1. Introduction
Hypertension is a major global public health problem due to its prevalence and the risk of developing cardiovascular diseases [
1,
2,
3,
4,
5]. According to the 2017 ACC (American College of Cardiology)/AHA (American Heart Association) guideline, the absolute burden of hypertension consistently increased from 87.0 million in 1999–2000 to 108.2 million in 2015–2016. Among hypertensive US adults, about 36.2% will require no less than one drug to control their high blood pressure, according to the 2017 ACC/AHA guideline [
6,
7]. It is believed that combining two antihypertensive drugs could achieve a more effective complementary mechanism of action in comparison to doubling the dose of a single drug, where efficacy and tolerability can be achieved by combining agents that either interfere with distinctly different pressor mechanisms or effectively block counterregulatory responses and whenever side effects associated with a particular agent are neutralized by the pharmacologic effects of an added drug, respectively [
8,
9]. Valsartan (VAL) and Nifedipine (NIF) in
Figure 1A,B are two different pharmaceutical compounds that belong to a class of anti-hypertensive agents, which acts on different receptors to reduce the blood pressure [
10].
Val induces its action by antagonizing the renin-aldosterone system (RAAS), which is where it competes with angiotensin-II to bind to the type-1 angiotensin II receptor (AT2) subtype, which in turn prevents high blood pressure [
10]. In comparison, NIF is a dihydropyridine calcium channel blocker that acts by inhibiting the transmembrane influx of extracellular calcium ions into the myocardial and vascular smooth muscle cells, resulting in dilation of the main coronary arteries [
11,
12].
VAL and NIF are used as a combinational therapy because of their synergistic effect when single drug treatment is ineffective [
13,
14]. Drug monitoring is essential to assess the therapeutic effect of this combination. A study conducted by Liu’s group showed that the effect of NIF, combined with VAL, in 180 patients suffering from hypertension exhibited a positive therapeutic effect of the combinational therapy. Of the patients who received both NIF and VAL, 95.56% were responsive to treatment, as compared to the control group (treated with VAL), where the response rate was 82.22% [
15].
Our research aimed to design a new nano formulation for a combination therapy based on NIF (calcium channel blockers) and VAL (angiotensin II receptor blocker) as a novel formulation that has a broad effect as an antihypertensive oral medication. Drug delivery systems are the subject important studies that were performed very recently [
16]. Self-nano emulsifying drug delivery systems (SNEDDS) have been developed as a liquid dosage form within the scope of the current studies using lipid oils and surfactant at a particular ratio. Two model drugs were loaded for the best therapeutic effect to reduce cardiac dysfunction and oxidative stress in isoproterenol-induced cardiotoxicity. The combination therapy was the first dosage form, which is not available on the market, but needed to be analyzed for quantification purposes in the current study.
Due to its ease of use, reproducibility, separation efficiency and ultra-high performance liquid chromatography (UHPLC), it is among the top choices for the quantification of various compounds. However, this technique requires optimization in order to separate the compounds with high sensitivity, as well as low retention times. For instance, Sood J et. al. [
17], in a recent study, developed and validated a HPLC method for the simultaneous determination of VAL and NIF with high sensitivity. However, their method was tedious and consumed a high amount of solvent. Nano-pharmaceuticals have new and promising therapeutic platforms. Nano-formulations offer a better release profile and have an enhanced permeation and retention effect [
18].
To the best of our knowledge, quantitative analysis of VAL and NIF in self-nanoemulsifying lipid-based formulations has not been reported yet.
Therefore, the aim of this study was to develop a sensitive UHPLC method to quantitate the amount of VAL and NIF active components in self-nanoemulsifying lipid-based formulations as a novel formulation. The method is new, simple, sensitive, accurate and reproducible, however, for a single drug, pre-clinical analysis one of the compounds can be used as an internal standard (IS) for precise quantitation of the other compound. The proposed method was first successfully applied to the analysis of self-emulsifying lipid-based formulations containing both VAL and NIF, with no interference from dosage form excipients. In addition, antihypertensive treatment reduces the risk of cardiovascular complications in patients with high mortality and hypertension. Valsartan is highly selective antihypertensive that is rapidly absorbed after oral administration, but its oral bioavailability is only 25%. It is absorbed from the upper part of the gastrointestinal tract but is less soluble in this acidic environment. We aimed to develop a lipid-based formulation to produce a self-emulsifying drug delivery system (SEDDS) for valsartan. The method was validated in accordance with the standard International Council on Harmonization (ICH) guidelines [
19].
