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Pioglitazone
A. Al-Majed, A.H.H. Bakheit, H.A. Abdel Aziz, H. Alharbi,
F.I. Al-Jenoobi
King Saud University, Riyadh, Kingdom of Saudi Arabia
Contents
1. Description 380
1.1 Nomenclature 380
1.2 Formulae 381
1.3 Elemental Analysis 382
1.4 Appearance 382
2. Uses and Applications 382
3. Methods of Preparation 382
4. Physical Characteristics 387
4.1 Color/Form 387
4.2 Melting Point 387
4.3 Dissociation Constant 387
4.4 Octanol/Water Partition Coefficient 387
4.5 Solubility 387
4.6 Vapor Pressure 387
4.7 X-Ray Powder Diffraction Pattern 388
4.8 Thermal Analysis 388
4.9 Spectroscopy 389
4.10 Mass Spectroscopy 390
4.11 NMR Spectrometry 390
5. Method of Analysis 391
5.1 Compendial Methods 391
5.2 Reported Method of Analysis 399
5.3 Electrochemical Method 406
5.4 Chromatography 409
6. Stability 427
7. Clinical Applications 428
7.1 Pharmcodynamics 428
7.2 Mechanism of Action 429
7.3 Pharmacokinetics 429
Profiles of Drug Substances, Excipients, and Related Methodology, Volume 41 # 2016 Elsevier Inc. 379
ISSN 1871-5125 All rights reserved.
http://dx.doi.org/10.1016/bs.podrm.2015.11.002
380 A. Al-Majed et al.
1. DESCRIPTION
1.1 Nomenclature
1.1.1 Systemic Chemical Names
• 5-[[4-[2-(5-Ethylpyridin-2-yl)ethoxy]phenyl]methyl]-1,
3-thiazolidine-2,4-dione hydrochloride [1].
• (RS)-5-(4-[2-(5-ethylpyridin-2-yl)ethoxy]benzyl)thiazolidine-2,
4-dione [2].
• ()-5-{p-[2-(5-Ethyl-2-pyridyl)-ethoxy] benzyl}-2,4-thiazolidinedione
hydrochloride [3].
• [()-5-[[4-[2-(5-ethyl-2-pyridinyl) ethoxy] phenyl] methyl]-2,4-]
thiazolidine-dione [4].
• 5-(4-(2-(5-ethylpyridin-2-yl)ethoxy)benzyl)thiazolidine-2,4-dione
hydrochloride [5].
• 5-[[4-[2-(5-ethylpyridin-2-yl) ethoxy] phenyl] methyl] thiazolidine-
2,4-dione.
• 5-[4-[2-(5-ethyl-2-pyridyl)ethoxy]benzyl]-2,4-thiazolidinedione.
• ()-5-[[4-[2-(5-Ethyl-2-pyridinyl)-ethoxy] phenyl] methyl]-2,
4-thiazolidinedione.
• 2,4-Thiazolidinedione, 5-[[4-[2-(5-ethyl-2-pyridinyl)ethoxy]phenyl]
methyl]-(9CI).
• 2,4-Thiazolidinedione, 5-((4-(2-(5-ethyl-2-pyridinyl)ethoxy)phenyl)
methyl)-.
• 5-({4-[2-(5-ethylpyridin-2-yl) ethoxy] phenyl}methyl)-1,
3-thiazolidine-2,4-dione.
• 5-[[4-[2-(5-ethyl-2-pyridinyl)ethoxy]phenyl]methyl]thiazolidine-2,
4-dione.
• 5-{4-[2-(5-ethylpyridin-2-yl)ethoxy]benzyl}-4-hydroxy-1,3-thiazol-2
(5H)-one.
• 2-Amino-5-{4-[2-(5-ethyl-pyridin-2-yl)-ethoxy]-benzyl}-thiazol-4-
one [6].
Pioglitazone 381
O
382 A. Al-Majed et al.
1.4 Appearance
Colorless prisms from ethanol [1] and needles from dimethylformamide and
water [7].
3. METHODS OF PREPARATION
A number of syntheses of pioglitazone have been disclosed. Fischer et al.
