Identification of the major degradation pathways of ticagrelor
Graphical abstract
Introduction
Ticagrelor, (1S,2S)-3-[7-[[(1R,2S)-2-(3,4-difluorophényl)cyclopropyl]amino]-5-propylsulfanyltriazolo[4,5-d]pyrimidin-3-yl]-5-(2-hydroxyéthoxy)cyclopentane-1,2-diol is a new antiplatelet agent, the first reversible P2Y12-adenosine diphosphate (ADP) receptor blocker indicated in the treatment of acute coronary syndromes (ACS) [1], [2]. Until recently, clopidogrel was the key P2Y12 antagonist advocated, but recent large-scale randomized trials have demonstrated net clinical benefit of the new antiplatelet agents (ticagrelor and prasugrel) with respect to clopidogrel [2], [3]. Therefore, the European guidelines recommend ticagrelor and prasugrel as first-line treatment in patients presenting with non-ST segment elevation ACS and ST-segment elevation ACS [4], [5]. Ticagrelor provides fast, great and more consistent ADP-receptor inhibition.
Even properly designed, marketed drugs undergo environmental stresses, which may result in a loss of activity and cause adverse effects owing to the advent of degradation products. One of the best ways to apprehend the phenomenon and to anticipate risks is to get access to degradation pathways in order to determine intrinsic stability of drugs, according to ICH recommendations [6]. LC-MSn in conjunction with accurate mass measurements has been increasingly used for structural characterization of degradation products [7]. The literature shows scant information on stability and degradation behaviour of ticagrelor. Its metabolites have been described in plasma using hyphenated LC-MS [8], [9]. An LC stability indicating method was developed to determine ticagrelor in presence of its degradation products, but structural elucidation was not described [10].
The pharmaceutical importance of ticagrelor as an antiplatelet drug has prompted us to carry out a characterization study of its degradation products generated under harsh conditions, by using LC–MSn along with high-resolution MS. A stability indicating method intended to drug quantification and impurity determination was also developed and validated. Kinetics was performed in order to assess the molecule's shelf-life and to identify the most important degrading factors.
Section snippets
Instrumentation
A reversed-phase liquid chromatography (LC) method with mass spectrometry (MS) detection was implemented to study the impurity profile of ticagrelor. LC-UV allowed for routinely drug quantification in presence of its potential degradation products and for impurity determination.
The LC system (Dionex, Les Ulis, France) consists of a quaternary pump, a vacuum degasser, a photo-diode array (PDA) detector and an autosampler. Thereof is piloted by Chromeleon® software version 6.80 SR11 (Dionex, Les
LC-MS conditions and performance
The main objective was to separate ticagrelor from its degradation products and the major degradation products from each other. After several trials with different columns, C18 XTerra MS column (50 mm × 4.6 mm i.d., 2.5 μm) was found suitable for the separation of the aforementioned compounds. During the optimization process using this column, several conditions with various mobile phases like methanol/water and acetonitrile/water in different proportions were tested in isocratic mode. Optimal
Conclusion
The degradation behaviour of ticagrelor under hydrolytic (acid, base), oxidative, photolytic and thermal stress conditions was studied as per ICH guidelines. A stability-indicating LC method was developed and has shown suitable for drug quantification as well as for impurity determination. Kinetics results showed that ticagrelor was extremely fragile with respect to light and oxidative conditions. A total of nine degradation products were highlighted. Based on the fragmentation schemes and some
Acknowledgments
The authors thank Audrey Solgadi (Mass Spectrometry Platform–Institut Paris-Sud d’Innovation Thérapeutique) and Edouard Burtet (Department of Pharmacy, Pitié-Salpêtrière Hospital–APHP) for their highly appreciated contributions to this work and their advices.
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Both authors contributed equally to this study and are therefore considered as first authors.