Alendronate Sodium
Alendronate Sodium
Alendronate Sodium
Alendronate Sodium
Gennady Ananchenko, Jasmina Novakovic, Anna Tikhomirova
Apotex Inc., Toronto, Ontario, Canada
Contents
1. General Information 2
1.1 Nomenclature 2
1.2 Formulae 2
1.3 Elemental analysis 2
1.4 Appearance 2
2. Physical Profile 2
2.1 Dissociation constants (Alendronic acid) 2
2.2 Solubility characteristics 2
2.3 Partition and distribution coefficients 5
2.4 Crystallographic properties and polymorphism 5
2.5 Hygroscopicity 8
2.6 Thermal methods of analysis 8
2.7 Spectroscopy 9
3. Stability 14
4. Methods of Chemical Synthesis 14
5. Analytical Profile 16
5.1 Impurities of Alendronate sodium 16
5.2 Compendial tests 17
5.3 Noncompendial analytical methods 17
5.4 Analysis in biological matrices 17
6. ADME 24
6.1 Absorption 28
6.2 Distribution 28
6.3 Metabolism 28
6.4 Elimination 28
Acknowledgments 28
References 29
Profiles of Drug Substances, Excipients, and Related Methodology, Volume 38 # 2013 Elsevier Inc. 1
ISSN 1871-5125 All rights reserved.
http://dx.doi.org/10.1016/B978-0-12-407691-4.00001-0
2 Gennady Ananchenko et al.
1. GENERAL INFORMATION
This chapter deals with Alendronate sodium as a derivative of Alendronic
acid. The latter belongs to bisphosphonate (sometimes called diphosphonate)
group of drugs, which inhibit bone resorption by binding to bone surfaces and
slowing down the formation of hydroxyapatite crystals. A story about fascinat-
ing discovery and development of bisphosphonates has been published recently
[1]. Although this chapter is focused on the monosodium salt of Alendronic
acid, relevant information concerning free Alendronic acid is also presented.
1.1. Nomenclature
1.1.1 Systematic chemical name
4-Amino-1-hydroxybutane-1,1-diphosphonic acid sodium salt
P,P 0 -(4-amino-1-hydroxybutylidene)bisphosphonic acid sodium salt
(4-Amino-1-hydroxybutylidene)bisphosphonic acid monosodium salt
Sodium trihydrogen (4-amino-1-hydroxybutylidene)diphosphonate
1.1.2 Nonproprietary names
Alendronate sodium, Alendronic acid monosodium salt
1.1.3 Proprietary names
Adronat, Alendros, Bonalon, Dronal, Fosamac, Fosamax, Fosavance, Onclast,
MK-217, G-704650.
1.2. Formulae (Tables 1.1 and 1.2)
1.3. Elemental analysis
Alendronic acid: C 19.29%, H 5.26%, N 5.62%, O 44.96%, P 24.87%.
Alendronate sodium: C 14.78%, H 5.58%, N 4.31%, Na 7.07%,
O 49.21%, P 19.05%.
1.4. Appearance
White, crystalline, nonhygroscopic powder.
2. PHYSICAL PROFILE
2.1. Dissociation constants (Alendronic acid) (Figure 1.1
and Table 1.3)
2.2. Solubility characteristics
Alendronate sodium: highly soluble in water, very slightly soluble in etha-
nol, and practically insoluble in chloroform [11]. Solubility in water is
Alendronate Sodium 3
H3L- H2L2-
100
H5L+ L4-
80
H4L HL3-
60
%
40
20
0
0.0 2.0 4.0 6.0 8.0 10.0 12.0 14.0
pH
Figure 1.1 Calculated species distribution diagram for Alendronic acid based on pKa
values reported in Ref. [2].
