Analytical study of amoxicillin and metronidazole co-loaded pharmacosomes for H. pylori eradication using DoE-based modeling of an HPLC-PDA technique

Ashutosh Gupta Moumita Saha Shivani Kunkalienkar Abhishek Jha Pranav Kulkarni Megha Samanth Sathvik Chennamsetty Princia Annie Dsouza Srinivas Mutalik Sudheer Moorkoth   

Open Access   

Published:  Apr 20, 2025

DOI: 10.7324/JAPS.2025.226214
Abstract

Treating Helicobacter pylori (H. pylori) infection is challenging for the doctor due to the peculiar pathophysiology of bacteria that leads to antibiotic resistance. Pharmacosome is a novel formulation that could be a promise in treating the infection because of its ability to improve the bioavailability of antibiotics. The objective of this study is to develop and validate an high performance liquid chromatography (HPLC) -based analytical technique to evaluate the stability, % entrapment efficiency (% EE), and the drug release of amoxicillin (AMX) and metronidazole (MEZ) co-loaded pharmacosomes. To illustrate the effect of this method clearly, the design of the experiment tool was used to model the HPLC method. The independent variables were buffer ratio, pH, flow rate, and injection volume. The responses were retention time, drug peak area, and resolution between the drugs. The optimized method was validated as per ICH Q2(R2) guidelines. The linearity was plotted in the 0.5–20 μg/ml range for both AMX and MEZ. The linear regression equation showed an R2 of more than 0.999, proving the linearity of the method. The method was used to check the stability, % EE, and % drug release of antibiotics in the pharmacosomes. The developed method’s accuracy was between 99%–102% for both AMX and MEZ. The inter-day and intra-day precision of the developed method was within the limit for both AMX and MEZ, the %CV was less than 2%. The HPLC method was selective, sensitive, linear, and eco-friendly, with an Analytical GREEnness Metric Approach and Software score of 0.66.


Keyword:     Helicobacter pylori amoxicillin metronidazole HPLC design of expert pharmacosomes modeling


Citation:

Gupta A, Saha M, Kunkalienkar S, Jha A, Kulkarni P, Samanth M, Chennamsetty S, Dsouza PA, Mutalik S, Moorkoth S. Analytical study of amoxicillin and metronidazole co-loaded pharmacosomes for H. pylori eradication using DoE-based modeling of an HPLC-PDA technique. J Appl Pharm Sci. 2025. Online First. http://doi.org/10.7324/JAPS.2025.226214

Copyright: © The Author(s). This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

HTML Full Text

Reference

1. Ansari S, Yamaoka Y. Animal models and Helicobacter pylori infection. J Clin Med. 2022 May 31;11(11):3141. https://doi.org/10.3390/jcm11113141

2. Narayanan M, Reddy KM, Marsicano E. Peptic ulcer disease and Helicobacter pylori infection. Mo Med. 2018;115(3):219-24.

3. Poh AR, O’Donoghue RJJ, Ernst M, Putoczki TL. Mouse models for gastric cancer: matching models to biological questions. J Gastroenterol Hepatol. 2016 Jul;31(7):1257-72. https://doi.org/10.1111/jgh.13297

4. Tshibangu-Kabamba E, Yamaoka Y. Helicobacter pylori infection and antibiotic resistance-from biology to clinical implications. Nat Rev Gastroenterol Hepatol. 2021 Sep;18(9):613-29. https://doi.org/10.1038/s41575-021-00449-x

5. Gupta S, Saha M, Singh R, Ahmed SB, Asati V. Multistage in silico approach to identify novel quinoline derivatives as potential c-kit kinase inhibitors. J Biomol Struct Dyn. 2024;0(0):1-18. https://doi.org/10.1080/07391102.2024.2308759

6. Saha M, Gupta S, Gupta A, Patel R, Rajora AD, Almehizia AA, et al. Development of novel hydroxy amide-based HDAC1 inhibitors: integrated pharmacophore modelling, 3D-QSAR, and virtual screening studies. ChemistrySelect. 2024;9(46):e202404466. https://doi.org/10.1002/slct.202404466

