e r t h e end of treatment w i t h sulfoxone sodiumo Intravenous i n j e c t i o n of sulfoxone sodium i n f i v e t i m e s t h e doses used f o r human therapy caused hemolysis i n dogs. The hemolysis seemed t o be proportional t o t h e rate of hydrolysis and libera t i o n of 4,41-diaminodiphenylsulfone. The blood concentration of 4,4'-dlaminodiphenylsulfone reached i t s rnaximum 30 min after injectionO55 The disposition of the water-soluble sulfones i n man was determined earlier b applying t h e Bratton and Marshall p r ~ e d u r e 5 fo ~ r measuring aromatic amines .58 subsequent1 a n a l y t i c a l techniques were developed which cou d measure small amounts of 4,41-diaminodiphenylsulfone i n This made possible a r e a l i s t i c plasma.59-62 assessment of t h e DDS levels obtained i n p a t i e n t s t r e ed w i t h water-soluble sulfones. Peters et have studied t h e disposition o f sulfoxone sodium i n leprosy p a t i e n t s by determining t h e l e v e l s of dapsone (DDS) and monoacetyldapsone (MADDS) i n plasma and urine by spectrophotofluorometric technique. Peak plasma l e v e l s of DDS were approximately 600 ng/ml f i v e t o e i g h t hours after treatment w i t h 330 m g sulfoxone sodium given orally. Because 330 m g sulfoxone contain 169 mg DDS, assuming complete hydrolysis t o DDS, it could be estimated t h a t an approximately t h r e e f o l d higher molar dose of sulfoxone than of DDS w a s required t o y i e l d similar plasma levels of DDS. The urinary excretion pattern of DDS and MADDS a f t e r t h i s drug was similar t o that found after DDS t r atment, but t o t a l DDS excretion was lower. Smith4f a l s o reported a large difference i n t h e urinary excretion of t o t a l DDS during three days following o r a l sulfoxone and DDS by p a t i e n t s (55% versus 80%), and concluded t h a t t h i s was due primarily t o r e l a t i v e l y poor absorption of sulfoxone from t h e g a s t r o i n t e s t i n a l t r a c t . The r e s u l t s of investiga t i o n by Peterset a1.56 indicate t h a t regular sulfoxone therapy provides plasma l e v e l s of DDS t h a t would be expected to be therapeutically e f f e c t i v e and t o protect p a t i e n t s from the development of DDS-resistant leprosy.
Bd
1'
SULFOXONE SODIUM
563
Bauer 8 studied t h e t o x i c i t y and therapeutic a c t i v i t y of sulfoxone sodium i n streptococcal infection in m i c e , and has described 3 g per kg as minimum t o l e r a t e d dose of the drug given subcutaneously; w h i l e minimum e f f e c t i v e dose described is 0 . 2 g per kg. A marked reduction i n the red blood c e l l count and hemoglobin l e v e l of t h e p a t i e n t s receiving 1 g of sulfoxone odium f o r 120 days or more has been reported, 18 Primaquin s e n s i t i v e erythrocytes w e r e found t o be unusual1 susceptible t o hemolysis by s u l f oxone sodium.640 g5 Several severe untowards effects caused by dapsone and i t s analogs have been descrj.bed.182 Beside8 frequent g a s t r o i n t e s t i n a l and c e n t r a l nervous system disturbances, t h e most common untoward effect is hemolysis of varying degree. Development of peripheral neuropathy of thumbs and hand, without motor involvement, i n a p a t i e n t receiving sulfoxone sodium f o r dermatitis h e r p e t i f o m i s has been reported. 66
The U n i t e d States Pharma~opeia'~ gives t h e following s a f e t y t e s t f o r sulfoxone sodium. Prepare a solution of sulfoxone sodium (1 i n 10). Select 15 mice, each weighing between 20 and 25 g r and divide them i n t o three groups of f i v e each. Administer o r a l l y t o each mouse of the f i r s t group 20 ) z L of t h e solution per g of body weight, I n the same manner administer t o each mouse of the second group and to,each mouse of the t h i r d group 25 and 30@, respectively, per g of body weight: a l l of the mice of t h e first group, a t least four of the second group, and a t least two of t h e t h i r d group survive for 5 days,
9.
Methods of Analysis
9.1
Elemental Composition
564
W A Y K. KAPOOR
Element
C
P e r cent
37.49
3.15 6.25 10.26
21.41
H
N
Na
0
21.45
Element
N
S
P e r cent Found
5.64 19 e80 9.24
Na
9.2
I d e n t i f i c a t i o n Tests
9 . 2 1
Color T e s t s
B e F e i g l and Moscovici69 have described a color t e s t for t h e detection of sulfoxone sodium i n very small quantities. The color reaction is based on t h e evolution of formaldehyde when t h e drug is warmed with concentrated s u l f u r i c acid i n a water b a t h - The evolved formaldehyde can
SULFOXONE SODIUM
565
be detected in solution o r in the vapor phase by means of chrornotropic acid and concentrated sulfuric acid when a violet color is produced. The test has been recommended for the detection of sulfoxone sodium in pharmaceutical products .70
C . A bright red color is produced if sulfoxone sodium is heated with furfural-acetic acid and a drop of hydrochloric acid is added.71
D . An orange color is produced by treatment of sulfoxone sodium with dimethylaminobenzaldehyde -71 E . Sulfoxone sodium gives a blue : l of 10% aqueou ammonium color with a mixture of 1 molybdate and concentrated sulfuric acid. 91 F . A pink color and s is produced with silicotungstic acid. with 0.25%
STe turbidity
H . Distillation of 0.5 g of sulfoxone sodium with 50 mL of 50% hydrochloric acid gives distillate which decolorises 0 . E iodine solution. The distillate gives a blue color upon addition of morpholine hydrochloride in concentrated sulfuric acid.71
I . In alcoholic solution sulfoxone sodium gives a violet color with gold chloride.71
J . Mixed with 5 drops of 10% ferric chloride and 5 drops of potassium ferricyanide, sulfoxone sodium gives a sky blue color.71
9 . 2 2
Pharmacopeial T e s t s
4%
A. Transfer about 350 mg to a 100-mL volumetric flask, dissolve in water, dilute 0 . 0 mL of with water to volume, and mix. Transfer 1
566
W A Y K. KAPOOR
through a pledget of glass wool i n t o a 100-mL volumetric f l a s k and d i l u t e w i t h ethylene dichloride t o volume. The u l t r a v i o l e t absorption spectrum of the solution so obtained exhibits maxima and minima a t the same wavelengths as t h a t of a solution of USP Dapsone RS i n ethylene dichloride having a known concentration of 5 ~ 4 per concomitantly measured.
B . T o 10 mL of a solution (1 i n 100) add 1 mL of iodine TS and 2 mL of chloroform,
t h i s solution t o a 100-mL volumetric f l a s k , d i l u t e with water t o volume, and mix. Transfer 4.0 mL of t h e r e s u l t i n g solution t o a s u i t a b l e flask, add 0 . 5 arL of hydrochloric acid, and hydrolyse in a boiling water bath f o r 30 minutes. Transfer the contents of t h e f l a s k t o a separator with t h e aid of water, add 2 mL of sodium hydroxide solution (1 i n 101, and extract w i t h t h r e e 25-mL portions of ethylene dichloride, F i l t e r the extracts
shake vigorously, and allow the layers t o separate8 no color appears i n e i t h e r layer.
C. I g n i t e 200 mg, t h e residue responds t o t h e tests f o r sodium.
9 . 3
Spectrophotometric Analysis
9 . 3 1
Colorimetric
A colorimetric method is empl t o assay sulfoxone s0dium.33 It involves aci hydrolysis of sulfoxone sodium t o liberate free amino groups followed by diazotization and coupli n g with E-1-naphthylethylenediamine t o form an azo dye. The absorbance is measured spectrophotometrically a t a wavelength of about 535 nm. A standard solution of dapsone 1s a l s o used i n the assay procedure which is as follows,
K*
weighed, of sulfoxone sodium t o a 2000-mL volumetric flask, dissolve i n water, d i l u t e w i t h water t o volume, and mix. P i p e t 4 mL of the solution I n t o a 100-mL volumetric f l a s k , add 1 . 0 mL of E-toluene-
sulfonic acid solution and 0.5 mL of %-hydrochloric acid, and heat the f l a s k i n a boiling water bath f o r 30 minutes. Cool, d i l u t e w i t h water t o volume, and
SULFOXONE SODIUM
561
mix.
T h i s solution i s c a l l e d a s assaypreparation.
P i p e t 2 mL each of dapsona standard s o l u t i o n (prepared as directedl3; each mL of t h i s solution contains a known quantity of about lOpg of dapsone, equivalent t o 18.06 pg of C1#11fl2Na20gS3), t h e assay preparation, and water t o provide t h e blank, i n t o separate 25-mL volumetric f l a s k s . To each f l a s k add 2.0 r a l of hydrochloric acid, 10.0 mL of water, and 2.0 mL of sodium n i t r i t e solution, and mix. A f t e r 3 minutes, accurately timed, add 1.0 mL of ammonium sulfamate solution, and mix. Allow t o stand f o r 2 minutes, accurately timed, d i l u t e with g-l-naphthylethylenediamine dihydrochloride solution t o volume, i n s e r t t h e stoppers i n t h e f l a s k , and mix. A l l o w t o stand f o r 10 minutes, and concomitantly determine t h e absorbances of t h e solutions i n 2-cm cells, a t t h e wavelength of maximum absorbance about 535 nm, with a s u i t a b l e spectrophotometer, using t h e blank t o set t h e instrument. Calculate t h e quantity, i n r n g of C1&1@2Na206S3in t h e sulfoxone sodium taken by t h e formula (448.43/248.30) (5OC) (Au/As), i n which 448.43 and 248.30 a r e t h e rnoiecular weights of C1@1@2Na206S3 and dapsone (C12H12N2025) respectively, i s t h e concentration, i n pg per a 8 of USP Dapsone RS i n the dapsone standard solution, and AU and AS a r e t h e absorbances of the s o l u t i o n s from t h e assay preparation and dapsone standard solution, respectively.
x-
9.32
Fluorometric
Fluorometric procedure has been employed i n pharmacokinetic tudy of sulfoxone sodium i n leprosy p a t i e n t s . 58 9.4 ChroxnatoqraDhic Analysis
Orzech have described various chromatographic procedures f o r t h e a n a l y s i s of dapsone, t h e a c t i v e conversion product of sulfoxone sodium i n t h e body.
568
WAY K.KAPOOR
1 0 .
References
G . L . Mandell and M . A . Sande, in Gocdmn and Gllman's The Pharmacological Basis of Therapeutics, Seventh Edn., A . Goodman Gilman, L . S . GOOd-n, TOW. Rall and F. Murad, eds.8 Macmlllan Publishing C O O , New York, 19858 P o 1212.
1 .
2 .
P . Sensi and G. Gialdroni-Grassi, in Burger's Medicinal Chemistry, Fourth Edn. 8 Part 11, M . E . WOlff, E d . , John Wiley & Sons, New York, 1979, p. 3010
3 .
43
4 .
S . Pattabi Raman and S.C. Nlyogi, Ann. Biochem. and Exptl. Med. (India)0 1 5 0 207 (1955)
5 .
Martindale The Extra Pharmacopoeia, Twenty. E . F . Reynolds, E d . , The ninth Edn., J Pharmaceutical Press, London, 1989, p . 578.
H . Bauer and S . M . Rosenthal, U . S . Public Health Repts., 53, 40 (1938); C.A.0 32, 22182 c1938)
6.
7 .
8 .
9 .
S.M.
618
617 (1939).
10. 11.
A . M . Morales, Anales fac. farm. y bioquim., Univ. nacl. mayor San Marcos (Lima, Peru), 1, 607 (1950); C . A . 8 49, 2095 (1955)
15,
C . E . Orzech, N . G . Nash and R . D . Daley, In Analytical Profiles of Drug Sub~tances~Vol.6, K. Florey, E d . , Academic Press, N e w York, 1976, Po 87.
SULFOXONE SODIUM
569
12.
13.
C.A.0
U n i t e d S t a t e s Pharmacopeia XXI National Formulary XVI, 1985, United S t a t e s Pharmacopeial Convention, I ~ c . , Rockville, Md., 1984, p a 10030
G.W.
14.
R a i z i s s , Science,
98, 350
(1943).
15.
16. 17. 18.
30,
52,
Moses,
R. Desmeules, L. Rousseau, M . Giroand P. Richard, L V a l Med., 28 780 (1944); C.A.8 39, 990 (1945).
19.
39, 9903
M e
Giro=,
LaVal M e d o , (1945).
2 8
20.
21. 22.
125, 487
23.
24.
TUberC.,
53,
4 1 ,
24891
(1947) 25.
G.P.
Youmans, W.H.
54, 295
SOC.
Feldman and L . Doub, Am. (1946); C.A., 410 Kolmer, A.M. Rule and EYQtl. B i O l o M e d o , 63,
Collomon, J.A.
P a u l , PrOC.
570
VLTAY K. KAPOOR
237 (1946).
J . D .