[9] and Les et al. [10] described two related syntheses of pioglitazone hydro-
chloride (Scheme 1). The tosylate of 2-(5-ethylpyridin-2-yl) ethanol 2, formed
in situ with tosyl chloride, was displaced by 4-hydroxybenzaldehyde 3 by
means of benzyltributylammonium chloride and NaOH to give 4-[2-(5-eth-
ylpyridin-2-yl)ethoxy]benzaldehyde 6. Alternatively, a nucleophilic aromatic
substitution reaction between alcohol 2 and 4-fluorobenzonitrile 4 using NaH
as the base provided 4-[2-(5-ethylpyridin-2-yl)ethoxy] benzonitrile 5, which
was reduced with Raney nickel and formic acid to aldehyde 6. Then
Pioglitazone 383
CN CN
H3C
H3C
NaH
+ F N O
N OH 4 5
2
Ra–Ni, HCOOH
TsCl, PhCH2NBu3Cl,
+ aq. NaOH
O
CHO S
CHO NH
H3C
HO O N
3 N O
6
, H
S
H3C O S
H3C O
O N
N O H2 or NaBH4
H N O N
O H
7 1
F NO2
Et NO2
OH Et Et NH2
3 10% Pd/C
N N O
2 NaH, DMF MeOH N O
4 5
O
1. NaNO2, HBr O
Et CH3
O Thio urea Et
Br NH
2. Methylacrylate, S
N O Sodium acetate
Cu2O N O
6 7 NH
O
2N HCl
Et
NH
S
N O
O
1
OH
Et Et CHO
OH OHC
TsCL Et 4
OTs
N BTBAC, DCM N O
2 NaOH, water
N 5
O NH O 3 O
O
Et
S 6 Et
NH 5% Pd/C
S NH
Piperidine N O S
O Dioxane N O
ethanol, water O
7 1
O
O
Et NaBH4
NH Et
S CoCl2, DMG NH
N O S
O THF, water N O
2 1 O
O
O
Et
NH Et
S Yeast NH
N O S
O Dioxane N O
2 1 O
OH
Et
Et
OHC Et CHO
CH2
N NBS Br 4
2 N
H NaOH, water N O
3 OH K2CO3 (or) NaH
O N O OH 5
O
S O
Et NaBH4
6 NH Et
S CoCl2, DMG NH
N O S
Piperidine O N O
OH DMF O
acetic acid 7 OH 8
etanol, water
O
O
PCl5 Et
NH Et
S Zn, acetic acid NH
CHCl3 N O S
O N O
Cl O
9 1
H CH3COONa O O
OH N
O O (CH3CO)2O O 10% Pd/C O
NH NH
OHC + S
CH3CON(CH3)2 H3C O
S
H3C O
S
2
CH3COOH 5
3 O O
4 Et
O OTs
O
PPh3CCl O NaOMe N
NCPh3 NCPh3
S S
DCM, TEA H3C O Toluene HO K2CO3
O O
6 7
O O
Et Et
H+
NCPh3 NH
S S
N O N O
O O
8 1
O
CHO O O
Cl OtBu OtBu
OtBu
3 10% Pd/C
BnO O O
2 tBuOK, tBuOH BnO Ethyl acetate HO
5
4
Et
O
O
N OMs Et MsCl
6 OMe Et
TEA OCH3
OH
N O OMs
K2CO3, ACN N O
7
8
O
Et O
NH Et
2MHCl
Sodium acetate S NH
N O S
NH N O
Thiourea
9 O
ethanol
1
4. PHYSICAL CHARACTERISTICS
4.1 Color/Form
Pioglitazone: Colorless needles from dimethylformamide and water.
Pioglitazone hydrochloride: Colorless prisms from ethanol [7], Odorless
white crystalline [18].
4.5 Solubility
Soluble in DMF, DMSO (79 mg/mL); slightly soluble in ethanol (4 mg/
mL), acetone, or acetonitrile; practically insoluble in water; insoluble in
ether. Soluble in 25 mM of DMSO [18]; in water, 46.85 mg/L at 25°C [6].
Pioglitazone hydrochloride very soluble in dimethyl formamide; slightly
soluble in ethanol; very slightly soluble in acetone, acetonitrile. Practically
insoluble in water and ether [7,19].
Tao et al. [20] measured the solubility of pioglitazone hydrochloride
(form I) in methanol, ethanol, 1-propanol, acetic acid, and N,N-
dimethylacetamide between 278.15 and 323.15 K at atmospheric pressure.
The solubility of pioglitazone hydrochloride (form I) increases with increasing
temperature and the order is N,N-dimethylacetamide> methanol > acetic
acid > ethanol > 1-propanol.