7. Tsay FW, Hsu PI. H. pylori infection and extra-gastroduodenal diseases. J Biomed Sci. 2018 Aug 29;25(1):65. https://doi.org/10.1186/s12929-018-0469-6

8. Gupta A, Shetty S, Mutalik S, Chandrashekar HR, Nandakumar K, Mathew EM, et al. Treatment of H. pylori infection and gastric ulcer: need for novel pharmaceutical formulation. Heliyon. 2023 Sep 24;9(10):e20406. https://doi.org/10.1016/j.heliyon.2023.e20406

9. Duan M, Li Y, Liu J, Zhang W, Dong Y, Han Z, et al. Transmission routes and patterns of Helicobacter pylori. Helicobacter. 2023;28(1):e12945. https://doi.org/10.1111/hel.12945

10. de Brito BB, da Silva FAF, Soares AS, Pereira VA, Santos MLC, Sampaio MM, et al. Pathogenesis and clinical management of Helicobacter pylori gastric infection. World J Gastroenterol. 2019 Oct 7;25(37):5578-89. https://doi.org/10.3748/wjg.v25.i37.5578

11. Kao CY, Sheu BS, Wu JJ. Helicobacter pylori infection: an overview of bacterial virulence factors and pathogenesis. Biomed J. 2016;39(1):14-23. https://doi.org/10.1016/j.bj.2015.06.002

12. Chmiela M, Kupcinskas J. Review: pathogenesis of Helicobacter pylori infection. Helicobacter. 2019;24(S1):1-5. https://doi.org/10.1111/hel.12638

13. Verma A, Dubey J, Hegde RR, Rastogi V, Pandit JK. Helicobacter pylori: past, current and future treatment strategies with gastroretentive drug delivery systems. J Drug Target. 2016;24(10):897-915. https://doi.org/10.3109/1061186X.2016.1171326

14. Lee YC, Dore MP, Graham DY. Diagnosis and treatment of Helicobacter pylori infection. Annu Rev Med. 2022 Jan 27;73:183- 95. https://doi.org/10.1146/annurev-med-042220-020814

15. Grosso R, de-Paz MV. Scope and limitations of current antibiotic therapies against Helicobacter pylori: reviewing amoxicillin gastroretentive formulations. Pharmaceutics. 2022 Jun 24;14(7):1340. https://doi.org/10.3390/pharmaceutics14071340

16. Miri AH, Kamankesh M, Llopis-Lorente A, Liu C, Wacker MG, Haririan I, et al. The potential use of antibiotics against Helicobacter pylori infection: biopharmaceutical implications. Front Pharmacol. 2022 Jun 27;13:917184. https://doi.org/10.3389/fphar.2022.917184

17. Saha M, Gupta A, Shetty S, Mutalik S, Nandakumar K, Raghu Chandrashekar H, et al. DoE-aided optimization of RP-HPLC method for simultaneous estimation of amoxicillin and tinidazole loaded mucoadhesive GRDDS formulation for the treatment of H. pylori. Chromatographia [Internet]. 2024 Jul 2 [cited 2024 Jul 5];87(9):533-48. https://doi.org/10.1007/s10337-024-04346-8

18. Kim SY, Choi DJ, Chung JW. Antibiotic treatment for Helicobacter pylori: is the end coming? World J Gastrointest Pharmacol Ther. 2015 Nov 6;6(4):183-98. https://doi.org/10.4292/wjgpt.v6.i4.183

19. Shiotani A, Lu H, Dore MP, Graham DY. Treating Helicobacter pylori effectively while minimizing misuse of antibiotics. CCJM. 2017 Apr 1;84(4):310-8. https://doi.org/10.3949/ccjm.84a.14110

