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Annales Pharmaceutiques Françaises (2012) 70, 249—255

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ORIGINAL ARTICLE

Stability of the ready-to-use solutions of eribulin for


intravenous infusion
Stabilité des solutions prêtes à l’emploi d’éribuline pour administration
intraveineuse

S. Poujol a,∗, M. Dell’ova a, K. Bekhtari a,


F. Bressolle a,b, F. Pinguet a

a
Oncopharmacology Laboratory, Val d’Aurelle Cancer Centre, parc Euromédecine, rue des
Apothicaires, 34298 Montpellier, France
b
Clinical Pharmacokinetic Laboratory, Faculty of Pharmacy, Montpellier 1 University,
34093 Montpellier, France

Received 26 March 2012; accepted 8 June 2012


Available online 17 July 2012

KEYWORDS Summary A simple HPLC-UV method was developed to determine the stability of ready-to-
Eribulin; use eribulin solutions under different storage conditions. The developed method was validated
HPLC-UV; with respect to linearity, accuracy, precision and ruggedness. The following admixtures were
Polypropylene prepared: 3-mL polypropylene syringes at concentration of 440 ␮g/mL and multilayer laminate
syringe; polyolefin containers containing 0.9% sodium chloride (50 mL) at concentrations of 15.4 and
Polyolefin bags; 43.3 ␮g/mL. The open-vial stability of eribulin was also evaluated. The following storage con-
Stability; ditions were tested: 4 ◦ C in the refrigerator; 20 ◦ C under room light exposure; and 20 ◦ C with
Different storage light-protection. The drug was also subjected to stress conditions of hydrolysis, oxidation, pho-
conditions; tolysis and thermal degradation. The retention time of eribulin was 4.9 min. Admixtures of
Stress conditions eribulin solutions in vials, syringes or polyolefin bags at clinically relevant concentrations were
physically compatible and chemically stable for at least 14 days at 4 ◦ C in the refrigerator and
at 20 ◦ C with or without any protection against light. Degradation was only found to occur under
oxidation conditions.
© 2012 Elsevier Masson SAS. All rights reserved.

∗ Corresponding author.
E-mail address: sylvain.poujol@montpellier.unicancer.fr (S. Poujol).

0003-4509/$ — see front matter © 2012 Elsevier Masson SAS. All rights reserved.
http://dx.doi.org/10.1016/j.pharma.2012.06.004
250 S. Poujol et al.

MOTS CLÉS Résumé Une méthode de dosage par CLHP-UV a été développée afin de déterminer la stabilité
Éribuline ; de solutions d’éribuline prêtes à l’emploi conservées dans différentes conditions. La linéarité, la
CLHP-UV ; précision, l’exactitude et la robustesse de la méthode ont été validées. Les situations suivantes
Seringue en ont été étudiées : seringues de 3 mL en polypropylène à la concentration de 440 ␮g/mL, ou
polypropylène ; poches de 50 mL en polyoléfine à des concentrations de 15,4 et 43,3 ␮g/mL. La stabilité des
Poches en flacons entamés a également été évaluée. Les conditions de conservation de ces solutions
polyoléfine ; étaient les suivantes : 4 ◦ C dans un réfrigérateur ; 20 ◦ C exposé à la lumière artificielle et 20 ◦ C
Stabilité ; à l’abri de la lumière. L’éribuline a aussi été soumise à une dégradation forcée par hydrolyse,
Différentes oxydation, photolyse et chauffage. Le temps de rétention de l’éribuline était de 4,9 minutes. Les
conditions de solutions d’éribuline stockées à des concentrations retrouvées cliniquement et contenues dans
stockage ; des flacons préalablement percutés, seringues ou poches, sont physiquement et chimiquement
Dégradations forcées stables au moins 14 jours au réfrigérateur ou à 20 ◦ C exposé ou non à la lumière artificielle. Une
dégradation de l’éribuline n’est observée que dans des conditions de stress avec un oxydant.
© 2012 Elsevier Masson SAS. Tous droits réservés.

Introduction in women with heavily pretreated metastatic breast cancer.


