Effect of Piperine On Pharmacokinetics of Rifampicin and Isoniazid: Development and Validation of High Performance Liquid Chromatography Method
Effect of Piperine On Pharmacokinetics of Rifampicin and Isoniazid: Development and Validation of High Performance Liquid Chromatography Method
Amit Singh , Smita Verma , Nouh M H Al Jarari , Ajay Pal Singh , Neeraj Kumar Fuloria , Shivkanya Fuloria ,
1* 2 3 4 5 5
1
School of Pharmacy, Monad University, Hapur, Uttar Pradesh, 245101, India.
2
Department of Chemistry, National Institute of Pharmaceutical Education and Research (NIPER), Kolkata, West Bengal, India.
3
Department of Pharmacology, Faculty of Medicine, University of Benghazi, Libya.
4
HIMT College of Pharmacy, Knowledge Park, Phase-II, Greater Noida, Gautam Budh Nagar, Uttar Pradesh, India.
5
Department of Pharmaceutical Chemistry, Faculty of Pharmacy, AIMST University, Semeling Campus, Jalan Bedong-Semeling, Bedong, Kedah Darul
Aman, 08100, Malaysia.
6
R. V. Northland Institute, Dadri, Gautam Budh Nagar, Uttar Pradesh, 203 207, India.
INTRODUCTION health public problem and is the single most deadly infectious
Rifampicin (RIF) (Figure 1), a complex semi- disease. It kills approximately two million people each year
synthetic macro cyclic antibiotic derived from Streptomyces (Gallieni et al., 1999). RIF is chemically (12Z, 14E, 24E)-
mediterranei, is a member of the RIF class of antibiotics (2S, 16S, 17S, 18R, 19R, 20R, 21S, 22R, 23S)-1,2-dihydro-5,
used for the treatment of tuberculosis and other infectious 6, 9, 17, 19-pentahydroxy, 23-methoxy-2, 4, 12, 16, 18, 20,
diseases (Maggi et al., 1966). It is categorized as one of the 22-heptamethyl-8-(4-methylpiperazin-1 yliminomethyl)-1,
first line antituberculous agent. Tuberculosis remains a major 11-dioxo 2, 7 (epoxypentadeca-1, 11, 13-trienimino) naphtha
[2,1-b] furan-21-yl acetate (Maryadele, 2006). It is official
in Indian Pharmacopoeia (IP, 2010), British Pharmacopoeia
Corresponding Author
* (BP, 2010) and United State Pharmacopoeia (USP, 2005). The
Amit Singh, School of Pharmacy, Monad University, Hapur, Uttar IP, BP and USP describe liquid chromatography and visible-
Pradesh, 245101, India. E-mail: amit21may @ rediffmail.com spectrophotometry method for its estimation. Literature
© 2018 Amit Singh et al. This is an open access article distributed under the terms of the Creative Commons Attribution License -NonCommercial- ShareAlikeUn-
ported License (http://creativecommons.org/licenses/by-nc-sa/3.0/).
Singh et al. / Journal of Applied Pharmaceutical Science 8 (03); 2018: 072-081 073
survey reveals high performance liquid chromatography Piperine (PIP) (Figure 3) was discovered by Hans
(HPLC) (Panchagnula et al., 1999), high performance thin Christian Qrsted in 1819. He isolated it from the fruits of Piper
layer chromatography (HPTLC) (Shishoo et al., 2001) and nigrum, the source plant of both the black and white pepper grains.
visible spectrophotometry (Begum et al., 2013) methods Piperine is an alkaloid found naturally in plants belonging to the
for determination of RIF in pharmaceutical dosage forms as Piperaceae family, such as Piper nigrum L, commonly known as
well as in biological fluids. Literature survey also reveals black pepper and Piper longum L, known as long pepper.
spectrophotometric (Khuhawar and Rind, 1998), reverse phase
high performance liquid chromatography (RP-HPLC) (Calleri
et al. 2002) and visible spectrophotometry (Manna et al., 2000;
Ali et al., 2007) methods for determination of RIF within
combination drug.
compartment. Plasma was obtained after centrifugation of blood of chemical studies that may or may not be distinguished from
samples at 5000 rpm for 10 min. each other. If the response is distinguished from all other response,
the method is said to be selective. Three different drug free plasma
Recovery of drug from the plasma matrix samples obtained from apparently selected animal rat were used
A fixed amount of plasma (250 µL) was transferred in to evaluate the selectivity of the developed method. This was done
test tube and 4 mL chloroform was added to them. Each sample by investigating the potential interference of blank plasma peak in
was vortexed on vortex mixer for 2 min. These extracted samples the drug peak area.