20. Gupta A, Navti PD, Mutalik S, Saha M, Moorkoth S. DoE guided development of an HPLC method for evaluation of amoxicillin and metronidazole co-loaded mucoadhesive GRDDS formulation for H. pylori eradication. Chromatographia [Internet]. 2023 Oct 28 [cited 2023 Oct 29];86(11-12):3. https://doi.org/10.1007/s10337-023-04290-z

21. Bacaks?z EG, Hakim GD, Y?ld?z C, Akar H. Which is the best choice for Helicobacter pylori eradication? Dual therapy or quadruple therapy? Prz Gastroenterol. 2022;17(2):138-45. https://doi.org/10.5114/pg.2022.116373

22. Savarino V, Neri M, Vigneri S. PPI-based triple therapy in the eradication of H. pylori infection. Gastroenterology. 1999 Sep 1;117(3):746-7. https://doi.org/10.1016/S0016-5085(99)70478-6

23. Erah PO, Goddard AF, Barrett DA, Shaw PN, Spiller RC. The stability of amoxycillin, clarithromycin and metronidazole in gastric juice: relevance to the treatment of Helicobacter pylori infection. J Antimicrob Chemother. 1997;39(1):5-12. https://doi.org/10.1093/jac/39.1.5

24. Gupta A, Nishchaya K, Saha M, Naik GARR, Yadav S, Srivastava S, et al. Recent advancements in nanoconstructs for the theranostics applications for triple negative breast cancer. J Drug Delive Sci Technol. 2024 Mar 1;93:105401. https://doi.org/10.1016/j.jddst.2024.105401

25. Aravindan A, Gupta A, Moorkoth S, Dhas N. Implications of nanotherapeutic advancements to leverage multi-drug resistant breast cancer: the state-of-the-art review. J Drug Deliv Sci Technol. 2024 Oct 1;100:106007. https://doi.org/10.1016/j.jddst.2024.106007

26. Gupta A, Kulkarni S, Soman S, Saha M, Kulkarni J, Rana K, et al. Breaking barriers in cancer management: the promising role of microsphere conjugates in cancer diagnosis and therapy. Int J Pharm. 2024 Nov 15;665:124687. https://doi.org/10.1016/j.ijpharm.2024.124687

27. Pandita A, Sharma P. Pharmacosomes: an emerging novel vesicular drug delivery system for poorly soluble synthetic and herbal drugs. ISRN Pharm. 2013 Sep 9;2013:348186. https://doi.org/10.1155/2013/348186

28. Hoffman JS. Pharmacological therapy of Helicobacter pylori infection. Semin Gastrointest Dis. 1997 Jul;8(3):156-63.

29. Francesco VD. Helicobacter pylori therapy: present and future. World J Gastrointest Pharmacol Ther. 2012;3(4):68. https://doi.org/10.4292/wjgpt.v3.i4.68

30. Gidde ND, Raut ID, Nitalikar MM, Mohite SK, Magdum CS. Pharmacosomes as drug delivery system: an overview. Asian J Pharm Res. 2021 May 11;11(2):122-7. https://doi.org/10.52711/2231-5691.2021.00023

31. Kudarha R, Colaco V, Gupta A, Kulkarni S, Soman S, Kulkarni J, et al. Recent advancements in selenium nanoconstructs as a potential carrier in cancer therapy. Nano-Struct Nano-Objects. 2024 Dec 1;40:101399. https://doi.org/10.1016/j.nanoso.2024.101399

32. Gopireddy RR, Maruthapillai A, Devikala S, Tamilselvi M, Selvi JA, Mahapatra S. DoE approach: a validated stability indicating RP-HPLC method development for the separation of diasteromeric analogs and process impurities of carfilzomib. Mater Today Proc. 2019 Jan 1;14:514-31. https://doi.org/10.1016/j.matpr.2019.04.174

33. Gupta A, Kossambe RV, Moorkoth S. Box-behnken design assisted eco-friendly RP-HPLC-PDA method for the quantification of paclitaxel: application to evaluate the solubility of paclitaxel-cyclodextrin complex. Int J Appl Pharm. 2024 Nov 7;16(6):305-15. https://doi.org/10.22159/ijap.2024v16i6.51690