235,
40,
33.
em. instj. ~ u t a n t a n ,2
2222 (1946).
34 35. 36.
E . Biocca and C. da S i l v a Lacaz, Arquiv. biol. Sgo Paulo, 2, 151 (1945); C.A., 40, 50906 (1946).
46,
37.
R.D. P.E.
Powell, R . R . E p p e s , J.V. McNamara and Carson, Proc. I n t o Pharmacol. Meet 3rd, 1 , 39 (1966)r M . Rocha e SilVa (Ed.), Pergamon Press, Oxford; C.A., 7 0 8 18845~'
(1969)
L.L.
Gershbein and A.F. Pedroso, Drug Chem.
38. 390
24,
H . O .
10 Sjoeholm, B. Ekman, A. K O b e r r I . LjungstedtPaahlman, B. Seiving and T . Sjoedin, Mol. Pharmacol., 1 6 8 767 (1979)
SULFOXONE SODIUM
571
L. Harvath, K.B.
IUlKtWiOl.,
137, 1305
Katz, J.
M.
W.
78 (1949). 1 2 8 (1949)
200
.
8 4 0
2 6 8
K. Prabhakaran, E.B. Harris and W.F. Kirchheimer, Microbios, 2, 273 (1972); C.A., 77, 136758a (1972).
N.I.
Swislocki, J. Tierney, J. Zinberg and S.R. P f e f f e r , Adv. Expo Med. Biol., 9 7 0 301 (1978); C.A.0 9 0 0 162139n (1979).
20
150
236
E . T i t u s and J. Bernstein, Ann. N . Y . SCi. 8 5 2 8 719 (1949) . Lepros , 1 S i s t e r H. ROSS, I n t e r n . J 333 (1950); C.A., 45, 6292h (1951f.
Acad.
8 0
572
W A Y K. KAPOOR
55.
G.
4 8 8 1570h
Gordon
4 6 8 171 (1975)
G . R .
57.
A.C. Bratton. E.K. Marshall, Jr.8 D o Babbitt and A.R. Hendrickson, J. B i o l . Chem., 1 2 8 8
537 (1939).
58.
J .
G.A.
J.H.
owe,
Lepr. Rev.,
238
4 (1952).
J r . ,
J.F.
J. Lab. C l i n . M e d o ,
G.R.
78, 464
Gordon and J . H .
Peters,
(1971).
Gulledge 0 67
64.
65.
66.
A 0
1193 (1977).
67,
Merck Index, 10th Ed1108 M. Winaholtz, Ed., Metck & C O O r Inc., RahWay, N 0 J . r U.S.A.,
1983, P o 1287.
68.
G.A.
&
42 (1945) 0
69.
F. F e i g l and R.
803 (195510
SULFOXONE SODIUM
513
7 0 . 71.
F . F e l g l and E . S i l v a , Drug Standards, 23, 113 (1955)t C.A., 50, 2117h (1956).
T . S . Gloria, Anais fac. farm. e edontol. Univ. Sa'o Paulo, 11, 8 5 (1953) (Pub. 1954); C.A., 49, 5 6 6 ~(1935).
TENIPOSIDE J. Jantina Kettenes-van den Bosch' Joost J.M. Holthuis 1 and Auke Bult
2
'University of Utrecht Department of Pharmaceutical Analysis Utrecht, The Netherlands. EuroCetus B.V. Paasheuvelweg 30 1105 BJ Amsterdam, The Netherlands
1 . History 2. Description 2.1. Nomenclature, Formula, and Molecular Weight 2.2. Appearance, Odour, and Colour
3 . Synthesis
4 . Physical Properties 4.1. Ultraviolet Spectrum 4.2. Infrared Spectrum 4.3. Fluorescence Emission Spectrum 4.4. Nuclear Magnetic Resonance Spectrum 4.5. Mass Spectrum 4 . 6 . Melting Range 4.7. Differential Scanning Calorimetry 4.0. Optical Rotation 4 . 9 . Dissociation Constant 4.10. Electrochemistry
5 . Methods of Analysis
5.1.
5.2.
Thin Layer and Paper Chromatography High Performance Liquid Chromatography Stability in Aqueous Solutions Stability in Plasma
6.1. 6 . 2 .
575
Copyright 0 1990 by Academic Press. Inc All nghts of reproduction in any form reserved
516
7. Pharmacology 7 . 1 . Mechanism of Action 7 . 2 . Pharmacokinetics 7.3. Clinical Activity 7 . 4 . Clinical Toxicity 8. Analysis of Teniposide and Metabolites in Biological Matrices 8 . 1 . Teniposide 8.2. Teniposide Metabolites
9. References
TENIPOSIDE
511
1 .
HISTORY
Teniposide is a semi-synthetic derivative of epipodophyllotoxin and is closely related to etoposide [ l ] . It is used as a cytostatic in the treatment of several types of cancer. Teniposide was synthesized from podophyllotoxin in 1963, in the Sandoz Laboratories. Podophyllotoxin, the starting material for teniposide, is isolated from the dried roots and rhizomes of species of the genus Podophyttwn, such as the may apple or American mandrake ( P o d o p h y t h p e m ~ L . ) and P0dophqth.m Wall.) C2l. The medicinal properties of podophyllin, the ethanolic extract of the roots and rhizomes of the above mentioned Podophqttum species have been known for more than 150 years. Podophyllin contains several podophyllotoxin derivatives, a number of which possess considerable anti-tumour activity. Podophyllotoxin itself proved to be the most active cytotoxic compound. However, the toxicity of naturally occurring podophyllotoxins prevents administration of doses high enough to give sufficient therapeutic effect. Therefore, a variety of derivatives were synthesized from natural podophyllotoxin in an attempt to find compounds with an acceptable therapeutic index [3-51. Teniposide was one of the promising compounds.
2 . 2 . 1 .
The generic name is teniposide (29767-20-2). Other names arg VM 26, PTG, NSC 122819. The trade name of the drug is Vumon The Chemical Abstracts' name is I'-demethyl-l-O[ 4,6-0-(2-thenylidene) - 6-D-glucopyranosyllepipodophyllotoxin (IUPAC) or 5,8,8a,9-tetrahydro-5-(4-hydroxy-3,5-dimethoxyphenyl)9 [ [ 4 ,6-0-(2-thienylmethylene) -6-D-glucopyranosyl]-
its molecular weight is 656.7. 2.2. powder. Appearance, Odour, and Colour Teniposide is a white , odourless and amorphous
578
OH
3.
SYNTHESIS OF TENIPOSIDE
The synthesis of teniposide from naturally occurring podophyllotoxin I (Scheme 1) is described in ref. [3-53. Podophyllotoxin is treated with HBr in lI2-dichloroethane, resulting in 1-brow-1-desoxyepipodophyllotoxin, which demethylates to l-bromo-4'-demethylepipodophyllotoxin (11) when the reaction mixture is kept at OC for about 24 hours. By treatment of I1 with BaCO in an acetone/water mixture, the bromine is replaced by a 3hydroxyl group, resulting in 4'demethylepipodophyllotoxin (111). After protection of the phenolic hydroxyl with benzyl chloroformate, the 1-OH group is coupled with 2,3,4,6-tetra-O-acetyl-~-D-glucopyranose. The sugar moiety probably enters from the less hindered side, because glycosidation of podophyllotoxin itself also results in an epi product [ 4 ] . The protecting group at the 4'-OH is removed by hydrogenolysis with H2/Pd and the acyl groups by hydrolysis with Zn(OAC)2 in methanol. During the hydrolysis, about 30% of the compound is converted into a mixture of the hydroxy acid (by opening of the lactone ring) and the cib lactone. These products are easily removed by crystallization. The last step in the synthesis is the reaction with 2-thiophene carboxaldehyde, with ZnC12 as a catalyst. Of the 0-4,6 cyclic acetals, the isomer with the equatorial thienyl group predominates.
OH
cy(
OH
kH3
6t.i
O--COOCHz-O
m
BF, / E I P
IV
Wow
0 Ho
c w
Ace*
CHlDAc
OACO
I
0 I
2.3.4.6. - T e n - 0 -9 - B- D - d m pyranose
CHPAc
A d 3 *ACO
I
O A C
VI
580
Minor quantities of the axial isomer are eliminated in the purification procedure CS 1.
4.
4 . 1 .
The ultraviolet spectrum of a 71 pM solu-ion of teniposide in absolute methanol (Figure 1) showslgn absorption c extinction (E ) at 283 nm maximum at 283 nm. The s R cif I 1cm is 64.1 ( E = 4209 l.ml .cm ) [ 6 ] . The ultraviolet spectrum was recorded with a double beam Shimadzu Spectrophotometer W - 2 0 0 in a 1 cm silica cell.
0.1 A.U.
260
300
nm
360
TENIPOSIDE
581
4.2.
Infrared Spectrum
The IR spectrum of teniposide (KBr tablet) is shown in Figure 2 . The spectrum was recorded with a Jouan-Jasco IRA-1 grating infrared spectrometer. Characteristic bands are the carbonyl stretTh vibration of the strained m n d lactone ring at 1785 cmthe OH stretch vibra ion of the phenolic and sugar OH groups at 3540 p d 3400 cm , the aromatic bands at 1605, 1505 " d 1485 cmand C-0 stretch vibrations at 1230 and 1100 cm
-5
4.3.
The fluorescence emission spectrum of teniposide (Figure 3) was recorded with a Kontron SFM 25 fluorimeter. An excitation wavelength of 295 nm and a scan rate of 60 nm/min were used. 4.4. Nuclear Magnetic Resonance Spectrum
The proton NMR was recorded in deuterochloroform containing a drop of dimethyl sulfoxide-d with a Bruker AM-500 spectrometer at a frequency of SbO.14 MHz. The internal standard was DMSO (at 2.49 p.p.m.1. The spectrum between 2.7 and 5.3 p.p.m. is reproduced in Figure 4 . Chemical shift assignments (Table I) were made on the basis of integrated intensity measurements and comparison with the spectrum of etoposide [ 7 ] . Coupling constants for ring C and D protons, and for the glucose and the thienyl moiety are given in Table 11. The natural abundance I3C NMR spectrum was recorded with a Bruker SP-200 WB instrument at a frequency of 50.3 MHz, with deuterochloroform containing a drop of dimethyl sulfoxide-d6 as the solvent. DMSO (at 39.5 p . p . m . 1 was used as the internal standard. The proton-noise decoupled spectrum is reproduced in Figure 5; the spectral assignments are presented in Table 111. Since some of the chemical shift values differ only slightly, the assignments for the corresponding signals may be interchanged.
582
(MICRONS)
,oo2{
" 0
4 ;
5.;
6 ;
7p
8.;
9.0
l~,lZ.,Oi,4;"
4000
3600
3200
2800 2400
2000
1800
1600
1400
1200
loo0
800 650
an-'
Figure 2. The infrared spectrum of teniposide.
300
350
nm
400
Figure 3. The fluorescence emission spectrum (not corrected) of teniposide (9.4 pM) in methanol.
TENLF'OSIDE
583
5.0
I 4.5
4.0
1
3.5
of
I 180
I
160
I
140
I 120
I 100
I 80
I
60
I
40
I 20
I
0
584
Table I.
chemical shift 6 (p.p.m.1 2.89 3.31 3.42 3.45 3.47 3.58 3.69 3.74 4.21 4.28 4.42 4.51 4.57 4.96 5.10 5.78 5.94 6.24 6.49 6.94 6.95 7.15 7.30 7.81
multiplicity m t dd m m t
S
number of protons 1
1 1
, b
t t dd dd d d d
s
S
(br)
dd
S
S
dd d d
S
1 1 1 6 1 1 1 1 1 . 1 1 1 1 2 2 1 1 1 1 1 1
0ch3 96a
11' g6e 11 1 91 4 OH 97
2',6' 8 5 t4
:3
4'-0h
Table 11.
coupled protons
J (HZ)
5.3 13.8 3.2 8 . 1 10.5 10.6 - 1 7.8 8.5 8.5 8.1 10.1 10.1 4.8
3.3
t4,t5
5.0
TENIPOSIDE
585
Table 111.
13C NMR assignments f o r teniposide. assignment (carbon number) 1 3 2 OCH 95 4 96 11 93 92 94 gl A, 97 2', 6' 8 5 t5 t3 4' t4 8' ' 4' ' t2 3', 5 ' , 6, 7 1' 13
chemical shift 6 (p.p.m.1 37.1 40.5 43.1 55.8 65.5 67.3 68.0 71.9 72.5 74.1 80.2 97.8 100.8 107.8 109.1 109.9 125.4 125.8 127.5 129.9 132.6 133.9 139.3 146.3 147.9 174.9
586
4.5.
