Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical Formulations

Stability studies performed by the pharmaceutical industry are principally designed to fulfill licensing requirements. Thus, post-dilution or post-reconstitution stability data are frequently limited to 24 h only for bacteriological reasons, regardless of the true physicochemical stability which cou...

Full description

Bibliographic Details
Main Authors: Antonella Iudicello, Filippo Genovese, Valentina Strusi, Massimo Dominici, Barbara Ruozi
Format: Article
Language:English
Published: MDPI AG 2021-09-01
Series:Pharmaceuticals
Subjects:
Online Access:https://www.mdpi.com/1424-8247/14/9/943
_version_ 1797517649548148736
author Antonella Iudicello
Filippo Genovese
Valentina Strusi
Massimo Dominici
Barbara Ruozi
author_facet Antonella Iudicello
Filippo Genovese
Valentina Strusi
Massimo Dominici
Barbara Ruozi
author_sort Antonella Iudicello
collection DOAJ
description Stability studies performed by the pharmaceutical industry are principally designed to fulfill licensing requirements. Thus, post-dilution or post-reconstitution stability data are frequently limited to 24 h only for bacteriological reasons, regardless of the true physicochemical stability which could, in many cases, be longer. In practice, the pharmacy-based centralized preparation may require preparation in advance for administration, for example, on weekends, holidays, or in general when pharmacies may be closed. We report an innovative strategy for storing resuspended solutions of azacitidine, a well-known chemotherapic agent, for which the manufacturer lists maximum stability of 22 h. By placing the syringe with the azacitidine reconstituted suspension between two refrigerant gel packs and storing it at 4 °C, we found that the concentration of azacitidine remained above 98% of the initial concentration for 48 h, and no change in color nor the physicochemical properties of the suspension were observed throughout the study period. The physicochemical and microbiological properties were evaluated by HPLC–UV and UHPLC-HRMS analysis, FTIR spectroscopy, pH determination, visual and subvisual examination, and sterility assay. The HPLC-UV method used for evaluating the chemical stability of azacitidine was validated according to ICH. Precise control of storage temperature was obtained by a digital data logger. Our study indicates that by changing the storage procedure of azacitidine reconstituted suspension, the usage window of the drug can be significantly extended to a time frame that better copes with its use in the clinical environment.
first_indexed 2024-03-10T07:19:29Z
format Article
id doaj.art-a5feb349e3704fdf9e8f2a0b86ae5782
institution Directory Open Access Journal
issn 1424-8247
language English
last_indexed 2024-03-10T07:19:29Z
publishDate 2021-09-01
publisher MDPI AG
record_format Article
series Pharmaceuticals
spelling doaj.art-a5feb349e3704fdf9e8f2a0b86ae57822023-11-22T14:45:51ZengMDPI AGPharmaceuticals1424-82472021-09-0114994310.3390/ph14090943Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical FormulationsAntonella Iudicello0Filippo Genovese1Valentina Strusi2Massimo Dominici3Barbara Ruozi4Pharmaceutical Department, Azienda USL of Modena, Largo del Pozzo 71, 41121 Modena, ItalyCentro Interdipartimentale Grandi Strumenti, University of Modena and Reggio Emilia, Via Campi 213/A, 41125 Modena, ItalyScientific and Technological Park of Medicine “Mario Veronesi”, Via 29 Maggio 6, 41037 Mirandola, ItalyScientific and Technological Park of Medicine “Mario Veronesi”, Via 29 Maggio 6, 41037 Mirandola, ItalyDepartment of Life Sciences, University of Modena and Reggio Emilia, Via Campi 213/A, 41125 Modena, ItalyStability studies performed by the pharmaceutical industry are principally designed to fulfill licensing requirements. Thus, post-dilution or post-reconstitution stability data are frequently limited to 24 h only for bacteriological reasons, regardless of the true physicochemical stability which could, in many cases, be longer. In practice, the pharmacy-based centralized preparation may require preparation in advance for administration, for example, on weekends, holidays, or in general when pharmacies may be closed. We report an innovative strategy for storing resuspended solutions of azacitidine, a well-known chemotherapic agent, for which the manufacturer lists maximum stability of 22 h. By placing the syringe with the azacitidine reconstituted suspension between two refrigerant gel packs and storing it at 4 °C, we found that the concentration of azacitidine remained above 98% of the initial concentration for 48 h, and no change in color nor the physicochemical properties of the suspension were observed throughout the study period. The physicochemical and microbiological properties were evaluated by HPLC–UV and UHPLC-HRMS analysis, FTIR spectroscopy, pH determination, visual and subvisual examination, and sterility assay. The HPLC-UV method used for evaluating the chemical stability of azacitidine was validated according to ICH. Precise control of storage temperature was obtained by a digital data logger. Our study indicates that by changing the storage procedure of azacitidine reconstituted suspension, the usage window of the drug can be significantly extended to a time frame that better copes with its use in the clinical environment.https://www.mdpi.com/1424-8247/14/9/943anticancer drugsazacitidinedrug degradationlimits of usepractical stabilityin-use stability
spellingShingle Antonella Iudicello
Filippo Genovese
Valentina Strusi
Massimo Dominici
Barbara Ruozi
Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical Formulations
Pharmaceuticals
anticancer drugs
azacitidine
drug degradation
limits of use
practical stability
in-use stability
title Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical Formulations
title_full Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical Formulations
title_fullStr Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical Formulations
title_full_unstemmed Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical Formulations
title_short Development and Validation of a New Storage Procedure to Extend the In-Use Stability of Azacitidine in Pharmaceutical Formulations
title_sort development and validation of a new storage procedure to extend the in use stability of azacitidine in pharmaceutical formulations
topic anticancer drugs
azacitidine
drug degradation
limits of use
practical stability
in-use stability
url https://www.mdpi.com/1424-8247/14/9/943
work_keys_str_mv AT antonellaiudicello developmentandvalidationofanewstorageproceduretoextendtheinusestabilityofazacitidineinpharmaceuticalformulations
AT filippogenovese developmentandvalidationofanewstorageproceduretoextendtheinusestabilityofazacitidineinpharmaceuticalformulations
AT valentinastrusi developmentandvalidationofanewstorageproceduretoextendtheinusestabilityofazacitidineinpharmaceuticalformulations
AT massimodominici developmentandvalidationofanewstorageproceduretoextendtheinusestabilityofazacitidineinpharmaceuticalformulations
AT barbararuozi developmentandvalidationofanewstorageproceduretoextendtheinusestabilityofazacitidineinpharmaceuticalformulations