34. Jankovic A, Chaudhary G, Goia F. Designing the design of experiments (DOE)-an investigation on the influence of different factorial designs on the characterization of complex systems. Energy Build. 2021 Nov 1;250:111298. https://doi.org/10.1016/j.enbuild.2021.111298

35. Gupta A, Shetty S, Mutalik S, Navti PD, Saha M, Moorkoth S. Box- Behnken guided development of an ecofriendly RP-HPLC analytical method for simultaneous quantification of pantoprazole sodium and piperine co-loaded mucoadhesive GRDDS formulation for H. pylori eradication. J App Pharm Sci [Internet]. 2024 Jun 14 [cited 2024 Jun 18];14(09):098-110. Available from: https://japsonline.com/abstract.php?article_id=4318&sts=2

36. Constable DJC, Jimenez-Gonzalez C, Henderson RK. Perspective on solvent use in the pharmaceutical industry. Org Process Res Dev. 2007 Jan 1;11(1):133-7. https://doi.org/10.1021/op060170h

37. Tome T, Žigart N, ?asar Z, Obreza A. Development and optimization of liquid chromatography analytical methods by using AQbD principles: overview and recent advances. Org Process Res Dev. 2019 Sep 20;23(9):1784-802. https://doi.org/10.1021/acs.oprd.9b00238

38. Gupta A, Rachana SP, Moorkoth S, Dhas N. Central composite design aided optimization and validation of developed an eco-friendly HPLC method for the quantification of lenalidomide loaded mesoporous silica nanoparticles. J App Pharm Sci. 2024 Nov 25;15,(1):089-101. https://doi.org/10.7324/JAPS.2024.189998

39. Sar?salt?k Ya??n D, Arslantürk Bingül A, Karaküçük A, Teksin Z?. Development and validation of an HPLC method using an experimental design for analysis of amlodipine Besylate and Enalapril maleate in a fixed-dose combination. Turk J Pharm Sci. 2021 Jun 18;18(3):306-18. https://doi.org/10.4274/tjps.galenos.2020.89725

40. Tomikj M, Božinovska M, Anevska-Stojanovska N, Lazova J, Acevska J, Brezovska K, et al. Sustainable and white HPLC method for simultaneous determination of amlodipine and atorvastatin in film-coated tablet. Green Anal Chem. 2024 Mar 1;8:100103. https://doi.org/10.1016/j.greeac.2024.100103

41. Mutalik SP, Mullick P, Pandey A, Kulkarni SS, Mutalik S. Box- Behnken design aided optimization and validation of developed reverse phase HPLC analytical method for simultaneous quantification of dolutegravir sodium and lamivudine co-loaded in nano-liposomes. J Sep Sci. 2021 Aug;44(15):2917-31. https://doi.org/10.1002/jssc.202100152

42. Naik S, Mullick P, Mutalik SP, Hegde AR, Lewis SA, Bhat K, et al. Full factorial design for development and validation of a atability-indicating RP-HPLC method for the estimation of Timolol maleate in surfactant-based elastic nano-vesicular systems. J Chromatogr Sci. 2022 Jul 12;60(6):584-94. https://doi.org/10.1093/chromsci/bmab101

43. ICH guideline. Research C for DE and. Q2(R1) Validation of analytical procedures: text and methodology guidance for industry [Internet]. Rockville, MD: FDA; 2021 [cited 2024 Aug 23]. Available from: URL: https://www.fda.gov/media/152208/download

44. Semalty A, Semalty M, Rawat BS, Singh D, Rawat MSM. Development and evaluation of pharmacosomes of aceclofenac. Indian J Pharm Sci. 2010;72(5):576-81. https://doi.org/10.4103/0250-474X.78523

45. Rana P, Mahajan A, Singh D, Singh K. Pharmacosomes: a versatile delivery system for problematic molecules. Curr Nanomed. 2021 Jul 1;11(2):82-90. https://doi.org/10.2174/2468187311666210521100441

