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1.
Biomed Chromatogr ; 36(7): e5370, 2022 Jul.
Article in English | MEDLINE | ID: mdl-35297066

ABSTRACT

Ribavirin is a synthetic, broad-spectrum antiviral drug. Ribavirin is recommended as an antiviral drug in the Interim Guidance for Diagnosis and Treatment (the seventh edition) of COVID-19. The ribavirin levels in red blood cells may be closely related to both its efficacy and adverse drug reactions. In this study, a simple and fast HPLC-UV method was established to determine the concentrations of total ribavirin in the red blood cells of 13 patients with COVID-19. Phosphorylated ribavirin was dephosphorylated by phosphatase incubation to obtain the total amount of ribavirin in red blood cells. The chromatographic column was an Atlantis C18 . The recoveries were 85.45-89.05% at three levels. A good linear response was from 1 to 200 µg/ml, with a correlation coefficient of r2 = 0.9991. The concentration of total ribavirin in the red blood cells of the patients ranged from 30.83 to 133.34 µg/ml. The same samples without phosphatase incubation ranged from 4.07 to 20.84 µg/ml. About 85% of ribavirin was phosphorylated in red blood cells. In addition, we observed changes in these patients' hematological parameters and found that the erythrocyte, hemoglobin and hematocrit declined to the lowest levels on the fifth day after discontinuation of ribavirin (p < 0.05).


Subject(s)
COVID-19 Drug Treatment , Ribavirin , Antiviral Agents , Chromatography, High Pressure Liquid/methods , Erythrocytes , Humans , Phosphoric Monoester Hydrolases/analysis , Ribavirin/analysis , Ribavirin/therapeutic use
2.
J Food Sci ; 86(7): 2851-2860, 2021 Jul.
Article in English | MEDLINE | ID: mdl-34146404

ABSTRACT

Ribavirin (RBV) is an effective antiviral drug, whose use is prohibited in animal husbandry worldwide. In this work, a novel immunizing hapten of RBV, named Hapten 4, was designed by comparing the conformational and electronic properties of RBV and haptens based on computational chemistry. Hapten 4 was synthesized and conjugated with carrier proteins to produce monoclonal antibody (mAb). The obtained mAb 4C3 for RBV exhibited an IC50 value of 6.24 ng/ml in an indirect competitive enzyme-linked immunosorbent assay (icELISA) and displayed no cross-reaction with five other antiviral drugs, including amantadine. The applicability of the developed icELISA was verified in chicken, with a calculated limit of detection of 4.23 µg/kg. The recoveries in spiked chicken were 79.2%-107.3% with a coefficient of variation less than 15.9%. The results indicated that the produced antibody from the new hapten was reliable and would be useful for RBV screening in chicken. PRACTICAL APPLICATION: RBV is a broad-spectrum antiviral drug, which is commonly used illegally in poultry farms. A high-affinity mAb 4C3 against RBV was produced and used to develop icELISA with acceptable sensitivity and accuracy. The constructed icELISA has excellent performance for detecting RBV residues in chicken.


Subject(s)
Antibodies, Monoclonal/immunology , Chickens/metabolism , Enzyme-Linked Immunosorbent Assay/methods , Haptens/biosynthesis , Ribavirin/analysis , Animals , Antibodies, Monoclonal/metabolism , Female , Mice , Mice, Inbred BALB C , Ribavirin/immunology , Ribavirin/metabolism
3.
Ann Pharm Fr ; 78(3): 217-229, 2020 May.
Article in English | MEDLINE | ID: mdl-32253022

ABSTRACT

OBJECTIVES: In the present study, an eco- friendly micellar liquid chromatographic technique was validated for separation and quantification of two drugs; namely ribavirin (RIV), and sofosbuvir (SBV) in pure form, pharmaceuticals containing them, human plasma and human urine. These drugs are administered co-administered for treatment of Hepatitis C virus (HCV) that causes hepatitis C in humans. MATERIAL AND METHODS: These drugs were separated using Nucleosil 100-5 phenyl column. Sodium dodecyl sulphate (SDS) solution (0.05M, pH 7.0) containing triethylamine (0.3%) and n-butanol (10%) was used as a mobile phase with 1.2 mLmin-1 flow rate and 215nm detection wavelength. Nine minutes were required for resolving the two drugs from the matrix. RESULTS: The method showed good linearity for RIV and SBV with correlation coefficients (r2) more than 0.9996 within the concentration ranges of (20-400) and (40-400) ngmL-1 in pure form, (30-300) and (50-300) ngmL-1 in human plasma and (20-400) and (40-400) ngmL-1 in human urine, respectively. CONCLUSION: The recommended method was applied for examination of RIV and SBV in pure and pharmaceuticals. The obtained results were statistically matched with reported methods with no significant differences. Also, the recommended method was effectively applied for estimation of both drugs in spiked human urine and plasma without purification or extraction steps and real samples of plasma and urine of humans having therapy of RIV and SBV, as well as, performing tablets dissolution-rate tests with satisfactory results.


