Arzneimittelforschung 2008; 58(11): 551-556
DOI: 10.1055/s-0031-1296556
CNS-active Drugs · Hypnotics · Psychotropics · Sedatives
Editio Cantor Verlag Aulendorf (Germany)

Bioequivalence of Two Commercial Preparations of Escitalopram Oxalate/Clonazepam Using a Liquid Chromatography-Electrospray Mass Spectrometry Method

Sangita Agarwal
1   Department of Pharmaceutical Technology, Jadavpur University, Kolkata, India
,
Kadajji Veeran Gowda
1   Department of Pharmaceutical Technology, Jadavpur University, Kolkata, India
,
Perumal Senthamil Selvan
1   Department of Pharmaceutical Technology, Jadavpur University, Kolkata, India
,
Tapas Kumar Chattaraj
2   Nil Ratan Sircar Medical College and Hospital, Kolkata, India
,
Tapan Kumar Pal
1   Department of Pharmaceutical Technology, Jadavpur University, Kolkata, India
› Author Affiliations
Further Information

Publication History

Publication Date:
19 December 2011 (online)

Abstract

Objective:

A randomized, two-way crossover study was conducted in 24 fasting healthy male volunteers of Indian origin to compare the bioavailability of two brands of a fixed dose combination of escitalopram oxalate (CAS 219861-08-2) 10 mg and clonazepam (CAS 1622-61-3) 0.5 mg tablets, using Estomine-zee® as test and a commercially available formulation as the reference product. The pharmacokinetics of escitalopram oxalate and clonazepam individually after oral administration of tablet formulation has been extensively evaluated in adult volunteers. However, no published data are available regarding the pharmacokinetics and bioavailability of this particular fixed dose combination.

Method:

The trial was designed as a randomized, balanced, open-label, 2-period cross-over study. The drug was administered with 240 ml of water after a 10-h overnight fasting on two treatment days separated by a 21-day washout period. After dosing, serial blood samples were collected for a period of 96 h. Plasma harvested from blood was analyzed by simple rapid, selective and validated liquid chromatography-electrospray mass spectrometry (LC-ESI-MS/MS) using diazepam (CAS 439-14-5) as an internal standard.

Results:

The calibration curves were found to be linear in the range of 1–25 ng/ml and 1–10 ng/ml for escitalopram oxalate and clonazepam, respectively, with a mean correlation coefficient of more than 0.99. No statistically significant differences were obtained between the two products with respect to the mean concentration-time profiles or in the pharmacokinetic parameters, including the area under the serum concentration-time curve from the present study.

Conclusion:

Based on the statistical inferences, it was concluded that the test product is bioequivalent to the reference product. Both preparations were well tolerated with no adverse reactions throughout the study.