46. Iqbal S, Zaman M, Waqar MA, Sarwar HS, Jamshaid M. Vesicular approach of cubosomes, its components, preparation techniques, evaluation and their appraisal for targeting cancer cells. J Liposome Res. 2024 Apr 2;34(2):368-84. https://doi.org/10.1080/08982104.2023.2272643

47. Bhinge SD, Kamalakar SP, Randive DS, Bhutkar MA, Patil KS, Merekar AN, et al. Development and characterization of stable proanthocyanidin-loaded PLAROsomes as a potential drug carrier system for augmenting anticancer activity. Eur J Lipid Sci Technol. 2024;126(6):2300218. https://doi.org/10.1002/ejlt.202300218

48. Marques SM, Salwa, Kumar L. Quality-by-design-based development of an eco-friendly HPLC method for the estimation of nisoldipine in nanoformulations: forced degradation studies and in-vitro release studies. Sustain Chem Pharm. 2023 Dec 1;36:101254. https://doi.org/10.1016/j.scp.2023.101254

49. Miriam Marques S, Shirodkar RK, Kumar L. Analytical ‘Quality-by-Design’ paradigm in development of a RP-HPLC method for the estimation of cilnidipine in nanoformulations: forced degradation studies and mathematical modelling of in-vitro release studies. Microchem J. 2023 Oct 1;193:109124. https://doi.org/10.1016/j.microc.2023.109124

50. Pena-Pereira F, Wojnowski W, Tobiszewski M. AGREE-analytical GREEnness metric approach and software. Anal Chem. 2020 Jul 21;92(14):10076-82. https://doi.org/10.1021/acs.analchem.0c01887

51. Dingsdag SA, Hunter N. Metronidazole: an update on metabolism, structure-cytotoxicity and resistance mechanisms. J Antimicrob Chemother. 2018 Feb 1;73(2):265-79. https://doi.org/10.1093/jac/dkx351

52. Hoizey G, Lamiable D, Frances C, Trenque T, Kaltenbach M, Denis J, et al. Simultaneous determination of amoxicillin and clavulanic acid in human plasma by HPLC with UV detection. J Pharm Biomed Anal. 2002 Oct 15;30(3):661-6. https://doi.org/10.1016/S0731-7085(02)00289-3

53. Batrawi N, Wahdan S, Al-Rimawi F. A validated stability-indicating HPLC method for simultaneous determination of amoxicillin and enrofloxacin combination in an injectable suspension. Sci Pharm. 2017;85(1):6. https://doi.org/10.3390/scipharm85010006

54. Bellur Atici E, Yazar Y, A?ta? Ç, Ridvano?lu N, Karl??a B. Development and validation of stability indicating HPLC methods for related substances and assay analyses of amoxicillin and potassium clavulanate mixtures. J Pharm Biomed Anal. 2017 Mar 20;136:1-9. https://doi.org/10.1016/j.jpba.2016.12.032

55. Dorn C, Kratzer A, Schießer S, Kees F, Wrigge H, Simon P. Determination of total or free cefazolin and metronidazole in human plasma or interstitial fluid by HPLC-UV for pharmacokinetic studies in man. J Chromatogr B. 2019 Jun 15;1118-1119:51-4. https://doi.org/10.1016/j.jchromb.2019.04.025

56. Maher HM, Youssef RM, Khalil RH, El-Bahr SM. Simultaneous multiresidue determination of metronidazole and spiramycin in fish muscle using high performance liquid chromatography with UV detection. J Chromatogr B. 2008 Dec 15;876(2):175-81. https://doi.org/10.1016/j.jchromb.2008.10.033

57. Wang Y, Zhang P, Jiang N, Gong X, Meng L, Wang D, et al. Simultaneous quantification of metronidazole, tinidazole, ornidazole and morinidazole in human saliva. J Chromatogr B. 2012 Jun 15;899:27-30. https://doi.org/10.1016/j.jchromb.2012.04.032

Article Metrics
136 Views 41 Downloads 177 Total

Year

Month

Related Search

By author names