Amifostine for Injection
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This article is compiled based on the United States Pharmacopeia (USP) – 2025 Edition
Issued and maintained by the United States Pharmacopeial Convention (USP)
1 DEFINITION
Amifostine for Injection is a sterile, crystalline substance suitable for parenteral use. It contains NLT 90.0% and NMT 110.0% of the labeled amount of amifostine (C5H15N2O3PS).
2 IDENTIFICATION
A. Spectroscopic Identification Tests 〈197〉, Infrared Spectroscopy: 197K
B. The retention time of the major peak of the Sample solution corresponds to that of the Standard solution, as obtained in the Assay.
3 ASSAY
3.1 Procedure
Buffer: 0.94 g/L of sodium 1-hexanesulfonate. Adjust with phosphoric acid to a pH of 3.0.
Mobile phase: Methanol and Buffer (7:18)
Standard solution: 3 mg/mL of USP Amifostine RS in water. [Note—Inject immediately after preparation, or refrigerate until use.]
Sample solution: 3 mg/mL of amifostine from Amifostine for Injection, in water. [Note—Inject immediately after preparation, or refrigerate until use.]
3.2 Chromatographic system
Mode: LC
Detector: UV 220 nm
Column: 4.6-mm × 25-cm; 5-μm packing L7
Autosampler temperature: 4°
Flow rate: 1.0 mL/min
Injection size: 10 μL
3.3 System suitability
Sample: Standard solution
3.4 Suitability requirements
Column efficiency: NLT 1000 theoretical plates
Tailing factor: NMT 2.0
Relative standard deviation: NMT 2.0%
3.5 Analysis
Samples: Standard solution and Sample solution
Calculate the percentage of C5H15N2O3PS in the portion of Amifostine for Injection taken:
Result = (ru/rs) × (Cs/Cu) × 100
ru = peak responses from the Sample solution
rs = peak responses from the Standard solution
Cs = concentration of USP Amifostine RS in the Standard solution (mg/mL)
Cu = nominal concentration of amifostine in the Sample solution (mg/mL)
Acceptance criteria: 90.0%–110.0%
4 PERFORMANCE TESTS
Uniformity of Dosage Units 〈905〉: Meets the requirements
5 IMPURITIES
Organic Impurities
5.1 Procedure 1
Mobile phase and Chromatographic system: Proceed as directed in the Assay.
Standard solution 1: 70 μg/mL of USP Amifostine Thiol RS in water
Standard solution 2: 15 μg/mL of sodium thiophosphate and 13 μg/mL of N,N-dimethylformamide in water. [Note-The retention times of sodium thiophosphate and N,N-dimethylformamide are about 2 min and about 3.6 min, respectively.]
Sample solution: 2.4 mg/mL of amifostine from Amifostine for Injection in water. [Note—Inject immediately after preparation.]
5.1.1 System suitability
Samples: Standard solution 1 and Standard solution 2
5.1.2 Suitability requirements
Relative standard deviation: NMT 10.0%, Standard solution 1; NMT 4.0%, Standard solution 2
5.1.3 Analysis
Samples: Standard solution 1, Standard solution 2, and Sample solution
Calculate the percentage of amifostine thiol in the portion of sample taken:
Result = (ru/rs) × (Cs/Cu) × (Mr1/Mr2) × 100
ru = peak response of amifostine thiol from the Sample solution
rs = peak response of amifostine thiol from Standard solution 1
Cs = concentration of USP Amifostine Thiol RS in Standard solution 1 (mg/mL)
Cu = concentration of amifostine in the Sample solution (mg/mL)
Mr1 = molecular weight of amifostine thiol, 134.24
Mr2 = molecular weight of amifostine thiol dihydrochloride, 207.17
Calculate the percentage of sodium thiophosphate or N,N-dimethylformamide in the portion of sample taken, if present:
Result = (ru/rs) × (Cs/Cu)× 100
ru = peak response of sodium thiophosphate or N,N-dimethylformamide from the Sample solution
rs = peak response of sodium thiophosphate or N,N-dimethylformamide from Standard solution 2
Cs = concentration of sodium thiophosphate or N,N-dimethylformamide in Standard solution 2 (mg/mL)
Cu = concentration of amifostine in the Sample solution (mg/mL)
Calculate the percentage of any other individual, unspecified impurity in the portion of sample taken:
Result = (rU/rT) × 100
rU = peak response of each individual impurity in the Sample solution
rT = total of all peak responses in the Sample solution
Acceptance criteria: NMT 0.1% of sodium thiophosphate; NMT 0.088% of N,N-dimethylformamide; NMT 0.1% of any other individual unspecified impurity
5.2 Procedure 2
Buffer: 0.4 g/L of sodium 1-octanesulfonate. Adjust with trifluoroacetic acid to a pH of 2.5 ± 0.1.