Table 1.3 Dissociation constants of Alendronic acid
References HL3 H2L2 H3L H 4L H5Lþ Media
[3] 11.6 0.1 10.5 0.1 8.73 0.05 2.72 0.05 – 25 C, 0.1 M KCl
[4] 12 10.79 6.36 2.38 1 0.1 M KNO3
[5] 12.04 10.77 6.21 2.16 1 0.2 M KCl
[6] 12.68 11.07 6.36 2.19 <1.2 25 C, 0.1 M Me4NCl
[2] 11.82 10.96 6.39 2.22 1.33 0.1 M NaNO3 or NaCl or Me4NCl
[7] 11.4 0.2 10.68 0.06 6.38 0.03 2.24 0.01 – 0.1 M KCl
[7] 10.5 0.1 10.25 0.03 5.97 0.02 2.34 0.02 – 0.1 M cetylpyridinium chloride
[8] 8.66 0.04 6.75 0.05 5.79 0.05 – – 0.10 M Brij35; 0.10 M KCl
[8] 10.5 0.4 9.4 0.2 7.4 0.1 – – Water–ethanol, 1/1, v/v; 0.10 M KCl
[8] 10.45 0.07 9.58 0.04 7.4 0.02 – – Water–ethanol, 1/1, v/v; 0.10 M NaCl
[9] – 11.3 7.03 2.87 1.35 No details
[10] 12.44(3) 11.51(2) 6.73(1) 2.60(1) – 25 Ca
a
Thermodynamic pKa (i.e., extrapolated to ionic strength ¼ 0).
Alendronate Sodium 5
c
a
0
Figure 1.2 Unit cell of Alendronate sodium trihydrate. Sodium ions are shown as black
spheres, phosphonate groups, as well as oxygen in water coordinated to sodium are
shown as ball and stick.
6 Gennady Ananchenko et al.
Figure 1.3 Slice of the crystal structure of the dihydrate form of Alendronate sodium
trihydrate showing bilayers parallel to the (101) plane. Sodium ions are shown as black
spheres.
10 20 30 [ ⬚2q ] 40
Figure 1.4 X-ray (Cu Ka) powder diffractograms of Alendronate sodium trihydrate:
(A) calculated from single-crystal data and (B) experimental diffractogram.
8 Gennady Ananchenko et al.
Figure 1.5 Sodium ion in octahedral coordination in the crystal structure of anhydrous
Alendronate sodium. Sodium and phosphonate groups are shown as ball and stick.
2.5. Hygroscopicity
Alendronate sodium trihydrate is not hygroscopic. From dry state to 95%
relative humidity, the sample weight increase is about 0.3% on the absorp-
tion curve (Figure 1.6). The isotherm did not show plateaus corresponding
to the formation of hydrates.
10.000
9.000
Adsorption
8.000 Desorption
7.000
Weight (% change)
6.000
5.000
4.000
3.000
2.000
1.000
0.000
0 10 20 30 40 50 60 70 80 90 100
−1.000
%RH
Figure 1.6 Dynamic vapor sorption isotherm of Alendronate sodium trihydrate.
−5
Heat flow (mW)
−10
−15
−20
−25
0 50 100 150 200 250 300
Exo Up Temperature (⬚C)
Figure 1.7 DSC thermogram of Alendronate sodium trihydrate.
2.7. Spectroscopy
2.7.1 UV spectroscopy
Alendronate sodium does not have distinct chromophores in the molecule,
so no significant UV absorption occurs beyond 200 nm.
10 Gennady Ananchenko et al.
82.1
80
78
76
74
72
70
68
%T
66
64
62
60
58
56
54
52.5
4000.0 3600 3200 2800 2400 2000 1800 1600 1400 1200 1000 800 600.0
cm−1
10
13
O OH
6 P
HO 8 O−14 Na+
H2N 3 1
5 4 2 7 OH
P 12
OH
O 11
9
4.0372
41.9319
32.5536
24.1218
ppm
ppm 70 60 50 40 30
13
Figure 1.11 C NMR spectrum (101 MHz, D2O) of Alendronate sodium.
