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Abstract

A rapid, sensitive, and high precise reverse-phase high-performance liquid chromatography (RP-HPLC) method was developed for the simultaneous quantification of Cefepime and Enmetazobactam using a Waters HPLC system. Chromatographic separation was achieved on a Inertsil ODS C18 column (250 × 4.6 mm, 5 µm particle size) maintained at ambient temperature. The mobile phase consisted of acetonitrile and buffer in the ratio of 80 :20(v/v), which was filtered through a 0.45µm membrane filter prior to use. The flow rate was maintained at 1.0 mL/min, and detection was carried out at 228 nm using PDA detector.

Keywords

Cefepime and Enmetazobactam, RP-HPLC

Introduction

Exblifep is a combination antibiotic used for complicated urinary tract infections (cUTIs) that contains two antibiotics, cefepime and enmetazobactam. Exblifep is used when the bacteria causing the UTI is resistant to other antibiotics, especially if the resistance is due to Extended Spectrum Beta Lactamases (ESBLs).

Exblifep contains cefepime (Maxipime), which is fourth-generation cephalosporin combined with enmetazobactam, which is a beta-lactamase inhibitor. Exblifep is given as an IV infusion that takes about 2 hours and is given every 8 hours for 7 to 14 days.

Exblifep received FDA approval to treat adults (18 years and older) with complicated UTI, including kidney infection (pyelonephritis) caused by specific bacteria Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, Proteus mirabilis, and Enterobacter cloacae complex, that susceptible to Exblifep.

II. MATERIALS AND METHODS

Preparation of Stock solution: Accurately weigh 125 mg of Enmetazobactam and 120 mg of Cefepime separately in a 100ml volumetric flask sonicated for 20 minutes. Take 10ml of each of each solution and place them in a 100ml volumetric flask. Next, add mobile phase, and after 10 minutes, sonicate the mixture.

Preparation of working standard solution: 10mg of the drugs Cefepime and Enmetazobactam were weighed, and 10 ml of mobile phase was added to each of two separate 10 ml volumetric flasks. The mixture was then sonicated for 20 minutes to obtain 1000 ppm, then taking 1ml of each solution and diluting it to 10ml with mobile phase.

III. RESULTS AND DISCUSSION

Method validation: Validation parameters include specificity, linearity, range, accuracy, precision, limit of detection, limit of quantification, robustness and assay (1-6).

Specificity: Specificity is the ability to assessing equivocally the analyte in the presence of components which may be expected to be present. Typically, these components include impurities, degradants, matrix etc. Blank solution and standard solutions of Cefepime (40μg/ml) and Enmetazobactam. (40μg/ ml) were injected into the HPLC system. The peak purity data of Cefepime and Enmetazobactam. were compared. There should not be any interference at the retention time of the main peaks.

Linearity: Linearity for the drugs Cefepime and Enmetazobactam .(17-27)was determined by preparing the standard solutions at six concentrations levels in six replicates in the range of 20-70μg/ml Cefepime and 20-70μg/ml for and Enmetazobactam hydrochloride from stock solution. The linearity charts of Cefepime and Enmetazo bactam was shown in the figure no 2&3. The correlation coefficient was found to be 0.9996 and 0.9994for Cefepime and Enmetazo bactam respectively. Linearity results were tabulated in table 2.

Accuracy: Accuracy was performed by spiking known amounts of standard solution to sample solution at three different concentrations levels (50%, 100%, 150%) and there by analyzed for %RSD which should not be more than 2.0.The % recovery was calculated and the results was reported in table no. 3 & 4.

Precision: The precision (7-12) of the analytical method was studied by injecting six replicates of standard containing 40μg/ml of Cefepime and 40μg/ml of Enmetazo bactam which were injected into HPLC system. The % RSD was calculated and the results were reported in the table no.5 & 6.

Limit of Detection (LOD) and Limit of Quantification (LOQ): The limit of detection was defined as the concentration which yields a signal - to – noise ratio 3:1 whereas the limit of quantification was calculated to be the lowest concentration that could be measured with signal - to – noise ratio10:1. LOD and LOQ were calculated from slope and standard deviation. The results were tabulated in table no. 7.