Mass Spectrum
The electron impact mass spectrum (EI-MS) of teniposide (Figure 6) was measured with a Kratos MS-80 mass spectrometer. The sample was introduced into the ion source (250 "C) by a direct inlet probe. An electron energy of 70 ev and an ionizing current of 100 W were used. The base peak in the spectrum is the ion at m/e 382. This fragment results from the loss of OH and the glucopyranosyl moiety (structure b, Scheme 11). The fragment corresponding to the loss of only the glucopyranosyl moietyI at m/e 400 (structure a), has a relatively low abundance (3-5%). An other fragmentation pathway is the formation of a fragment at m/e 154 corresponding to structure c . Minor fragmentation pathways are the formation of fragments at m/e 246 (structure d) and 201 (structure el, both pathways starting from mass 400 (a) [6l. 4.6. Melting Range
The reported melting ranges are: Teniposide crystallized from ethanol : 246-255OC [51. Teniposide as obtained from the manufacturer: 237OC, with decomposition C 6 I. 4.7. Differential Scanning Calorimetry
The DSC thermogram for teniposide (Figure 7) was recorded with a Setaram DSC-111, with a scan rate of 3 K/min. The sample size was about 2 mg. The DSC thermogram was recorded in a closed vessel. Endothermic peaks appear at approximately 194 and 2180CI the integrated endothermic effect being 50.4 J/g. The strong exothermic peak has its maximum at 235"C, and possibly results from decomposition. When the vessel is
100-
O/o
SO
TENIPOSIDE
587
OH
OCH3 OH
m / e 400 (a)
1
1
m l e 382 (b)
OH
m l e 1 5 4 (c)
0
m l e 246 (d)
m l e 201 (e)
588
cooled down and heated a second time, neither an endothermic nor an exothermic effect is observed, indicating that the material has changed. 4.8. Optical Rotation
The optical rotation Lag1 of teniposide crystallized from ethanol ( c = 0,5 g/v, CHC13/MeOH, 9:1) was -108.6' [Sl.
4 . 9 .
Dissociation Constant
The pK of the C4' phenolic functi n was determined spectrometrichly. Spectra of 0.8 x 10-8 M solutions of teniposide in 0.05 M sodium borate buffers containing 5% DMSO (v/v) were recorded with a Shimadzu W-200 double beam spectrometer. The ionic strength was kept at 0.15 M by addition of KC1. From the inflexion in the plot of the absorbance as a function of pH, a pKa of 10.13 was found [ 8 ] .
9600
h
z
4 -
u?
7200
0 . c
a 4800 a) c
2400
0 ,
Figure 7.
TENIPOSIDE
589
4.10.
The oxidation mechanism of teniposide was studied in aqueous solutions buffered at different pH values. The cyclic voltammogram of teniposide at pH 7 . 0 is presented in Figure 8 The electrochemical oxidation of teniposide in aqueous solutions shows an overall transfer of two electrons. At pH values below 2.5, the oxidation proceeds in one voltammetric, pH-independent oxidation step (1, Figure 9 ) . At pH values above 2.5, the oxidation proceeds in two voltammetric oxidation steps. The transfer of the first electron ( 3 , Figure 9) is reversible and is preceded by a proton transfer (2, Figure 9). The transfer of the second electron ( 4 ) results in the formation of an unstable cation which is converted rapidly into the 2-quinone of teniposide (5).
C8l.
- 10
+ 5
+ 10
1000
800
600
400
+zoo
-200
E ( mV)
Figure 8 . Cyclic voltammogram of 0.125 mM teniposide in 0 . 1 M phosphate buffer pH 7 . 0 at a glassy carbon electrode. Scan rate 0 . 1 V/s. The cyclic voltammogram was recorded from -0.2 V to +1.1 V and back +0.2 V.
590
HjCO
4
R OH OCH, R R OCH, HjCO
+2e+H+
(1)
H3C0
OH
$ l
OCHj
H+
0R
+e
H,CO OCHj
(3)
0 .
R
H,CO
Q
0 .
+e
(4)
OCH,
+CHaOH
HjCO
0
(5)
0
R
Q+2H++2e
H3CO
i 111'
H3C0 OH OH
Figure 9.
TENIPOSIDE
591
The o-quinone is adsorbed at the electrode surface, and is reduced in the cathodic scan (i ) to the corresponding I11 hydroquinone. The hydroquinone is oxidized in the second 1. Both the oxidation of the hydroquinone anodic scan (i 111' and the reduction of the 2-quinone are pH-dependent [S].
5.
5 . 1 .
Information on thin layer chromatographic systems and on paper chromatography is scanty. Only a few systems (Table IV) have been described C9l. Table IV. Thin layer and paper chromatography of teniposide.
~~
phase
s ilicage1
Rf
7
cellulose paper
5.2.
Table V presents a few liquid chromatographic methods used for the determination of teniposide in solutions. The unpublished method is used for the determination of the stability of teniposide and was shown to be stability-indicating (see section 6.2). However, the reversed phase chromatography methods published until now were mainly developed for the analysis of teniposide in biological materials (section 8 , Table VI).
592
J . JANTINA KE"E?S-VAN
Table V . High performance liquid chromatography of teniposide. column mobile phase detection dynamic voltammetric detect ion reference
10
Lichrosorb Rp18 methanol/20 mM (300~3.9nun) phosphate buffer 10 Frm PH 7 55/45 w/w Novapak Phenyl (75x3.9 mm) 4 llm
not published
6. 6.1
As etoposide , teniposide possesses a strained h a n 4 lactone ring (Figure 10). This Aku1.4 lactone ring is subject to degradation in both acidic and alkaline media. The degradation of teniposide has been studied in less detail than that of etoposide [ll]. However, it is assumed that the degradation reactions are essentially the same. In acidic media the glucopyranosyl moiety is cleaved, yielding 4'demethylepipodophyllotoxin (the aglycon) (I, Figure 10). The aglycon degrades further to the h a m hydroxy acid of 4'demethylepipodophyllotoxin (11). At pH values ' 5 , the degradation of tenipoSi.de occurs through epimerization of the hm.b-fused lactone ring to the &-fused lactone (111). Further degradation results in the formation of the &-hydroxy acid (IV). Conversion of the ,Or.and lactone ring into the cid lactone ring (teniposide +. 111) at pH > 4 occurs through enolization and subsequent conversion of the enol(V) into ci6 -teniposide (111). The last-mentioned reaction requires proton transfers, which are facilitated by bases such as OH , H20, or anions of the acid used as a buffer.
6.2.
Stability in Plasma
Possible chemical instability of teniposide could cause problems in bioanalysis. Therefore, the stability of
TENIPOSIDE
593
OH
1
R
II
OH
0-R
0-R
0-R
IV
Figure 1 0 .
teniposide in plasma was studied at 37, 4, and -18OC. A stability-indicating assay was used allowing quantification of teniposide, &5-teniposide and 4'-dernethylepipodophyllotoxin, after isolation from biological matrices [6]. (See Table V, unpublished results). When teniposide in plasma is stored at 37"C, a decrease in the concentration is observed after 12 hours. This decrease is caused either by chemical degradation or is due to adsorption to precipitated protein. When plasma samples containing teniposide are stored at 4OC or -18"C, no decrease in the concentration was observed for at least 8 weeks. These studies allow the conclusion that it is not necessary to freeze plasma samples immediately after preparation.
7.
7.1.
PHARMACOLOGY
Mechanism of Action
Teniposide differs in its biological action from its parent podophyllotoxin, which is a spindle poison. Teniposide does not interact with the microtubule assembly [12,13], but prevents cells from entering mitosis. In contrast, the precursor podophyllotoxin arrests cells in the metaphase. Teniposide accumulates cells in the G2 phase.
594
Cells treated with teniposide show a rapid decrease of the mitotic index, with a simultaneous reduction of cell proliferation. Teniposide has been shown to induce double strand breaks and single strand breaks in DNA in intact cells and in nuclei, but not in purified DNA. The DNA degradation is dose- and temperature-dependent, and reversible after removal of the drug C12-151. Teniposide is believed to be activated in the cell nucleus by oxidation of the phenolic group to reactive intermediates C161. Interaction of these intermediates with DNA could also result in DNA damage. Studies indicate #at type I1 topoisomerase is probably the intracellular target in the DNA strand-breaking property of teniposide C16-19 ] . Teniposide inhibits the cellular uptake of thymidine, uridine, adenosine, and guanosine C141. The binding of teniposide to cell constituents is seven to ten times as high as that of etoposide [20], and as a result, the uptake of teniposide in the cell is ten times higher. Teniposide proved to be more active in the L1210 system than etoposide [15]. 7.2. Pharmacokinetics
Up to now, teniposide is only administered intravenously. The pharmacokinetics of teniposide after intravenous infusion is described by an open two-compartment model C21-261 or by an open three-compartment model C9,271. No difference is observed in the disposition of teniposide administered at low or at high doses C27,281. The elimination half-life time after intravenous administration is about 10 hours [28], which is about two times longer than is found for etoposide. Figure 11 presents possible metabolic pathways of teniposide. Although teniposide is mainly cleared from the body by metabolic activity, ltttle information is available. Most of the metabolic studies on the epipodophyllotoxins have been performed with etoposide, a congener of teniposide. Pathway A: Small amounts of Cib-teniposide have been detected in urine and plasma by reversed phase chromatographic methods. I n V&O, this conversion is more pronounced at elevated temperatures and at higher pH values [25,311. Pathway B: The formation of the Cib or firrtnb-hydroxy acid of teniposide is probably a minor metabolic pathway.
TENIPOSIDE
595
OR
on
Only one research group found an indication for the presence of this metabolite in urine C311. Pathway C and D: Up to now, these pathways were found to be important for etoposide only. Pathway E: An indication for relatively large amounts of conjugated (glucuronidated) 4'-demethylepipodophyllotoxin was found in patients [211 receiving teniposide, on prolonged intravenous infusion. However, the identity o f this metabolite was not confirmed by, e.g., mass spectrometry or NMR.
7.3.
Clinical Activity
Information on the clinical pharmacology was reviewed by O'Dryer et al. [ l ] . Teniposide is active against leukaemias, lymphoma, and neuroblastoma.
596
7 . 4 .
Clinical Toxicity
The dose-limiting toxicity of tenipoSi.de was shown to be dose-related myelosuppression. Another toxic effect is hypotension, which is associated with rapid infusion of the drug. Other minor adverse reactions are vomiting and alopecia C11.
8 .
AND
METABOLITES IN BIOLOGICAL
8 . 1 .
The first pharmacokinetic fnd metabolic studies with teniposide were performed with a H-labelled drug [9,291. In these studies, the parent compound was separated from nonextractable metabolites and from the biological matrices by extraction with chloroform C9,291. The purity was checked by means of a TLC system [section 5.11. Apart from the HPLC methods, a radioimmunoassay for teniposide was developed. The sensitivity of this method proved to be comparable to an HPLC method C301. The method is not specific for the parent compound: cross reactions with etoposide, metabolites, and degradation products are observed. The methods published for the bioanalysis of teniposide are carried out with reversed phase HPLC. Table VI summarizes the reversed phase liquid chromatographic methods for the analysis of teniposide in biological fluids. The methods mentioned in this table are also suitable for the analysis of etoposide. The published methods are mostly dealing with the analysis of plasma; a few are also used for the analysis in urine and cerebrospinal fluid (CSF). Teniposide is mainly isolated by extraction with an organic solvent prior to the HPLC analysis. Ethyl acetate C311, chloroform [6,32,33,341, and 1,2-dichloroethane [ 6 l are used. A few methods apply column extraction [35,36], allowing rapid analysis of the drug. The described extraction methods are likely to be also suitable for the analysis of the neutral metabolites 4 ' -demethylepipodophyllotoxin and cib-teniposide Two chromatographic systems have been reported for the separation of cib- and ;t)rand-teniposide [6 ,311.
TENIPOSIDE
591
Table VI. Published HPLC methods for the analysis of teniposide in biological fluids.
matrix sample pretreatment chloroform extraction chloroform, extraction e t h y l acetate extraction after addition o f NH412S04 preconcentration on PRP.1, postcolumn e x t r a c t i o n w i t h 1,2-dichloroethane 1,2-di c h l oroethane extraction solid-phase extract i o n C-18 Bond E l u t chloroform extraction i n j e c t i o n o f plasma after addition of 10% SDS column detection determi- reference nation limit 500 ng/mT 32 33
plasma plasma
uv
254 nm fluores50 ng/ml cence 215/328 n m ECW 20 ng/ml + 0.85 V vs. Ag/AgCl fluores8 ng/ml cence 30 ng/ml 230/328 m
31
Lichrosorb R P 18, 10 pn
35
plasma
Ebndapak Phenyl 10 pn
ECD
5 ng/ml
+ 0.50 V vs.