12 Gennady Ananchenko et al.
Table 1.4 Assignment of the resonances in 1H, 13C, and 31P NMR (400 MHz, D2O) spectra
of Alendronate sodium (refer to Figure 1.9 for atom numbering)
Nuclei Assignment da (multiplicity, integration)
1
H H4 3.04 (t, 3JH–H ¼ 6.3 Hz, 2H)
H3, H2 2.07–1.96 (m, 4H)
13
C C1 75.48 (t, 1JC–P ¼ 134.4 Hz)
C4 41.93
C2 32.55
C3 24.12b
31
P P7, P8 18.47c
a
For 1H and 13C: relative to TMS with TSP as internal standard; for 31P: relative to 85% H3PO4 as internal
standard (in a capillary insert); t, triplet; m, multiplet.
b
Slightly broad signal (Figure 1.11). This signal is also reported as a triplet with 3JC–P ¼ 6.6 Hz [20].
c
This signal is reported as a triplet, when taken without 1H decoupling, d ¼ 18.46, 3JP–H ¼ 12.1 Hz [22].
Solid-state 31P NMR data for Alendronic acid (diso 15.9 and 16.6) and
Alendronate sodium trihydrate (diso 17.4 and 22.1) are reported in Refs.
[24,25], respectively. Both references also provide 31P chemical shift anisot-
ropy data. Also, Ref. [25] contains solid-state 13C NMR spectra for
Alendronate sodium trihydrate.
15
N NMR chemical shift of Alendronate sodium trihydrate (d 37.1 with
the reference to liquid NH3) in the solid state is reported in Ref. [26]. It is
noted that this chemical shift is essentially the same as for lysine (NH3 þ ) res-
idues in amino acids [26] and is also in good agreement with the chemical
shift of 38.0 ppm obtained by quantum mechanical calculation for proton-
ated nitrogen in Alendronate [26].
In addition to these “common” nuclei, a solid-state 2H NMR spectrum of
2
a H-enriched crystalline Alendronate sodium trihydrate is reported in the
study of interactions of the bisphosphonate side chains with human bone [27].
248.0
100
90
80
70
60
Rel. Int. (%)
148.0
50
40
194.0
30
230.0
20
212.0
166.0
142.9
0
80 90 100 110 120 130 140 150 160 170 180 190 200 210 220 230 240 250 260
m/z (Da)
Figure 1.12 Tandem mass spectrum of the deprotonated molecular ion (m/z 248) of
Alendronate.
O OH
P
HO O−
H2N
OH
P
OH
m/z 248 O
H2N O O
O O− OH OH
P P
P
HO O−
O−
H2N O H2N
OH O
P P
m/z 230 O OH OH m/z 166
m/z 230 O
H2N O O− O
O O− H
P N
P P
O OH
O
P
O O−
P
m/z 212 O OH NH m/z 148
m/z 194
3. STABILITY
Alendronate sodium is a remarkably stable substance. To the best of
our knowledge, no noticeable degradation with identified degradation
products has been mentioned in the literature. The European Medicine
Agency’s Scientific Discussion for Fosavance® [29], however, contains a
note that 2-phosphonopyrrolidine is a degradation product of Alendronate
sodium.
O OH
P
(1) H3PO4, PCl3 / C5H5Cl HO OH
H2N COOH H2N
(2) H2O OH
P
1 AA OH
O
Scheme 1.2 First synthesis of Alendronic acid [3].
Alendronate Sodium 15
H
N (1) CH3SO3H / H2O; (2) PCl3
O AA
(2) H2O
2
Scheme 1.3 Synthesis of Alendronic acid from pyrrolidone.
O O O
COOEt NaHCO3 SOCl2
N H2N COOH
+ N COOH N COCl
O O O
3 1 4 5
O O O OEt
P(OEt)3 O HPO(OEt)2 P HCl
5 N
OEt N
HO OEt AA
OEt
P OEt P
O O OEt
6 O 7 O
Scheme 1.4 Synthesis of Alendronic acid via phthalimido protection of amino group.
O O OR
(1) ROP(OSiMe3)2 P (1) N2H4
5 HO
N
OH AA
(2) MeOH OH (2) HCl
P
O OR
O
8a (R = Me)
8b (R = Ph)
Scheme 1.5 Synthesis of Alendronic acid by using alkyl bis(trimethylsilyl)phosphite.
5. ANALYTICAL PROFILE
5.1. Impurities of Alendronate sodium
The current European Pharmacopeia (EP 7.0) monograph for Alendronate
sodium [37] and BP 2013 monograph for Alendronic acid tablets [38] list
three impurities (Table 1.5).