Subject(s)
Antiviral Agents/analysis , Hepatitis C/drug therapy , Antiviral Agents/blood , Antiviral Agents/urine , Chromatography, High Pressure Liquid/methods , Cost-Benefit Analysis , Humans , Limit of Detection , Reproducibility of Results , Ribavirin/analysis , Ribavirin/blood , Ribavirin/urine , Sofosbuvir/analysis , Sofosbuvir/blood , Sofosbuvir/urine , Solubility
4.
J Sep Sci ; 42(21): 3372-3381, 2019 Nov.
Article in English | MEDLINE | ID: mdl-31489796

ABSTRACT

A novel magnetic molecularly imprinted polymer adsorbing material was successfully synthesized to detect ribavirin in animal feedstuff. Molecularly imprinted polymer was prepared through surface polymerization by using ribavirin as template molecule, methyl methacrylate, and γ-methacryloxypropyl trimethoxy silane functionalized magnetic mesoporous silica as bifunctional monomers, and ethylene diglycidyl ether as crosslinking agent. The prepared magnetic molecularly imprinted polymer was characterized by scanning electron microscopy and infrared spectroscopy. Static and dynamic adsorption experiments and selective adsorption analysis were performed to evaluate the adsorption and selectivity of magnetic molecularly imprinted polymer. Different experiments were conducted to optimize the magnetic solid-phase extraction conditions. Under optimal experimental conditions, a magnetic molecularly imprinted solid-phase extraction coupled with high-performance liquid chromatography method was successfully developed for ribavirin detection. The established method achieved a satisfactory linear range of 0.20-50 mg/L (R2  > 0.99) and a low detection limit (0.081 mg/kg). An average recovery of 92-105% with relative standard deviation of <6.5% was obtained upon the application of the developed method to detect ribavirin in real feedstuff samples. Thus, established method can be used for the rapid and simple separation and detection of added ribavirin in feedstuff.


Subject(s)
Antiviral Agents/analysis , Magnetite Nanoparticles/chemistry , Molecular Imprinting , Polymers/chemistry , Ribavirin/analysis , Adsorption , Chromatography, High Pressure Liquid , Molecular Structure , Particle Size , Polymers/chemical synthesis , Porosity , Silicon Dioxide/chemistry , Solid Phase Extraction , Surface Properties
5.
J Sep Sci ; 42(16): 2602-2611, 2019 Aug.
Article in English | MEDLINE | ID: mdl-31166080

ABSTRACT

For the first time, a magnetic solid-phase extraction with high-performance liquid chromatography detection method using Zr functionalized Fe3 O4 magnetic material to enrich ribavirin was successfully established. Zr components that modified in Fe3 O4 nanoparticles via a simple one-step hydrothermal method was selected in this work to specifically capture ribavirin by the strong chemical bonding between Zr components of Zr functionalized Fe3 O4 magnetic material and cis-hydroxyl of ribavirin, which was confirmed by pseudo-second-order kinetic model. And Fe3 O4 components were selected in this work to achieve simple operation. Under the optimal experimental conditions, proposed magnetic solid-phase extraction with high-performance liquid chromatography detection method along with Zr functionalized Fe3 O4 magnetic material offered a wide range linearity at 10-200 µg/L with correlation coefficient of 0.9978 with low detection limit of 2.68 µg/L for ribavirin. The relative standard deviations obtained from nine parallel extractions of 100 µg/L ribavirin were 4.41% and revealed good repeatability. This established method was successfully applied to detect real samples including chicken liver, egg, and shrimp with satisfactory recoveries of 74.13-92.9%.


Subject(s)
Animal Feed/analysis , Ferrosoferric Oxide/chemistry , Food Contamination/analysis , Ribavirin/analysis , Solid Phase Extraction , Zirconium/chemistry , Chromatography, High Pressure Liquid , Magnetic Phenomena , Molecular Structure , Particle Size
6.
Article in English | MEDLINE | ID: mdl-29578378