Robustness: The smallest deliberate changes in method like change in flow rate are made but there were no predictable changes in the results and are in the range as per ICH guidelines. Conditions like decrease in flow rate (0.8 ml/min), increase in flow rate (1.2 ml/min) was maintained and samples were injected in duplicate manner. System suitability parameters were not much affected and all the parameters were passed. % RSD was found to be within the limits and results were tabulated in table no. 8.

Assay: Assay was conducted on marketed formulation and mean % assay was found. The results were tabulated in table no. 9.

Table1:OptimisedChromatographicConditions

Parameter

Method

Stationary Phase (column)

Inertsil  -ODS C18 (250 x 4.6 mm, 5 µ)

Mobile Phase

Methanol and Acetonitrile(80:20)

Flow rate (ml/min)

1.0 ml/min

Run time (minutes)

14 min

Temperature in the column (°C)

Ambient

Injection volume (µl)

20

Detection wavelength (nm)

262nm

Drug RT (min)

6.120 min for Cefepime and 9.336 for Enmetazobactum.

Figure 1: OptimisedChromatogram

Table 2: Linearity data of Cefepime and Enmetazobactam

Cefepime

Enmetazobactam

Conc (µg/ml)

Peak area

Conc (µg/ml)

Peak area

20

442574

20

1867314

30

663321

30

2726631

40

863425

40

3613860

50

1086345

50

4385621

60

1296547

60

5263754

70

1535742

70

6132485

Figure 2:Calibration curve of Cefepime

 

Figure 3:Calibration curve of Enmetazobactam

Table 3: Accuracy Data of Cefepime

Concentration

% of spiked level

Amount added

(ppm)

Amount found

(ppm)

% Recovery

Statistical Analysis of % Recovery

50% - 1

20

20.12

100.14

MEAN

99.93

50% - 2

20

19.98

99.91

 

 

50% - 3

20

19.94

99.89

%RSD

0.74

100 % - 1

40

40.14

100.12

MEAN

99.84

100 % - 2

40

39.96

99.98

 

 

100% - 3

40

39.86

99.75

%RSD

0.639

150% - 1

60

59.94

99.99

MEAN

100.04

150% - 2

60

60.01

100.02

 

 

150% - 3

60

60.02

100.02

%RSD

0.667

Table 4:Accuracy Data for Enmetazobactam

Concentration

% of spiked level

Amount added

(ppm)

Amount found

(ppm)

% Recovery

Statistical Analysis of % Recovery

50% - 1

20

19.93

99.97

MEAN

99.98

50% - 2

20

19.84

99.87

 

 

50% - 3

20

20.05

100.4

%RSD

0.867

100 % - 1

40

39.90

99.84

MEAN

99.96

100 % - 2

40

40.04

100.06

 

 

100% - 3

40

40.01

100.04

%RSD

0.687

150% - 1

60

59.98

99.97

MEAN

99.94

150% - 2

60

59.95

99.93

 

 

150% - 3

60

59.92

99.91

%RSD

0.687

Table 5: System Precision data of Cefepime and Enmetazobactam

Sr. No

Cefepime

Enmetazobactam

1

865021

3604637

2

865327

3607638

3

865674

3609784

4

865780

3612341

5

865732

3606721

Mean

865506.8

3608224

SD

324.6686

2951.79

% RSD

0.037512

0.081807

Table 6: Method Precision data of Cefepime and Enmetazobactam

Sr. No

Cefepime

Enmetazobactam

1

865237

3607684

2

865762

3604672

3

865760

3605241

4

865091

3606754

5

865374

3607878

6

865767

3606752

Mean

865498.5

3606497

SD

303.2641

1292.7

% RSD

0.035039

0.035844

Table 7: LOD and LOQ data of Cefepime and Enmetazobactam

Drug Name

LOD (µg/ml)

LOQ (µg/ml)