 
  • Literature

  • 1 Burke WJ. Escitalopram. Expert Opin Invest Drugs. 2002; 11 (10) 1477-1486
  • 2 Matsui E, Hoshino M, Matsui A, Okahira A. Simultaneous determination of citalopram and its metabolites by high-performance liquid chromatography with column switching and fluorescence detection by direct plasma injection. J Chromatogr B. 1995; 668 (2) 299-307
  • 3 Haupt D. Determination of citalopram enantiomers in human plasma by liquid chromatographic separation on a Chiral-AGP column. J Chromatogr B. 1996; 685 (2) 299-305
  • 4 Olesen OV, Linnet K. Simplified high-performance liquid chromatographic method for the determination of citalopram and desmethylcitalopram in serum without interference from commonly used psychotropic drugs and their metabolites. J Chromatogr B. 1996; 675 (l) 83-88
  • 5 Kugelberg FC, Carlsson B, Ahlner J, Bengtsson F. Stereoselective single-dose kinetics of citalopram and its metabolites in rats. Chirality. 2003; 15 (7) 622-629
  • 6 Kristoffersen L, Bugge A, Lundanes E, Slordal L. Simultaneous determination of citalopram, fluoxetine, paroxetine and their metabolites in plasma and whole blood by high-performance liquid chromatography with ultraviolet and fluorescence detection. J Chromatogr B. 1999; 734 (2) 229-246
  • 7 Carlsson B, Norlander B. Solid-phase extraction with end-capped C2 columns for the routine measurement of race-mic citalopram and metabolites in plasma by high-performance liquid chromatography. J Chromatogr B. 1997; 702 (1–2) 234-239
  • 8 Macek J, Ptacek P, Klima J. Rapid determination of citalopram in human plasma by high-performance liquid chromatography. J Chromatogr B. 2001; 755 (1–2) 279-285
  • 9 Ohman D, B. Carlsson B, Norlander B. On-line extraction using an alkyl-diol silica precolumn for racemic citalopram and its metabolites in plasma: Results compared with solid-phase extraction methodology. J Chromatogr B. 2001; 753 (2) 365-373
  • 10 Rochat B, Amey M, Gelderen HV, Testa B, Baumann P. Determination of the enantiomers of citalopram, its demethy-lated and propionic acid metabolites in human plasma by chiral HPLC. Chirality. 1995; 7 (6) 389-395
  • 11 Dalgaard L, Larsen C. Metabolism and excretion of citalopram in man: identification of O-acyl- and N-glucuronides. Xenobiotica. 1999; 29 (10) 1033-1041
  • 12 Guellec CL, Gaudet ML, Breteau M. Improved selectivity for high performance liquid chromatographic determination of clonazepam in plasma of epileptic patients. J Chro-matogr B Biomed Sci Appl. 1998; 719: 227-233
  • 13 Sallustrio BC, Kassapidis C, Morris RG. High-performance liquid chromatography determination of clonazepam in plasma using solid phase extraction. Ther Drug Monit. 1994; 16: 174-178
  • 14 Lillsunde P, T. Seppala T. Simultaneous screening and quantitative analysis of benzodiazepines by dual-channel gas chromatography using electron capture and nitrogen-phosphorus detection. J Chromatogr. 1990; 533: 97-110
  • 15 Song D, S. Zhang S, Kohlhof K. Quantitative determination of clonazepam in plasma by gas chromatography-negative ion chemical ionization mass spectrometry. J Chromatogr B Biomed Sci Appl. 1996; 686: 199-204
  • 16 Robertson MD, Drummer OH. High-performance liquid chromatographic procedure for the measurement of nitro-benzodiazepines and their 7-amino metabolites in blood. J Chromatogr B Biomed Science Appl. 1995; 667: 179-184
  • 17 Kratzsch C, Tenberken O, Peters FT, Weber AA, Kraemer T, Maurer HH. Screening, library-assisted identification and validated quantification of 23 benzodiazepines, flumazenil, zaleplone, zolpidem and zopiclone in plasma by liquid chromatography/mass spectrometry with atmospheric pressure chemical ionization. J Mass Spectrom. 2004; 39: 856-872
  • 18 Black DA, Clark GD, Haver VM, Garb in JA, Saxon AJ. Analysis of urinary benzodiazepines using solid-phase extraction and gas chromatography-mass spectrometry. J Anal Toxicol. 1994; 18: 185-188
  • 19 Negrusz A, Moore CM, Kern JL, Janicak PG, Strong MJ, Levy NA. Quantitation of clonazepam and its major metabolite 7-aminoclonazepam in hair. J Anal Toxicol. 2000; 24: 614-620
  • 20 Robertson MD, Drummer OH. Postmortem distribution and redistribution of nitrobenzodiazepines in man. J Forensic Sci. 1998; 43: 9-13
  • 21 Nakai K, Fujita M, Ogata H. International harmonization of bioequivalence studies and issues shared in common. Yakugaku Zasshi. 2000; 120: 1193-1200
  • 22 Barrett JS, Batra V, Chow A, Cook J, Gould AL, Lo MW et al. PhRMAperspective on population and individual bioequivalence. J Clin Pharmacol. 2000; 40: 561-570
  • 23 Shah VP, Midha KK, Sighe S. Analytical method validation: bioavailability, bioequivalence and pharmacokinetic studies. Eur J Drug Metab Pharmacokinet. 1992; 16: 249-255
  • 24 Agarwal S, Gowda KV, Mandai U, Ghosh D, Bose A, Sarkar AK et al. Bioequivalence study of a sustained release fixed dose combination capsule containing esomeprazole and domperidone in healthy subjects. Arzneimittel Forschung (Drug Research). 2007; 57 (5) 274-277