were centrifuged at 3000 rpm for 10 min, finally organic layer
collected in pre-labeled test tubes. These tubes were evaporated to Accuracy and recovery
dryness by using solvent evaporator. The accuracy of an analytical method is the extent to
which test results generated by the method and the true value
Analysis of samples agree. Accuracy can also described as the closeness of agreement
Residue left in each tube was reconstituted with mobile between the value that is adopted, either as a conventional, true or
phase which was prepared in degassed mixture of buffer and accepted reference value and the value found.
acetonitrile in the ratio of 30:70 (v/v). The sample was mixed by The accuracy of the method was determined by selecting
vortex shaker for a minute. Then it was filtered through 0.22 µm three (3) known concentrations of each analyte in plasma in
syringe filters. All the samples were analyzed by using HPLC the linearity range. The % recovery within day (intraday) and
apparatus with UV detection. interday, with standard deviations (±SD) was calculated to know
the accuracy of method.
Data analysis
After oral administration, the statistical analysis Precision and reproducibility
of observed pharmacokinetic parameters was determined by The precision of a method is the extent to which the
performing unpaired t-test (Graph Pad, Instat 3.0) to determine the individual test results of multiple injections of a series of standard
level of significance between two groups. P < 0.05 was considered agree. The measured standard deviation can be subdivided into 3
as the level of significance. categories: repeatability, intermediate precision and reproducibility.
Repeatability of the method was determined by
Pharmacokinetics calculating % RSD of the repeated six-determinates of same
Concentration-time curve was established for RIF, INH, 100% concentration of analyte drug in plasma. The intermediate
INH + RIF, RIF + PIP, INH + PIP and INH + RIF + PIP from precision was determined by selecting six different drug plasma
the treated rat (group I to VI), and used for the determination of samples by another analyst. The precision of the method was
pharmacokinetic parameters such as peak plasma concentration calculated by taking samples (6 replicates each in 3 sets) on the
(Cmax), peak time (Tmax), extent of absorption (AUC), half-life same day and on another day by calculating % bias from nominal
(t1/2), and elimination rate constant (Kel) were determined by using concentrations (quality control samples).
software ‘PK Solution’, a non-compartmental analysis. % Bias = [(mean measured conc. − nominal conc.)/
nominal conc.] × 100.
METHOD VALIDATION
The proposed method was validated according to the Sensitivity
ICH guidelines (ICH Q2A 1995 and ICH Q2B 1996), in terms of
linearity, specificity, suitability, accuracy, precision and stability. Limit of detection
The limit of detection is the point at which a measured
Linearity and calibration curve value is larger than the uncertainty associated with it. It is the lowest
The linearity of the calibration curve was determined by concentration of analyte in a sample that can be detected but not
regression equation and correlation coefficient (r2). The calibration necessarily quantified. LOD is calculated by measuring signal-to-
curve was constructed by plotting curve between drug concentration noise (S/N) of the baseline and multiplying this value by 3.
in plasma and average peak area of plasma samples (n = 3).
Limit of quantitation
Range The limit of quantitation is the minimum injected amount
The range of an analytical method is the interval that produces quantitative measurements in the target matrix
between the upper and lower levels (including these levels) that with acceptable precision in chromatography, typically requiring
have been demonstrated to be determined with precision, accuracy peak heights 10 times higher than the baseline noise i.e. LOQ is
and linearity using the method as written. The range is normally determinate by measuring signal-to-noise (S/N) and multiplying
expressed in the same units as the results (e.g., percentage, parts this value by 10.
per million) obtained by the analytical method.
Stability
Selectivity and specificity Many solutes readily decompose in plasma prior
The term specific generally refers to a method that to chromatographic investigations, for example, during the
produces a response for a single analyte only, while the term preparation of the sample solutions, extraction, cleanup, phase
selective refers to a method that provides response for a number transfer or storage of prepared vials (in refrigerators or in an
076 Singh et al. / Journal of Applied Pharmaceutical Science 8 (03); 2018: 072-081
Peak Area
hrs at room and temperature at 10°C. The intermediate study was 8000000
planned for 1 month at low temperature. These conditions were; 6000000
Peak Area
Linear (Peak Area)
(a) 24 hr storage of drug-plasma sample at room 4000000
temperature (short term) 2000000
(b) 24 hr storage of drug-plasma sample at 10°C in auto 0
sampler (short term) 0 200 400 600 800
Peak Area
nominal concentrations. 8000000 Series1
6000000 Linear (Series1)
RESULTS AND DISCUSSION 4000000
2000000
In the present study, the effect of PIP on pharmacokinetics
0
of RIF and INH was explored. The study also explores the new liquid ‐2000000 0 200 400 600 800
chromatographic method to analyze the RIF, INH, and PIP in plasma. Concentration (µg/ml)
Due to better separation parameters of RP-HPLC
technique, it has been frequently used in the analysis of Fig. 5: Calibration plot of isoniazid.