Cefepime

0.11

0.33

Enmetazobactam

0.09

0.27

Table 8: Robustness data of Cefepime and Enmetazobactam

Sr No

Drug Name

Condition

Peak area

% RSD

1

Cefepime

Decreased Flow rate of 0.8 ml/min

864680

0.037

2

Increased Flow rate of 1.2 ml/min

866350

0.0038

3

Enmetazobactam

Decreased Flow rate of 0.8 ml/min

359512

0.089

4

Increased Flow rate of 1.2 ml/min

362053

0.066

Table 9: Assay data Cefepime and Enmetazobactam

Sr. No

Peak area of Cefepime

% Assay

Peak area of Enmetazobactam

% Assay

1

865354

99.24

3608756

101.57

2

865037

3605937

3

865762

3602734

4

865972

3607961

CONCLUSION

The developed RP-HPLC method was validated as per ICH guidelines. All the system suitability parameters were within the range as stated by ICH guidelines. Interference peaks were not observed in blank, standard and sample chromatogram. Hence simple, precise and accurate, sensitive, specific and robust method was developed and validated. This can be used in quality control department with respect to routine analysis.

ACKNOWLEDGEMENTS

Authors are thankful to the management of Viswanadha Institute of Pharmaceutical Sciences (VNIPS) for providing facilities and support to carry out this work.

REFERENCES

  1. V. Gupta, A.D. K. Jain, N.S. Gill, K. Gupta, Development and validation of HPLC method - a review , Int. Res J Pharm. App Sci., (2012);2(4) 17-25
  2. Y. Kazakevich, R. Lobrutto, HPLC for Pharmaceutical Scientists, John Wiley & Sons, New Jersey, 2007.
  3. S. Ahuja, H. Rasmussen, Developments for Pharmaceuticals, Separation Science and Technology, Elsevier, New York [2007] Vol.8
  4. M.S. Azim, M. Mitra, P.S. Bhasin, HPLC method development and validation: A review, Int. Res. J. Pharm. (2013);4(4):39-46.
  5. B.V. Rao, G.N. Sowjanya1, A. Ajitha, V.U.M. Rao, Review on stability indicating hplc method development, World Journal of Pharmacy and Pharmaceutical Sciences, (2015);4(8)405-423.
  6. M.S. Charde, A.S. Welankiwar, J. Kumar, Method development by liquid chromatography with validation, International Journal of Pharmaceutical Chemistry, (2014);04(02): 57-61.
  7. S. Sood, R. Bala, N.S. Gill, Method development and validation using HPLC technique – A review, Journal of Drug Discovery and Therapeutics, 2014; 2(22): 18-24.
  8. M.W. Dong, Modern Hplc for practicing scientists, John Wiley & Sons, New Jersey, 2006.
  9. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/065369_original_approval_pkg.p df
  10. https://www.pediatriconcall.com/drugs/cefepime/379
  11. Invention of Enmetazobactam: An Indian Triumph in Antimicrobial Drug Discovery | ACS Infectious Diseases https://pubs.acs.org/doi/10.1021/acsinfecdis.4c00982