ABSTRACT

In this work, high affinity polyclonal antibodies for ribavirin (RBV) from new haptens were prepared and were used to analyse RBV residues in chicken muscle, eggs and duck muscle. The new haptens were synthesised with different spacers, and the best antibody was obtained with an IC50 value as low as 0.61 ng/mL in indirect competitive enzyme-linked immunosorbent assay (ELISA). The cross-reactivities with another five antiviral drugs including amantadine, rimantadine, moroxydine, zanamivir and oseltamivir were less than 0.1%, which indicated the good specificity of the antibody. An ELISA was developed based on the antibody and applied to detect RBV in multi-food matrices. The sample preparation prior to detection only needed simple dilution after trichloroacetic acid extraction. The limits of detection were 1.07, 1.18 and 1.03 µg/kg in chicken muscle, eggs and duck muscle, respectively. Recoveries ranged from 89.0% to 112.7% with coefficients of variation below 13.0%. Ten blind samples of chicken muscle were analysed simultaneously by ELISA and liquid chromatography-tandem mass spectrometry, and a good correlation between the methods was observed. The results indicated that the high affinity antibody could be applied for the simple and fast detection of RBV in multi-food matrices.


Subject(s)
Antibodies/immunology , Drug Residues/analysis , Eggs/analysis , Food Contamination/analysis , Haptens/immunology , Muscles/chemistry , Ribavirin/analysis , Ribavirin/immunology , Animals , Antibody Affinity , Antiviral Agents/analysis , Antiviral Agents/immunology , Chickens , Chromatography, Liquid , Ducks , Enzyme-Linked Immunosorbent Assay , Haptens/chemistry , Tandem Mass Spectrometry
8.
J Antimicrob Chemother ; 71(6): 1597-600, 2016 06.
Article in English | MEDLINE | ID: mdl-26869690

ABSTRACT

OBJECTIVES: The objective of this study was to evaluate the effects of abacavir on intracellular ribavirin triphosphate and plasma ribavirin trough concentrations. METHODS: Hepatitis C virus-infected subjects who had been cured or failed prior treatment were randomized to 8 weeks of ribavirin alone (N = 14; weight-based dosing) or weight-based ribavirin + abacavir (N = 14; 300 mg orally every 12 h). Ribavirin trough concentrations were measured on days 14, 28, 42 and 56; PBMCs for ribavirin triphosphate determination were sampled on days 28 and 56, pre-dose and at 6 and 12 h post-dose. ClinicalTrials.gov: NCT01052701. RESULTS: Twenty-six subjects completed the study (24 males, 17 Caucasians, median age 52 years); 2 were excluded for missed pharmacokinetic visits. Fourteen subjects received ribavirin + abacavir and 12 received ribavirin alone. Mean ±â€ŠSD plasma ribavirin trough concentrations (µg/mL) on days 14, 28, 42 and 56, respectively, were not significantly different with coadministration of abacavir (1.54 ±â€Š0.60, 1.93 ±â€Š0.54, 2.14 ±â€Š0.73 and 2.54 ±â€Š1.05) compared with ribavirin alone (1.48 ±â€Š0.32, 2.08 ±â€Š0.41, 2.32 ±â€Š0.47 and 2.60 ±â€Š0.62) (P > 0.40). Mean ribavirin triphosphate intracellular concentrations (pmol/10(6) cells) on days 28 and 56, respectively, did not differ statistically between abacavir users (11.98 ±â€Š9.86 and 15.87 ±â€Š12.52) and non-users (15.91 ±â€Š15.58 and 15.93 ±â€Š12.69) (P > 0.4). Adverse events were mild or moderate, except for three grade 3 occurrences of transaminitis, cholecystitis and low absolute neutrophil count that resolved and were judged not attributable to study medications. CONCLUSIONS: Abacavir did not significantly alter ribavirin or ribavirin triphosphate concentrations.


Subject(s)
Antiviral Agents/administration & dosage , Antiviral Agents/pharmacokinetics , Cytosol/chemistry , Dideoxynucleosides/administration & dosage , Hepatitis C, Chronic/drug therapy , Plasma/chemistry , Ribavirin/pharmacokinetics , Adolescent , Adult , Antiviral Agents/analysis , Female , Humans , Male , Middle Aged , Prospective Studies , Ribavirin/administration & dosage , Ribavirin/analysis , Time Factors , Young Adult
9.
J Chromatogr B Analyt Technol Biomed Life Sci ; 1012-1013: 55-60, 2016 Feb 15.
Article in English | MEDLINE | ID: mdl-26807705