Mobile phase: Acetonitrile and Buffer (1:3)
Standard solution: 46 μg/mL of USP Amifostine Disulfide RS in water
Sample solution: Dilute a quantity of Amifostine for Injection in water to prepare a solution equivalent to 10 mg/mL. [Note-Inject immediately after preparation.]
5.2.1 Chromatographic system
Mode: LC
Detector: UV 247 nm
Column: 4.6-mm × 25-cm; 5-μm packing L1
Autosampler temperature: 4°
Flow rate: 1.0 mL/min
Injection size: 10 μL
5.2.2 System suitability
Sample: Standard solution
5.2.3 Suitability requirements
Tailing factor: NMT 2.5
Relative standard deviation: NMT 4.0%
5.2.4 Analysis
Samples: Standard solution and Sample solution
Calculate the percentage of amifostine disulfide in the portion of sample taken:
Result = (ru/rs) × (Cs/Cu) × (Mr1/Mr2) × 100
ru = peak response of amifostine disulfide from the Sample solution
rs = peak response of amifostine disulfide from the Standard solution
Cs = concentration of USP Amifostine Disulfide RS in the Standard solution (mg/mL)
Cu = concentration of amifostine in the Sample solution (mg/mL)
Mr1 = molecular weight of amifostine disulfide, 266.47
Mr2 = molecular weight of amifostine disulfide tetrahydrochloride, 412.31
Acceptance criteria: NMT 2.0% of total impurities, including amifostine thiol and amifostine disulfide
6 SPECIFIC TESTS
Constituted Solution: At the time of use, it meets the requirements for Injections and Implanted Drug Products 〈1〉, Specific Tests, Completeness and clarity of solutions. When constituted with 0.9% Sodium Chloride Injection, the solution must completely dissolve in 45 s.
Change to read:
X-Ray Powder Diffraction 〈941〉 (CN 1-May-2022) : Its X-ray diffraction pattern conforms to that of USP Amifostine RS, similarly determined.
Sterility Tests 〈71〉: It meets the requirements when tested as directed for Test for Sterility of the Product to be Examined, Membrane Filtration.
pH 〈791〉: 6.5–7.5, in a solution constituted as directed in the labeling
Water Determination, Method Ic〈921〉
Sample solution: To 100.0 mg of Amifostine for Injection, contained in a stoppered centrifuge tube, add 10.0 mL of a solution of N-ethylmaleimide in methanol (4 in 100), and sonicate for 15 min. Shake to disperse, and sonicate for an additional 15 min. Use 1.0 mL of the supernatant.
Acceptance criteria: 18.0%-22.0%
Particulate Matter in Injections 〈788〉: Meets the requirements for small-volume injections
Bacterial Endotoxins Test 〈85〉: Contains NMT 0.2 USP Endotoxin Unit/mg of amifostine
Other Requirements: Meets the requirements for Labeling 〈7〉, Labels and Labeling for Injectable Products.
7 ADDITIONAL REQUIREMENTS
Packaging and Storage: Preserve as described in Packaging and Storage Requirements 〈659〉, Injection Packaging, and store at controlled room temperature.
USP Reference Standards 〈11〉
USP Amifostine RS
USP Amifostine Disulfide RS
1,3-Propanediamine, N,N-(dithiodi-2,1-ethanediyl)bis, tetrahydrochloride.
C10H30N4S2Cl4 412.32
USP Amifostine Thiol RS
Ethanethiol, 2-[(3-aminopropyl)amino]-, dihydrochloride.
C5H16N2SCl2 207.17