4.9 Spectroscopy
4.9.1 Ultraviolet Spectroscopy
The ultraviolet (UV) absorption spectra of 20 μg/mL pioglitazone HCl in
methanol is shown in Fig. 1. The figures were recorded using a Shimadzu
UV spectrophotometer; model no. UV-1800 with 1 cm matched quartz
cells was used for experiments. The absorption spectra of reference and
test solution were carried out in a 1 cm quartz cell over the range of
200–400 nm.
The molar absorptivity of pioglitazone HCl at 268 nm is
6561.43 L/mol cm.
2.000
4
1.000
3
Abs.
1
5
0.000
−0.572
200.00 250.00 300.00 350.00 400.00
nm.
Figure 1 Ultraviolet absorption spectrum of pioglitazoe HCl dissolved in methanol.
390 A. Al-Majed et al.
5. METHOD OF ANALYSIS
5.1 Compendial Methods
5.1.1 United States Pharmacopeia Methods [24]
Definition
Pioglitazone Hydrochloride contains NLT 98.0% and NMT 102.0% of
C19H20N2O3SHCl, calculated on the anhydrous basis.
Identification
A. IR absorption <197K >
B. Identification tests–General, Chloride <191 >: Dissolve 25 mg of
Pioglitazone Hydrochloride in 0.5 mL of nitric acid, and add 2 mL of
dilute nitric acid. It meets the requirements of the test for chloride.
C. The retention time of the pioglitazone peak of the sample solution cor-
responds to that of the standard solution, as obtained in the Assay.
392 A. Al-Majed et al.
Assay
Procedure:
• Mobile phase: Acetonitrile, 0.1 M ammonium acetate, and glacial
acetic acid (25:25:1)
• Standard solution: Prepare a 0.5 mg/mL solution of USP
Pioglitazone Hydrochloride RS in methanol and dilute with Mobile
phase to obtain a solution containing 50 μg/mL of pioglitazone
hydrochloride.
Pioglitazone 393
13
Table 2 C NMR of Pioglitazone (DMSO-d6)
6 8 11⬘ O
7 9 O 16
5 12⬘ S
10
N H
1
N
3 11 13 15 17
2 4 12 14
O
Pioglitazone
Suitability requirements:
• Tailing factor: NMT 1.5 for pioglitazone and benzophenone, system
suitability solution
396 A. Al-Majed et al.
13
Figure 5 C NMR spectrum of pioglitazone.
Analysis:
• Samples: Standard solution and Sample solution
• Calculate the percentage of C19H20N2O3SHCl in the portion of
Pioglitazone Hydrochloride taken:
rU CS
Result ¼ 100
rS CU
Impurities
Inorganic impurities:
• Residue on ignition <281 >: NMT 0.1%
• Heavy metals
Sodium sulfide solution: 5 g of sodium sulfide in 10 mL of water
and 30 mL of glycerin
Magnesium nitrate solution: 100 mg/mL of magnesium nitrate in
alcohol
Standard solution: Place 10 mL of magnesium nitrate solution in a
platinum or porcelain crucible. Ignite the alcohol to burn. Cool,
add 1 mL of sulfuric acid, heat carefully, and ignite at 550 50°C.
Cool and add 3 mL of hydrobromic acid. Proceed as directed from
this point under Sample solution, adding 1.0 mL of Standard Lead
Solution (see Heavy Metals <231 >, Special Reagents) before
adding water to make 50 mL.
Sample solution: Place 1.0 g of pioglitazone hydrochloride in a
platinum or porcelain crucible. Mix with 10 mL of magnesium
nitrate solution. Ignite the alcohol to burn and carbonize by gradual
heating. Cool, add 1 mL of sulfuric acid, heat carefully, and incin-
erate by ignition at 550 50°C. If carbonized substances remain,
moisten with a small amount of sulfuric acid and incinerate by
ignition. Cool, dissolve the residue in 3 mL of hydrobromic acid,
and evaporate on a water bath to dryness. Wet the residue with three
drops of hydrochloric acid, add 10 mL of water, and dissolve by
warming. Add one drop of phenolphthalein TS and add ammonia
TS dropwise until a pale red color develops. Add 2 mL of 1 N acetic
acid, filter if necessary, wash with 10 mL of water, transfer the filtrate
and washings to a Nessler tube, and add water to make 50 mL.
