Artemether–Lumefantrine Concentrations in Tablets and Powders from Ghana Measured by a New High-Performance Liquid Chromatography Method

Autor: Eskild Petersen, Philip Debrah, Birgitte Brock, Patrick Owusu-Danso, Henry Nettey, Samuel Adjei, Joseph Adusei Sarkodie, Tore Forsingdal Hardlei, Katja Kjeldgaard Miltersen, Irene Akwo-Kretchy, Patrick F. Ayeh-Kumi
Rok vydání: 2016
Předmět:
Zdroj: Debrah, P, Nettey, H, Miltersen, K K, Ayeh-Kumi, P, Brock, B, Sarkodie, J A, Akwo-Kretchy, I, Owusu-Danso, P, Adjei, S, Petersen, E & Hardlei, T F 2016, ' Artemether-Lumefantrine Concentrations in Tablets and Powders from Ghana Measured by a New High-Performance Liquid Chromatography Method ', American Journal of Tropical Medicine and Hygiene, vol. 95, no. 1, pp. 158-63 . https://doi.org/10.4269/ajtmh.15-0868
ISSN: 1476-1645
0002-9637
DOI: 10.4269/ajtmh.15-0868
Popis: We developed and validated a new analytical method for the simultaneous quantification of artemether and lumefantrine in fixed-dose tablets and powders for reconstitution into pediatric suspensions (PSs). The method showed linearity (r2 > 0.9947), precision (coefficient of variation < 2%), accuracy (deviation of mean from actual concentrations < 4%), and specificity (peak purities > 99%). The validated method was used to analyze 24 batches of fixed-dose tablets and PSs of artemether and lumefantrine. Of the samples, 23 were obtained using convenience sampling of commonly available brands within Accra in Ghana and one was obtained from Aarhus University Hospital. In all, 83.3% (confidence interval: 80–120%) passed for both artemether and lumefantrine contents, 16.7% failed by the U.S. Pharmacopoeia standards, 8.3% failed for one content, and 8.3% failed for both contents. All four products (16.7%) that failed were PSs, and two (8.3%) showed higher levels of artemether than prescribed (222% and 756%). We developed and validated a new analytical method for the simultaneous quantification of artemether and lumefantrine in fixed-dose tablets and powders for reconstitution into pediatric suspensions (PSs). The method showed linearity (r(2) > 0.9947), precision (coefficient of variation < 2%), accuracy (deviation of mean from actual concentrations < 4%), and specificity (peak purities > 99%). The validated method was used to analyze 24 batches of fixed-dose tablets and PSs of artemether and lumefantrine. Of the samples, 23 were obtained using convenience sampling of commonly available brands within Accra in Ghana and one was obtained from Aarhus University Hospital. In all, 83.3% (confidence interval: 80-120%) passed for both artemether and lumefantrine contents, 16.7% failed by the U.S. Pharmacopoeia standards, 8.3% failed for one content, and 8.3% failed for both contents. All four products (16.7%) that failed were PSs, and two (8.3%) showed higher levels of artemether than prescribed (222% and 756%).
Databáze: OpenAIRE