ABSTRACT

A new analytical method for the determination of ribavirin in chicken muscle using a QuEChERS (Quick, Easy, Cheap, Effective, Rugged and Safe) method and liquid chromatography-tandem mass spectrometry (LC-MS-MS) was developed and validated. Samples were extracted with acidified methanol (methanol:acetic acid, 99:1, v/v). The extract was further purified by QuEChERS method using primary-secondary amine (PSA) and C18. Finally, the extract was dried by nitrogen under 45°C and reconstituted in water. The separation was performed on a Hypercarb analytical column under a gradient elution. The mobile phase was composed of water buffered with ammonium acetate (2.0mM) and acetonitrile. The proposed method was validated according to the European Commission Decision 2002/657/EC. The values of the decision limit (CCα) and the detection capability (CCß) were 1.1 and 1.5µg/kg, respectively. The mean recoveries of ribavirin ranged from 94.2% to 99.2%. The repeatability (expressed as coefficient of variation, CVr) of the method ranged from 4.5% to 4.9% and the reproducibility (CVR) of the method ranged from 4.8% to 5.4%. The method is demonstrated to be suitable for the determination of ribavirin in chicken muscle in conformity with the current EU performance requirements through validation. The total time required for the analysis of one sample, including sample preparation, was about 45min.


Subject(s)
Chromatography, Liquid/methods , Drug Residues/analysis , Meat/analysis , Muscle, Skeletal/chemistry , Ribavirin/analysis , Tandem Mass Spectrometry/methods , Animals , Chickens , Chromatography, Liquid/economics , Limit of Detection , Linear Models , Reproducibility of Results , Tandem Mass Spectrometry/economics
10.
J Chromatogr B Analyt Technol Biomed Life Sci ; 978-979: 163-72, 2015 Jan 26.
Article in English | MEDLINE | ID: mdl-25555148

ABSTRACT

Ribavirin (RBV) is a nucleoside analog used to treat a variety of DNA and RNA viruses. RBV undergoes intracellular phosphorylation to a mono- (MP), di- (DP), and triphosphate (TP). The phosphorylated forms have been associated with the mechanisms of antiviral effect observed in vitro, but the intracellular pharmacology of the drug has not been well characterized in vivo. A highly sensitive LC-MS/MS method was developed and validated for the determination of intracellular RBV MP, DP, and TP in multiple cell matrix types. For this method, the individual MP, DP, and TP fractions were isolated from lysed intracellular matrix using strong anion exchange solid phase extraction, dephosphorylated to parent RBV, desalted and concentrated and quantified using LC-MS/MS. The method utilized a stable labeled internal standard (RBV-(13)C5) which facilitated accuracy (% deviation within ±15%) and precision (coefficient of variation of ≤15%). The quantifiable linear range for the assay was 0.50 to 200 pmol/sample. The method was applied to the measurement of RBV MP, DP, and TP in human peripheral blood mononuclear cells (PBMC), red blood cells (RBC), and dried blood spot (DBS) samples obtained from patients taking RBV for the treatment of chronic Hepatitis C virus infection.


Subject(s)
Intracellular Space/chemistry , Nucleotides/analysis , Ribavirin/analogs & derivatives , Solid Phase Extraction/methods , Chromatography, Liquid/methods , Dried Blood Spot Testing , Erythrocytes/chemistry , Humans , Leukocytes, Mononuclear/chemistry , Linear Models , Nucleotides/chemistry , Nucleotides/isolation & purification , Reproducibility of Results , Ribavirin/analysis , Ribavirin/chemistry , Ribavirin/isolation & purification , Sensitivity and Specificity , Tandem Mass Spectrometry/methods
11.
J Chromatogr Sci ; 52(6): 493-500, 2014 Jul.
Article in English | MEDLINE | ID: mdl-23749878

ABSTRACT

A simple, selective and stability-indicating high-pressure liquid chromatographic method was developed for the analysis of ribavirin. Chromatographic separation was achieved by using a CPS Hypersil cyano column (4.6 × 250 mm, 5 µm particle size) with isocratic elution of the mobile phase, which was composed of 50 mM phosphate buffer, adjusted at pH 4 with phosphoric acid. The mobile phase was pumped at a flow rate of 0.8 mL/min. The detector was set at 240 nm and quantification of the analyte was based on peak area measurement. The method was validated with respect to linearity, range, precision, accuracy, selectivity, robustness, limit of detection and limit of quantitation. The calibration curve was linear in the range of 5-200 µg/mL with correlation coefficient > 0.999. Ribavirin was subjected to forced degradation studies under two conditions: mild and extensive stress testing. These studies included the effects of hydrolysis (neutral, acidic and alkaline) and oxidation, photolysis and dry heat). The proposed method was proved to be stability-indicating by the resolution of the drug from its forced degradation products, making use of the diode array detector as a tool for confirmation of peak identity and purity. Moreover, the kinetics of alkaline degradation of ribavirin were investigated, an Arrhenius plot was constructed and the activation energy was calculated. The developed method was also extended to analyze ribavirin in capsules and in human plasma with good recovery values.