Eribulin received approval by the U.S. Food and Drug Admin-
Eribulin mesilate (E7389, Fig. 1) is a non-taxane inhibitor istration in November 2010, and by the European Medicines
of microtubule dynamics marketed under the trade name Agency in March 2011 for the treatment of advanced breast
Halaven® . This drug is derived from halichondrin B, a nat- cancer patients who have received at least two prior
ural product isolated from the marine sponge Halichondria chemotherapeutic regimens for late-stage disease, includ-
okadai [1—4]. Its mechanism of action differs from other ing both anthracycline- and taxane-based chemotherapies
antitubulin agents, binding predominantly to a small number [11]. Eribulin is also being investigated for use in a variety
of high affinity sites at the plus ends of existing microtubules of other solid tumors, including non-small cell lung cancer,
[5—7]. Eribulin exerts its anticancer effects by effecting prostate cancer and sarcoma [12].
cell cycle block at G2/M, disruption of mitotic spindle for- Eribulin mesylate is a clear, colorless, sterile solution
mation, and initiation of apoptosis after prolonged mitotic for intravenous administration. Each vial contains 0.88 mg
blockage [5—9]. In a recent phase 3 study, Embrace [10], of eribulin as a 440 ␮g/mL solution in ethanol-water (5:95,
carried out in patients having received between two and v/v). This drug is administered undiluted or diluted in 0.9%
five previous chemotherapy regimens, eribulin has shown a sodium chloride solution. The recommended dose of eribu-
significant and clinically meaningful improvement in over- lin is 1.23 mg/m2 administered intravenously over 2 to 5 min
all survival compared with treatment of physician’s choice on days 1 and 8 of a 21-day cycle. This dosage must be
decreased in patients with mild to moderate severe hepatic
impairment and in patients with moderate renal impair-
ment.
To our knowledge, no data are available in the litera-
ture concerning the stability of this compound. Thus, we
undertook to study the effects of temperature and room
light on the stability of eribulin over a period of 14 days.
The aim of our study was to reproduce the different con-
ditions of use and storage encountered at the hospital. In
addition, forced degradation assays were performed under
stress conditions like acid hydrolysis, base hydrolysis, oxida-
tion, heat and UV. The work also includes the validation of
the developed stability-indicating method [13—15].

Experimental
Reagents
Eribulin (440 ␮g/mL in the diluent) was purchased from Eisai
Figure 1. Chemical structure of eribulin. IUPAC name:
2-(3-Amino-2-hydroxypropyl)hexacosahydro-3-methoxy- 26-
Pharmaceuticals (batch 1100578, Teaneck, NJ) and stored at
methyl-20,27-bis(methylene)11,15-18,21-24,28-triepoxy- ambient temperature (20 ± 2 ◦ C) until use. The same batch
7,9-ethano-12,15-methano-9H,15H-furo(3,2-i)furo(2 ,3 -5,6) number was used throughout the study; drug concentration
pyrano(4,3-b)(1,4)dioxacyclopentacosin-5-(4H)-one. was confirmed by a certificate of analysis from the manu-
Structure chimique de l’éribuline. facturer. Multilayer polyolefin containers (Freeflex® , 50 mL)
Eribulin stability in different containers 251

