Short communicationDevelopment, validation and comparison of NIR and Raman methods for the identification and assay of poor-quality oral quinine drops
Graphical abstract
Introduction
Malaria remains one of the most rampant illnesses worldwide and is one of the main causes of child mortality in developing countries [1], [2]. The treatment of uncomplicated malaria is based on conventional antimalarial drugs (e.g. chloroquine, artemisinin derivatives, atovaquone, etc.). These drugs are essentially used as combinations due to the growing resistance observed with single-drug therapy [3]. However, quinine is still recommended alone in the treatment of severe and/or cerebral malaria attacks as well as for chloroquine-resistant falciparum malaria [4]. Four quinine based dosage forms are found on the pharmaceutical market in DRC: tablets (250 and 500 mg), ampuls (250 and 500 mg/2 mL), syrup (100 mg/mL) and oral drops (200 mg/mL). The last three dosage forms are the most used with 0–5 year old children. In 2009, the Health Ministry of the DRC warned citizens against quinine oral drops “Quinizen 20%” that were found to have been counterfeit and substandard [5].
Poor quality (substandard, counterfeit and degraded) or substandard/spurious/falsely-labelled/falsified/counterfeit anti-malarial drugs constitute a major public health concern especially in developing countries where the pharmaceutical market is poorly regulated and controlled [6]. It has been estimated that at least a third of the drugs sold in Africa are fake. The use such drugs may lead to therapeutic failure, death and reinforce drug resistance [7], [8].
Vibrational spectroscopic techniques, such as near infrared (NIR) and Raman spectroscopies are frequently used techniques in the field of quantitative drug analysis [9], [10], [11] and in the fight against counterfeit drugs [12], [13], [14], [15]. These techniques have the advantages of being non-destructive, fast, requiring little or no sample preparation, as well as being environmental friendly [16]. The foremost advantage for drug analysis in developing countries however is their low cost in routine analysis and the absence of consumables.
The aim of the present research was to develop NIR and Raman methods able to detect and to quantify quinine in 20% (W/V) oral drops solutions from a Congolese drug-manufacturing laboratory (manufacturer A). These methods were fully validated by the “total error” approach [17], compared by mean of a Bland and Altman analysis [18] and then tested on samples from several manufacturers.
Section snippets
Reagents
Ammonium formate (98.1%), hydrochloric acid (37%), and methanol (HPLC gradient grade) were purchased from Merck (Darmstadt, Germany). Benzoic acid and propylene glycol were purchased from Sigma–Aldrich (Saint-Louis, MO, USA). The reference standard of quinine dihydrochloride (100.8%) for the HPLC analysis was purchased from Molekula Ltd. (Dorset, UK). Ultrapure water was obtained from a Milli-Q Plus 185 water purification system (Millipore, Billerica, MA, USA).
NIR equipment
The oral drop samples were
Validation of the reference method
The method was successfully validated using the “total error” approach in the range of 50–150 μg mL−1 with acceptance limits set at 10% according to the USP for quinine sulphate tablet assay [21]. Trueness, precision (repeatability and intermediate precision), accuracy and linearity of the method were found to be acceptable (see also Table 1).
Quantitative NIR study
Quantifying an API in an aqueous matrix may be a difficult task with NIR spectroscopy. Indeed, the matrix absorbance spectrum shows that the multiple
Conclusion
The main objective of this study was to develop and validate efficient, rapid and cost-effective analytical methods for the analysis of quinine dihydrochloride 20% (W/V) presented as an oral drop formulation manufactured and marketed in the DRC.
To meet these requirements, NIR and Raman spectroscopic methods were successfully developed and validated using the total error approach with acceptance limits fixed at 10% in the range of 50–150% of the target concentration. A comparison of the two
Acknowledgments
The authors are deeply grateful to the Belgian “Commission de la Coopération au Développement” for financially supporting J.K. Mbinze’ and to the New Cesamex and AV Pharma laboratories for collaboration. Walloon Region of Belgium is also gratefully acknowledged for P.-Y. Sacré funding (convention N° 1117469).
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These authors have equally contributed to this article.