Subject(s)
Capsules , Chromatography, High Pressure Liquid/methods , Ribavirin/analysis , Ribavirin/blood , Drug Stability , Humans , Reproducibility of Results
12.
J Pharm Biomed Anal ; 90: 119-26, 2014 Mar.
Article in English | MEDLINE | ID: mdl-24366212

ABSTRACT

The current standard-of-care therapy in HCV consists in ribavirin (RBV) plus pegylated-interferon-α 2a or 2b and, for HCV-1 infected patients, also directly acting antivirals (DAAs). Despite the increase in the number of patients who reach sustained virological response (SVR) for HCV-1, a great inter-individual variability in the response to therapy remains. Whether new drugs are available in combination with RBV and Peg-IFN for HCV-1, the treatment of the other viral genotypes remains the same: this issue highlights the lasting importance of RBV and Peg-IFN in anti-HCV treatment. Moreover, a strong limiting factor to the usefulness of anti-HCV treatment remains the occurrence of adverse events, first of all hemolytic anemia, which have increased with the addition of DAAs, but is mainly an RBV-dependent effect. For these reasons, the monitoring of RBV exposure in the various compartments should be important. Since the routinely determination of RBV in the target cells as the hepatocytes is impracticable for of its invasiveness, the quantification in easier to obtain cells could be a good choice. In this work, we developed and validated an ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/MS) assay method to quantify RBV concentrations in peripheral blood mononucleated cells (PBMCs). QCs were prepared with RBV and RBV-monophosphate (RMP). Each sample was divided into two aliquots, which undergone the same extraction procedure: one was treated with acid phosphatase to convert RBV phosphorylated metabolites into free RBV, the other one was not-treated. The extracts were analyzed with reverse-phase column with UPLC-MS/MS. Calibration curves fitted a least squares model (weighed 1/X) for ribavirin levels in a range from 0.1 ng to 200 ng (mean r(2)=0.9993). Accuracy, intra-day and inter-day precision of the methods were in accordance with FDA guidelines. Moreover, phosphorylated QCs were used to assess the correct determination of total RBV concentration. We tested this method by monitoring RBV concentrations in PBMCs from 20 HCV+ patients, receiving alpha interferon-plus RBV combination therapy. This method showed to be reliable, precise, accurate and suitable for evaluation of intracellular RBV concentrations.


Subject(s)
Antiviral Agents/analysis , Chromatography, High Pressure Liquid/methods , Ribavirin/analysis , Tandem Mass Spectrometry/methods , Antiviral Agents/pharmacokinetics , Calibration , Chromatography, Reverse-Phase/methods , Hepatitis C/blood , Hepatitis C/drug therapy , Humans , Least-Squares Analysis , Leukocytes, Mononuclear/metabolism , Phosphorylation , Reproducibility of Results , Ribavirin/pharmacokinetics
13.
Se Pu ; 31(8): 724-8, 2013 Aug.
Article in Chinese | MEDLINE | ID: mdl-24369603

ABSTRACT

A method for the determination of ribavirin and amantadine in chicken has been developed by ultra performance liquid chromatography-tandem mass spectrometry (UPLC-MS/ MS). After extracted by 1% (volume percentage) trichloroacetic acid solution-acetonitrile (1:1, v/v) and purified by a Supelco LC-SCX cartridge, the samples were loaded onto an Acquity UPLC BEH Hillic column (150 mm x 2.1 mm, 1.7 microm) and separated with gradient elution. The electrospray was operated in the positive mode and the samples were monitored by the multiple reaction monitoring (MRM) mode. The limits of quantification (LOQs, S/N = 10) of ribavirin and amantadine were 4.0 microg/kg. The calibration curves showed good linearity in the range of 10.0 - 100.0 microg/L, and the correlation coefficients (r(2)) were not lower than 0.99. When the spiked levels were 4.0, 8.0 and 20.0 microg/kg, the recoveries of ribavirin and amantadine in chicken ranged from 78% to 102.5%, with the relative standard deviations (RSDs) of 2.2% - 7.6%. The results indicate that the method is simple, rapid, sensitive and suitable for the qualitative and quantitative analyses of ribavirin and amantadine in chicken samples.