were from Fresenius, (Paris, France). Methanol was obtained concentrations were back-calculated from the equation of
from Merck (batch 1607807139, Darmstadt, Germany) and the linear regression curves. The acceptance criterion for
ammonium acetate from Carlo Erba (batch 8H092249D, Val- each back-calculated standard concentration was 5% devia-
de-Reuil, France). High purity water was prepared by a tion from the nominal value. The good agreement between
Milli-Q water purification system from Millipore (Molsheim, added and back-calculated concentrations was statistically
France). Different vials of eribulin were used to prepare evaluated. The normal distribution of the residuals (the
calibrators and quality control (QC) samples. difference between nominal and back-calculated concen-
trations) was verified. Moreover, the mean residual values
Chromatographic apparatus and conditions (or mean predictor error) was computed and compared to
zero (Student t-test); the 95% confidence interval was also
A high performance liquid chromatographic (HPLC) method determined.
was used to conduct the analyses. The HPLC system (Shi- The between-day precision and accuracy of the method
madzu Corporation, Croissy-Beaubourg, France) consisted of was validated by analyzing QC samples against a calibration
two SIL-10ARvp solvent delivery systems (with dynamic mix- curve. Determinations were performed with three repli-
ing chamber, ref. 228-39001-38), a DGU-14A degasser model, cates per QC each day for six separate days. The percent
and a SPD-M10Avp ultraviolet spectrophotometric detector relative standard deviation (RSD) served as the measure
(ref. 228-400-38). The injections were performed by a Shi- of precision. The accuracy was evaluated as [mean found
madzu SIL-10ADvp automatic injector (ref 228-39005-38) concentration/nominal concentration] × 100. The criteria
fitted with a 100 ␮L loop and set at 6 ◦ C, and the data were for acceptability of data included accuracy within ± 5%
acquired and processed by Shimadzu CLASS-VP 7 software relative error (RE) from the nominal values and a pre-
(version 6.12). Chromatographic conditions were optimized cision of within ± 5% RSD The lower limit of quantitation
to avoid peak deformation or splitting. Best peak shape of was determined as the concentration of eribulin giving a
the analyte and relative short analysis time were obtained signal-to-noise ratio of 10 and both precision and accuracy,
on a XBridge C8 column (ref. 186003017, XBridge C8 column, expressed as percentage error, less than or equal to 5%. The
150 × 4.6 mm, 5 ␮m particle size, Waters, Milford, MA, USA). robustness of the developed method was evaluated by assay-
The isocratic mobile phase containing mixture of buffer and ing eribulin solutions after slight but deliberate changes in
methanol in the ratio of 35:75 (v/v) was found to be most HPLC conditions. The flow rate was changed by 0.1 unit,
satisfactory as it gave good resolution of drug and degrada- from 0.9 to 1.1 mL/min and the effect of column tempera-
tion products with reasonably symmetrical sharp peaks. The ture on resolution was studied at 25 and 30 ◦ C.
buffer consisted of 50 mM ammonium acetate (pH 6.9). The
flow rate of the mobile phase was 1 mL/min. The column
Preparation of admixtures
temperature was maintained at 20 ◦ C and the eluent was
monitored at a wavelength of 200 nm. The injection volume The stability of eribulin solution was evaluated in 3 mL
was 100 ␮L. polypropylene syringes at concentration of 440 ␮g/mL, as
well as in multilayer laminate polyolefin containers contain-
Preparation of calibration curves and quality ing 0.9% sodium chloride (50 mL) in order to achieve drug
control samples concentrations of 15.4 and 43.3 ␮g/mL. Sufficient amounts
of stock solutions were therefore added to multilayer lami-
Aliquot portions of eribulin vials (i.e., in the diluent) were nate polyolefin containers. To ensure that several punctures
extemporaneously diluted with 0.9% sodium chloride (1:10, can be performed into the same vial, the open-vial stabil-
v/v) and subsequently with mobile phase to prepare calibra- ity of eribulin was also evaluated in vials pierced with a
tion curves (2, 5, 7.5, 10, 15 and 20 ␮g/mL). The peak areas 18 metal gauge needle and the impact of air exchange was
were plotted against theoretical concentrations. Inter-assay studied. Needles and syringes were stoppered using tam-
repeatability of calibration curves was determined for cal- per evident caps (Combi-lock, Codan, Bischwiller, France,
ibration curves prepared on different days using different lot K84191-1) to avoid evaporation of ethanolic solution and
stock solutions (n = 6). Standard calibration curves were individually packed into plastic sachets. Each admixture was
obtained from unweighted least-squares linear regression prepared in duplicate (syringes) or in triplicate (vials and
analysis of the data. QC samples were prepared in the same polyolefin containers). All admixtures were prepared under
way to provide low, medium and high concentrations: 3.52, aseptic conditions in a laminar air flow hood in a GMP class
8.8 and 17.6 ␮g/mL. These QC samples were used during the B clean room reserved for cytostatic drug preparation.
study to determine accuracy and precision of the method Stability assays were performed under various physi-
as well as during stability assays to provide the basis of cal conditions that could be encountered clinically. Thus,
accepting or rejecting the run. admixtures were stored at the following conditions:
• 4 ± 2 ◦ C in the refrigerator;
Validation • room temperature (20 ± 2 ◦ C) under room lighting provid-
ing an overall illumination of 1,200 Klux h;
The method was validated according to the European • room temperature under light-protection. The room tem-
consensus conference for the practical stability studies of perature was controlled by digital display.
anticancer drugs, the WHO and ICH guidelines [13—15].
Linear relationships between the peak area and the ana- The solutions were assayed immediately after prepara-
lyte concentration were statistically confirmed (lack-of-fit tion (day 0) and after 1, 3, 7, 10 and 14 days. Immediately
test). For each point of the calibration standards, the upon sample preparation and at specific time intervals
252 S. Poujol et al.