2. Experimental
2.1. Materials and Equipment
VAL (>95% pure) and NIF (98% pure) were purchased from Alfa Aesar, (Ward Hill, Haverhill, MA 01835, USA). Excipients to develop the self-nanoemulsifying drug delivery systems (SNEDDS) dosage form, such as OS (Olive squalene oil), TOP-OV (Trioleyl Phosphate), Maisene 35-1 (long chain monoglycerides) and Cremophore EL (non-ionic surfactant-castor oil) were obtained from M/s NIKKOL chemicals, Japan, M/s Gattefosse, Saint-Priest Cedex, France and M/s BASF, Ludwigshafen, Germany, respectively. HPLC grade acetonitrile, methanol and ammonium formate were purchased from BDH laboratory supplies (BDH Chemicals Ltd., Poole, UK). The high purity Milli-Q water was obtained through a Milli-Q Integral Water Purification System (Millipore, Bedford, MA, USA). All other reagents were of analytical grade and were used without further purification.
2.2. Preparation of Self-Nanoemulsifying Lipid-Based Formulations
Two liquid anhydrous SNEDDS formulations were prepared by selecting various concentrations of oil and surfactant, as presented in
Table 1. Initially, the SNEDDS were prepared by the simple admixture of oil with surfactant/cosurfactant using a vortex mixer to ensure homogeneity at an ambient temperature [
20]. The model drugs (NIF and VAL) were then added to the SNEDDS formulations according to the equilibrium solubility (
Table 1).
2.4. SNEDDS Drug Loading
The SNEDDS drug loading was determined using the equilibrium solubility experiment of the two model drug formulations NIF and VAL using the simple shake flask method [
21]. The samples were prepared by adding an excess amount (approximately 50 mg/g) of both drugs to the SNEDDS, which was then shaken and thoroughly agitated using a vortex mixer to ensure adequate mixing. The samples were kept at 37 °C in the incubator for 7 days. Three replicates were taken for each formulation. The samples for the solubility experiments were analyzed using the developed UHPLC method by dissolving each of the formulations with an appropriate solvent.
2.5. Instrumentation
Development and optimization of chromatographic separation was completed with respect to the composition of mobile and stationary phases, column temperature, flow-rate, sample volume and detection wavelength. The work within the scope used a highly sensitive Ultra-High Performance Liquid Chromatography (UHPLC) system that was composed of a Dionex®® UHPLC binary solvent manager equipped with a Dionex®® automatic sample manager and a Photodiode Array (PDA) eλ detector by Thermo scientific, Bedford, MA, USA.
2.6. Preparation of Mobile Phase, Standard Solutions and Quality Control Sample
The mobile phase was an isocratic mixture of HPLC grade acetonitrile, methanol and ammonium formate aqueous solution in a ratio of (15:45:40% v/v). The flow rate was 0.35 mL/min, which was connected through an Acquity®® UPLC BEH C18 column (2.1 × 50 mm, 1.7 μm) with a temperature of 45 °C. The total run time was extended to 2.5 min, whereas the NIF and VAL was eluted for 0.87 and 1.95 min, respectively. A freshly prepared mobile phase was filtered through an online 0.20 μm filter and was degassed continuously by an online degasser within the UHPLC system. The detector wavelength was set at 236 nm and the injection volume was 2 μL.
A stock solution of VAL and NIF was prepared in methanol at a concentration of 1 mg/mL each. After this, standard solutions were prepared by a serial dilution from the stock solution, resulting in standards with concentrations ranging from 1 to 50 µg/mL (
Table 3). The calibration curves were plotted for both VAL and NIF as the peak surface area of each compound versus the corresponding concentration in the standard and regression equations were computed. Three quality control (QC) samples with the selected concentrations of 1, 5 and 25 μg/mL were prepared to cover the desired range from the calibration standards.