No impurities are specified in the USP 35 monographs for Alendronate
sodium drug substance [39] and Alendronate sodium tablets [40].
O
H B
O
O O (1) P(OSiMe3)3
1 AA
−H2 H2N B (2) MeOH
O O
9
Scheme 1.6 Synthesis of Alendronic acid via catecholborane activation of carboxy
group of g-aminobutyric acid (1).
Table 1.6 Compendial tests and limits for Alendronate sodium drug substance
Test USP 35a EP 7.0a
Identification A. IR (in mineral oil) A. IR (KBr disk)
B. Flame test for sodium: B. Reaction of sodium:
h191i (2.3.1—test a)
Loss on drying 16.1–17.1% (140 C in 16.1–17.1% (1.000 g,
vacuum NMT 5 mm Hg) 140–145 C)
Appearance No requirements (2.2.2, Method II)
of solution
pH No requirements 4.0–5.0
Heavy metals NMT 0.001% (h231i NMT 20 ppm (2.4.8—test F,
Method III) for 1.0 g)
Assay Isocratic RP-HPLC with Ion chromatography
precolumn derivatization Detector: refractometer.
with FMOCb Column: 4.6 mm 15 cm,
Detector: 266 nm. Column: packing: anion-exchange resin
4.1 mm 25 cm, packing with [CH2Nþ(CH3)3]-groups
L21. Flow rate: 1.2 mL/min. attached to methacrylate
Column temperature: 35 C. lattice (7 mm). Flow rate:
Mobile phase: pH 8 buffer, 1.2 mL/min. Column
ACN, MeOH, 70/25/5. temperature: 35 C. Mobile
Limit: 98.0–102.0% (dried phase: pH 3.5 formate buffer.
basis) Limit: 98.0–102.0% (dried
basis)
Chromatographic Gradient RP-HPLC with 4-Aminobutanoic acid (TLC
purity/related precolumn derivatization test)
substances with FMOC Plate: TLC silica gel.
Chromatographic system Developing solution: water,
Detector: 266 nm. Column: glacial acetic acid, butanol,
4.1 mm 25 cm, packing 20/20/60. Detection: with
L21. Flow rate: 1.8 mL/min. ninhydrin solution.
Column temperature: 45 C. Limit: NMT 0.5%.
Mobile phase: pH 8 buffer, Phosphate and phosphite (using
acetonitrile, gradient program. Assay method)
Limits Limits
Any individual impurity: Phosphate: NMT 0.5%
NMT 0.1% Phosphite: NMT 0.5%
Total: NMT 0.5%
a
Here and in Table 1.7, numbers in hi and () refer to method conditions specified in general chapters of
the USP and EP, respectively.
b
FMOC, 9-fluorenylmethyl chloroformate; ACN, acetonitrile.
Table 1.7 Compendial tests and limits for Alendronate sodium (USP) and Alendronic acid (BP) tablets
Test USP 35 BP 2012
Identification HPLC: by retention time A. TLC
using the Assay test B. HPLC: by retention time using the Assay test
Uniformity of dosage units Meet the requirements No requirements
Related substances No requirements Ion chromatography
Detector: 250 nm. Column: 4.1 mm 25 cm, packing:
styrene-divinylbenzene copolymer with a chemically
bonded, strongly basic quaternary ammonium anion-
exchange coating (10 mm). Column temperature: ambient.
Flow rate: 1.6 mL/min. Mobile phase: 0.0456% (v/v) nitric
acid.
Limits
Phosphate: NMT 0.5%
Phosphite: NMT 0.5%
Any other impurity: NMT 0.2%
Total (excluding phosphate and phosphite): NMT 1.5%
Disregard threshold: 0.05%
4-Aminobutanoic acid No requirements RP-HPLC: As per the Chromatographic Purity Method in
the USP monograph for Alendronate sodium drug substance
Limit: 4-Aminobutanoic acid: NMT 0.5%
Assay Isocratic RP-HPLC with Ion chromatography
precolumn derivatization with FMOC Detector: 240 nm. Column: same as in related substances
Detector: 266 nm, Column: method. Column temperature: 30 C. Flow rate:
4.1 mm 25 cm, packing L21.