Analysis: Add one drop of Sodium sulfide solution to each of the
tubes containing the Standard solution and Sample solution. Mix
thoroughly and allow to stand for 5 min. Compare the colors of
both solutions by viewing the tubes downward or transversely
against a white background. The Sample solution has no more
color than the Standard solution.
• Acceptance criteria: NMT 10 ppm
398 A. Al-Majed et al.
Organic impurities
• Procedure
Mobile phase and System suitability stock solution: Proceed as
directed in the Assay.
System suitability solution: Dilute the System suitability stock
solution with Mobile phase to obtain a solution containing
25 μg/mL of pioglitazone hydrochloride and 6.5 μg/mL of
benzophenone.
Sample solution: 0.2 mg/mL of pioglitazone hydrochloride dis-
solved in 20% of the final volume with methanol, then diluted
with Mobile phase to final volume.
Standard solution: 1 μg/mL of pioglitazone hydrochloride pre-
pared by diluting the Sample solution with Mobile phase.
Mode: LC
Detector: UV 269 nm
Column: 4.6 mm 15 cm; 5 μm packing L1
Column temperature: 25 2.5°C
Flow rate: 0.7 mL/min
(NOTE—Adjust the flow rate so that the retention time of the
pioglitazone peak is about 7 min.)
Injection size: 40 μL
Run time: At least 4 the retention time of pioglitazone.
• System suitability
Samples: System suitability solution and Standard solution
Suitability requirements
A. Tailing factor: NMT 1.5 for pioglitazone and benzophenone,
System suitability solution
B. Resolution: NLT 15 between pioglitazone and benzophe-
none, System suitability solution
C. Relative standard deviation: NMT 3.0%, Standard solution
• Analysis
Samples: Standard solution and Sample solution
Calculate the percentage of each impurity in the portion of
Pioglitazone Hydrochloride taken:
rU
Result ¼ D 100
rS
Pioglitazone 399
Table 3 Impurity
Relative Retention Acceptance Criteria,
Name Time NMT (%)
Hydroxypioglitazonea 0.7 0.15
Pioglitazone 1.0 —
Didehydropioglitazoneb 1.4 0.15
N-alkylpioglitazonec 3.0 0.15
Any other individual impurity — 0.10
400 A. Al-Majed et al.
irreversible cathodic peaks, the first peak (Ep1) is in the range of potential
at 0.05 to 0.10 V, while the second peak (Ep2) is in the potential ranges
at 0.975 to 1.10 V vs Ag/AgCl. The first and second peaks may be attrib-
uted to the reduction of oxy group (peak 1) and C]N group (peak 2),
respectively.
The diffusion current–concentration relationship was found to be recti-
linear over the range 1.6–224 and 1.6–28 μg/mL for Ep1 and over the
ranges 1.6–256 and 1.6–32 μg/mL for Ep2 using DME & SMDE, respec-
tively, with limit of quantifying pioglitazone HCl as 1.6 μg/mL, and relative
standard deviation (RSD) 4.0% and 4.3% for Ep1 and Ep2 using DME
and 3.6% and 3.8% for Ep1 and Ep2 using SMDE. The peaks were char-
acterized as being irreversible and diffusion-controlled although adsorption
phenomenon played a limited role in the electrode process.
5.4 Chromatography
5.4.1 Thin-Layer Chromatography
Kucher et al. [60] established a thin layer chromatography method for sep-
aration and quantitative analysis of pioglitazone hydrochloride tablet. Meth-
anol was selected as solvent for pioglitazone according to physical–chemical
properties. Behavior of pioglitazone was investigated in different chromato-
graphic conditions. Chromatographic plate Sorbfi l, Armsorb, and Merck
were used as stationary phase. General systems of TLC screening of acid
and neutral agents and others were used as mobile phase. When using the
mobile phase chloroform–methanol (90:10) RF value of pioglitazone was
0.82, 0.7, 0.79; chloroform–acetone (80:20): 0.55, 0.42, 0.42; toluene–
acetone–methanol-25% solution of ammonia (50:20:10:0.02): 0.57, 0.57,
0.57; and chloroform–toluene–acetate acid conc.–ethanol (4.5:4.5:1:1):
0.45, 0.45, 0.51, respectively. The most acceptable defined system is
chloroform–toluene–acetic acid conc.–ethanol (4.5:4.5:1:1). Detection of
spots (areas of absorbance) of substances on the chromatogram was carried
out in two ways: irradiation by UV light, and action by general and
specific detecting reagents. The most optimal reagent was Dragendorff spray
modified on Munje (limit of detection 0.01 mg).
temperature was set at 35°C and a constant voltage of +30 kV was applied
during the analyses. Samples were introduced into the capillary by hydrody-
namic injection (50 mbar, 15 s) and detection was performed at 190 nm.