3. Method Validation
The developed reverse phase UHPLC UV analytical procedure for the estimation of VAL and NIF simultaneously was validated according to the ICH Q2 (R1) guideline, which included system suitability, specificity, linearity, sensitivity, precision, accuracy and robustness.
3.1. Linearity and Calibration
For the construction of calibration curves, freshly prepared standards of varying concentrations of VAL and NIF (1.0–50.0 μg/mL) were employed. A combination of acetonitrile, methanol and ammonium formate aqueous solution were used as a mobile phase with a flow rate of 0.35 mL/min for the equilibration of the column. The UV detection during the measurement was set at 236 nm to detect the absorption maxima (λmax). The standards were injected in a nonduplicate manner (n = 9) and the resultant response in the form of peak areas was recorded for every standard. The calibration curve was constructed by plotting the known concentration of VAL and NIF against the concentration, as calculated from the peak surface area.
3.2. Specificity
The specificity of the developed analytical method was determined by assessing the interference from the blank. Three replicate injections of the diluent as blanks were evaluated at the retention times of VAL and NIF.
3.3. Accuracy and Precision
The six prepared NIF and VAL standards samples in the methanol solution with the drug samples were injected in the UHPLC system nine times for a duration of three days (Inter-day) and three times (n = 6) on the same day (Intra-day). Recovery (%) and relative standard deviation (RSD) (%) for each concentration were calculated to determine accuracy and precision, respectively. For an acceptable limit of accuracy and precision, the RSD value should be within ±15% and less than 15%, respectively. The recovery of the NIF and VAL from SNEDDS samples were carried out at three concentration levels, namely lower QC (LQC = 2.5 µg/mL), medium QC (MQC = 5 µg/mL) and high QC (HQC = 10 µg/mL) by the analysis of replicate (n = 6) samples. The peak areas obtained from QC samples were compared to those of analytical standards to calculate NIF and VAL recovery. Furthermore, accuracy and precision were measured using Equation (1), which is as follows:
3.4. Limit of Detection (LOD) and Lower Limit of Quantification (LLOQ)
The LOD and LOQ were determined from the calibration curve by first calculating the standard error of the linear line intercept, and then multiplying it by the number of replications at the line intercept. After that, the resultant values were multiplied by 3.3 for LOD and by 10 for LOQ [
22].
3.5. Statistical Analysis
The data were expressed as mean ± standard error of mean (SEM). The significance was determined by applying one-way ANOVA. p values < 0.05 were considered significant.
4. Results and Discussion
The obtained spectra from the newly developed UHPLC method showed good extraction and separation for VAL and NIF. Most importantly, the extraction and separation of VAL and NIF were performed in a rapid and shorter time (within approximately 2 min). The chromatographic retention times were consistent at 0.87 and 1.95 min for NIF and VAL, respectively.
Figure 2A–D show the recorded detection of NIF and VAL at various concentrations (1 µg/mL, 10 µg/mL, 25 µg/mL, 50 µg/mL). As expected, the intensity of the absorbance increased with increasing concentrations of NIF and VAL. The method developed is sensitive enough to detect values as low as 1 ppm (1 µg/mL) and offers a rapid determination of NIF and VAL.
4.1. System Suitability Studies
The current suitability was considered to assess the performance and the highest precision of the systems. The variations (% RSD) in the peak area from the samples (nine replicates) were very minor, which demonstrates that the system is precise (
Table 4). The results of other chromatographic parameters, such as peak tailing and theoretical plate numbers (shows column efficiency), were also shown in
Table 4. The overall analyses of the results reveled the acceptability/highest performance of the system due to having tailing peaks of 1.08 and 1.34 for NIF and VAL, respectively. In addition, the theoretical plates were more than 2000 in all chromatographic runs.
4.2. Linearity and Calibration Curves
To estimate the unknown concentrations of NIF and VAL, linear interpolation process was performed. The following equations were established using the linear regression method using the regression formula:
The best fit for this relationship can be expressed as follows:
VAL:
where
y = the amount of an unknown concentration of the drug, and
x = generated concentration of the drug peak area ratio. The correlation coefficient (R
2) of this line is 0.9984 for NIF and 0.9997 for VAL (
Figure 3A,B).
