Tegafur, gimeracil, and oteracil potassium are widely used pharmaceuticals to treat lung cancers
of the gastrointestinal tract like the oral cavity, esophagus, colon and rectum, pancreas, and also
non-small cell lung cancers. Literature review revealed that no study has yet offered a completely
stability-demonstrating, validated liquid chromatography-mass spectrometric approach for the
concurrent estimation of tegafur, gimeracil, and oteracil potassium along with all known
degradation products. The simultaneous detection of tegafur, gimeracil, and oteracil potassium,
and their forced degradation products characterization, necessitated the invention of a simple,
faster, and less expensive method. The goal of the study was to follow ICH method validation
standards to develop and validate a fast, easy, and rugged liquid chromatography-mass
spectrometry (LC-MS) technique for the concurrent estimation of Tegafur, gimeracil, and oteracil
potassium in drug substance and finished dosage form according to ICH method validation
guidelines. Tegafur, gimeracil, and oteracil potassium were examined on Waters HPLC Alliance
system coupled to SCIEX QTRAP 5500 mass spectrometer endowed with an interface capable of
carryout electrospray ionization. The tegafur, gimeracil, and oteracil peaks eluted at retention times
of 2.338 min., 3.756 min., and 5.338 min. respectively. The limit of detection (LOD) values of
tegafur, gimeracil, and oteracil were detected to be 0.6, 0.174, and 0.474 μg/mL, respectively
however the results for quantification limit (LOQ) were calculated to be 2.0, 0.58, 1.58 µg/mL
concentration, respectively. Tegafur, gimeracil, and oteracil had linear ranges of 50-300 µg/ml,
14.5-87 µg/ml, and 39.5-237 µg/ml, respectively, with regression coefficients of 0.99956, 0.99986,
and 0.999479. Accuracy values for tegafur, gimeracil, and oteracil in the ranges of 50%, 100%
and 150% for each were respectively, were determined to be 99.9%, 99.9%, and 99.4%. The %
RSD for six replicates was less than 2% for precision. According to ICH Q2 guidelines, this
approach was effectively evaluated with LC-MS to validate the chemical structures of freshly
created tegafur, gimeracil, and oteracil degradation products. An accurate and sensitive LC-MS
technique was developed and validated for the concurrent quantification of tegafur, gimeracil, and
oteracil potassium in drug material and medicinal dosage form. |
- Ikenaka K, shirasaka T, kitano S, Fujii S. Effect of uracil on metabolism of 5-fluorouracil in vitro. GANN Jpn J Cancer Res. 1979;70(3):353-9.
- Sakata KI, Someya M, Matsumoto Y, Tauchi H, Kai M, Toyota M, Takagi M, Hareyama M, Fukushima M. Gimeracil, an inhibitor of dihydropyrimidine dehydrogenase, inhibits the early step in homologous recombination. Cancer Sci. 2011;102(9):1712-6. DOI: 10.1111/j.1349-7006.2011.02004.x
- National Center for Biotechnology Information. PubChem Compound Summary for CID 4604, Oxonic Acid. Retrieved, 2023 from https://pubchem.ncbi.nlm.nih.gov/compound/Oxonic-Acid.
- Wen L, You C, Lu X, Zhang L. Phase II trial of concurrent chemoradiotherapy with S‑1 versus weekly cisplatin for locoregionally advanced nasopharyngeal carcinoma. Clin. Oncol. 2015;3(3):687-91. DOI: 10.3892/mco.2015.529
- Emi M, Yamaguchi Y, Hihara J, Hironaka K, Okada M. Phase I trial of oxaliplatin plus S-1 chemotherapy in patients with metastatic colorectal cancer. Oncol. Lett. 2010;1(1):95-8. DOI: 10.3892/ol_00000017
- MISTRY V, YELWE A, DESHPANDE A. A simultaneous estimation, validation and forced degradation studies of 5-fluorouracil and tegafur in a pharmaceutical dosage form using reversed-phase high-performance liquid chromatography method. Asian J Pharm Clin Res. 2018;11(12):132-7.DOI: DOI: 10.22159/ajpcr.2018.v11i12.27858