following storage, 0.15 mL sample was withdrawn from each Table 1 Relative standard deviation (RSD) and recovery
container and analyzed after appropriate dilution in the computed from mean back-calculated concentrations.
mobile phase. Before sampling, each container was man- Coefficient de variation et pourcentage retrouvé à partir des
ually shaken for 1 min to ensure a uniform solution. Samples concentrations moyennes recalculées.
were frozen at −20 ◦ C until analysis. They were found to be
Concentration RSD Recovery
stable for at least 3 weeks under these storage conditions.
(␮g/mL) (%) (%)
Each assay was performed in triplicate.
2 2.98 96.1
Physical stability 5 2.15 103.8
7.5 1.14 103.4
Physical stability was determined by visual inspection and 10 1.72 97.8
pH measurement at two times (T0 and T14 days). Eribulin 15 1.48 96.7
test solutions were visually examined in normal labora- 20 0.94 101.7
tory light whenever samples were withdrawn. Test solutions
with no colour change or any precipitation were defined
as physically stable. Values of pH were measured using a
pH Meter (Hi8417, Hanna Instruments, Kehl am Rhein, Ger- recovery values around the mean back-calculated concen-
many) equipped with an InLab Micro pH glass electrode trations are presented in Table 1. RSD was lower than 3%
(Mettler Toledo, Giessen, Germany). The pH meter was cal- and recovery ranged from 96.1 to 103.8%. The residuals
ibrated with standard buffer solutions (pH 4.01 and 7.01) (differences between nominal and back-calculated concen-
from Hanna Instruments. trations) showed random variations, the number of positive
and negative values being approximately equal. Moreover,
they were normally distributed and centred on zero. Accu-
Forced degradation assay
racy and precision of the method are given in Table 2.
In order to establish whether the analytical method and The lower limit of quantitation was 2 ␮g/mL. The analyt-
the assay were stability-indicating, eribulin at different ical method remained unaffected by slight but deliberate
concentrations was subjected to stress degradation under changes in the analytical conditions (flow rate and column
different conditions. All stress decomposition studies were temperature). The system suitability parameters (tailing
performed at concentrations of 440, 15.4 and 43.3 ␮g/mL. factor, theoretical plates and RSD of area from replicate
Samples were heated (80 ◦ C for 3 h), exposed to UV light injections) are well within the limits [13—15]. Thus, the
(365 nm for 5 h, ultraviolet energy of 200 W h m−2 ) and sub- method was found to be robust with respect to variability in
mitted to degradation under acidic and basic conditions applied conditions.
(phosphate buffer 0.1 M, pH 2.1; acetate buffer 0.02 M, Forced degradation of eribulin solutions was conducted
pH 4.8; ammonium sulfate buffer 0.01 M, pH 9.4). More- to confirm separation of the parent drug from its sec-
over, the drug was exposed to different concentrations ondary product(s) formed during the assay. When eribulin
(4 × 10−6 M to 4 × 10−5 M) of potassium permanganate at was exposed to heat, no decomposition was observed. Like-
20 ◦ C for 1 h. wise, the drug was stable against the effect of photolysis
and in acidic or alkaline conditions (pH 2.1—9.4).
No degradation was observed at a permanganate concen-
tration of 4 × 10−5 M. Mild degradation (about 22%) was
Results observed at a permanganate concentration of 8 × 10−5 M
but the drug gradually underwent greater degradation
HPLC method validation
by increasing permanganate concentration. At 4 × 10−4 M,
The retention time for eribulin was 4.9 min (Fig. 2B). Two eribulin was immediately and totally degraded forming prod-
matrix peaks appeared in the chromatogram at retention ucts at retention times of 3.0 and 3.3 min (Fig. 2). All
times of 5.2 min (peak 2) and 5.4 min (peak 3). To ensure that degradants were well resolved and eluted prior to parent
assay performance and separation were maintained during drug.
the stability study, the number of theoretical plates and
the resolution factors were monitored. Under the chromato-
graphic conditions used, the number of theoretical plates
was approximately 5,500. The resolution factors between Table 2 Between-days precision and accuracy of the
eribulin (peak 1) and the two matrix components were: method.
␣1,2 = 1.4, ␣1,3 = 1.8. The total run time of chromatogram Variabilité inter-jour de la fidélité et exactitude de la méthode.
was about 9 min. A linear calibration plot for this method
Eribulin concentrations Precision Accuracy
was obtained over the calibration range 2—20 ␮g/mL and
(␮g/mL) (RSD, %) (%)
the correlation coefficient obtained was greater than 0.999
(mean r2 , 0.9993, RSD 0.086%), showing an excellent cor- 3.52 2.27 99.2
relation between the peak area and concentration of the 8.8 2.56 101.9
analyte. Inter-assay reproducibility was determined for cal- 17.6 1.91 101.7
ibration curves prepared on different days (n = 6). The
RSD: relative standard deviation.
inter-day slope and Y-intercept of the calibration curve
were 37758 (RSD = 1.54%) and 7877, respectively. RSD and
Eribulin stability in different containers 253