Subject(s)
Amantadine/analysis , Chickens , Food Contamination/analysis , Meat/analysis , Ribavirin/analysis , Animals , Chromatography, High Pressure Liquid , Tandem Mass Spectrometry
14.
Se Pu ; 31(10): 934-8, 2013 Oct.
Article in Chinese | MEDLINE | ID: mdl-24432634

ABSTRACT

An analytical method was developed for the determination of total residues of ribavirin and its phosphorylated metabolites in chicken and its products by hydrophilic interaction chromatography-tandem mass spectrometry. The samples were extracted with acetonitrile containing 1% (v/v) acetic acid under ultrasonic condition and then enzymatically hydrolysed with acid phosphatase at 37 degrees C. After liposoluble substances being removed with hexane, C18 and PSA dispersion solid phase extraction (DSPE) was introduced to cleanup procedures. The separation was performed on an ultra-performance hydrophilic interaction chromatographic (HILIC) amide column under a gradient elution using acetonitrile and 0.1% formic acid. The analytes were detected in the positive electrospray ionization and multi-reaction monitoring (MRM) mode. In the range of 1-200 microg/kg, the correlation coefficient was greater than 0.999. The limit of detection (LOD, S/N > or = 3) was 1 microg/kg and the limit of quantification (LOQ, S/N > or = 10) was 5 microg/kg. The recoveries of ribavirin spiked at three levels ranged from 67.8% to 112.7% with the relative standard deviations (RSDs) of 6.1%-13.6%. The results of the determination of ribavirin in various real samples showed that the method is simple, rapid, accurate and suitable for the determination of total residues of ribavirin and its metabolites in chicken and its products.


Subject(s)
Chickens , Drug Residues/analysis , Food Contamination/analysis , Meat/analysis , Ribavirin/analysis , Animals , Chromatography, High Pressure Liquid , Hydrophobic and Hydrophilic Interactions , Solid Phase Extraction , Tandem Mass Spectrometry
15.
Bioanalysis ; 4(15): 1895-905, 2012 Aug.
Article in English | MEDLINE | ID: mdl-22943620

ABSTRACT

BACKGROUND: The polar nucleoside drug ribavirin (RBV) combined with IFN-α is a front-line treatment for chronic hepatitis C virus infection. RBV acts as a prodrug and exerts its broad antiviral activity primarily through its active phosphorylated metabolite ribavirin 5´-triphosphate (RTP), and also possibly through ribavirin 5´-monophosphate (RMP). To study RBV transport, diffusion, metabolic clearance and its impact on drug-metabolizing enzymes, a LC-MS method is needed to simultaneously quantify RBV and its phosphorylated metabolites (RTP, ribavirin 5´-diphosphate and RMP). In a recombinant human UGT1A1 assay, the assay buffer components uridine and its phosphorylated derivatives are isobaric with RBV and its phosphorylated metabolites, leading to significant interference when analyzed by LC-MS with the nominal mass resolution mode. RESULTS: Presented here is a LC-MS method employing LC coupled with full-scan high-resolution accurate MS analysis for the simultaneous quantitative determination of RBV, RMP, ribavirin 5´-diphosphate and RTP by differentiating RBV and its phosphorylated metabolites from uridine and its phosphorylated derivatives by accurate mass, thus avoiding interference. CONCLUSION: The developed LC-high-resolution accurate MS method allows for quantitation of RBV and its phosphorylated metabolites, eliminating the interferences from uridine and its phosphorylated derivatives in recombinant human UGT1A1 assays.


Subject(s)
Antiviral Agents/analysis , Antiviral Agents/pharmacokinetics , Chromatography, High Pressure Liquid/methods , Ribavirin/analysis , Ribavirin/pharmacokinetics , Spectrometry, Mass, Electrospray Ionization/methods , Adenosine Monophosphate , Chromatography, Ion Exchange/methods , Glucuronosyltransferase/analysis , Glucuronosyltransferase/metabolism , Hepatitis C, Chronic/drug therapy , Humans , Nucleotides/analysis , Ribavirin/analogs & derivatives , Uridine/analysis , Uridine Diphosphate/analysis , Uridine Monophosphate/analysis
16.
J Antimicrob Chemother ; 67(6): 1449-52, 2012 Jun.
Article in English | MEDLINE | ID: mdl-22396433