The sample preparation procedure, based on hollow-fiber liquid-phase
microextraction, was optimized using multifactorial experiments. Next,
the following optimal condition was established: sample agitation at
1500 rpm, extraction for 15 min, 0.01 mol/L hydrochloric acid as acceptor
phase, 1-octanol as organic phase, and donor phase pH adjustment to 6.0.
The method demonstrated LOQs of 200 ng/mL. Additionally, it was linear
over the concentration range of 200–25,000 ng/mL for Pioglitazone and
200–2000 ng/mL for the metabolites.
Yin et al. [62] established a capillary zone electrophoresis method for chi-
ral separation of pioglitazone hydrochloride. Methods by optimizing factors
which affect the chiral separation, the kinds and concentration of cyclodex-
trin, the pH value and concentration of buffer, the voltage and temperature,
and the optimum conditions for chiral separation were selected. The results
of the optimal separation were conditioned as a phosphate buffer 40 mmol/
L containing hydroxypropyl-γ-cyclodextrin (6 mmol/L), detection wave-
length at 200 nm, voltage at 18 kV and separation temperature at 20°C,
by which the separation of pioglitazone hydrochloride enantiomers was
achieved. Conclusion The established method is convenient, which can
be applied for chiral separation of pioglitazone hydrochloride enantiomers.
extraction time of 30 min, stirring speed of 500 rpm and 10% (w/v) NaCl
for adjusting the ionic strength), preconcentration factor of 180, linear
dynamic range (LDR) of 2.5–250 μg/L with good correlation of determi-
nation(r2 > 0.998) and limit of detection (LOD) of 1.0 μg/L were obtained
for the target drug.
Ravikanth et al. [64] developed a rapid high-performance liquid chro-
matography with UV–visible (HPLC-UV) detection method for the deter-
mination of Pioglitazone in rat serum. Rosiglitazone was used as internal
standard. Pioglitazone and Rosiglitazone are extracted from serum using a
liquid–liquid extraction procedure using ethyl acetate. Isocratic separation
of Pioglitazone and Rosiglitazone is carried out using a reversed-phase
phenomenex C18 (250 mm 4.6 mm, 5 μm) column with mobile phase
consisting of methanol and 30 mM ammonium acetate buffer (pH adjusted
to 5 with ortho-phosphoric acid) in the ratio of 60:40 (v/v) and quantified
by UV detection at 269 nm. Analytical run time was less than 10 min. Mean
recovery was 97.12% for 0.1–10 μg/mL concentrations. The assay exhibited
good linear relationship. Quantification limit was at 50 ng/mL of
Pioglitazone and accuracy and precision were over the concentration range
of 0.1–10 μg/mL.
Lakshmi et al. [65] developed reverse-phase HPLC method for the deter-
mination of Pioglitazone and Glimepiride on a Shimadzu Class vp series
HPLC system with a phenomenex C18 column (150 4.6 mm, 5 μm) using
a mobile phase mixture containing methanol and ammonium acetate buffer
(pH 3.5) in the ratio of 55:45 with the flow rate was 0.5 mL/min. The efflu-
ents were monitored at 252 nm and eluted at 5.63 min Pioglitazone and
7.18 min glimepiride. Calibration curve was plotted with a range from 25
to 25,000 ng/mL for Pioglitazone and 10 to 10,000 ng/mL for glimepiride.
The drugs were extracted from rat plasma by simple liquid–liquid extraction
using diethyl ether as an extraction solvent.
Islambulchilar et al. [58] developed a simple and rapid HPLC method
with UV detection for the determination of pioglitazone in human plasma.
The method was based on protein precipitation using perchloric acid on an
ODS column. The mobile phase consisted of a mixture of phosphate buffer,
methanol, acetonitrile, and 12 M perchloric acid (54:33:12:1, v/v/v/v).