biologically samples. To achieve the high assay value of drug the
chromatographic condition were optimized in terms of mobile
phase ratio, column temperature, flow rate and pH of inorganic 900000
mobile phase. As expected an increase of organic mobile phase 800000 y = 1301x ‐ 1392.5
R² = 0.9996
from 10-25% resulted in decrease in retention time significantly 700000
600000
and simultaneous increase in peak height. The temperature
Peak Area
500000
column in the range of 30-40°C slightly influences retention 400000 Series1
parameters. Based on the results described above, we selected 300000 Linear (Series1)
chromatographic condition as given in 2.4. 200000
100000
Analytical method 0
0 100 200 300 400 500 600 700
Table 3a: Intra-day accuracy data of rifampicin, isoniazid and piperine. Table 3b: Inter day accuracy data of rifampicin, isoniazid and piperine.
Nominal †
Intra-day accuracy % Accuracy Nominal Inter day accuracy % Accuracy
Drug conc. Drug conc.
(µg/mL) Set 1 Set 2 Set 3 Average (µg/mL) Set 1 Set 2 Set 3 Average
0.4 0.35 ± 0.03 0.33 ± 0.02 0.37 ± 0.04 87.50 0.4 0.33 ± 0.02 0.35 ± 0.01 0.34 ± 0.02 85.00
RIF 250 221 ± 4.65 235 ± 6.93 229 ± 5.34 91.30 RIF 250 225 ± 5.94 231 ± 6.21 230 ± 6.32 91.63
500 471 ± 9.03 463 ± 10.84 449 ± 10.44 92.20 500 462 ± 10.54 452 ± 11.73 443 ± 10.52 90.46
0.4 0.37 ± 0.01 0.39 ± 0.01 0.34 ± 0.02 90.66 0.4 0.34 ± 0.01 0.35 ± 0.01 0.33 ± 0.01 85.16
INH 75 62 ± 2.13 69 ± 2.54 64 ± 2.46 86.65 INH 75 61 ± 2.79 65 ± 2.86 69 ± 3.14 86.65
150 141 ± 5.33 121 ± 5.87 128 ± 6.12 86.66 150 133 ± 6.15 129 ± 6.91 121 ± 6.88 85.00
3 2.88 ± 0.12 2.76 ± 0.15 2.53 ± 0.18 90.77 3 2.74 ± 0.17 2.79 ± 0.23 2.57 ± 0.19 91.90
PIP 250 236 ± 7.30 227 ± 7.15 223 ± 7.52 91.46 PIP 250 229 ± 7.97 221 ± 8.20 219 ± 8.11 89.20
500 458 ± 10.43 473 ± 12.22 453 ± 11.36 92.20 500 447 ± 11.31 463 ± 13.20 449 ± 14.3 89.60
Table 4: Inter and intra-day precision data of rifampicin, isoniazid and piperine.
Table 6a: Stability studies of rifampicin, isoniazid and piperine at 24h room temperature and storage at 10°C in auto sampler.
Nominal conc.
†
Recovery (µg) after storage at room temperature †
Recovery (µg) after storage in auto-sampler at 10°C
Drug
(µg/mL) 0 hr 24 hr % Stability†† 0 hr 24 hr % Stability††
0.4 0.35 ± 0.03 0.33 ± 0.02 91.42% 0.35 ± 0.03 0.31 ± 0.02 88.50%
RIF 250 228.30 ± 4.65 225 ± 6.93 98.50% 228.30 ± 4.65 215 ± 5.94 94.17%
500 461 ± 9.03 456 ±10.84 98.91% 461 ± 9.03 453 ± 10.54 98.26%
0.4 0.37 ± 0.01 0.36 ± 0.02 92.20% 0.37 ± 0.01 0.36 ± 0.01 98.07%
INH 75 65 ± 2.13 62 ± 2.54 95.30% 65 ± 2.13 61 ± 2.79 93.84%
150 130 ± 5.33 125 ± 5.87 96.15% 130 ± 5.33 126 ± 6.15 96.92%
3 2.72 ± 0.12 2.65 ± 0.15 97.40% 2.72 ± 0.12 2.67 ± 0.17 98.16%
PIP 250 228.60 ± 7.30 227 ± 7.15 99.30% 228.60 ± 7.30 221 ± 7.97 96.6%
500 461 ± 10.43 457 ± 12.22 99.2% 461 ± 10.43 455 ± 11.31 98.69%
†
Average of three (n = 3), ††After 24 hr of time % stability, RIF- Rifampicin, INH- Isoniazid, PIP- Piperine. Note: At ‘0’ hr (initial concentration) the recovery was
assumed to be 100%.