ABSTRACT

OBJECTIVES: To determine the relationship between erythrocyte and plasma ribavirin concentrations in hepatitis C virus (HCV)/HIV-coinfected patients, and to correlate ribavirin exposure with early and sustained virological response (EVR and SVR) and haemoglobin level reductions. METHODS: Clinical and biological data from 68 HCV/HIV-coinfected patients were recorded at baseline, week 4 (W4), week 12 and at 24 weeks after completion of treatment. Plasma and erythrocyte ribavirin concentrations were determined 12 h after the final ribavirin dose (C(min)). RESULTS: Erythrocyte ribavirin concentrations were 100-fold higher than plasma concentrations, with a significant relationship between them (P < 0.05). In patients with HCV genotype 1 or 4, a plasma ribavirin C(min) threshold of 1.95 mg/L at W4 tended to predict EVR [sensitivity 44%; specificity 87%; AUC 0.67 (95% CI 0.50-0.84)] and was predictive of SVR [sensitivity 58%; specificity 84%; AUC 0.71 (95% CI 0.51-0.90)]. Among patients with these HCV genotypes, an erythrocyte ribavirin C(min) threshold of 146 mg/L at W4 was found to be the best value for discriminating between responders and non-responders for both EVR [sensitivity 67%; specificity 75%; AUC 0.58 (95% CI 0.24-0.93)] and SVR [sensitivity 50%; specificity 80%; AUC 0.70 (95% CI 0.39-1.01)]. We also demonstrated a significant relationship between reduced haemoglobin levels and plasma ribavirin C(min) at W4 (P = 0.05). CONCLUSIONS: Therapeutic drug monitoring may be useful for the management of anti-HCV treatment in HCV/HIV-coinfected patients.


Subject(s)
Antiviral Agents/analysis , Erythrocytes/chemistry , HIV Infections/complications , Hepatitis C/complications , Hepatitis C/drug therapy , Plasma/chemistry , Ribavirin/analysis , Adult , Antiviral Agents/administration & dosage , Hemoglobins/analysis , Humans , Interferon-alpha/administration & dosage , Male , Middle Aged , Polyethylene Glycols/administration & dosage , Recombinant Proteins/administration & dosage , Ribavirin/administration & dosage , Treatment Outcome , Viral Load
17.
Braz. j. pharm. sci ; 48(2): 193-201, Apr.-June 2012. ilus, tab
Article in English | LILACS | ID: lil-643011

ABSTRACT

This study aimed to evaluate the rate of sustained virological response (SVR) and the clinical and treatment characteristics of patients with chronic hepatitis C (CHC). A retrospective uncontrolled cohort study was conducted among patients who received treatment for CHC between 2005 and 2008 attended at the Center for the Application and Monitoring of Injectable Medications, in Florianopolis, SC, Brazil. The inclusion criteria were: patients over 18 years of age, with a confirmed diagnosis of chronic hepatitis C according to Brazilian guidelines, treated with PEG-IFN alfa-2a or 2b associated with RBV. A total of 188 patients were included in the study: 70% men, 59% genotype 1, 27% coinfected with HIV, 31% with cirrhosis. The SVR rate, calculated by probability theory, was determined as 26% (max=57.4% and min=12.8%) and the intention to treat was 12.8%. Associations between Sustained Virological Response (SVR) and the variables sex (p=0.017), age (p=0.003), genotype (p=0.648) and cirrhosis (p=0.275), were determined in the bivariate analysis and only sex and age were significantly associated with SVR. The SVR rate was considered low, which can be partially explained by patients' unfavorable pretreatment characteristics.


O objetivo do estudo foi avaliar a taxa de resposta viral sustentada (RVS) e as características clínicas e do tratamento dos pacientes portadores de hepatite C crônica. Realizou-se uma coorte retrospectiva não controlada com recorte temporal dos anos de 2005 a 2008, dos pacientes atendidos no Polo de Aplicação e Monitoramento de Medicamentos Injetáveis, em Florianópolis, SC. Os critérios de inclusão foram: pacientes maiores de 18 anos, com diagnóstico confirmado de hepatite C crônica de acordo com o protocolo brasileiro, tratados com PEG-IFN alfa-2a ou 2b associado a ribavirina. Total de 188 pacientes foi incluído no estudo, 70% homens, 59% genótipo 1, 27% co-infectados com o HIV e 31% apresentando cirrose. A taxa de RVS calculada através da teoria das probabilidades foi de 26% (max=57,4% and min=12,8%) e por intenção de tratamento de 12,8%. Verificou-se a associação da RVS com as variáveis: sexo (p=0,017), idade (p=0,003), genótipo (p=0,648) e presença de cirrose (p=0,275). Somente sexo e idade foram associados significativamente com a RVS. A taxa de RVS foi considerada baixa e, em parte, pode ser explicada pelas características desfavoráveis dos pacientes para a obtenção de RVS.


Subject(s)
Humans , Ribavirin/analysis , /analysis , Interferons/analysis , Hepatitis C, Chronic , Patients/classification
18.
Anal Sci ; 27(3): 277-82, 2011.
Article in English | MEDLINE | ID: mdl-21415510

ABSTRACT

Simple and sensitive spectrofluorometric and HPLC methods for the determination of ribavirin (RIB) were developed. The methods were based on the reaction of the 5'-hydroxyl group of the sugar moiety in RIB with dansyl chloride in a bicarbonate solution (pH 10.5) to form a fluorescent derivative. The first method was based on measuring the fluorescence intensity of the derivative in dichloromethane at 529 nm (excitation at 382 nm). The second method was HPLC separation of the derivative on a reversed-phase C(18) column with fluorescence detection. The linear ranges were 200-900 and 50-1000 ng/mL for the spectrofluorometric and HPLC methods, respectively. The derivatization product was characterized by spectroscopic methods. The proposed methods were successfully applied to analysis of the capsules.