Ag/AgCl E C O + 0.9 v
O D s Hypersil 5m
Lichrosorb R P 18, 10 pn Chromspher
500 ng/ml
36 34
uv
5 P
Chromspher C 18 40 pn precolumn (4OOC) Bondapak Phenyl 10 p n w i t h Chromspher C 18 40 p n precolumn
38
plasma
39
* ECD = electrochemical
detection
598
Recently, a flow injection method (FIA) was developed for the determination of teniposide in plasma. In this method, teniposide is converted by on-line electrochemical oxidation into the 2-quinone. Detection takes place at 365 nm which enables the determination of 1 pg teniposide per ml plasma. Prior to injection, teniposide is extracted with 1,2-dichloroethane C371. A method using micellar chromatography [381 was developed recently. This method allows the direct injection of (20 1 1 1 ) plasma samples. A detection limit of 0.5 v g / m l is obtained. In a second method with micelles, sodium dodecyl sulfate (SDS) is added to plasma prior to pre-column extraction; the extraction is followed by reversed phase liquid chromatography C391. The last-mentioned method has a detection limit of 10 ng per ml plasma. 8.2. Teniposide Metabolites
No specific methods have been developed for the analysis of metabolites in urine or plasma. According to the proposed metabolic pathway (7.2.1, several metabolites are possible. These metabolites differ significantly in their physico-chemical properties. The metabolites with intact lactone rings can be separated by traditional reversed phase liquid chromatagraphy on a phenyl-bonded phase after liquidliquid extraction. For the chromatography of hydrophilic metabolites, %, hydroxy acids and glucuronides, a different approach 1s necessary.
ACKNOWLEDGEMENT The authors are grateful to Mr. D. Seykens, Department of Organic Chemistry, University of Utrecht, The NethfSlands for running the NMR spectra and providing relevant C reference data.
TENIPOSIDE
599
REFERENCES
1 . O'Dwyer,
P . J . , Alonso, M.T., Leyland-Jones, B., and Marsoni, S. (1984). Cancer Treatment Report 68, 1455. Kelly, M., and Hartwell, J . (1954). J. Nat.Cancer Inst. and Von Wartburg, A . (1969). Helv. Chim. Acta
8. 9 10 11 12 13 14 15 16
Kuhn, M., Keller-JuslBn, C., and Von Wartburg, A . (1969). Helv. Chim. Acta 52, 944. Keller-Juslgn, C . , Kuhn M., and Von Wartburg, A . (1971). J. Med. Chem. 14, 936. Holthuis, J. J . M . (1985). Ph.D. Thesis, University of Utrecht, The Netherlands. Holthuis, J.J.M., Kettenes-van den Bosch, J.J., and Bult, A . Etoposide. To be published in: Analytical Profiles on Drug Substances. Vol. 18. Holthuis, J.J.M., Vendriq, D.E.M.M., Van Oort, W.J., Zuman, P. (1987). J. Electroanal. Chem. Interfacial Electrochem. 220 101. Creaven, P.J. and Allen, L.M. (1975). Clin Pharmacol. and Ther. 18,226. Ploegmakers, H.H.J.L., Mertens, M.J.M., Van Oort, W.J. (1985). Anal. Chim. Acta 174, 71. Beijnen, J.H., Holthuis, J.J.M., Kerkdijk, H . G . , Van der Houwen, O.A.G.J., Paahan, A.C.A., Bult, A., and Underberg, W.J.M. (1988). Int. J . Pharm. 4 1 , 169. Brewer, C.F., Loike, J.D., and Horwitz, S.B. (1979). J. Med. Chem. 22, 215. Loike, J.D. and Horwitz, S.B. (1976). Biochem. 15, 5435. Horwitz, S . B . and Loike, J.D. (1977). Lloydia 40, 82. Long, B.H., Musial, S . T . , and Brattain, M.C. (1984). Biochemistry 23, 1183. Yang, L., Rowe, T.C., and Liu, L.F. (1985). Cancer Res.
45, 5872. 17 Z e n , G.L., Yang Liu, Rowe, T.C., Halligan, B.D., Tewey, K.M., and Liu, L.F. (1984). J. Biol. Chem. 259, 13560. 18 Rowe, T., Kupfer, G., and Ross, W. ( 1 9 m . Biochem. Pharmacol. 34, 2483. 19 Dorr, R.T., Liddil, J.D., and Gerner, E.W. (1986). Cancer Res. 46, 3891. 20 Allen, J. (1978) Drug Metab. Rev. 8, 119. 21 Rossi, C., Zucchetti, M., Sessa, C., Urso, R . Mangioni, C., and D'Incalci, M. (1984). Cancer Chemother. Pharmacol.1 13, 211. . , Rossi, C., Sessa, C., Urso, R., Zucchetti, 22 D'Incalci, M M. Farina, P., and Mangioni, C. (1985). Cancer Treat. Rep. 69, 73.
600
23 Canal. P., Bugat, R., Michel, C., Roche, H . , Soula, G . , Combes, P.F. (1985). Cancer Chemother. Pharmacol. 15, 149. 24 Stewart, D.J., Richard, M.T., Hugenholz, H., Dennery, J . , Nundy, D . , Prior, J., Montpetit, V., Hopkins, H . S . , et al. (19841, J . Neuro-Oncol. 324, 315. 25 Postmus, P.E., Holthuis, J.J.M. , Haaxma-Reiche, H., Mulder, N.H., Vencken, L . M . , Van O o r t , W.J., Sleijfer, D.Th., and Sluiter, H.J. (1984). J. Clin. Oncol. 2, 215. 26 Evans, W.E., Sinkule, J.A., Crom, W . R . , DOW, L . , Look, A.T., and Rivera, G. (1982). Cancer Chemother. Pharmacol. 7, 147. 27 Eolthuis, J.J.M., De Vries, E.G.E., Postmus, P.E. , Van Oort, W . J . , Verleun, H., Hulshoff, A . , Sleijfer, D.Th, Mulder, N.H. (19871, Cancer Treatment Rep. 2, 599. 28 Holthuis, J.J.M. (1988). Pharm. Weekbl. Sci. Ed. 10, 101. 29 Allen, L.M. and Creaven, P.J. (1975). Europ. . J Canc. Clin. Oncol. 11,679. . H . , Kannellopoulos, K.S., Brown, N . S . , Issell, 30 Ho, D B.F., and Bodey, G.F. (1985). J. Immunol. Methods. g ,5. 31 Sinkule, J.A., and Evans, W.E. (1984). J. Pharm. Sci. 73, 164. 32 Strife, R.J., Jardine, I . , and Colvin, M. (19801, J. Chromatogr. 182, 211. 33 Strife, R . J . , Jardine, I . , and Colvin, M. (1981), J. Chromatogr. 224, 168. 34 Holthuis, J.J.M., Van Oort, W . J . , and Pinedo, H.M. (1981). Anal. Chim. Acta 130, 23. 35 Werkhoven-Goewie, C.E., Brinkman, U.A.Th.I Frei, R.W., De miter, C . , and De Vries, J. (1983). J. Chromatogr. 276, 349. 36 Rideout, J.M., Ayres, D . C . , Lim, C.K., and Peters, T.J. (1984). J. Pharm. Biomed. Anal. 2, 125. 37 Van Opstal, M.A.J., Blauw, J.S., Holthuis, J . J . M . , Van Bennekom, W.P., and Bult, A. (1987). Anal. Chim. Acta 202, 35. 38 Van der Horst, F.A.L. (1989), Ph.D. Thesis, University of Utrecht, The Netherlands. 39 Van Opstal, M . A . J . , Van der Horst, F.A.L., Holthuis, J.J.M., Van Bennekom, k . P . , and Bult, A . (1989) J. Chromatogr., 495, 139.
Terbutaliae Sulfate
Satinder Ahuja 2nd J. Ashman Develapment Department Pharmaceuticals Sivisipn Ciby-Geigy Corp., Suffern, W 10901
601
Copyright 0 1990 by Academic Press. Inc. All rights of reproductionin any form reserved.
602
Terbutaline Sulfate
S . Ahuja and J. Ashman Development Department Pharmaceuticals Division Ciba-Geigy Corp., Suffern, NY 10901
1.
Description 1.1 Introduction 1.2 Formula, Name, Formula Weight 1.3 Appearance, Color, Odor Physical Properties 2.1 Ultraviolet Spectroscopy 2.2 Infrared Spectroscopy 2.3 Nuclear Magnetic Resonance Spectroscopy 2.4 Mass Spectrometry 2.5 Circular Dichroism 2.6 Differential Scanning Colorimetry 2.7 Melting Range 2.8 Thermogravimetry 2.9 X-ray Powder Diffraction 2.10 Dissociation Constant 2.11 Solubility 2.12 Water Absorption 2.13 Distribution Coefficient Synthesis Stability 4.1 Solid State Stability 4.2 Solution Stability Pharmacokinetics, Metabolism and Activity 5.1 Absorption/Excretion/Elimination 5.2 Drug Binding 5.3 Pharmacodynamics 5.4 Activity of Enantiomers Analytical Methodology 6.1 Titrimetry 6.2 Gas chromatography 6.3 High pressure Liquid Chromatography 6.4 Thin Layer Chromatography 6.5 Colorimetry 6.6 Mass Fragmentography Toxicological Studies References
2.
3. 4.
5.
6.
7.
TERBUTALINE SULFATE
603
Terbutaline Sulfate
1.
Description
1.1
Introduction Terbutaline sulfate is a synthetic fl2-adrenoceptor that is used as a bronchodilator in the treatment o f bronchial asthma.
548.658
c24H40N2010s
Terbutaline sulfate has been described by the following chemical names: (i) (ii)
(iii) 1-(3,5-Dihydroxypheny1)-2-(~-butylamino)ethanol sulfate (2:l salt) 1.3 Appearance, Color, Odor Terbutaline sulfate is a white to gray-white crystalline powder, odorless or with a faint odor of acetic acid.
2.
Physical Properties
2.1
Ultraviolet Spectroscopy The ultraviolet absorption spectrum of terbutaline sulfate in 0.1N hydrochloric acid (Figure 1)
1.0
I -
0.90
PEAK-FIHI
L
m-0.6745
0.80
0.70
am
W
# m,
0.50
0.40
0.30
0.20
0.10
0.0
N a
0
0 N Ln
E
WAVELENGTH (ra)
m
N
Figure 1
H C 1
TERBUTALINE SULFATE
605
exhibits a Amax at 276nm and yields an A(l%,lcm) value of 67.6. This absorption arises from the transition of the electrons in the phenyl ring (aromatic) ( 1 ) .
3330 3050 2970 2920 2720-2900,2660,2500 1610, 1485 1455 1400,1380 1240, 1210 1200 1065 850, 690
OH stretch aromatic CH stretch methyl asymmetric stretch methylene asymmetric stretch secondary amine salt stretch aromatic ring stretch methylene scissoring/asymmetric bend t-butyl symmetric bend t-butyl characteristic absorbances phenolic C - 0 stretch secondary alcohol C-0 stretch 1,3,5 trisubstituted benzene, out-of-plane bend
Figure 2
Figure 3
608
Multiplicity Singlet
Ass igment
3.1
4.7 6.35
3.4
5.1
6.7
--3
Aromatic Protons
2.4
The mass spectrum (Figure 4 ) is compatible with the indicated structure of terbutaline sulfate and shows the following fragmentation pattern ( 1 ) . m/e 225 210 207
Structure
M+
M-CH3 M-HzO
192
M- (CHa+HzO)
HO
150
Ho
Ho
139
Ho
OH
TERBUTALINE SULFATE
609
160
90
80
70
60
50
40
30
20
ie
Figure 4
610
111
139-CO
tB
86
H2CzN-C(CH3) 3
HH
70
57 CH3
noted above, terbutaline sulfate decomposes upon melting. Melting points determined by DSC for batches of terbutaline sulfate identified as crystal form A range from 264OC to 271OC. For batches identified as crystal form B, these values range from 258OC to 26OOC ( 1 ) .
TERBUTALINE SULFATE
611
2.8 Thermogravimetry
Thermogravimetric analysis generally gives a weight loss of less than 0.5% between RT and 22OOC (1).
2.9 X-ray Powder Diffraction
Two crystal forms have been characterized by x-ray 1 ) . The A form shows powder diffraction patterns ( lines at 8.5, 9.4, 10.2, 11.9, 13.0, 15.2, 16.8, 17.3, 18.0, 19.6, 21.2, 22.0, 22.6, 24.1, 26.0 and 27.0 degrees 28. The B form shows lines at 6.9, 8.1, 9 . 2 , 10.6, 12.4, 13.1, 13.9, 16.1, 16.6, 17.9, 18.6, 19.0, 19.8, 21.0, 23.2, 24.3, 25.4 and 27.2 degrees 20 (Figure 5 ) .
2.10 Dissociation Constant
The following pKa values have been reported for terbutaline sulfate: 8.8, 10.1 and 11.2. The 10.1 value can be assigned to the amino group. The other two pKa values (8.8 and 11.2) may be attributed to the aromatic hydroxyl groups of this compound. (1)
2.11 Solubility
The equilibrium solubility values in various 1 ) . solvents, at 25OC, are given in Table I ( TABLE I Solubility of Terbutaline Sulfate Solvent Water
0.1lj HC1
mg/d
>20 >20
96'92
b2'SZ
Sb'bZ
= -
06'22 t1'22
1.12 16'61
sew
6L'LT
L2'91
62'81
b0'tI
= -
44
9b'tI
2'81 LE'6 22.8
86'9
--
613
Methano1
2.12 Water Absorption
0.2% gain in water content has been observed with the samples stored at 25OC/75% R.H. for 14 days.
Distribution coefficients in various organic phases vs. aqueous phase at room temperature are given in 1 ) . Table I1 (
TABLE I1
Distribution Coefficients of Terbutaline Sulfate Organic Phase Chloroform Ether Isooctane Chloroform Aqueous Phase 0.1N - HC1 0.1N - HC1 0.1N - HC1 0.1N - NaOH C K = org . ' a q .