The UV detector was set at 269 nm. Under these conditions, the retention
time of pioglitazone was 5.2 min. The standard curve was linear over the
range of 50–2000 ng/mL pioglitazone in human plasma. The within-day
and between-day precision studies showed high reproducibility, with CV
less than 5. The LOQ was 44.2 ng/mL. The method has been applied to
412 A. Al-Majed et al.
using Phenomenex C8 (250 4.6 mm, 5 μm) column and mobile phase
comprised of acetonitrile and ammonium dihydrogen phosphate (pH 4.5,
20 mM) in proportion of 65:35 (v/v). The flow rate was 1.0 mL/min
and the effluent was monitored at 210 nm. The retention time of
Telmisartan and Pioglitazone were found to be 2.38 and 3.16 min, respec-
tively. Linearity of Telmisartan and Pioglitazone were in the range of 10–50
and 7.5–37.5 μg/mL, respectively. The percentage recoveries of both the
drugs were 99.85% and 102.06% for telmisartan and pioglitazone, respec-
tively from the tablet formulation. The proposed method is suitable for
simultaneous determination of Telmisartan and pioglitazone in pharmaceu-
tical dosage form and bulk drug.
Lakshmi et al. [86] developed an HPLC method and a UV derivative
spectrophotometric method for the simultaneous determination of metfor-
min (MFN), pioglitazone (PLZ) and glimepiride (GLM), in tablets. HPLC
was carried out by using the reversed-phase technique on an phenomenex
RP-18 column (150 4.6 mm, 5 μm) with a mobile phase consisting of a
cetonitrile and phosphate buffer (pH 3) in the ratio of 65:35. The flow rate
was fixed at 0.5 mL/min and the drugs were monitored at 245 nm with UV
dual absorbance detector and the elution time was found less than 10 min,
indicating shorter analysis time.
Lakshmi et al. [87] developed a rapid RP-HPLC method for the
estimation of Metformin HCl and Pioglitazone in pure and in pharma-
ceutical dosage forms. A Gemini C18 column (150 4.6 mm, 5 μm) was
used with a mobile phase containing a mixture of acetonitrile and ammo-
nium acetate buffer (pH 3) in the ratio of 42:58. The flow rate was
0.3 mL/min and effluents were monitored at 255 nm and eluted at
5.17 min Metformin and 8.1 min Pioglitazone. Calibration curve was plot-
ted with a range from 0.5 to 50 μg/mL for metformin and 0.3 to 30 μg/mL
for Pioglitazone.
Sharma et al. [88] reported a liquid chromatographic procedure that uses
micellar mobile phase containing only Tween-20 and n-butanol, for the
simultaneous determination of Atorvastatin Calcium (ATV) and
Pioglitazone (PIO) in tablet dosage form. The estimation was carried out
on Luna C18column (5 μm 25 cm 4.6 mm) with a mixture of Tween-
20 and n-butanol phosphate buffer, pH 4.2 (50:25:25, v/v) at flow rate
of 1.5 mL/min at 25°C temperature. Quantitation was achieved by
UV detection at 322 nm over lain spectra and the concentration range
was 5–210 μg/mL for both the drugs with mean recoveries of 99.01%
±0.12 and 100.64% ±0.20 for ATV and PIO, respectively.
418 A. Al-Majed et al.
and the effluent was monitored at 235 nm. The retention time of
Pioglitazone and Glimepiride were found to be 2.61 and 3.50 min, respec-
tively. Linearity of pioglitazone and glimepiride were in the range of 1.5–
225 and 0.20–30 μg/mL, respectively. The percentage recoveries of both
the drugs were 98.95–101.22% and 98.46–100.98% for Pioglitazone and
Glimepiride, respectively, from the tablet formulation.
Shaik et al. [97] developed and validated an HPLC-UV method for the
determination of pioglitazone hydrochloride. It is an oral antidiabetic agent
belonging to the class of thiazolidinediones. Isocratic separation of
Pioglitazone is carried out using a reversed-phase Intersil ODS C18 column
(150 mm 4.6 mm, 5 μm) with mobile phase consisting of Ammonium
acetate buffer with Acetonitrile and Glacial acetic acid in the ratio of
50:50:1 (v/v) and quantified by UV detection at 269 nm with flow rate
of 0.7 mL/min.
Najma et al. [98] achieved a method for the simultaneous quantification
of four NIDDM drugs (metformin, glimepride, glibenclamide, and
pioglitazone) on a Purospher Start C18 (5 μm, 25 0.46 cm) and Supelco
C18 column in 2, 3, 7, 9 min, respectively. The optimized method involves
a C18 column thermostated at 30°C, UV detection at 235 nm, at a flow rate
of 1 mL/min. Good separation of the analytes was achieved by gradient
HPLC-UV/visible detector in API, pharmaceutical dosages, and serum;
The mobile phase was a mixture of methanol:water (70:30, v/v) and the
pH of which was adjusted to 3.0 by phosphoric acid.