- Nakamoto M, Ishigouoka H, Sato K, Yamauchi T, Tonogi M, Yamane GY, Tanaka Y, Ichiba H, Fukushima T, Inouye Y. Feasibility of Bioavailability Testing by Simultaneous Determination of Serum Concentrations of Tegafur and 5-fluorouracil after TS-1 Oral or Tube Administration for Chemotherapy in Oral Cancer Patients. J. Health Sci.2010;56(6):684-9.DOI: doi.org/10.1248/jhs.56.684
- Kawabata N, Sugiyama S, Kuwamura T, Odaka Y, Satoh T. Simultaneous determination of tegafur and 5‐fluorouracil in serum by GLC using nitrogen‐sensitive detection. J Pharm Sci .1983;72(10):1162-5.DOI: 10.1002/jps.2600721013
- Liu HY, Ding L, Yu Y, Chu Y, Zhu H. Comparison of three derivatization reagents for the simultaneous determination of highly hydrophilic pyrimidine antitumor agents in human plasma by LC–MS/MS. J. Chromatogr. B.2012;893:49-56.DOI: 10.1097/FTD.0b013e3182693687
- Li W, Lin H, Song N, Chen G, Li X, Zhao H. Equilibrium solubility investigation and thermodynamic aspects of biologically active gimeracil (form P) dissolved in aqueous co-solvent mixtures of isopropanol, N, N-dimethylformamide, ethylene glycol and dimethylsulfoxide. J. Chem. Thermodyn. 2019;133:19-28. DOI: 10.1016/j.jct.2019.01.026
- Gu Y, Lu R, Si D, Liu C. Simultaneous determination of tegafur and gimeracil in human plasma by liquid chromatography/tandem mass spectrometry. Anal. Sci. 2009;25(10):1211-5.DOI: 10.2116/analsci.25.1211
- Liu HY, Ding L, Yu Y, Chu Y, Zhu H. Comparison of three derivatization reagents for the simultaneous determination of highly hydrophilic pyrimidine antitumor agents in human plasma by LC–MS/MS. J. Chromatogr. B. 2012;893:49-56. DOI: 10.1016/j.jchromb.2012.02.033
- Launay M, Nasser Y, Tholance Y, Dellinger S, Gonzalo P, Delavenne X. Delaying centrifugation and freezing by adding a dihydropyrimidine dehydrogenase inhibitor such as gimeracil to blood sample is not a valid option to simplify the preanalytic step for the screening of dihydropyrimidine dehydrogenase deficiency using uracilemia. Ther. Drug Monit. 2020;42(2):344-5. DOI: 10.1097/FTD.0000000000000716
- Chen Y, Jiang Y, Qu J, Wang Q, Bai Y, Shi J, Shi Y, Chen X, Yang N, Heng J, Li K. Pharmacokinetic and bioequivalence study of new S-1 capsule in Chinese cancer patients. Eur. J. Pharm. Sci. 2020;151:105384. DOI: 10.1016/j.ejps.2020.105384
- Peer CJ, McManus TJ, Hurwitz HI, Petros WP. Development and utilization of a combined LC–UV and LC–MS/MS method for the simultaneous analysis of tegafur and 5-fluorouracil in human plasma to support a phase I clinical study of oral UFT®/leucovorin. J. Chromatogr.B.2012;898:32-7.DOI: 10.1016/j.jchromb.2012.04.010
- Lee HW, Seong SJ, Kang WY, Ohk B, Gwon MR, Kim BK, Cho S, Cho K, Sung YK, Yoon YR, Kim JG. Pharmacokinetic and bioequivalence study between two formulations of S-1 in Korean gastric cancer patients. Drug Des Devel Ther.2019:3127-36. DOI: 10.2147/DDDT.S219822
- Sugiyama E, Kaniwa N, Kim SR, Hasegawa R, Saito Y, Ueno H, Okusaka T, Ikeda M, Morizane C, Kondo S, Yamamoto N. Population pharmacokinetics of gemcitabine and its metabolite in Japanese cancer patients: impact of genetic polymorphisms. Clin. Pharmacokinet. 2010;49:549-58. DOI: 10.2165/11532970-000000000-00000
- Kochi M, Fujii M, Kanamori N, Kaiga T, Aizaki K, Takahashi T, Takayama T. Effect of gastrectomy on the pharmacokinetics of S-1, an oral fluoropyrimidine, in resectable gastric cancer patients. Cancer Chemother. Pharmacol. 2007;60:693-701.DOI: 10.1007/s00280-007-0415-x
- Kim TH, Shin S, Shin JC, Bulitta JB, Weon KY, Yoo SD, Park GY, Jeong SW, Kwon DR, Min BS, Woo MH. Effect of sipjeondaebo-tang on the pharmacokinetics of S-1, an anticancer agent, in rats evaluated by population pharmacokinetic modeling. Molecules. 2017;22(9):1488. DOI: 10.3390/molecules22091488
|