0.0
0.0
0.0
0.0
614
3.
Synthesis The synthesis for terbutaline sulfate given below is based on a U.S. patent issued to Wetterlin, et a1 (2).
4.
Stability
TERBUTALINE SULFATE
615
4.2
Solution Stability Discoloration of aqueous solutions of terbutaline sulfate is caused by oxidation of terbutaline and is enhanced by low pH and by ultratrace levels (ppb) of metals in the presence of oxygen. HPLC analysis of degraded terbutaline sulfate solutions suggest that oxidative degradation is favored __
(3,4).
5.
Pharmacokinetics, Metabolism and A tivity Distribution data (Section 2.13) suggests terbutaline sulfate is hydrophilic. 5.1 Absorption/Excretion/Elimination The structure of terbutaline sulfate prevents it from being metabolized by catechol-0-methyl transThe principle ferase or monoamine oxidase (5,6). pathway of metabolism is conjugation with sulfuric
616
acid or gulcuronic acid. However, there are species differences and the extent of metabolism depends on the route of administration. Following oral administration, approximately 50% of the dose is excreted unchanged in the feces. In a 24 hour collection period, 5.7% of the dose was recovered unchanged in the urine, while 16.8% was recovered as conjugated terbutaline. In a 72 hour collection period 92% of the dose was recovered with 52% in the feces and 6% in the urine as 5 ) . Oral absorption capaunchanged terbutaline ( city ranges have been estimated with a range of 25-80%, this creates a range in the extent of bioavailability of 7-26%, the decrease in the percentages being due to a high first pass metabolism . The terminal half-life in healthy subjects 7 ) . The biological is approximately 17 hours ( half-life is 3.6 hours (8). Although absorption from the gastrointestinal tract is incomplete, peak plasma levels of unchanged terbutaline reach approximately 5 ng/mL (8,9), which apparently is sufficient to produce effective changes in pulmonary function. The pattern of metabolism following oral inhalation of terbutaline from a metered dose dispenser is similar to the pattern observed following oral ingestion. This is probably because approximately 90 percent of the inhaled does is swallowed (10,ll). The patterns of metabolism and excretion following intravenous and subcutaneous administration are essentially identical. Only 2 percent of the drug can be recovered in the feces following parenteral administration (6,9). A significant amount of unchanged terbutaline is excreted in the urine following intravenous or subcutaneous administration. Approximately 60 percent of the administered
TERBUTALINE SULFATE
617
dose is recovered as unchanged terbutaline in the urine (6,12). The presence of an unidentified metabolite in the urine, which represented approximately 15 percent of the administered dose, was reported by Davies _ et _ a1 ( 6 ) . The high percentage of conjugated terbutaline following oral administration suggest significant sulfate conjugation took place in the gut wall or during the first pass through the liver. After a single intravenous dose, plasma concentrations of terbutaline decline in a multi-exponential fashion (13). The terminal half-life is roughly 17 hours with a two-fold variation between subjects. Intravenously administered terbutaline is excreted mainly in the urine with approximately 60% being recovered as the unchanged drug and between 4 and 19% being recovered as the sulfate conjugate. No other metabolites have been identified. Estimates for total body clearance range from 165 to 170 mL/min. Volumes of distribution at steady-state range from 83 to 140 L. No statistically significant difference was observed between the serum concentration time profiles for the subcutaneous dose in the healthy volunteer and patient groups. Serum concentrations increased to achieve a peak concentration o f 7.2 ( 2 1.7) ng/mL at 0 . 4 3 (f 0.13) hours after dosing. As in the case of the healthy volunteers the subsequent decline from the peak was biphasic. The availability of the drug after oral dosing ranged from 7.0 to 14.0% (mean It S.D. = 10.0 f 3.0%) in the 8 asthmatic patients.
In a series of pharmacokinetics studies after oral and intravenous administration of tritiumlabelled drug, unchanged terbutaline accounted for less than 15% of the total radioactivity in plasma following oral administration (14). However, after acid-hydrolysis unchanged
618
terbutaline accounted for 90% of the radioactivity. In contrast, unchanged terbutaline accounted for more than 85% of the total radioactivity over the first 60 minutes after intravenous dosing. These results suggests extensive conjugation of terbutaline before the drug reaches the systemic circulation. The site of pre-systemic conjugation has not been established. The pharmacokinetics of terbutaline has been measured in two studies after oral and subcutaneous administration of the drug. Maximum concentrations of terbutaline (mean: 3.2 i: 0.4 ng/mL) were achieved at 2 - 4 hours after oral dosing. After subcutaneous dosing maximum levels of 6.9 k 0.5 ng/mL were observed at 30 minutes. Approximately 30% of the dose was excreted by glomerular filtration in 12 hours and 40% in 72 hours. No obvious differences were detected in the plasma concentration-time profiles for healthy volunteers and patients.
TERBUTALINE SULFATE
619
dose. These effects coincided with peak concentrations of terbutaline and c-AMP in plasma. No significant effects on heart rate and blood pressure were noted in one of the studies and the increases in tremor did not appear to parallel either the serum level or bronchodilating effect. Linear regression analysis of pulmonary responses in children with chronic childhood asthma also showed a statistically significant relationship between the plasma concentration of the drug and its effect on forced expiration volume in 1 second and peak expiratory flow rate (PEFR) within patients. Pharmacodynamic responses increased with ascending doses. In dogs, the metabolism does not depend on the Very little route of administration (6,15). sulfate conjugate was detected in the urine following intravenous, intraduodenal, or intragastric administration. In rats, the glucuronide conjugate appeared as the only urinary metabolite (15,16) and the amount of that metabolite formed was not influenced by the route of administration.
5.4
Activity of Enantiomers The (-) isomer of terbutaline has been found to be 200 times more potent than the (+) isomer for the f 3 ~ receptors (17).
6. 6.1
Analytical Methodology Titrimetry Terbutaline sulfate active ingredient can be titrated in acetic acid:acetonitrile (1:l) with 1 8 ) . perchloric acid in acetic acid (
620
6.2
Gas Chromatography Terbutaline sulfate can be analyzed by gas chromatography by first converting the terbutaline to its tris-trimethyl silyl ether and then chromatographing on 3% OV-17 on an appropriate neutralized, silanized diatomaceous earth support. Column temperatures in the range of 15OoC to 190C have been used. The derivatization scheme follows ( 1 9 ) :
L"
1
Terbutaline sulfate can be analyzed by reversedphase and by ion-pairing high pressure liquid chromatography. Several different systems have been used. Terbutaline sulfate in intravenous solutions has been analyzed by chromatographing on a pBondapak Cis column using a mobile phase consisting of 35% methanol (V/V) in an aqueous solution 0.35M in acetic acid and 0.005M in sodium heptanesulfonate (20). In blood, it has been analyzed by chromatographing on a pBondapak Cia column using a mobile phase consisting of 5% acetonitrile in a pH 4 . 0 sodium acetate buffer (21).
TERBUTALINE SULFATE
62 1
has been utilized for the determination of ter50 butaline in human plasma in the range of 5 pmo1e.d-l (22). The necessary sensitivity and selectivity was obtained by using electrochemical detection and a microprocessor-controlled column switching system. A combination o f three columns was used: a Ca type for pre-separation, a CIS type for trapping and, for final separation, a strongly acidic ion exchanger. The accuracy of the method was examined by comparison with a method based on gas chromatography - mass spectrometry. The overall precision was -+ 3.5% and ? 2.2%, respectively at 5 and 50 pmo1e.d-l. The total absolute recovery for terbutaline and internal standard at the above concentration levels were in the range 85 106%.
chemical detection (LC-EC) has been found useful for the quantitative analysis of terbutaline in the range 5-50 pmole*mL-l of human plasma (23). Terbutaline is isolated from plasma on an ionexchange column and the eluate is concentrated on a hydrophobic precolumn on-line in the chromatographic system. The precolumn is then back-flushed for further separation onto a hydrophobic analytical column. The mobile phase is a methanol-aqueous buffer to which sodium perchlorate is added to achieve resolution from interfering peaks. A glassy carbon electrode is used for detection. Comparison has been made with gas chromatographymass spectrometry (GC-MS) to examine the accuracy of the method.
A commercially available chiral stationary phase
containing al-acid glycoprotein on silica (EnantioPac, LKB) was used for the resolution of enantiomers of terbutaline (24). The mobile phase contained 0.003 M tetrapropyl-ammonium bromide adjusted to pH 7.0. Terbutaline enantiomers in
622
biological samples have been analyzed on a cyclodextrin column (25). Dosage forms of terbutaline sulfate have been analyzed by chromatographing on a pBondapak phenyl column using a mobile phase consisting of 8% methanol (V/V) in 0.02M pH 3 . 6 potassium phosphate buffer ( 2 6 ) .
Colorimetry
A method based on the following reaction of ter-
butaline sulfate with 4-aminoantipyrine in the presence of potassium ferricyanide can be used for analysis of terbutaline sulfate dosage forms ( 1 8 ) .
TERBUTALINE SULFATE
623
6.6
Mass Fragmentography
detection mode was used as a gas chromatographic detector. Levels were monitored after oral and subcutaneous administration of the drug. The sensitivity is 1 ng/mL using 1 mL of serum.
terbutaline sulfate in biological fluids has been described ( 1 9 ) . The mixed TMS-TFA derivative is chromatographed and the m/e 355 ion is monitored. Measurement is possible to 0.3 ng/mL in human plasma.
WS
I
nrs - 0 2-
7.
Toxicological Studies Intravenous toxicological testing in male rats yields an LD50 of 48.41 mg/kg ? 1 . 6 3 (1).
624
References
2.
1.
4.
5.
3.
6.
7.
8. 9.
10.
11.
12.
14.
15. 16. 17. 18.
19.
13.
20.
S. Ahuja, Personal Communication, February, 1976. K. I. Wetterlin and L. A. Svensson, U.S. Patent 3, 937, 838, Feb. 10, 1976. L. A. Svensson, Acta Pharm. Suec., 9 , 141 (1972). S. Ahuja, P. Liu and J. Smith, 45M International Congress o f Pharmaceutical Sciences, Montreal, Canada, September 2-6, 1985. J. J. McPhillips, Pharmacol. Biochem. Prop. Drug Subst., 1, 311 (1977). 6. Davies, C. F. George, E. Blackwell, M. E. Conolly and C. T. Dollery, Br. J. Clin. Pharmacol., 1, 129 (1974). L. Nyberg, Eur. J. Respir. Dis. [Suppl], 134, 149 (1984). J. G. Leferink, W. VanDerBerg, I. Wagemaker-Engels, J. Kreukniet and R. A. Maes, Arzneimittelforschung, 2 (2)) 159 (1982). T. Nilsson, K. Persson and K. Tegner, Xenobiotica, 2, 363 (1972). E. W. Blackwell, R. H. Briant, M. E. Conolly, D. S. Davies and C. T. Dollery, Br. J. Pharmacol., 50, 587 (1974). H. T. Nilsson, B. G. Simonsson and B. Strom, Europ. J. Clin. Pharmacol. , lo, 1 (1976). T. Nilsson, K. Persson and K. Tegner, Xenobiotica, 2, 363 (1972). V. A. John, personal communication, December 16, 1988. D. S. Davies, Europ. J. Res. Dis., 65, 111 (1984). H. T. Nilsson, C. G. A. Persson, K. Persson, K. Tegner and A. Ryerfelt, Xenobiotica, 3 , 615 (1973). W. D. Conway, S. M. Singhvi, M. Gibaldi and R. N. Boyes, ibid, 3, 813 (1973). K. Wetterlin, J. Medicinal Chem., 15 (11)) 1182 (1972). USP XXI, p. 1019 , United States Phzmacopeial Convention, Rockville, MD, 1985. R. A. Clare, D. S. Davies ani T. A. Baillie, Biomed. Mass Spectrom. 6 (11, 31 (1979). D. A. Williams,E. Y. Y. Fung and D. W. Newton, J. Pharmaceutical Sciences, fl (8) , 956 (1982).
TERBUTALINE SULFATE
625
References (cont d)
J. M. Pugely and 0. L. Frick, J. Allergy Clin. Immunol, p. 162, March 1978. 22. L . E. Edholm and B. M. Kennedy and S. Bergquist, Chromatographia, l6, 341 (1982). 23. S . Bergquist and L. E. Edholm, J. Liq. Chromatogr., 6,
21. 559 (1983). 24.
9,
641
L. E. Edholm, B-M. Kennedy and L. C. Xiao, Chirality, 1, 20 (1989). V . Das Gupta, J. Liquid Chromatography, 9 (5), 1065
J. G. Leferink, I. Wagemaker-Engles and R. A. A. Macs, J. Chromatogr., 143, 299 (1977).
TERFENADINE
ADNAN A . BADWAN
The Jordanian Pharmaceutical ManufacturingCo. Ltd. Naor - Jordan
HANAN N. ALKAYSI
Department of Medicinal Chemistry Faculty of Pharmacy Jordan University of Science and Technology lrbid -Jordan
TAWFIQ A. ARAFAT
Department of Pharmaceutical Chemistry Faculty of Pharmacy University of Jordan Amman -Jordan
ANALYnCAL PROFILES OF DRUG SUBSTANCES VOLUME 19
621
Copyright 0 1990 by Academic Press. lnc. All rights of repduction in any form reserved.
