Elvitegravir (EL) /Cobicistat(CO)/ Emtricitabine(EM)/ Tenofovir Disoproxil fumarate (TDF) tablets are available in FDC drug under the brand name STRIBILD. In other names, it is also called as QUAD. STRIBILD is approved by United States Food and Drug administration (USFDA) for treatment in adults for HIV infection. Each tablet contains 150 mg of EL, 150 mg of CO, 200 mg of EM and 300 mg of TDF(equivalent to 245 mg of Tenofovir Disoproxil) respectively. EL is a HIV medicine known an integrase inhibitor. Chemical name is “6-(3-Chloro-2- fluorobenzyl)-1-[(2S)-1-hydroxy-3methylbutan-2-yl]-7-methoxy-4-oxo-1,4- dihydroquinoline-3-carboxylic acid” with a molecular weight of 447.9 g.mol-1 and molecular formula of C23H23ClFNO5. CO is a pharmacokinetic enhancer, which would be useful to increase the effectiveness of EL. CO has a chemical name of “1,3- thiazol-5-ylmethyl [(2R,5R)-5-{[(2S)-2- [(methyl{[2-(propan-2-yl)-1,3-thiazol-4- yl]methyl} carbamoyl)amino]-4-(morpholin-4-yl) butanoyl] amino}-1,6- diphenylhexan-2-yl]carbamate” with a molecular weight of 776.0 g.mol-1 with an molecular formula of C40H53N7O5S2(Olin Jacqueline et.al., 2012;Perry et.al., 2014;Arribas et.al., 2014).
EM is defined as a Nucleoside Reverse Transcriptase Inhibitor. The chemical classification of EM is Nucleoside Analog. EM forms “Emtricitabine 5'- triphosphate” within the cell by phosphorylation. The action of the metabolite is to inhibits the activity of HIV reverse transcriptase both by competing with the natural substrate “deoxycytidine 5'-triphosphate” and by incorporation into viral DNA causing a termination of DNA chain elongation. EM has a chemical name of “5-fluoro-1- (2R,5S)-[2-(hydroxymethyl)-1, 3-1 oxathiolan-5-yl]cytosine”. It is a thio analog of cytidine with (-) enantiomer with a molecular weight of 247.24 g.mol-1 and molecular formula of C8H10FN3O3S. TDF is a pro-drug and exists as fumaric acid salt form of tenofovir. The chemical category of TDF is a nucleoside reverse transcriptase inhibitor analog of adenosine. It is mainly prescribed to treat not only for HIV and also for hepatitis B virus for chronic conditions in adults in combination with other antiviral therapeutic agents. TDF has a chemical name of “9-[(R)- 2[[bis[[(isopropoxy carbonyl)oxy]methoxy] phosphinyl] methoxy] propyl] adenine fumarate (1:1)” with a molecular weight of 635.52 g.mol-1 and a molecular formula of C19H30N5O10P • C4H4O4 (Olin Jacqueline et.al., 2012;Perry et.al., 2014;Arribas et.al., 2014) .
Survey of different research articles, journals and publications indicate that procedures are present for quantification of EL, CO, EM and TDF in FDC products by UV Spectrophotometric, HPLC and UPLC. Literature is also cited for estimation of some of the components along with other drugs. Publications are also cited for impurity profiling for some of the components in the FDC product. From the above literature review it is evident that publication for quantification of this FDC product by UPLC for estimation of the constituents in dissolution method is not reported. Hence short and specific method is developed and validated for estimation of EL/CO/EM/TDF in FDC product (QUAD) by using dissolution conditions as proposed in Office of Generic Drugs (OGD) recommended medium i.e. 0.01 N HCl with 2% Polysorbate 80. The summary of literature review of EL/CO/EM/TDF in FDC tablet is summarized below: (Refer Table 3.1)
Table 3.1
Summary of literature review for EL/CO/EM/TDF Tablets
Sr.no
|
Author Name
|
Technique
|
Estimation
|
1
|
Harini et al., 2018
|
UV
spectrophotometric
|
Simultaneous determination of EL/CO/EM/TDF -Assay
method
|
2
|
Nagasarapu et al., 2012 Babu et al., 2014 Raghuram et al., 2014 Purnachandra et al., 2014 Raveendra et al., 2014 Khaleel et al., 2015 Chinnalalaiah et al., 2016 Mallikarjuna et al., 2016
Gummaluri et al., 2016
|
HPLC
|
Simultaneous estimation of EL/CO/EM/TDF -Assay method
|
3
|
Revathi et al., 2016 Uttam et al., 2016
|
UPLC method
|
Simultaneous estimation of EL/CO/EM/TDF -Assay
method
|
Since all drugs are having different polarity, it is difficult to fix a common chromatographic method with short run time. While performing dissolution profiles during drug product development, it is very difficult to conclude the results if it runs for longer run time. Hence to avoid such practical problems, method was targeted to develop using simple volatile buffer which is compatible with low micron ID columns with RP- UPLC. The advantage of using volatile buffers is to increase the longevity of column’s life when compared against organic buffers.
Validated test procedure is specific with respective to dissolution medium and placebo. Hence developed procedure can be claimed as stability demonstrating method and meets the ICH requirement parameters. Method validation was performed and found to be suitable for quantification of dissolution profiles required for EL, CO, EM and TDF in FDC product by using dissolution conditions as proposed in Office of Generic Drugs (OGD) recommended media for QUAD. 0.01 N HCl with 2% Polysorbate 80 is used as Dissolution medium, USP Apparatus type II (Paddle) with a stirring speed of 100 rpm, proposed dissolution volume is 1000 mL. The specified time points are 5, 10, 15, 20 and 30 minutes respectively. Chemical structures of EL, CO, EM and TDF have been illustrated in Fig. 3.a.