The method exhibited consistent, high-quality recoveries of the four
analytes which ranged from 93.8 2.1 to 99.8 1.5 (mean RSD) with
a high precision for the drug and impurities. Validation under Food
and Drug Administration (FDA) guideline of the analytical parameters
includes: linearity (r2 > 0.9996), LLODs (0.315, 2.3, 0.2,0.1 ng/mL),
LLOQs (0.95, 0.7, 0.59,0.32 ng1), intra-day precision (0.001), and
inter-day precision 0.9 expressed as relative standard deviation (RSD),
and robustness parameters (less than 1.98%) with accuracies between
98% and 102%.
Sharma et al. [99] developed the method of RP-HPLC coupled with
a diode array detector (DAD) for the pharmacokinetic interaction study
of atorvastatin with pioglitazone and cholestyramine, respectively, in
Wistar rats. Atorvastatin and pioglitazone were resolved on a C18 column
with a mobile phase composed of 48% methanol, 19% acetonitrile, and
33% 10 mM ammonium formate (v/v/v; pH 3.5 0.3, by formic acid)
and a 260 nm detection wavelength on the diode array detector. The
Pioglitazone 421
10.98 and 8.25 ng/mL for Sitagliptin and Pioglitazone, respectively. Recov-
eries from spiked controls were within acceptance criteria for all the analytes
and internal standard at all QC levels. Within-batch and between-batch
accuracy for Sitagliptin was found within 96.9–100.3% and for Pioglitazone
was found within 100.0–104.3%. Within-batch and between-batch preci-
sion for Sitagliptin was less than 3.1% CV (coefficient of variation) and
for Pioglitazone was less than 5.3% CV at all concentrations levels.
Jafari et al. [112] described a method based on ESI ion mobility spectrom-
etry as a detection technique after treatment with a molecularly imprinted
polymer for the analysis of pioglitazone. In addition to the molecularly
imprinted polymer separation methodology, the positive ion mobility spec-
trum and the reduced mobility values for pioglitazone are reported for the
first time. The method was exhaustively validated in terms of sensitivity,
imprinting factor, enrichment factor, and sorption capacity. A linear
dynamic range of 0.10–20.00 μg/mL and an RSD below 6% were obtained
for the analysis of this compound. The average recovery for the analysis of
spiked samples was calculated to be about 91%.
detection of spot was carried out at 259 nm. The calibration curve was found
to be linear between 100 and 400 ng/spot for Atorvastatin Calcium and
Pioglitazone. The proposed method can be used to determine the drug
content of marketed formulations.
Kale et al. [115] developed and validated an HPTLC method for the
simultaneous determination of pioglitazone, metformin, and glimepiride
in multicomponent pharmaceutical preparations. Pioglitazone, metformin,
and glimepiride from the formulations were separated on silica gel 60 F254
HPTLC plates with acetonitrile, methanol, propyl alcohol, and ammonium
acetate solutions in the proportion of 7:2:1:1 (v/v) as mobile phase.
Densitometric quantification was performed at 240 nm. Well-resolved
bands were obtained with RF values 0.83, 0.21, and 0.89 for pioglitazone,
metformin, and glimepiride, respectively. The calibration curve was found
to be linear in the concentration range of 0.3–1.2, 10–40, and 0.04–0.16 μg
per band by area for pioglitazone, metformin, and glimepiride, respectively.
The method is selective and specific, with potential application in pharma-
ceutical analysis of these drugs in bulk and formulations.
6. STABILITY
Reddy et al. [116] developed and validated a stability indicating RP-
HPLC method for the determination of pioglitazone drug substance. Chro-
matographic separation was achieved on a Prontosil C8 SH colunm
(250 4.6 mm, 5 μm), using a mobile phase consisting of 550 mL of pH
4.0 phosphate buffer, 300 mL acetonitrile, and 150 mL methanol at a flow
rate of 1.5 mL/min. The detection was made at 254 nm. The retention time
of pioglitazone peak was 5.9 min. The method was found linear over the
range of 50–150%. The proposed method was validated as per the ICH
and USP guidelines.
