Estradiol Vaginal Inserts
DEFINITION
Estradiol Vaginal Inserts contain NLT 90.0% and NMT 110.0% of the labeled amount of estradiol (C18H24O2).
IDENTIFICATION
•  A. Thin–Layer Chromatographic Identification Test 201 [Note—When two different concentrations are given for a solution, the lower concentration is for Inserts labeled to contain 0.01 mg of estradiol, and the high value is for Inserts labeled to contain 0.025 mg of estradiol. ]
Standard solution:  2.5 mg/mL of USP Estradiol RS in absolute alcohol
Sample solution:  Place a number of Inserts, equivalent to 0.38 or 0.95 mg of estradiol, into a vessel. Add 50 mL of isopropyl alcohol, and allow to disintegrate by stirring overnight. Centrifuge the suspension. Evaporate an aliquot of 40 mL of the supernatant to dryness, and dissolve the residue in 3 mL of isopropyl alcohol. Evaporate to dryness, reconstitute with 300 µL of absolute alcohol to obtain a solution containing 1.0 or 2.5 mg/mL of estradiol, and centrifuge.
Adsorbent:  Use a suitable, high-performance thin-layer chromatographic plate.
Application volume:  NLT 5 µL (equivalent to 10 µg of estradiol)
Developing solvent system:  Chloroform and acetone (9:1)
Analysis:  Proceed as directed in the chapter, using the Developing solvent system described above.Develop the chromatogram over a path of a minimum of 8 cm, and allow the plate to air-dry. Remove the plate, mark the solvent front, and allow solvent evaporation as described in the chapter. Heat at 100 for about 15 min. Allow the plate to cool, and then immerse it in a mixture of absolute alcohol and concentrated sulfuric acid (95:5). Remove it immediately, place the plate on absorbing paper, and allow it to air-dry. Heat the plate at 100 until the sulfuric acid has evaporated. Examine under UV light at = 365 nm.
Acceptance criteria:  The principal spot obtained from the Sample solution has the same color and RF value as that from the Standard solution.
•  B. The retention time of the major peak of the Sample solution corresponds to that of the Standard solution, as obtained in the Assay.
ASSAY
•  Procedure [Note—When two different concentrations are given for a solution, the lower concentration is for Inserts labeled to contain 0.01 mg of estradiol, and the high value is for Inserts labeled to contain 0.025 mg of estradiol. ]
Mobile phase:  Acetonitrile and water (11:9)
Diluent:  Absolute alcohol and water (1:1)
Estrone standard stock solution:  0.1 mg/mL of USP Estrone RS in absolute alcohol
Estradiol standard stock solution:  0.25 mg/mL of USP Estradiol RS in absolute alcohol
System suitability solution:  0.6 and 2.0 µg/mL of USP Estrone RS and USP Estradiol RS in Diluent from Estrone standard stock solution and Estradiol standard stock solution, respectively
Standard solution:  1.0 or 2.5 µg/mL of USP Estradiol RS in Diluent from Estradiol standard stock solution
Sample solution:  1.0 or 2.5 µg/mL of estradiol prepared using 10 Inserts in Diluent. Stir the mixture overnight with a magnetic stirrer, shake thoroughly, and centrifuge if necessary.
Chromatographic system 
Mode:  LC
Detector:  UV 205 nm
Column:  3.9-mm × 30-cm; 4-µm packing L1
Flow rate:  1 mL/min
Injection size:  20 µL
System suitability 
Sample:  System suitability solution
Suitability requirements 
Resolution:  NLT 2.0 between estradiol and estrone
Relative standard deviation:  NMT 2.0%
Analysis 
Samples:  Standard solution and Sample solution
Calculate the percentage of C18H24O2 in the portion of Inserts taken:
Result = (rU/rS) × (CS/CU) × 100
rU== peak response from the Sample solution
rS== peak response from the Standard solution
CS== concentration of USP Estradiol RS in the Standard solution (mg/mL)
CU== nominal concentration of estradiol in the Sample solution (mg/mL)
Acceptance criteria:  90.0%–110.0%
PERFORMANCE TESTS
•  Dissolution 711
Medium:  Phosphate buffer pH 4.75 ± 0.05 (100 g of potassium dihydrogen phosphate in 10 L of water, adjusted with 1 N sodium hydroxide to a pH of 4.75 ± 0.05); 500 mL
Apparatus 1:  40 rpm
Time:  3, 5, and 10 h
Mobile phase:  Methanol, acetonitrile, and water (27.5:27.5:45)
Standard stock solution:  0.1 mg/mL of USP Estradiol RS in absolute alcohol
Standard solutions:  Quantitatively dilute with water the Standard stock solution to obtain solutions with final concentrations equal to approximately 20%, 60%, and 160% of the expected concentration of estradiol in the Medium for Inserts containing 0.025 mg, assuming complete dissolution, and approximately 20%, 50%, 150%, and 400% of the expected concentration of estradiol in the Medium for Inserts containing 0.01 mg of estradiol, assuming complete dissolution.
Sample solutions:  Use the solution under test, unfiltered.