Table 6b: Stability studies of rifampicin, isoniazid and piperine when stored at −80°C.
Table 6c: Stability studies of rifampicin, isoniazid and piperine after 3 freeze-thaw cycles when stored at −80oC.
Pharmacokinetics of rifampicin and isoniazid (combined (Figure9). The difference in AUC was found to be statistically
administration-dose) significant (p < 0.001) when RIF was administered alone or in
When the RIF and INH was given as combined combination with INH. Further the Cmax was also found to be
administration-dose, the mean plasma concentrations of RIF with reduced when it was administered in combination with INH.
INH were lower as compared to RIF alone, at all time points Relative bioavailability of RIF was found to be 67.19%, Table 8.
Singh et al. / Journal of Applied Pharmaceutical Science 8 (03); 2018: 072-081 079
††
Rifampicin ††
Isoniazid
Pharmacokinetic parameters
Alone Combined administered dose Alone Combined administered dose
Cmax (µg/mL) 8.85 ± 1.65 6.49 ± 1.75 8.05 ± 4.75 8.11 ± 1.82
Biological half life (h) 2.80 ± 0.42 2.04 ± 0.42 1.04 ± 0.22 1.02 ± 0.18
†
Area under curve (AUC0 to ∞) 40.36 ± 3.59 27.12 ± 4.59 24.77 ± 3.59 27.03 ± 3.88
Tmax (h) 2.12 ± 0.48 2.20 ± 0.63 0.50 ± 0.04 0.50 ± 0.08
Kel (h−1) 0.24 ± 0.02 0.33 ± 0.04 0.66 ± 0.07 0.67 ± 0.09
†
Unit of area under curve (µg.h/mL), Average of six (n = 6).
††
Table 8: Pharmacokinetics parameters of rifampicin and piperine (combined Table 9: Pharmacokinetics parameters of isoniazid and piperine (combined
administration dose). administration dose).
Table 10: Pharmacokinetics parameters of rifampicin, isoniazid and piperine (combined administration dose).
††
Isoniazid Rifampicin
††
Pharmacokinetics parameters
Alone Combined administered dose Alone Combined administered dose
Cmax (µg/mL) 8.05 ± 4.75 5.35 ± 2.75 8.85 ± 1.65 13.63 ± 0.82
Biological half life (h) 1.04 ± 0.22 1.05 ± 0.42 2.80 ± 0.42 3.09 ± 0.28
†
Area under curve (AUC0-∞) 24.77 ± 3.59 13.36 ± 2.59 40.36 ± 3.59 58.03 ± 3.78
Tmax (h) 0.50 ± 0.04 2.20 ± 0.63 2.12 ± 0.48 2.42 ± 0.78
Kel (h−1) 0.66 ± 0.07 0.66 ± 0.12 0.24 ± 0.02 0.22 ± 0.09
†
Unit of area under curve (µg.h/mL), ††Average of six (n = 6).
9
The mean plasma concentrations of RIF were found to 8 RIF
be higher with PIP as compared to the administration of RIF alone 7
6 AUC
(Figure 10). The difference was statistically significant at 0.5, 1, 1.5, 5 RIF= 40.36 µg.h/ml
2 and 4 hr. Table 9 compares various pharmacokinetic parameters 4
of RIF when it was administered alone and in combination with 3
2
PIP. Further Cmax of RIF was found to be significantly higher when 1
administered along with PIP (p < 0.001). Relative bioavailability 0
of INH was found to be 141.7% when it was co-administered with 0 2 4 6 8 10 12 14
Time (hrs)
PIP.