Sharma et al. [117] developed an RP-HPLC method for the deter-
mination and stability indicating of pioglitazone hydrochloride in pure
and tablet forms. The recovery of the drug was calculated to be in the range
of 100.45–100.53% from a mixture of degradation products. The method
was specific to drug and also selective to degradation products. The method
showed a linear response for concentrations in the range of 10–65 μg/mL
using 0.01 M potassium dihydrogen phosphate buffer (pH 3.5):methanol
[55:45] as the mobile phase with detection at 241.0 nm and a flow rate of
1.5 mL/min resulting in a retention time of 6.15 min.
428 A. Al-Majed et al.
7. CLINICAL APPLICATIONS
7.1 Pharmcodynamics
Clinical studies demonstrated that pioglitazone improves insulin sensitivity
in insulin resistant. Pioglitazone enhances cellular responsiveness to insulin,
increases insulin-dependent glucose disposal, and improves dysfunctional
glucose homeostasis. In patients with type II diabetes, the decreased insulin
resistance produced by pioglitazone has resulted in lowering plasma glucose
concentration, plasma insulin levels, and HbA1c values. Based on the results
from an open-label extension clinical, the glucose lowering effect of
Pioglitazone 429
7.3 Pharmacokinetics
Serum concentrations of total pioglitazone (pioglitazone plus its active
metabolites) remain elevated 24 h after once daily dosing. Steady-state
serum concentrations of both pioglitazone and total pioglitazone are
achieved within 7 days. At steady-state, two of the pharmacologically active
metabolites of pioglitazone, metabolites III (M-III) and IV (M-IV), reach
serum concentrations equal to or greater than pioglitazone. In both healthy
volunteers and patients with type II diabetes, pioglitazone comprises
approximately 30–50% of the total pioglitazone serum peak concentrations
430 A. Al-Majed et al.
and 20–25% of the total area under the serum concentration–time curve
(AUC). Maximum serum concentration (Cmax), AUC, and trough
serum concentration for both pioglitazone and total pioglitazone increase
proportionally at doses of 15 mg and 30 mg/d. There is a slightly less than
proportional increase for pioglitazone and total pioglitazone at a dose of
60 mg/d [123].
7.4 Absorption
Following oral administration, in the fasting state, Eckland et al. [124] found
that the first measurable pioglitazone serum concentration was within
30 min, with peak concentrations observed within 2 h. Food slightly delays
the time to peak serum concentration to 3–4 h, but does not alter the extent
of absorption [125].
7.5 Distribution
The mean apparent volume of distribution (Vd/F) of pioglitazone following
single-dose administration is 0.63 0.41 (mean SD) L/kg of body weight
[124]. Pioglitazone is extensively protein bound (>99%) in human serum,
principally to serum albumin. Pioglitazone also binds to other serum pro-
teins, but with lower affinity. Metabolites M-III and M-IV also are exten-
sively bound (>98%) to serum albumin [124].
7.6 Metabolism
Pioglitazone is extensively metabolized in the liver, with the majority
excreted as inactive metabolites in the feces. Pioglitazone undergoes signif-
icant hepatic metabolism by hydroxylation of aliphatic methylene groups to
form three metabolites M-I, M-II, and M-IV (hydroxy derivatives of
pioglitazone), by the oxidation of the methyl group to form an additional
metabolite (M-V), and by oxidation of metabolite M-IV to metabolite
M-VI [124]. Three of the metabolites, M-III, M-IV, and to a lesser extent
M-II (keto derivative of pioglitazone), were shown to have pharmacological
activity in diabetic animal models. In rats, the relative hypoglycaemic
potency (ED50) of these metabolites was 40–60% of that of pioglitazone.
The potency of the triglyceride-lowering effect of M-II is nearly twice that
of the parent compound, while the potency of metabolites M-III and M-IV
is slightly less than that of pioglitazone [124]. The major active metabolites
M-III and M-IV have considerably longer terminal half-lives than the parent
compound (approximately 26–28 h) [124]. Multiple CYP isoforms were
Pioglitazone 431
7.7 Excretion
Following oral administration, approximately 15–30% of the pioglitazone
dose is recovered in the urine. Renal elimination of pioglitazone is negligi-
ble, and the drug is excreted primarily as metabolites and their conjugates. It
is presumed that most of the oral dose is excreted into the bile either
unchanged or as metabolites and eliminated in the feces [124].
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