628
CONTENTS
- DESCRIPTION
1.1. 1.1.1. 1.1.2. 1.1.3. 1.1.4. 1.2. 1.2.1. 1.2.2. 1.2.3. 1.3. Nomenclature. Chemical Names. Generic Names. Registry Number. Wiswesser Line Notation. Formulae. Emperical Formula. Molecular Weight. Structural Formula. Colour, Appearance and Odour.
2
3
- SYNTHESIS
TERFENADINE
629
- METHODS OF ANALYSIS
Starting Material and PharmaceuticalDosage Forms. 5.1. 5.1.l . ElementalAnalysis. 5.1.2. Non-Aqueous Titration. 5.1.3. Spectrophotometric Methods. 5.1.3.1.Ultraviolet Absorption. 5.1.3.2. First Derivative. 5.1.3.3.Colourimetric Spectroscopy. 5.1.4. Chromatographic Methods. 5.1.4.1.Thin Layer Chromatography. 5.1.4.2. High Pressure Liquid Chromatography. a - Synthesis Impurities. b - Bulk and Dosage Forms. 5.2. Body Tissues and Fluids. 5.2.1. Radioimmunoassay. 5.2.2. 14CAnalysis. 5.2.3. Gas Chromatography-Mass Spectrometry.
- STABILITY
6.1. 6.2.
Stability of Solid. Stability in Solution.
- PHARMACOKINETICS
7.1. 7.2. 7.3. 7.4. 7.5. 7.6. 7.7.
Absorption. Bioavailability. Distribution. Protein Binding. Metabolism. Excretion. Half Life.
630
1. DESCRIPTION
1-piperidinebutanol, alpha-[ 4- (1, 1-dimethyl ethyl)phenyl I -4(hydroxydiphenylmethyl)-. Alpha- [ &(l,l-dimethyl ethyl) phenyl ] 4- (hydroxy diphenyl methyl) 1-piperidine butanol. 1-(4(1, 1-dimethyl ethyl) phenyl 4- (4-hydroxydiphenyl) methyl piperidine) butan-1l o 1. 1(4-Tertbutyl phenyl) 4- 4- (a-hydroxybenzhydryl) piperidino butanol.
TERFENADINE
63 1
OH
1.3. Colour, Appearance and Odour. White, crystalline powder, odourless with very bitter taste.
2. SYNTHESIS
A mixture of a,a-diphenyl-4-piperidine methanol (I), 1- 4-(1,l -dimethyl ethyl) phenyl - 4-chloro- 1-butanone (II), potassium bicarbonateand potassium iodide in toluene was refluxed with stirring at room temperature. The warm reaction mixture was filtered and the cooled filtrate treated with excess ethereal hydrogen chloride. The resulting precipitate was recrystallizedtwice from a mixture of methanol/isopropanolto give 1- 44 1 , l -dimethyl ethyl) phenyl -4-4-(hydroxydiphenyI-methyl)-1-piperidinyl- 1-butanone hydrochloride (111). A solution of (Ill) in methanolwas treated with a solution of potassium hydroxide in methanol until it was basic. The resulting mixture was cooled, stirred and treated portionwise with potassium borohydride. The cooling bath was removedand the reaction was stirred and then concentratedon a steam bath at reduced pressure to give a solid residue. After washing with water and two recrystallizations from acetone, tetfenadine (IV) waspbtained (1).
TERFENADINE
633
It appears that terfenadine could exist in various polymorphic forms. At present three distinct polymorphic forms and two solvates were identified. These were obtained from recrystallization of terfenadine from different solvents. Polymorph I: obtained by recrystallization from ethanol-water mixture. Polymorph II was obtained by recrystallization from methanol. Polymorph II I (metastable) was obtained by recrystallization from propylene glycol.The differences in their physico-chemical properties are mentioned in the relevent subsequent sections. In commercial materials polymorph I and II coexist in different proportions. Polymorphic forms II and Illcould beconverted to polymorph I by boiling in water. The presence of crystallization inhibitors retarded such transformation. In addition, terfenadine glass form could be obtained by rapid cooling of the drug melt. Crystals obtained from commercial material were euhedral having bladed and circular shape crystals, while polymorph Ill has a thin flake type powder. In this monograph the measurements were carried out mainly on the most stable polymorph I as described in the following sections (2).
4. PHYSICO-CHEMICAL PROPERTIES
USP specifies that the melting range of terfenadine is between 145-151"C (3). However, terfenadine exhibits different polymorphic forms having the following melting ranges (2). Polymorph I (moststable) Polymorph II Polymorph Ill
149-152C. 146-148C. 142-144C.
In addition, terfenadine melt forms glass upon cooling yielding glass transitions at 55.93", 57.91 O, 59.88"C(4).
634
Thermograms of the terfenadine stable, metastable polymorphic and glass forms are shown in figure (1a and b). These thermograms were obtained using Mettler TA3000 DSCQO unit. The heating rate was 10C min- and the sample size ranged between 3-10 mg. The drug has one endothermic peak, showing no signs of decomposition at its melting point. The following table illustrates the difference in heat of fusion and peak temperature of the known polymorphic forms. Polymorph I Polymorph I 1 Polymorph Ill AH.J/G 102.0 100.5 82.4
t I
IU
TER FENADI NE
635
636
4.3. Solubility
The solubility of the most stable polymorphof terfenadinewas determined by shaking the excess of the drug in various solvents till equillibrium at 30C. Equillibriumsolubility is presented in table (I).
TABLE(1)
30C
Water Ethanol Methanol Hexane 0.1 M Hydrochloric Acid 0.1M Citric Acid 0.1 M Tartaric Acid
Terfenadine is highly hydrophobic, tends to adsorb on surfaces. Its solubility is slightly improved in mineral acids but increases appreciably in relatively high concentrationsof hydroxy acids (5). It was shown that solubility improved by the addition of even low concentrations of sodium chloride to hydrochloric acid-terfenadine solutions and monobasic sodium phosphate to phosphoric acid-terfenadine solution (6). The drug solution in ethanol and methanol is sticky and deposits terfenadine glass form when the solvent evaporates (5). Terfenadine citrate and tartarate has a distinct surface activity and their solubility is pronouncely higher than terfenadine. Different polymorphic and glass forms showed gradual transformationto the stable form in the presence of water. The dissolution rate was highest for the glass form followed by polymorph Ill and polymorph II, respectively. In addition, solubility increased appreciably by complexingwith cyclodextrinsand polyethyleneglycols.
TERFENADINE
637
4.4. DissociationConstant
The pKa of terfenadine is 10. This is an approximate value as reported earlier(7). However, pKa of terfenadine hydrochloride was determined by titration against 0.01 M potassium hydroxide, both dissolved in different concentrations of methanol-water mixtures. The apparent pKa was obtained by extrapolation technique(8) and was 6.56 at 22"C(9).
Terfenadine solution in methanol was screened between 220-350nm using Beckman DU7 spectrophotometer. It exhibited two maxima at 260nm and 225nm with a shoulder at 254nm, figure (2). The molar absorptivities for terfenadine in some selected commonly used solvents are shown in table (11).
TABLE(I1)
638
WAVELENGTH nm
TERFENADINE
639
100%
m z
W I-
c
W
80%
L
W
3
a
60%
40%
20%
0%
I
I
200
220
240
260
280
\
I
I
300
320
WAVELENGTH nm
Figure (3): The Fluorescence Excitation and Emission Spectrum of Terfenadine in Buffer solution pH 2.0.
640
Terfenadine infrared spectra presentingpolymorph 1,111 and theglass form prepared as a dispersion in KBr were obtained using Shimadzu IR-435 spectrophotometer, figure (4a,b and c). Spectral assignments for principal absorption bands of polymorph I are given in table ( 1 1 1 ) showing consistency with the proposed structure. I.R. spectra of polymorphic forms Iand Ill showed little differences. Neverthelesssome differences were observed in the regions 1400-1300 cm-', 1300-1150 cm-', these regions are responsible for C-H bending and C - 0 streching in these polymorphic forms. However, glass terfenadine showed a distinct difference in the region 3500-3200 cm-' where polymorph Ill displayed a band at 3500 cm-' and a shoulder at 3400 cm-'. Glass form showed broad bands at 3400 cm-l and 3300 cm-'. Such broadness may be due to intermolecular hydrogen bonding of OH group. Generally, the differences in terfenadine polymorphic forms are very negligible indicating the lack of intramolecularinteraction.
TABLE (111)
FunctionalGroup
0-H stretching vibration for two hydroxyl groups. C-H stretchingvibration for aromatic hydrogens. C H stretching vibration for the aliphatic hydrogens. C-H streching for tert-butylgroup, doublet. C-0 streching vibration for C-OH groups of 3" and 2" alcohols, respectively. C-H out of plane bending for aromatic C-H of para disubstituted benzene. C-H out of plane bending for aromatic C-H of mono substitutedbenzene.
'"1
90
E
01
4oM)
I
3OOo
2Ooo
l6W
1600
1400
1200
loo0
Boo
T MKI
WAVENUMBER
CM-
4Mk)
3Ooo
2ooo
1800
1600
1400
1206
loo0
600
WAVENUMBER
CM-
644
4.5.4.
Mass spectra
4.5.4.1. Electron impact (El): The electron impact mass spectrum of terfenadine is shown in figure (5). The spectrum was obtained by direct solid insertionprobe at electron energy of 70 eV using HitachiPerkin Elmer RMU-GH mass spectrometer. The spectrum shows a molecular ion peak M+ at a mass/ charge (m/z) ratio of 471 and a base peak at 280 corresponding to the =-cleavage at the nitrogen atom. Other fragments including diphenylhydroxymethyl ion and tert-butyl radical were displayed as well (at m/z = 183,57). The pertinentfragments, their relativeintensitiesand proposed structure are presented in table (IV).The mass spectra of the dehydration product of terfenadine was previously reported showing ion peak at m/z 453 (M+, 280 and 183) (10).
M/z
47 1 453
Relative Intensity%
55.6
Fragment Ion
MI +
M - 181'
4.3
280
100
183
13
105
13
57
18
t5
.
-v) 0
r v) .
I
0
646
4.5.4.2. Chemical ionization (CI): The spectrum was recorded on Varian MAT-44 spectrometer, figure (6). The spectrum shows a prominant pseudo molecular ion at m/z ratio of 472 and an ion peak at 454 corresponding to the dehydratedfragment. 4.5.5. Nuclear magnetic resonance 4.5.5.1. Proton magnetic resonance: The NMR spectrum was obtained on a Bruker WP 80 SY instrument of a solution of terfenadine in deuterated chloroform. The spectrum is presented in figure (7). The assignment of the protons and their multiplicity pattern is listed in table (V). Difficulty was encountered in assigning the protons of the hydroxyl groups. One of the protons was masked by the multiplet corresponding to the aliphatic protons absorbing at 2.0-2.4 ppm. This assumption was supported by a deuterium exchange experiment. However, the exchange did not reveal the possible absorption assignment for the second hydroxyl proton. Using dimethylsulfoxideas a solvent alone or with D20,was not indicativedue to the change in the absorption spectrum which could be explained by the hydrogen bonding properties of the solvent. Therefore, it could be assumed that the second hydroxylproton absorbs in the same range as the multiplets of aliphatic protons extending from 1.9-2.4 ppm.
Chemclal Shift H PPm 7.4 7.5 7.19 7.26 4.5 4.59 2.8-3.1 2.0 2.4 1.5-1.9
Assignment
14cd0ub'eb
Disubstituted aromatic rings protons. Monosubstituted aromatic rings protons Ci H
472
183
20
( I
266
313 100
150
338
200
..
376
a .
250
300
350
I
400
M/Z
450
528
500
550
10 0
I 75
I
50
I 2.5
'
I
00
PROTON SHIFT
mENADINE
649
4.5.5.2. Carbon - 13: Carbon-13 NMR spectra were recorded on Varian FT-80A spectrometer. The assignment, listed in table (VI) was further confirmed by carrying out an inverse polarization transfer study. The recorded spectra are shown in figure (88).
I
75
I 50 PROTON SHIFT
I
25
00
650
TABLE (VI)
24.17 25.93 31.60 34.50 39.75 44.26 53.45 54.80 58.90 73.41 79.33 125.01 125.59 125.96 126.35 128.16 142.81 146.49, 146.62 149.39
c;Cd Cd
c4 c 4
,c ; cg
C1 C C C C$, Cg)r
The x-ray powder diffractionsof I and 111 polymorphic forms of terfenadine were determined by Philips PW 1050-81 Goniometer with a PW 1729 Generator, It was equipped with nickle filtered copper radiation with = 1.541 nm. The interplanner distance and relative intensity of the major peaks for the stable and metastable forms of terfenadine are listed in tables (VII and VIII). Figure (9a,b) presents x-ray powder diffraction pattern for polymorph I and Ill.