  12. General mechanism for tazobactam/enmetazo bactamacyl enzyme formation... | Download Scientific Diagram https://www.researchgate.net/figure/General-mechanism-for-tazobactam-enmetazobactam-acylenzyme-formation-and-rearrangement- by_fig4_360857976
  13. Dr. Chhaya U. Shah, Janvi R. Satavar, The Review Article on- Analytical Method Development and Validation of Antibiotic Drugs Cefepime and Enmetazobactam for Urinary Tract Infection (ijrpr.com) International Journal of Research Publication and Reviews, March 2025,6(3),Pg – 10234-10240.
  14. M. M Ameli, A. Vezzelli, S. Verze, Liquid chromatography–tandem mass spectrometry for the simultaneous quantitation of enmetazobactam and cefepime in human plasma. Journal of Pharmaceutical and Biomedical Analysis, 2019,174,Pg:655-662.
  15. Panchal Vipul J , Desai Hemant , Patel Nirav, Panchal Kalpesh, Development and Validation of Stability Indicating Method for Simultaneous Estimation of Cefepime and Tazobactam Injection using RP-UPLC Method. IOSR Journal of Pharmacy, 2014,4 (12) Pg. 53-60.
  16. P. Sivanarayana, D. Ravi Kumar, K. Ram Babu, Validated RP-HPLC Method for the Simultaneous Determination of Tazobactam and Cefepime in Injectable Generic Combination Formulation. Journal of Applicable Chemistry,2019,8(3),Pg:1439-1446.
  17. S. J. Rani and N. Mounika, Method development and validation of Cefepime by using RP HPLC along with its potency. International Journal of Pharmaceutical Sciences and Research, 2018, 9(6),2530-34.
  18. N. Sunitha, L. Sindhura, B. Thangabalan, S. Manohar Babu , Development and Validation of RP-HPLC method for Simultaneous estimation of Cefepime and Tazobactam in Injection formulation. Asian Journal of Pharmaceutical Sciences.2013,3(4).
  19. Palacios FJ, Mochon MC, Sánchez JJ, López MB, Pérez AG. Validation of an HPLC method for determination of cefepime (a fourth-generation cephalosporin). Determination in human serum, cerebrospinal fluid, and urine. Pharmacokinetic profiles. Chromatographia. 2005 Oct; 62:355-61.
  20. Šestáková N, Theurillat R, Sendi P, Thormann W. Monitoring of cefepime in human serum and plasma by micellar electrokinetic capillary chromatography: improvement of sample preparation and validation by liquid chromatography coupled to mass spectrometry. Journal of separation science. 2017, 40(8):Pg:1805-1814.
  21. Nemutlu E, K?r S, Katlan D, Beksac MS. Simultaneous multiresponse optimization of an HPLC method to separate seven cephalosporins in plasma and amniotic fluid: application to validation and quantification of cefepime, cefixime and cefoperazone. Talanta. 2009 Nov 15;80(1):117-26.
  22. Marinês J. Souza Nogueira, Estevan S., Rosecler R. Kulmann, Lucélia M. Silva, Daniele R. Zimmermann, Cleber A. Schmidt, Development and in-house validation of a microbiological assay for determination of cefepime in injectable preparations. Journal of AOAC International,2006, 89(5),Pg:1365-1372.

