Abstract
A parenteral medical combination containing vaborbactam and meropenem is used mainly to treat complicated urinary tract infections. A novel ultra-performance liquid chromatography tandem mass spectrometric method was developed for the sensitive determination of both compounds in human plasma. Sample preparation was performed by precipitation technique. The chromatographic separation was accomplished using the Acquity C18-BEH column, 0.01 M ammonium formate: acetonitrile (47 : 53, v/v) as a mobile phase with a flow rate of 0.2 ml minâ1. Analytes were monitored by applying multiple reaction monitoring. The bioanalytical validation criteria were conducted following the Food and Drug Administration recommendations. The method was linear within range 0.5 to 50 ”g mlâ1, for both drugs. The intra-day and inter-day precision, as coefficient variation (% CV) and the accuracy, as % bias did not exceed 15% for both drugs. The percentage recovery of targeted analytes was not less than 77%, calculated at three quality control levels. The proposed method showed a suitable lower level of quantification value of 0.50 ”g mlâ1 for both analytes, which is far lower than the expected Cmax, which permits the use of this method for pharmacokinetic studies. The proposed method proved to be useful for the evaluation of this combination in both human plasma and pharmaceutical formulation.
Highlights
Vaborbactam (VBR)âmeropenem (MRP) has been recently approved by the Food and Drug Administration (FDA)
It is possible to analyse a large number of plasma samples per day
To our knowledge, there is no technique that has been published for the evaluation of both drugs in human plasma, and with the expected upcoming generics production, there is a need to establish a bioanalytical method that could be applied as a requirement for registration of such generics and prove their bioequivalence to brand new, VabomereÂź
Summary
Vaborbactam (VBR)âmeropenem (MRP) has been recently approved by the Food and Drug Administration (FDA). It is first-in-class boronic acid-based ÎČ-lactamase inhibitor and a carbapenem combination product. This combination has been introduced for treatment of complicated urinary tract infections [1]. VBR is chemically designated as 2-[(3R,6S)-2-hydroxy-3-[(2-thiophen-2 ylacetyl)amino]oxaborinan-6-yl]acetic acid. It has been tested for treatment of bacterial infections in renal failure patients [2]. In August 2017, the FDA approved a new intervention in the treatment of complicated urinary tract infections under the market name VabomereÂź [4]. The treatment aims to resolve infectionrelated symptoms of complicated urinary tract infections [4]
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