Chromatographic system 
Mode:  LC
Detector:  Fluorescence
Excitation wavelength:  230 nm
Emission wavelength:  310 nm
Column:  4.6-mm × 15-cm; 3.5-µm packing L1; or 4.6-mm × 7.5-cm; 5.0-µm packing L1
Flow rate:  1 mL/min
Injection size:  200 µL
System suitability 
Sample:  Standard solution
Suitability requirements 
Tailing factor:  NMT 1.8
Relative standard deviation:  NMT 2%
Analysis 
Samples:  Standard solution and Sample solution
Calculate the amount of C18H24O2 dissolved:
Result = {An × Vn + [
Click to View Image
(DV(n1) × A(n1))]}/V
An== percentage of estradiol, at the sample point n (e.g., A2 at the second sampling point)
Vn== volume of Medium in the vessel before the sample is taken (mL)
DV(n–1)== volume of sample taken at the sampling point (n–1)
A(n–1)== amount of estradiol (uncorrected) at the sample point (n–1)
V== volume of the medium, 500 mL
Tolerances:  The percentage of the labeled amount of estradiol dissolved at the specified times conforms to Acceptance Table 2.
Time
(h)
Amount Dissolved
3 25%–50%
5 40%–80%
10 NLT 80%
IMPURITIES
Organic Impurities  [Note—When a concentration range is given for a solution, the lower concentration is for Inserts labeled to contain 0.01 mg of estradiol, and the high value is for Inserts labeled to contain 0.025 mg of estradiol. ]
•  Procedure
Solution A:  Acetonitrile
Solution B:  Water
Mobile phase:  See the gradient table below.
Time
(min)
Solution A
(%)
Solution B
(%)
0 16 84
35 68 32
[Note—Before the next injection, run the system at the initial condition until equilibration is achieved. ]
System suitability solution:  100 µg/mL of USP Estradiol RS, 0.5 µg/mL of USP Estradiol Related Compound B RS, and 0.5 µg/mL of USP Estradiol Related Compound C RS in absolute alcohol
Sample solution:  Place a number of Inserts into a measured volume of absolute alcohol to obtain a solution having an estradiol concentration of 2.4 or 6.0 µg/mL. Stir for a minimum of 16 h, shake thoroughly, and centrifuge if necessary. Evaporate 10.0 mL of the supernatant to dryness. Dissolve the residue in 1.0 mL of water and add 7.0 mL of a mixture of toluene and acetone (5:2), mix on a whirl mixer, allow to stand for 1 h, and evaporate 5 mL of the organic phase to dryness. The residue is reconstituted in 450 µL of absolute alcohol to obtain a solution containing 38 or 95 µg/mL of estradiol. Centrifuge, and use the supernatant as the Sample solution.
Chromatographic system 
Mode:  LC
Detector:  UV 220 nm
Column:  4.6-mm × 25-cm; 5-µm packing L1
Flow rate:  1 mL/min
Injection size:  25 µL
System suitability 
Sample:  System suitability solution
[Note—The relative retention times for estradiol related compound B and estradiol are about 0.96 and 1.0, respectively. ]
Suitability requirements 
Resolution:  NLT 2.0 between estradiol related compound B and estradiol
Analysis 
Sample:  Sample solution
Calculate the percentage of each impurity in the Inserts taken:
Result = (rU/rS) × 100
rU== peak response of each impurity from the Sample solution
rS== peak response of estradiol from the Sample solution
Acceptance criteria 
Individual impurities:  See Impurity Tables 1 and 2.
Total impurities:  NMT 4.4% for Inserts labeled to contain 0.025 mg of estradiol and NMT 4.0% for Inserts labeled to contain 0.01 mg of estradiol
Impurity Table 1. For Inserts labeled to contain 0.025 mg of estradiol
Name Relative
Retention
Time
Acceptance
Criteria,
NMT (%)
Estradiol related compound C (6-ketoestradiol)a 0.71 2.4
Estradiol related compound B (6-dehydroestradiol)b 0.96 1.4
Estradiol 1.0
Any other individual impurity 0.8
a  1,3,5(10)-Estratrien-3,17-diol-6 one.
b  1,3,5(10),6-Estratetraen-3,17-diol.
Impurity Table 2. For Inserts labeled to contain 0.01 mg of estradiol
Name Relative
Retention
Time
Acceptance
Criteria,
NMT (%)
Estradiol related compound C (6-ketoestradiol)a 0.71 1.5
Estradiol related compound B (6-dehydroestradiol)b 0.96 1.3
Estradiol 1.0
Any other individual impurity 1.3
a  1,3,5(10)-Estratrien-3,17-diol-6-one.
b  1,3,5(10),6-Estratetraen-3,17-diol.
SPECIFIC TESTS
•  Microbial Enumeration Tests 61 and Tests for Specified Microorganisms 62: The total aerobic microbial count does not exceed 100 cfu/g, and the total combined molds and yeasts count does not exceed 10 cfu/g. Inserts meet the requirements of the tests for absence of Pseudomonas aeruginosa, Staphylococcus aureus, and Candida albicans.
ADDITIONAL REQUIREMENTS
•  Packaging and Storage: Preserve in a tight container, and store at controlled room temperature. Do not refrigerate.
•  USP Reference Standards 11
USP Estradiol RS Click to View Structure
USP Estradiol Related Compound B RS
6-Dehydro-estradiol.
USP Estradiol Related Compound C RS
1,3,5(10)-Estratrien-3,17-diol-6 one.
    C18H22O3    
USP Estrone RS Click to View Structure
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USP35–NF30 Page 3102
Pharmacopeial Forum: Volume No. 37(2)