50
4 5 4 0
35
30
25
20
15
I 10
A4
I
TERFENADINE
653
TABLE (W)
06.4 07.3 12.5 12.1 15.6 16.6 17.5 18.5 19.8 22.3 24.3 25.0 26.3 27.9 28.5 30.5
09.87 09.87 55.5 20.9 05.55 22.2 10.49 02.83 06.17 03.7
d =n/2SinO
tt
TABLE(VII1)
**flmax (%)
46.38 10.24 93.37 06.62 05.42 100 12.04 18.67 14.45 04.21 03.61 03.61 03.01
07.0 11.3 13.6 15.3 17.2 18.0 20.3 21.4 22.7 23.5 27.4 28.0 29.8 d=n/2Sine. Based on the highest intensity of 1.WO
**
654
5. METHODS OF ANALYSIS
5.1. Stattlng Materialand PharmaceuticalDosage Forms 5.1.1. Elementalanalysis Calculatedfor C32H4,N02 C 81.45 H 8.76 N 2.97 5.1.2. Non-aqueous titration
Terfenadinewas dissolved in glacial acetic acid and titrated against 0.1 M perchloric acid. Each ml of 0.1 M perchloric acid is equivalent to 47.169 mg of the drug. As anticipated this method suffers from excipients interferences hamperingits use in dosage forms (3 and 11).
Found 81.48
8.77 2.96
5.1.3. Spectrophotometrlcmethods
5.1.3.1. Ultraviolet absorption: Terfenadine was dissolved in a mixtureof methanol, acetic acid and water in the following proportions (50:6:44), respectively. The absorbance was read at two maxima 260nm and 238 nm. This method could be applied to concentrations ranging, 0.1 -0.6 mg.mL-. However, the extensioncoefficient is low and the interferencefrom additives is clearly observed(l1). 5.1.3.2. First derivative: A method for terfenadine determination, by first derivative peak height amplitude measurements, at two different wavelengths is possible, (Figure 10). The accuracy and precision of the method is demonstrated with 99.3% recovery and less than 1% standard deviation for solutions concentration ranging 0.1 -1.O mg. mL- in methanol at 271.5 nm. Beers Lamberts law was obeyed for dissolutiontesting of lower concentrations ranging 0.005 mg to 0.006 mg. mL-l at 224.2nm in 0.1 M HCI. The described method have shown to eliminate the background distortion due to excipients. This method could be appliedto tablets, suspensionand capsules(12).
+0.120
O.OO0
-0.120
656
-A
bluish green colour resulted from the reaction between terfenadine and 7,7, 8,8-tetracyanoquinodimethane. The absorption was measured at 845 nm. Beers law is obeyed over the terfenadine concentration range 0.002-0.01 2 mg. mL1.This method is applicable to tablets(l3).
Terfenadine iodine charge transfere complex was formed and the absorption was measured at 290nm. This method could be applied to tablets having concentrations2-12j~g.mL-( 13).
Synthesis Impurities: The method for synthetic impurities is an official test described in the current USP (3). Bulk and Dosage Forms: Various HPLC systems were reported for terfenadine analysis in bulk and dosage forms. A brief description for these applied systems is given: Reverse phase column (C18)with a mobile phase consisting of a mixture of 0.1 triethylammonium acetate buffer having pH5, acetonitrile and methanol at ratios of 6.25: 6.25: 87.5
TERFENADINE
65 7
respectively. The injection loop used was 10 pL. The internal standard was ephedrine hydrochloride with retention time 3.4 min., flow rate was 2 mL.min-. The terfenadine retention time was 4.2 min. and detection was carried out at 254 nm and could be obtained in a limit of 0.1-0.8 mg.mL-l(l4). 2
Ion pair HPLC assay using ODS column (5 um) with a mobile phase consisting of 0.01 M n-hexane sulphonate in acetonitrile (80 parts) water (20 parts) containing 0.1 % glacial acetic acid. The maximum limit of injection was 170uL and the flow rate was 1mL.min-withquinineas interna1standard.The retention times of quinine and terfenadinewere at 4.7and 6.7 min,respectively.The detection was carried out at 218 nm (0.64 AUFS). Terfenadine-quininepeak area ratio was linear over 68-544 ng of terfenadine injected(l5). Reverse phase column spherisorb ODs-2 (3-urn)was used with a mobile phase of 60/40 v/v acetonitrilelwater made with 0.012M in sodium phosphate buffer (ca pH 2.3) and 0.021M in sodium perchlorate. Injection volume of 20 p L was used. The flow rate was 1.5 mL.min-. The detection was carried out at 210 nm at 0.23 AUFS. Retention time for terfenadine was 4.5 min. This stability indicating method was used to assay the drug (0.3-3.0mg.mL-) in the presence of ibuprofen and pseudoephedrinehydrochloridein aqueous solutions containing tween 80 and methyl cellulose(l6). Reverse phase column (C18)Bonda Pack with a mobile phase consisting of 0.25M sodium acetate buffer (pH5) added to acetonitrile (1:1 v/v). The injection loop was 2 0 ~ and L the flow rate was 1 mL.rnin-. the detectionwas carried out at 225 nm. The internal standard was thiothxane having retentiontime 9.8 min., while the retentiontime of terfenadinewas 14.5 min. This method achieved measurement between 10-80ug.rnL-(l7). C-8 column, (6 urn), (15 cm x 4.6 mm as internal diameter) was used. Mobile phase consisted of acetonitrile-0.1M triethylammonium phosphate buffer (pH7) mixed in 70:30 v/v ratios. The loop used was 100lL. The flow rate was 1SmL.rnin- and the measurement was monitored at 260 nm and by flouresence detector (EX260 nm and EM289 nm). The retention time was 4.8 min. This method could differentiate various degraded products from the parent compound. The method showed linear UV (260nm) response between 6 and 60,ug injected (10).
- Zorbax
658
5.2.2. 14Canalysis
Analysis of 14Cconcentrations in all biological samples from the material balance study was by combustion (faeces were homogenized with 9 volumes of water) of dried residues in a Packard Model 3068 sample Oxidizer followed by liquid scintillation counting in a Packard Tri Carb Scintillation Counter (Model 3320). Quench correction was by automatic external standard channel ratio method(l8).
TERFENADINE
659
6. STABILITY
7. PHARMACOKINETICS
Australian National Drug Information Service compiled a short but thorough profile on terfenadine pharmacology and therapeutics. The following part concerning pharmacokineticswas extracted as producedfrom that profile which has a useful reference list(7).
7.1. Absorption
Terfenadine is completely and rapidly absorbed from the gastrointestinal tract and undergoes extensive biotransformation (over 99%) probably by first-pass metabolism in the liver. Mean peak plasma concentration after administration of a 60 mg tablet was 0.84 k 0.43 (range 0.26-1.92) nanograms.mL-' , (measuredby radioimmunoassay (RIA)) which was reached in 1.74 k 1.47 (range 0.5-12) hours. A linear correlation was noted between dosage and peak plasma concentration after single doses of 60 and 180 mg terfenadine suspension. Mean peak plasma concentrations for these doses were 1.544 f 0.726 and 4.51 9 k 2.002 nanograms.mL-', respectively, and
660
were achieved in approximately 1 hour. However, Area Under the Curve (AUC) calculations indicated non linear kinetics with an almost four-fold increase in peak plasma concentrationfor the three-fold increase in dose.
7.2. Bioavaiiabiiity
Tablet and suspension formulations were found to be bioequivalent. The AUC for 0-48 hours values were not significantlydifferent. For exampleAUC for 60 mg suspension was 11.4 hour nanograms.mL-' and for 60 mg tablet 10.3 hours nanograms.mL-'. The 180 mg tablet AUC was 39.2 hours nanograms.mL " while the 180 mg suspension AUC was 43.2 hours nanograms.mL-'. Peak plasma levels (PPL), were higher for the suspension than for the correspondingtablet doses, for 60 mg dose the PPL for tablets and suspension were 0.84 and 1.44 nanograms.mL', respectively. When 180 mg doses were given the PPL for tablets and suspension were 2.58 and 4.46 nanograms.mL-', respectively. These data indicate that the drug is more rapidly absorbed from the suspension but the total quantity of drug absorbed from the two formulations is similar.
7.3. Distribution
Animal studies indicate that labelled terfenadine is distributed widely with highest concentrations occurring in liver and gastrointestinal tract supporting the assertion that biliary mechanisms play a major role in the metabolic disposition of terfenadine. Levels of terfenadine in rat brain were low after IV dosing of 10md kg and not detectable after a similar oral dose. There is no information available on the distribution of terfenadine in humans.
TERFENADINE
66 1
7.5. Metabolism Comparisons of plasma concentration data derived from RIA and C-14 labelled studies indicate that the degree of terfenadine biotransformation in humans is over 99% and that first pass metabolismmay play a major role in the disposition of terfenadine. Three metabolites have been identified in man: the carboxylic acid analogue of terfenadine (metabolite I), and its corresponding ester and the piperidine carbinol derivative (metabolite 11). The latter metabolite is a synthetic precursor of terfenadine and has no significant antihistamine activity. The other metabolites do display antihistamine activity in the isolated guinea pig ileum. Although relative antihistaminepotency was not investigated thoroughly, the carboxylic acid derivative (metabolite I) is probably about 30% as potent as terfenadine. Terfenadine undergoes oxidation of one of the methyl groups of the t-butyl substituent to produce metabolite I which is probably formed from the oxidation of an intermediate alcohol. This metabolite is found in both urine and faeces. Metabolite II is found primarily in urine and presumably arises from oxidative dealkylation of the substituted butanol side chain attached to the piperidine nitrogen atom.
7.6. Excretion
Terfenadine is excreted mainly in the faeces and to a lesser extent in the urine as metabolites. Approximately 40% of a radioactive labelled dose of terfenadine appeared in the urine in 5 days whilst 60% was recovered in the faeces in 12 days. Metabolites I and II accounted for 38 and 33% of the urinary radioactivity respectively, whereas (metabolite I) accounted for 49% of the faecal radioactivity.
7.7. Half-Life
The distribution half-life of terfenadine is 3.4 hours and the elimination half-life is 20.3hours.
662
REFERENCES
(1) A.A. Carr and D.R. Meyer; Arzneim-Forsch/ Drug Research 32 (11) 9a 1157 (1982). (2) A.A. Badwan, T.A. Arafat, M.Saleh, A. Abu-Malooh, M. Sheikh Salemand Hanan N. Al-Kaysi. Preparation, Characterizationand Transformationof Terfenadine Polymorphic Forms, to be Published. (3) Terfenadine Monograph, USP XXll Supp. 1 page 2173 (1990). (4) M. Sheikh Salem, M.A. Hassan, H.N. Al-Kaysi, T.A. Arafat, A. Abu-Malooh and A.A. Badwan. 5th International Conference of PharmaceuticalTechnology, Paris Vol. 2 page 359 (1989). (5) A.A. Badwan; Unpublished Data. The Jordanian Pharmaceutical ManufacturingCo. (6) W.H. Streng, S.K. Hsi, P.E. Helms, H.G.H. Tan, J. Pharm.Sci. 73 (12) 1679 (1984). (7) Australian National Drug Information Service. The Australian Journal of Pharmacy 67 Dec. 1077 (1986). (8) D.W. Newton, W.J. Murray, and M.W. Lovell, J. Pharm. Sci. 71 (12) 1363 (1982). (9) M. Omari; Unpublished Data. The Jordanian Pharmaceutical ManufacturingCo. (10) T. Man Chen, A.D. Silland and C.L. Housnyer; J. Pharm. Biomed. Analysis 4 (4) 533 (1986) (11) A.A. Badwan, A. Abu-Malooh, L. Owais, M. Sheikh Salem and H.N. Al-Kaysi; <<Terfenadine Determination Using Different Analytical Methods. to be Published. (12) Lina Owais; *<Determination of Terfenadine by First Derivative Spectrophotometryw to be Published. (13) M.E. Abdel Hamid and M.A. Abuirjeie; Talanta 35 (3)242 (1988). (14) H.N. Al-Kaysi, M. Sheikh Salem and A.A. Badwan; J. Pharm. Biomed. Analysis 5 (7) 729 (1987), (15) I.Tan and Q. Xie, Pharm. Research 6 (9) 5(1989). (16) R.C. George and J.J. Contario. J. Liquid Chrom. 11(2) 475 (1988). (17) S.K. Gupta, R.P. Gwilt, J.K. Lim and D.H. Waters: J. Chromatography 36 403 (1986). (18) D.A. Garteiz, R.H. Hook, B.J. Walker and R.A. Okerholm Arzneim Forsch/ Drug Research 32 (11) 9a 1185 (1982). (19) A.A. Badwan and A. Abu-Malooh Unpublished Data, The Jordanian PharmaceuticalManufacturingCo.