Pharmacokinetics of isoniazid and piperine (combined Fig. 7: Mean plasma concentration of rifampicin administered a dose of 10
mg/kg by oral route.
administration dose)
The mean plasma concentrations of INH was found to Pharmacokinetics of rifampicin, isoniazid and piperine
be lower with PIP as compared to the administration of INH alone (combined administration dose)
(Figure 12). The difference was statistically significant at 0.5, Plasma concentration was reduced when INH was
1, 1.5, 2 and 4 hr. Table 10, compares various pharmacokinetic administered in combination with PIP (p < 0.001). Further plasma
parameters of INH when it was administered alone and in concentration of RIF was enhanced when it was co-administered
combination with PIP. Further Cmax of INH was found to be with PIP (p < 0.001). However Cmax of RIF when administered
significantly lower when administered along with PIP (p < 0.001). with PIP was found to be significantly enhanced (p < 0.001) when
Relative bioavailability of INH was found to be 53.9% when it compare to RIF alone. Relative bioavailability of RIF was found
was co-administered with PIP. to be 141.7%. Cmax of INH was found to be reduced when it was
080 Singh et al. / Journal of Applied Pharmaceutical Science 8 (03); 2018: 072-081
co-administered with PIP (p < 0.001). Relative bioavailability of Pharmacokinetic profile indicates that the PIP enhanced
INH was observed to be 53.9% when it was co-administered with the rate and extent of absorption of RIF (P < 0.001). The observed
PIP, Table 11. pharmacokinetic data after oral administration of RIF along with
PIP indicate a significant enhancement in Cmax (8.85 ± 1.75 to
CONCLUSION
13.62 ± 1.82) and AUC (40.36 ± 3.59 to 58.03 ± 3.88). However,
In this study an effective RP-HPLC method was the plasma elimination half life were found to be similar which
developed for determination of RIF, INH and PIP with high is likely due to the reduced gastrointestinal absorption of RIF
accuracy and precision. Thus, it can be concluded that the proposed caused by INH and degradation of RIF and degradation of RIF in
method was sufficiently sensitive, reproducible and specific for
presence of INH. Unfortunately, the oral bioavailability of INH
analysis of RIF, INH and PIP in biological samples or plasma.
was reduced when it was co-administered with PIP. The observed
The proposed method was also validated by evaluating different
pharmacokinetic profile found to be reduced Cmax (8.4 ± 0.47 to
parameter according to ICH guidelines like specificity, sensitivity,
5.328 ± 113.36 ± 3.78.02) and AUC (24.77 ± 4.59 to 58.03 ±
accuracy, precision, and stability of the analyte.
3.78) and biological half life (1.04 ± 0.1 h). The possible reason
for decline may be the PIP antagonizes effects of acetylcholine on
isolated ileum result of delay in gastric empty rate and delay the
Isoniazid
9 exposure of INH to vast absorptive surface of the small intestine.
Mean Plasma conc. of Isoniazid
8
7
6 AUC 9 INH INH + PIP
5 INH= 24.77µg.h/ml
4
7
3
2 6
1 5 AUC
(µg/ml)
0 4 INH= 24.77 µg.h/m
ml
0 2 4 6 8 10 12 14 PIP= 13.36µg
INH+P g.h/ml
3
Time (h) 2
1
0
0 2 4 6 8 10 12 14
Fig. 8: Mean plasma concentration of isoniazid administered a dose of 5 mg/
kg by oral route. Time (h)
7
16
6
5 AUC 14 INH + PIP RIF + PIP
RIF= 27.12µg.h/ml
4 INH= 27.08µg.h/ml 12
Plasma conc. (µg/ml)
3 10
2
8 AUC
1 INH + PIP= 13.36 µg.h/ml
6
0 RIF + PIP= 58.03µg.h/ml
0 2 4 6 8 10 12 14 4
Time (h) 2
0
Fig. 9: Mean plasma concentration of rifampicin administered a dose of 10 0 2 4 6 8 10 12 14
mg/kg and isoniazid 5 mg/kg by oral route (combined administration dose). Time (h)
12
10
DECLARATION OF INTEREST
8 AUC
(µg/ml)
6
RIF= 40.36µg.h/ml The authors confirm that this article contents and writing
RIF+PIP= 58.0µg.h/ml
4 of the paper has no conflicts of interest.
2
0 ACKNOWLEDGEMENTS
0 2 4 6 8 10 12 14
Time (h)
The authors would like to extend their sincere
appreciation to Sheetal Nagar, Teva API India Ltd. Ecotech – II,
Udyog Vihar, Greater Noida, Gautam Budh Nagar, Uttar Pradesh,
Fig. 10: Mean plasma concentration of rifampicin administered a dose of 10 India, 201 306.
mg/kg and piperine 1 mg/kg by oral route (combined administration dose).
Singh et al. / Journal of Applied Pharmaceutical Science 8 (03); 2018: 072-081 081