Reference

  1. V. Gupta, A.D. K. Jain, N.S. Gill, K. Gupta, Development and validation of HPLC method - a review , Int. Res J Pharm. App Sci., (2012);2(4) 17-25
  2. Y. Kazakevich, R. Lobrutto, HPLC for Pharmaceutical Scientists, John Wiley & Sons, New Jersey, 2007.
  3. S. Ahuja, H. Rasmussen, Developments for Pharmaceuticals, Separation Science and Technology, Elsevier, New York [2007] Vol.8
  4. M.S. Azim, M. Mitra, P.S. Bhasin, HPLC method development and validation: A review, Int. Res. J. Pharm. (2013);4(4):39-46.
  5. B.V. Rao, G.N. Sowjanya1, A. Ajitha, V.U.M. Rao, Review on stability indicating hplc method development, World Journal of Pharmacy and Pharmaceutical Sciences, (2015);4(8)405-423.
  6. M.S. Charde, A.S. Welankiwar, J. Kumar, Method development by liquid chromatography with validation, International Journal of Pharmaceutical Chemistry, (2014);04(02): 57-61.
  7. S. Sood, R. Bala, N.S. Gill, Method development and validation using HPLC technique – A review, Journal of Drug Discovery and Therapeutics, 2014; 2(22): 18-24.
  8. M.W. Dong, Modern Hplc for practicing scientists, John Wiley & Sons, New Jersey, 2006.
  9. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2007/065369_original_approval_pkg.p df
  10. https://www.pediatriconcall.com/drugs/cefepime/379
  11. Invention of Enmetazobactam: An Indian Triumph in Antimicrobial Drug Discovery | ACS Infectious Diseases https://pubs.acs.org/doi/10.1021/acsinfecdis.4c00982
  12. General mechanism for tazobactam/enmetazo bactamacyl enzyme formation... | Download Scientific Diagram https://www.researchgate.net/figure/General-mechanism-for-tazobactam-enmetazobactam-acylenzyme-formation-and-rearrangement- by_fig4_360857976
  13. Dr. Chhaya U. Shah, Janvi R. Satavar, The Review Article on- Analytical Method Development and Validation of Antibiotic Drugs Cefepime and Enmetazobactam for Urinary Tract Infection (ijrpr.com) International Journal of Research Publication and Reviews, March 2025,6(3),Pg – 10234-10240.
  14. M. M Ameli, A. Vezzelli, S. Verze, Liquid chromatography–tandem mass spectrometry for the simultaneous quantitation of enmetazobactam and cefepime in human plasma. Journal of Pharmaceutical and Biomedical Analysis, 2019,174,Pg:655-662.
  15. Panchal Vipul J , Desai Hemant , Patel Nirav, Panchal Kalpesh, Development and Validation of Stability Indicating Method for Simultaneous Estimation of Cefepime and Tazobactam Injection using RP-UPLC Method. IOSR Journal of Pharmacy, 2014,4 (12) Pg. 53-60.
  16. P. Sivanarayana, D. Ravi Kumar, K. Ram Babu, Validated RP-HPLC Method for the Simultaneous Determination of Tazobactam and Cefepime in Injectable Generic Combination Formulation. Journal of Applicable Chemistry,2019,8(3),Pg:1439-1446.
  17. S. J. Rani and N. Mounika, Method development and validation of Cefepime by using RP HPLC along with its potency. International Journal of Pharmaceutical Sciences and Research, 2018, 9(6),2530-34.
  18. N. Sunitha, L. Sindhura, B. Thangabalan, S. Manohar Babu , Development and Validation of RP-HPLC method for Simultaneous estimation of Cefepime and Tazobactam in Injection formulation. Asian Journal of Pharmaceutical Sciences.2013,3(4).
  19. Palacios FJ, Mochon MC, Sánchez JJ, López MB, Pérez AG. Validation of an HPLC method for determination of cefepime (a fourth-generation cephalosporin). Determination in human serum, cerebrospinal fluid, and urine. Pharmacokinetic profiles. Chromatographia. 2005 Oct; 62:355-61.
  20. Šestáková N, Theurillat R, Sendi P, Thormann W. Monitoring of cefepime in human serum and plasma by micellar electrokinetic capillary chromatography: improvement of sample preparation and validation by liquid chromatography coupled to mass spectrometry. Journal of separation science. 2017, 40(8):Pg:1805-1814.
  21. Nemutlu E, K?r S, Katlan D, Beksac MS. Simultaneous multiresponse optimization of an HPLC method to separate seven cephalosporins in plasma and amniotic fluid: application to validation and quantification of cefepime, cefixime and cefoperazone. Talanta. 2009 Nov 15;80(1):117-26.
  22. Marinês J. Souza Nogueira, Estevan S., Rosecler R. Kulmann, Lucélia M. Silva, Daniele R. Zimmermann, Cleber A. Schmidt, Development and in-house validation of a microbiological assay for determination of cefepime in injectable preparations. Journal of AOAC International,2006, 89(5),Pg:1365-1372.

Photo
V. Vijaya
Corresponding author

Viswanadha Institute of Pharmaceutical Sciences, Mindivanipalem, Visakhapatnam, Andhra Pradesh.

Photo
K Suvarna
Co-author

Viswanadha Institute of Pharmaceutical Sciences, Mindivanipalem, Visakhapatnam, Andhra Pradesh.

Photo
Dr. P V Madhavi Latha
Co-author

Viswanadha Institute of Pharmaceutical Sciences, Mindivanipalem, Visakhapatnam, Andhra Pradesh.

Photo
Dr. P Uma Devi
Co-author

Viswanadha Institute of Pharmaceutical Sciences, Mindivanipalem, Visakhapatnam, Andhra Pradesh.

V. Vijaya, K Suvarna, Dr. P V Madhavi Latha, Dr. P Uma Devi, Method Development and Validation for the Simultaneous Estimation of Cefepime and Enmetazobactam in Bulk and Pharmaceutical Dosage form by RP-HPLC Method, Int. J. of Pharm. Sci., 2025, Vol 3, Issue 12, 873-879. https://doi.org/10.5281/zenodo.17829859

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