Subject(s)
Antiviral Agents/analysis , Capsules/analysis , Chromatography, High Pressure Liquid/methods , Dansyl Compounds/chemistry , Ribavirin/analysis , Spectrometry, Fluorescence/methods , Fluorescence , Fluorescent Dyes/chemistry , Hydrogen-Ion Concentration
19.
J Pharm Biomed Anal ; 54(4): 889-92, 2011 Mar 25.
Article in English | MEDLINE | ID: mdl-21145682

ABSTRACT

A rapid and specific liquid chromatography tandem mass spectrometry (LC-MS/MS) method for the determination of ribavirin (RBV) in rat brain was developed. Sample preparation required only two centrifuge steps before LC-MS/MS analysis and the chromatographic separation was achieved in isocratic conditions using an Atlantis T3 column with a nearly totally aqueous (95%) mobile phase. The method showed a good linearity over a concentration range of 5-1000ppb and satisfactory results in terms of accuracy.


Subject(s)
Antiviral Agents/analysis , Brain Chemistry , Ribavirin/analysis , Analytic Sample Preparation Methods , Animals , Antiviral Agents/chemistry , Chromatography, High Pressure Liquid , Drug Stability , Limit of Detection , Microchemistry/methods , Rats , Reproducibility of Results , Ribavirin/chemistry , Spectrometry, Mass, Electrospray Ionization , Tandem Mass Spectrometry
20.
Rev. cuba. farm ; 44(3)jul.-sept. 2010.
Article in Spanish | CUMED | ID: cum-46284

ABSTRACT

Se describe el desarrollo de una formulación que contiene ribavirina como principio activo, a una concentración de 100 mg/mL que mantiene sus propiedades estables desde el punto de vista físico, químico y microbiológico. Se realizaron los estudios de formulación correspondientes con el objetivo de determinar la formulación idónea, el procedimiento tecnológico y el envase adecuado para garantizar la estabilidad del producto terminado. Se elaboraron 3 lotes del medicamento, los cuales se envasaron en bulbos incoloros de vidrio, con calidad hidrolítica I y se almacenaron a temperatura ambiente de 30 ± 2 ºC durante 12 meses; se estudió su estabilidad física y química por el método acelerado y de vida de estante. Se comprobó su estabilidad microbiológica a través de un ensayo de esterilidad, a cada uno de los lotes elaborados, al inicio y final del estudio, según la Farmacopea de los Estados Unidos 30 y la regulación establecida por el Centro Estatal de Control de Medicamentos de Cuba; se obtuvieron resultados satisfactorios. Se realizó un estudio toxicológico del inyectable que mostró un amplio margen de seguridad para ser usado en humanos. Todos los resultados obtenidos cumplieron con los límites de calidad establecidos en la literatura oficial para este tipo de forma farmacéutica, por lo que se llegó a la conclusión que el medicamento desarrollado está correctamente formulado desde el punto de vista galénico con un tiempo de vida útil de 12 meses, almacenado bajo las condiciones estudiadas. Finalmente el medicamento fue introducido al nivel industrial sin que se presentaran problemas tecnológicos(AU)


Development of a formula containing Ribavirin as active principle at a 100 mg/mL concentration maintaining its stable properties from the physical, chemical and microbiological point of view is described. The aim of present formula studies was to determine the suitable formula, the technological procedure and the appropriate package to guarantee stability of end product. Three drugs batches were manufactured, which were packing in colourless glass bulbs with a hydrolytic I quality and stored at room temperature of 30 ± 2 ºC for 12 months; its physical and chemical was studied by accelerated method and shelf life. Its microbiological stability was verified by sterility trial in each of processed batches at study onset and at the end according to USA Pharmacopeia-30 and the regulation established by Cuban State Center for Drug Control with satisfactory results. A toxicology study was conducted of injectable agent showing a wide safety margin to human use. All results obtained fulfilled the quality limits established in official literature for this type of pharmaceutical way thus concluded that the developed drug is properly formulated from the medical point of view with a useful life time of 12 months, stored under study conditions. Finally, the drug was introduced at industrial level without technological problems(AU)


Subject(s)
Technological Development , Antiviral Agents/analysis , Ribavirin/analysis , Injections
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