Continued
Table 1.7 Compendial tests and limits for Alendronate sodium (USP) and Alendronic acid (BP) tablets—cont'd
Test USP 35 BP 2012
Column temperature: 35 C. Flow rate: 1.6 mL/min, 0.0456% (v/v) nitric acid
1 mL/min. Mobile phase: pH 8 buffer, Limit: 95.0–105.0%
acetonitrile, methanol, 75/20/5
Limit: 90.0–110.0%
Dissolution One of the following tests: Medium: water, 900 mL. Apparatus 2: 50 rpm.
Test 1 Time: 45 min.
Medium: water, 900 mL. Apparatus Tolerance: Q: NLT 75% (general acceptance criteria as
2: 50 rpm. Time: 15 min specified in BP 2013, Appendix XII B1)
Tolerance Q: NLT 80%
Q: NLT 75% (for tablets labeled for
weekly dosing)
Test 2
Medium: water, 900 mL. Apparatus
2: 50 rpm. Time: 30 min
Tolerance Q: NLT 80%
Table 1.8 HPLC methodsa
Type of Linearity, LOD,
chromatography Derivatizing agent Column Mobile phase Detection LOQ Refs.
RP-HPLC Precolumn: FMOC PRP-1 0.05 M sodium citrate, UV, 266 nm [42]: Linearity: [42,43]
0.05 M potassium 1–100 mg/mL
phosphate, pH 8/ACN/ [43]: Linearity:
MeOH (75/20/5, v/v/v) 0.5–20 mg/mL
LOD: 0.3 mg/mL
RP-HPLC Postcolumn: OPA/ IONPAC NS1 0.1 M pH 8.0 phosphate Fluorescence, Linearity: [44]
2-mercaptoethanol with a neutral buffer/ACN (60/40, v/v) lex ¼ 230 nm/ 0.02–0.08 mg/mL
macroporous lem ¼ 455 nm LOD:
resin 0.02 mg/mL
Ion N/A IC-Pak HR (for 1.6 mM nitric acid (for Conductivity, Linearity: [45]
chromatography intravenous intravenous solution) negative 0.1–10 mg/mL
solution) 1.76 mM nitric acid þ 20% polarity LOD: 100 ng
Omnipac PAX- ACN (for tablets)
100 (for tablets)
Ion N/A pSt–DVB base 1 mM 1,3,5- Indirect UV Linearity: [46]
chromatography benzenetricarboxylic acid detection, 0.1–2 mg/mL
(trimesic acid), pH 5.5 254 nm LOD: 250 ng
Ion N/A IC-Pak HR 1.6 mM nitric acid Indirect UV Linearity: [47]
chromatography detection, 0.02–0.08 mg/mL
235 nm LOD:
0.001 mg/mL
Continued
Table 1.8 HPLC methods—cont'd
Type of Linearity, LOD,
chromatography Derivatizing agent Column Mobile phase Detection LOQ Refs.