Figure 2. A. LC-UV chromatograms of eribulin solutions (15.4 ␮g/mL) exposed to different concentrations of potassium permanganate
(4 × 10−5 M, black curve; 8 × 10−5 M, red curve and 4 × 10−4 M, green curve). B. LC-UV chromatograms of blank matrix with (black curve)
and without (red curve) eribulin (concentration, 15.4 ␮g/mL). *Not related to the studied compounds.
A. Chromatogrammes (CLHP-UV) de solutions d’éribuline (15,4 ␮g/mL) exposées à différentes concentrations de permanganate de potassium
(4 × 10−5 M, courbe noire ; 8 × 10−5 M, courbe rouge et 4 × 10−4 M, courbe verte). B. Chromatogrammes (CLHP-UV) d’une solution contenant
(courbe noire) ou non (courbe rouge) de l’éribuline (15,4 ␮g/mL). *Pics présents dans le blanc.

Stability study stored at 4 ◦ C in the refrigerator or at room temperature


with and without any protection against light.
Results of stability study are given Table 3. The initial
concentration was estimated from samples taken immedi-
ately after preparation and quantified in triplicate against Physical stability and stability testings
a calibration curve. Data were expressed in percentage of
the initial drug concentration. The drug concentration never In all admixtures, eribulin was physically stable for at least
fell below 97% of the initial concentration over the 14 days 14 days. For all samples, there was no visible evidence of
study period. Therefore, eribulin in vials for intravenous precipitation, gas formation, or colour change throughout
injection, in polypropylene syringes or in multilayer lami- the observation period. The pH values measured over the
nate polypropylene containers was stable for 14 days when 14-day period remained stable.
254 S. Poujol et al.

Table 3 Stability of eribulin in ready-to-use solutions. Data are expressed in percentage of initial eribulin concentra-
tion ± standard deviation.
Stabilité de solutions prêtes à l’emploi d’éribuline. Les données sont exprimées en pourcentage de la concentration initiale en
éribuline ± écart-type.
Conditions Percent recovery (%)
Day 0 Day 1 Day 3 Day 7 Day 10 Day 14
Vials for intravenous injection pierced with a 18 gauge, 440 g/mL (n = 3)
4 ◦ C, in the refrigerator 100 100.6 ± 0.45 99.1 ± 1.00 100.1 ± 0.25 99.3 ± 0.57 100.1 ± 0.62
20 ± 2 ◦ C under room lighting 100 102.3 ± 2.16 101.8 ± 1.41 102.1 ± 3.04 102.3 ± 2.70 102.5 ± 2.97
20 ± 2 ◦ C under light-protection 100 100.8 ± 1.29 98.8 ± 2.30 100.0 ± 1.36 100.2 ± 0.87 101.3 ± 1.77
Syringe, 440 g/mL (n = 2)
4 ◦ C, in the refrigerator 100 100.4 97.5 96.1 99.6 100.5
20 ± 2 ◦ C under room lighting 100 100.6 101.1 100.7 100.9 101.6
20 ± 2 ◦ C under light-protection 100 98.5 100.0 99.7 100.1 99.1
Polyolefin containers containing 0.9% sodium chloride (50 mL), 15.4 g/mL (n = 3)
4 ◦ C, in the refrigerator 100 100.1 ± 0.88 100.9 ± 0.88 100.7 ± 1.21 99.8 ± 0.83 100.4 ± 0.72
20 ± 2 ◦ C under room lighting 100 100.3 ± 0.64 100.9 ± 1.33 100.4 ± 0.87 100.6 ± 1.81 100.1 ± 2.73
20 ± 2 ◦ C under light-protection 100 99.2 ± 1.14 99.0 ± 1.54 97.2 ± 2.62 98.3 ± 1.49 100.3 ± 3.30
Polyolefin containers containing 0.9% sodium chloride (50 mL), 43.3 g/mL (n = 3)
4 ◦ C, in the refrigerator 100 99.7 ± 0.22 100.1 ± 0.29 100.2 ± 0.93 100.4 ± 0.62 100.8 ± 0.90
20 ± 2 ◦ C under room lighting 100 100.7 ± 1.07 101.3 ± 1.07 101.0 ± 0.59 100.1 ± 1.67 100.8 ± 2.27
20 ± 2 ◦ C under light-protection 100 99.8 ± 0.26 100.2 ± 0.42 99.8 ± 0.47 100.8 ± 0.29 101.2 ± 0.09

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