• Neuromodulation · Oct 2020

    Study of Physicochemical Stability of Ziconotide in Medication Cassette Reservoir.

    • Julien Robert, Jeremy Sorrieul, Amelie Andrieu, Freddy Mounsef, Denis Dupoiron, and Catherine Devys.
    • Institut de Cancérologie de l'Ouest Paul Papin-Pharmacy, Angers, France.
    • Neuromodulation. 2020 Oct 1; 23 (7): 1034-1041.

    ObjectiveTo determine the physicochemical stability of ziconotide solutions for intrathecal administration in the Medication Cassette Reservoir (MCR).Materials And MethodsA stability indicating UPLC-DAD method was developed and validated according to the ICH guidelines. Two mixtures of ziconotide (0.40 μg/mL and 0.60 μg/mL) stored in MCR stored at 25 ± 2°C were evaluated for 14 days and compared to the initial observed concentrations.ResultsThe physicochemical stability of the two solutions was demonstrated for two days thanks to relative concentrations, pH measurement, visual inspections, and turbidity assays. A degradation product was observed and increased during the study.ConclusionThis study showed a very low physicochemical stability of diluted ziconotide stored at 25 ± 2°C in the MCR. The intrathecal administration of ziconotide does not seem appropriate with this device for outpatients.© 2020 International Neuromodulation Society.

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