Ion N/A AX-300 0.1% aqueous HCOOH/ ESI-MS [48]
chromatography ACN, 95/5, v/v
Ion N/A IC-Pak HR 6 mM nitric acid, pH 2.3 Refractive Linearity: [49]
chromatography 1.5 mM nitric acid, pH 2.9 index 0.2–0.6 mg/mL
LOD:
4 104 mg/mL
Ion Postcolumn: Al3þ– pSt–DVB base 30–10 mM of NaNO3, Fluorescence, LOD: 10 ng [50]
chromatography morin complex (Hamilton pH 9.5 lex ¼ 420 nm/
PRP-X100) lem ¼ 505 nm
Ion N/A AS7 analytical 1.5 mmol/L nitric acid ICP-MS, m/z Linearity: [51]
chromatography column with (1.4 mL/min) 31 0.6–20 mg/L
AG7 guard LOD: 0.20 mg/L
column
RP-HPLC Precolumn: OPA/2- pSt–DVB ACN/phosphate buffer pH UV, 333 nm Linearity: [52]
mercaptoethanol 9.6 (15/85) containing 10–60 mg/mL
3 mg% of LOQ: 0.3 mg/mL
tetrabutylammonium LOD: 90 ng/mL
perchlorate
RP-HPLC N/A C18 18 mM n-amylamine Evaporative Linearity: [53]
aqueous solution, pH 7.0/ light- 32–505 mg/mL
ACN (95/5, v/v) scattering LOD: 16 mg/mL
Ion N/A Sphereclone 20 mM sodium citrate, Indirect UV Linearity: [54]
chromatography SAX pH 4.6 detection, 100–500 mg/mL
222 nm LOD: 10.0 mg/
mL
RP-HPLC Precolumn: OPA C18 0.005 M sodium hexane UV, 325 nm Linearity: [55]
sulfonate with 0.1% 10–120 mg/mL
triethanolamine, pH 2.8/ LOQ: 10 mg/mL
ACN (70/30, v/v) LOD: 2.5 mg/mL
RP-HPLC Postcolumn: C18 50 mmol/L borate buffer Fluorescence, Linearity: [56]
peroxydisulfate-assisted pH 9.0 containing lex ¼ 375 nm/ 0.10–100 nmol/
photolysis followed by 0.25 mmol/L lem ¼ 440 nm mL
reaction with molybdate tetrabutylammonium LOD: 23 nmol/L
and then with thiamine chloride and 0.5 mmol/L
to form thiochrome EDTA/ACN (97/3)
RP-HPLC N/A C18 50 mM aqueous tricationic ESI-MS LOD: [57]
ion-pairing reagent/ 0.40–1.3 ng
MeOH, 80/20 (depends on
reagent used)
a
pSt, polystyrene; DVB, divinylbenzene; OPA, o-phthalaldehyde.
24 Gennady Ananchenko et al.
6. ADME
A pharmacokinetic model for Alendronate, indicating rapid distribu-
tion throughout the body followed by quick redistribution into target tissue
(i.e., bone) and elimination via urine, no evidence of metabolism and a long
terminal half-life, was established based on the preclinical data in animals [81].
Table 1.10 Other techniques
Technique Experimental conditions Linearity, LOD, LOQ Refs.
ICP The wavelength used to detect phosphorus was Linearity: 0.0017–0.115 mg/mL [64]
178.3 nm. A fixed quartz torch was used with 1.2 kW
power. Argon gas was used for purging. The sample
flow rate was 2 mL/min with an integration time of
3 s on the peak used
Capillary electrophoresis Fused, uncoated silica capillary of 75 mm ID and Linearity: 0.025–0.225 mg/mL [65]
70 cm length, 25 kV applied voltage, 1.6 mM of
HNO3, 2 mM CuSO4 as electrolyte
Capillary electrophoresis Multidimensional approach. A preseparation Linearity: 10–100 mg/mL [66]
fluorinated ethylene–propylene copolymer capillary LOD: 1.2 mg/mL
and a fused silica analytical capillary were employed in
the first and second dimensions, respectively. HCl
(5 mM), Tris (5 mM), HEC (0.2%, w/v) as
electrolyte. Conductivity detection
Voltammetry The procedure is based on the formation of Linearity: 0.096–0.288 mg/mL [67]
Alendronate/copper(II) complex when shaking with LOD: 0.0086 mg/mL
copper(II) phosphate suspension. The voltammetric
peaks, which correspond to the reduction of the
copper(II) moiety of the formed complexes, are
obtained at 153 mV
Potentiometric titration Titrant: 0.001 mol/L NaOH LOD: 20.0 mg/mL [68]
Capillary electrophoresis Electrolyte: 0.05 M sodium chromate (pH 7.8–10.5), LOD: 1.6 mg/L [69]
1 mM 3,6-ionen, 0.1% ACN. UV detection at
254 nm
Table 1.11 Alendronate determination in biological matrices
Repeatability
Technique Pretreatment Derivatization Detection Matrix LOD LOQ RSD (%) Accuracy (%) Refs.
