Page 86 - GTM-2-3
P. 86

Global Translational Medicine                                           HPLC-UV lacosamide quantification



              For both precision analyses, a CV% of < 15% was used   2.8. Lacosamide quantification in patients
            as the acceptance criterion.                       Lacosamide quantification, utilizing the previously
            2.7.4. Accuracy                                    validated HPLC technique as described, was carried out on
                                                               samples collected from five patients prescribed lacosamide
            Accuracy was evaluated by calculating the percentage   for the treatment of epilepsy. Blood samples were collected
            of recovery. Triplicate samples of lacosamide in plasma   during steady-state conditions while undergoing treatment.
            were prepared at three different concentrations: 5 µg/ml,   The first sample was collected before drug intake (trough
            10  µg/ml, and 15  µg/ml. These samples were processed   level), and the second sample was collected 2 h after dosing
            according to the described technique and injected in   (peak level). Informed consent was obtained from all
            triplicate into the chromatograph.                 patients as part of routine clinical care.
              The percentage of recovery was determined as the ratio
            between the measured concentration value and the theoretical   3. Results
            concentration value. To analyze the results, a Student’s t-test   3.1. Optimization
            with a significance level of  P  = 0.05 was employed. Data   The following stationary phases were evaluated: a
            variability was investigated using the CV% and Cochran’s   150 × 4.6 mm, 2.6 µm Kinetex-Phenomenex C8 column,
            G test. The latter was used to determine whether the   a 250 × 4.6  mm, 5  µm Thermo C8 column, and a
            concentration level had any influence on the results.
                                                               150 × 4.6 mm, 2.6 µm Kinetex-Phenomenex C18 column.
            2.7.5. Sensitivity                                 Among these, only the Kinetex-Phenomenex C18 column
                                                               achieved adequate resolution of both peaks.
              Sensitivity can be assessed by determining the Limit of
            Detection (LOD) and the Limit of Quantitation (LOQ).   The chromatographic conditions employed included
            LOD and LOQ were calculated using Equation 1:      a 70:30 ratio of 10 mM phosphate buffer (pH = 3.5) and
            KS×  0/b                                    (I)    acetonitrile. This composition facilitated lacosamide
                                                               elution  within  10  min  without  interferers.  The  column
              Where k = 3 for LOD and 10 for LOQ, S0 represents the   temperature was set at 30°C; deviations from this
            standard deviation of the y-intercept, and b is the slope of   temperature  resulted  in  system  pressure  variations
            the calibration curve.                             (e.g., increased pressure at 25°C and elution front issues at
                                                               40°C). Flow rates of 0.6 mL/min and 0.8 mL/min, except for
            2.7.6. Stability                                   the working pressure (2440 psi vs. 2880 psi, respectively).
            The stability of the analyte of interest was evaluated in   Nevertheless, employing a flow rate of 0.6 mL/min proves
            three sample stability assays:                     advantageous in preventing premature aging of a column.
                                                               In addition, adjusting the pH of the phosphate buffer to
            (i)  Short-term  and  long-term  sample  stability:  3.0 contributes to stability and minimizes peak broadening
               Unprocessed  samples  were  stored  under  various   compared to higher pH values .
                                                                                       [19]
               conditions,  including  room  temperature  (for 24  h,
               48 h, and 72 h), in the refrigerator at 4°C (for 24 h,   Several  internal  standards,  such  as  aminopyrine,
               48 h, and 72 h), in a freezer at −20°C (for 24 h, 48 h,   benserazide, acetazolamide, sulfanilamide, caffeine, and
               72 h, 7 days, and 30 days), and in a freezer at −80°C   propranolol, were examined. While most of them eluted very
               (1 week, 1 month, 6 months, 1 year, and 2 years).  close to the front peak, propranolol was ultimately selected.
            (ii)  Post-processed sample stability: Samples were   The wavelengths under evaluation were 210  nm,
               processed according to the analytical method and   260 nm, and 290 nm, corresponding to local maxima in
               then stored under different conditions, including   the UV absorption spectra. Optimal sensitivity for both
               room temperature, in a refrigerator at 4°C, and in the   molecules was observed at 210 nm.
               freezer at −20°C for 24 h, 48 h, 72 h, and 1 week.
                                                                 In the context of sample treatment, various methods
            (iii) Freeze-thaw stability: Samples were subjected to three   were employed. Protein precipitation was tested using
               freeze-thaw cycles (freezing in a −20°C and  -80°C   perchloric acid at different dilutions (one-third, one-fourth,
               freezer for 24 h each, followed by thawing).
                                                               and one-fifth), in addition to acetonitrile and methanol.
              In each of these assays, the obtained lacosamide   However, these preparations led to an underestimation
            concentration was compared with the initial (time zero)   of the true concentration and failed to achieve adequate
            concentration. Samples were considered stable if their   resolution.  Higher  concentrations  of  precipitant
            final time concentration remained above 90% of the initial   resulted in tailing, while lower proportions introduced
            concentration.                                     more plasma interferers. Subsequently, alternative liquid-


            Volume 2 Issue 3 (2023)                         4                        https://doi.org/10.36922/gtm.1265
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