CUMULATIVE INDEX
Acebutolol, 19, 1 Acetaminophen, 3, 1; 14,551 Acetohexamide, 1, 1; 2,573 Allopurinol, 7, 1 Alpha-tocopheryl acetate, 3, 111 Amantadine, 12, 1 Amikacin sulfate, 12, 37 Amiloride hydrochloride, 15, 1 Aminoglutethimide, 15, 35 Aminophylline, 11, 1 Aminosalicylic acid, 10, 1 Amitriptyline hydrochloride, 3, 127 Amobarbital, 19, 27 Amoxicillin, 7, 19 Amphotericin B, 6, 1; 7, 502 Ampicillin, 2, 1; 4, 518 Ascorbic acid, 11.45 Aspirin, 8, 1 Atenolol, 13, 1 Atropine, 14, 32 Azathioprine, 10, 29 Azintamide, 18, 1 Aztreonam, 17, 1 Bacitracin, 9, 1 Baclofen, 14, 527 Bendroflumethiazide, 5, I ; 6, 597 Benperidol, 14,245 Benzocaine, 12.73 Benzyl benzoate, 10,55 Betamethasone dipropionate, 6, 43 Bretylium tosylate, 9.7 1 Bromazepam, 16, 1 Bromocriptine methanesulfonate, 8,47 Bupivacaine, 19, 59 Busulphan, 16.53 Caffeine, 15.71 Calcitriol, 8, 83 Camphor, 13,27
Captopril, 11,79 Carbamazepine, 9, 87 Cefaclor, 9, 107 Cefamandole nafate, 9, 125; 10,729 Cefazolin, 4, 1 Cefotaxime, 11, 139 Cefoxitin, sodium, 11, 169 Ceftazidime, 19.95 Cephalexin, 4.21 Cephalothin sodium, 1, 319 Cephradine, 5, 21 Chloral hydrate, 2,85 Chlorambucil, 16, 85 Chloramphenicol, 4,47, 518; 15, 701 Chlordiazepoxide, 1, 15 Chlordiazepoxide hydrochloride, 1,39; 4,518 Chloroquine, 13, 95 Chloroquine phosphate, 5, 61 Chlorothiazide, 18, 33 Chloropheniramine maleate, 7,43 Chlorprothixene, 2,63 Chlortetracycline hydrochloride, 8, 10 I Chlorthalidone, 14, 1 Chlorzoxazone, 16, 119 Cholecalciferol, see Vitamin D, Cimetidine, 13, 127; 17, 797 Cisplatin, 14,77; 15,796 Clidinium bromide, 2, 145 Clindamycin hydrochloride, 10, 75 Clioquinol, 18, 57 Clofazamine, 18.91 Clofibrate, 1 1 , 197 Clonazepam, 6,61 Clorazepate dipotassium, 4.91 Clotrimazole, 11, 225 Cloxacillin sodium, 4, 113 Cocaine hydrochloride, 15, 151 Codeine phosphate, 10,93
663
Colchicine, 10, 139 Cyanocobalamin, 10, 183 Cyclizine, 6.83; 7, 502 Cyclobenzaprine hydrochloride, 17,41 Cycloserine, 1,53; 18,567 Cyclosporine, 16, 145 Cyclothiazide, 1.66 Cypropheptadine, 9, 155 Dapsone, 5.87 Dexamethasone, 2, 163; 4,519 Diatrizoic acid, 4, 137; 5 , 556 Diazepam, 1,79; 4 , 5 18 Dibenzepin hydrochloride, 9, 181 Dibucaine and dibucaine hydrochloride, 12, 105 Diclofenac sodium, 19, 123 Diethylstilbestrol, 19, 145 Diflunisal, 14,491 Digitoxin, 3. 149 Digoxin, 9,207 Dihydroergotoxine methanesulfonate, 7, 8 1 Dioctyl sodium sulfosuccinate, 2, 199; 12, 713 Diperodon, 6.99 Diphenhydramine hydrochloride, 3, 173 Diphenoxylate hydrochloride, 7, 149 Disopyramide phosphate, 13, 183 Disulfiram, 4, 168 Dobutamine hydrochloride, 8, 139 Dopamine hydrochloride, 11, 257 Doxorubicine, 9, 245 Droperidol, 7,171 Echothiophate iodide, 3, 233 Emetine hydrochloride, 10,289 Enalapril maleate, 16, 207 Ephedrine hydrochloride, 15,233 Epinephrine, 7, 193 Ergonovine maleate, 11, 273 Ergotamine tartrate, 6, 113 Erythromycin, 8, 159 Erythromycinestolate, 1, 101; 2,573 Estradiol, 15, 283 Estradiol valerate, 4, 192 Estrone, 12, 135 Ethambutol hydrochloride, 7.23 1 Ethynodiol diacetate, 3, 253 Etomidate, 12, 191 Etoposide, 18, 121 Fenoprofen calcium, 6, 161 Flucytosine, 5, 115 Fludrocortisone acetate, 3 , 281 Flufenamic acid, 11, 313 Fluorouracil, 2,221; 18, 599 Fluoxetine, 19, 193
Fluoxymesterone, 7, 25 1 Fluphenazine decanote, 9,275; 10,730 Fluphenazine enanthate, 2, 245; 4,524 Fluphenazine hydrochloride, 2,263; 4,519 Flurazepam hydrochloride, 3, 307 Folic acid, 19,221 Furosemide, 18, 153 Gentamicin sulfate, 9, 295; 10,731 Glibenclamide, 10, 337 Gluthethimide, 5 , 139 Gramicidin, 8, 179 Griseofulvin, 8, 219; 9, 583 Guanabenz acetate, 15,319 Halcinonide, 8, 25 1 Haloperidol, 9, 341 Halothane, 1, 119: 2,573; 14,597 Heparin sodium, 12,215 Heroin, 10,357 Hexestrol, 11,347 Hexetidine, 7,277 Homatropine hydrobromide, 16, 245 Hydralazine hydrochloride, 8,283 Hydrochlorothiazide, 10,405 Hydrocortisone, 12,277 Hydroflumethiazide, 7,297 Hydroxyprogesterone caproate, 4,209 Hydroxyzine dihydrochloride, 7 , 3 19 Impenem, 17,73 Imipramine hydrochloride, 14, 37 Indomethacin, 13, 21 1 Iodamide, 15,337 Iodipamide, 2, 333 Iopamidol, 17, 115 Iopanoic acid, 14, 181 Isocarboxazid, 2, 295 Isoniazide, 6, 183 Isopropamide, 2,315; 12, 721 Isoproterenol, 14, 391 Isosorbide dinitrate, 4, 225; 5,556 Ivermectin, 17, 155 Kanamycin sulfate, 6, 259 Ketamine, 6,297 Ketoprofen, 10,443 Ketotifen, 13, 239 Khellin, 9, 371 Leucovorin calcium, 8,315 Levallorphan tartrate, 2, 339 Levarterenol bitartrate, 1,49; 2,573; 11,555 Levodopa, 5 , 189 Levothyroxine sodium, 5 , 225 Lidocaine base and hydrochloride, 14,207; 15, 76 1 Lithium carbonate, 15, 367
664
Lobeline hydrochloride, 19,261 Lomustine, 1 9 , 3 15 Loperamide hydrochloride, 19,341 Lorazepam, 9,397 Maprotiline hydrochloride, 15,393 Mebendazole, 16,291 Mefloquine hydrochloride, 14, 157 Melphalan, 13,265 Meperidine hydrochloride, 1, 175 Meprobamate, 1, 209; 4,520; 11,587 6-Mercaptopurine, 7, 343 Mestranol, 11, 375 Methadone hydrochloride, 3,365: 4,520: 9,
601
Methaqualone, 4,245,520 Methimazole, 8, 35 1 Methotrexate, 5, 283 Methoxsalen, 9,427 Methyclothiazide, 5, 307 Methylphenidate hydrochloride, 10,473 Methyprylon, 2,363 Metipranolol, 19,367 Metoclopramide hydrochloride, 16, 327 Metoprolol tartrate, 12,325 Metronidazole, 5,327 Minocycline, 6, 323 Minoxidil, 17, 185 Mitomycin C, 16, 361 Mitoxantrone hydrochloride, 17.22 1 Morphine, 17, 259 Moxalactam disodium, 13,305 Nabilone, 10,499 Nadolol, 9,455; 10,732 Nalidixic acid, 8, 371 Naloxone hydrochloride, 14,453 Nalorphine hydrobromide, 18, 195 Natamycin, 10, 5 I3 Neomycin, 8, 399 Neostigmine, 16,403 Nifedipine, 18,221 Nitrazepam, 9,487 Nitrofurantoin, 5 , 345 Nitroglycerin, 9, 519 Nizatidine, 19, 397 Norethindrone, 4, 268 Norgestrel, 4, 294 Nortriptyline hydrochloride, 1,233; 2,573 Noscapine, 11,407 Nystatin, 6, 341 Oxazepam, 3,441 Oxyphenbutazone, 13,333 Oxytocin, 10, 563 Papaverine hydrochloride, 17, 367
Penicillamine, 10,601 Penicillin-G, benzothine, 11,463 Penicillin-G, potassium, 15, 427 Penicillin-V. 1, 249; 17, 677 Pentazocine, 13, 361 Phenazopyridine hydrochloride, 3,465 Phenelzine sulfate, 2, 383 Phenformin hydrochloride, 4, 319; 5,429 Phenobarbital, 7, 359 Phenoxymethyl penicillin potassium, 1 , 249 Phenylbutazone, 11,483 Phenylephrine hydrochloride, 3 ,4 8 3 Phenylpropanolamine hydrochloride, 12, 357; 13,771 Phenytoin, 13,417 Physostigmine salicylate, 18, 289 Phytonadione, 17,449 Pilocarpine, 12,385 Piperazine estrone sulfate, 5, 375 Pirenzepine dihydrochloride, 16,445 Piroxicam, 15, 509 Pralidoxine chloride, 17,533 Prazosin hydrochloride, 18, 361 Primidone, 2,409; 17,749 Probenecid, 10,639 Procainamide hydrochloride, 4,333 Procarbazine hydrochloride, 5,403 Promethazine hydrochloride, 5 , 429 Proparacaine hydrochloride, 6,423 Propiomazine hydrochloride, 2,439 Propoxyphene hydrochloride, 1,301: 4,520; 6, 598 Propylthiouracil, 6,457 Pseudoephedrine hydrochloride, 8,489 Pyrazinamide, 12,433 Pyridoxine hydrochloride, 13,447 Pyrimethamine, 12,463 Quinidine sulfate, 12, 483 Quinine hydrochloride, 12, 547 Ranitidine, 15, 533 Reserpine, 4,384: 5,557: 13,737 Riboflavin, 19, 429 Rifampin , 5,467 Rutin, 12, 623 Saccharin, 13,487 Salbutamol, 10,665 Salicylamide, 13, 521 Scopolamine hydrobromide, 19,477 Secobarbital sodium, 1, 343 Silver sulfadiazine, 13, 553 Sodium nitroprusside, 6,487; 15,781 Spironolactone, 4, 431; 18, 641 Streptomycin, 16, 507 665
Strychnine, 15, 563 Succinycholine chloride, 10,691 Sulfadiazine, 11,523 Sulfadoxine, 17.57 1 Sulfamethazine,7,401 Sulfamethoxazole,2,467; 4,521 Sulfasalazine, 5, 5 15 Sulfisoxazole, 2,487 Sulfoxone sodium, 19,553 Sulindac, 13,573 Sulphamerazine,6,515 Sulpiride, 17,607 Teniposide, 19,575 Terbutaline sulfate, 19,601 Terfenadine, 19,627 Terpin hydrate, 14,273 Testolactone, 5,533 Testosterone enanthate, 4,452 Tetracaine hydrochloride, 18,379 Tetracycline hydrochloride, 13,597 Theophylline, 4,466 Thiabendazole, 16,611 Thiamine hydrochloride, 18,413 Thioridazine and Thioridazine hydrochloride, 18,459 Thiostrepton, 7,423 Thiothixene, 18,527 Timolol maleate, 16,641 Tolbutamide, 3,513; 5,557; 13,719 Trazodone hydrochloride, 16,693
Triamcinolone, 1,367; 2,571; 4,521, 524; 11, 593 Triamcinoloneacetonide, 1,397,416; 2, 571; 4,521; 7,501; 11,615 Triamcinolone diacetate, 1,423; 11.65 1 Triamcinolone hexacetonide, 6,579 Triclobisonium chloride, 2,507 Trifluoperazine hydrochloride, 9,543 Triflupromazine hydrochloride, 2,523; 4,521; 5,557 Trimethaphan camsylate, 3,545 Trimethobenzamidehydrochloride, 2,55 1 Trimethoprim, 7,445 Trimipramine maleate, 12,683 Trioxsalen, 10,705 Tripelennamine hydrochloride, 14, 107 Triprolidine hydrochloride, 8,509 Tropicamide, 3,565 Tubocurarine chloride, 7,477 Tybamate, 4,494 Valproate sodium and valproic acid, 8,529 Verapamil, 17,643 Vidarabine, 15,647 Vinblastine sulfate, 1,443 Vincristine sulfate, 1,463 Vitamin D,, 13,655 Warfarin, 14,243 Xylometazoline hydrochloride, 14, 135 Yohimbine, 16, 731 Zomepirac sodium, 15,673
666