a
RP-HPLC Calcium NDA Fluorescence Urine N/A N/A N/A N/A [75]
precipitation
RP-HPLC Calcium NDA Fluorescence, Urine N/A 1 ng/mL 3–8 (urine) 94–109 [76]
precipitation electrochemical and (urine) 3–7 (plasma) (urine)
detection plasma 5 ng/mL 94–105
(plasma) (plasma)
RP-HPLC Calcium FMOC Fluorescence Urine N/A 3.5 ng/mL 8 99.1–105.4 [77]
precipitation
RP-HPLC Calcium FMOC Fluorescence Plasma N/A 1 ng/mL <15 N/A [78]
precipitation
RP-HPLC Sodium OPA Fluorescence Urine 0.2 ng/mL 2 ng/mL 0.4–3.3 92.9–99.3 [52]
hydroxide
and calcium
precipitation
RP-HPLC Automated FMOC Fluorescence Urine N/A N/A <15 N/A [79]
SPE using a
96-well
cartridge
plate
RP-HPLC N/A Dual (isobutyl MS/MS, Urine N/A 6.667 ng/mL <15 N/A [80]
chloroformate þ positive ion
trimethyl mode
orthoacetate)
Column- Sodium FMOC Fluorescence Plasma 0.5 ng/mL 2 ng/mL 3.97–12.07 98.36–103.93 [73]
switching hydroxide
HPLC and calcium
precipitation
RP-HPLC N/A Trimethylsilyldiazo- MS/MS, Plasma N/A 1 ng/mL 5.0–8.2 N/A [74]
methane positive ion
mode
Capillary Solid-phase NDA Fluorescence Urine 1.5 ng/mL 5 ng/mL 4.1–10.3 99–115 [71]
electrophoresis extraction and (urine)
plasma 96–112
(plasma)
a
NDA, 2,3-naphtalene dicarboxyaldehyde.
28 Gennady Ananchenko et al.
Since most of the studies suggesting the model could not be conducted in
human subjects, a similar model is assumed in humans.
6.1. Absorption
Alendronate is highly polar and charged compound at physiological pH
(Figure 1.1), and therefore, it is proposed that its absorption across gastro-
intestinal tract occurs primarily paracellulary [82]. Oral bioavailability of
Alendronate under fasting conditions is similar in postmenopausal women
(0.76%) and in male subjects (0.6%). Dosing after a meal reduces absorption
dramatically (80–90%) [83]. The effect of gastric pH on absorption was eval-
uated in postmenopausal women, and the results showed that elevation of
gastric pH by ranitidine increased the absorption of Alendronate about two-
fold comparing with native stomach pH [84].
6.2. Distribution
Studies in rats, dogs, and monkeys showed that Alendronate is approximately
80%, 73%, and 70% plasma protein (predominantly albumin) bound, respec-
tively [85,86]. Radiolabeled Alendronate, administered to rats intravenously, is
initially widely distributed in soft tissues, followed by rapid redistribution into
bone [87]. By analogy with the results in animals and humans, Alendronate is
probably bound to the mineral phase of the skeleton, from which it is released at
a rate that is proportional to the rate of bone turnover. The apparent steady-
state volume of distribution was estimated at more than 28 L [88].
6.3. Metabolism
There is no evidence of Alendronate metabolism in animals and humans [88].
6.4. Elimination
Upon administration, Alendronate is cleared from plasma by deposition into
bone and excretion via urine. The renal clearance was found to average
4.26 L/h. Terminal elimination half-life was estimated to be on average
10.5 years [81]. A very long elimination half-life is a reflection of the rate
of bone turnover and as such related to Alendronate’s mechanism of action.
ACKNOWLEDGMENTS
The authors are indebted to Dr. Yan Alsmeyer for encouragement and management support.
We also wish to express our sincere appreciation to Dr. Yuri Goldberg for his guidance, to
Ms. Janet Mensah for her assistance in retrieving literature cited, to Dr. Konstantin Udachin
for fruitful discussion on X-ray data, and lastly to many colleagues in our laboratories who
contributed material needed for the preparation of this chapter.
Alendronate Sodium 29
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