For most of the drug assay methods, the response is a non-linear function of the analyte concentration, and the standard deviations (SD) of the calculated concentrations are not a constant variable of the mean response; therefore, a weighted, non-linear least squares method is generally recommended for fitting dose-response data.
4.3. Accuracy
Accuracy levels were investigated by calculating the peak areas from nine replicates of each of the standards that were used for data analysis and validation. Calibration curves of NIF and VAL were plotted accordingly (
Figure 3 above) and the percent deviations are presented in
Table 5.
Accuracy (or trueness) is the most important aspect and should be addressed in any analytical method validation. Accuracy shows the extent of agreement between the experimental value (calculated from replicate measurements) and the reference values. It is a measurement of the systematic errors that affect the method. To estimate the accuracy of a method, the analyte is measured against a reference material or by spiking a known amount of analyte in the blank matrix (QC samples) and calculating the percentage of recovery from the matrix. The guideline for validation of analytical methods recommends checking the accuracy within run and between runs by analyzing samples on at least three QC levels (low, medium and high) as a representative of the whole analytical range. The accuracy data are reported as the percentage of the nominal concentrations and the mean concentration of 15% for all QC levels.
4.4. LOD and LOQ
The LOD of NIF was 3.78 µg/mL, whereas the LOD for VAL was 1.56 µg/mL. The LOQ of NIF and VAL were 11.47 µg/mL and 4.73 µg/mL, respectively.
The LOD is generally defined as the lowest amount of an analyte in a sample that can be detected by a particular analytical method. LOD is usually evaluated using the calculation of the signal/noise relationship, considering the assumption that data normality, homoscedasticity and independency of residuals are met. The signal-to-noise ratio is determined by comparing the analytical signals at known low concentrations compared with those of blank sample up to a concentration that produces a signal equivalent to three times the standard deviation of the blank sample. Determination of the LOD is not necessary during the validation because the assay may have high variability at that level.
4.5. Applicability of the Method
The applicability of the developed UHPLC method has been confirmed, and the optimized conditions were successfully applied for the quantification of the NIF and VAL compounds in the studies of equilibrium solubility/drug loading and dissolution profiles of self-nanoemulsifying lipid-based formulations (SNEDDS) at three different strengths. As no combination therapy with NIF and VAL is available on the market, our method is the first to model the drugs in a single dosage form. Since NIF and VAL have been of interest for their health benefits, the present analytical method could have potential applications identifying and quantifying these compounds, either in a single and or combined dosage form. The drug loading in the case of NIF and VAL of the three different strengths are given below (
Table 6). The results from the percentage recovery (label claimed) of the analysis were above almost 99%, thus suggesting the applicability of the method for future marketed/commercial products. The UHPLC chromatograms of NIF and VAL did not show any interference as no detectable matrix peak was eluted at the retention time of either drug at 0.87 min and 1.95 min.
5. Conclusions
The developed RP-UHPLC method is a fast and reliable, with a reproducible assay with higher specificity for VAL and NIF analysis in pure and pharmaceutical formulations, respectively. This method is sensitive enough to detect values as low as 1 µg/mL, which could exclusively offer rapid determination of NIF and VAL (peaks at 0.87 min and 1.95 min within 2 min run time). No significant interferences were caused by the formulation excipients, diluents and/or degradation products. The validation method allows for the quantification of NIF and VAL in pure liquid and solid pharmaceutical formulations between 1 and 50 µg/mL. Compared to previously reported methods, the present assay assessed a rapid determination. The method has shown acceptable precision, accuracy and adequate sensitivity, and could be used for robust pharmaceutical analysis of the dosage form. The established method satisfies the system suitability criteria, peak integrity and resolution of the drug peak, respectively. The overall results indicate that the current method is attractive due to its good selectivity for the simultaneous quantitative determination of NIF and VAL in SNEDDS formulations. The objective of the current study was to develop a simultaneous method and we will add to this in future formulation developments (dosage forms) and in-vivo studies, where we would apply the current analytical method.