International Journal of Pharmacognosy and Chemistry

Development and Validation of New Analytical Method for The Simultaneous Estimation of Netupitant And Palonosetron In Pharmaceutical Dosage Form

Potluri Surendra*1, P.Sreenivasa Prasanna2 ,K. Thejomoorthy3

1 Department of Pharmaceutical analysis, M.L.College of Pharmacy, S. Konda-523101.

2 Principal, M.L.College of Pharmacy, S.Konda-523101.

3 Head, Department of Pharmaceutical analysis, M.L.College of Pharmacy, S. Konda-523101.

Abstract

A simple, Accurate, precise method was developed for the simultaneous estimation of the Netupitant and Palonosetron in Pharmaceutical dosage form. The chromatogram was run through Std Discovery C18250 x 4.6 mm, 5m. Mobile phase containing Buffer 0.1% OPA (2.2ph): Acetonitrile taken in the ratio 55:45 was pumped through the column at a flow rate of 1 ml/min. The buffer used in this method was 0.1% OPA. The temperature was maintained at 30°C. The optimized wavelength selected was 220 nm. The retention time of Netupitant and Palonosetron was found to be 2.308min and 3.093min. %RSD of the Netupitant and Palonosetron were and found to be 0.9 and 0.6 respectively. %Recovery was obtained as 99.51% and 99.29% for Netupitant and Palonosetron respectively. LOD, LOQ values obtained from regression equations of Netupitant and Palonosetron were 1.84, 0.01, and 5.59, 0.03 respectively. Regression equation of Netupitant  is y = 7232.8x + 3439.3., and y = 28857x + 97.732 of Palonosetron. Retention times were decreased and run time was decreased, so the method developed was simple and economical that can be adopted in regular Quality control tests in Industries.

Keywords: Netupitant, Palonosetron, RP-HPLC

Article History

Received on: 015-03-2021

Revised on: 02-05-2021

Accepted on: 10-05-2021

DOI: https://doi.org/10.46796/ijpc.vi.158

*Corresponding Author

Potluri Surendra

Department of Pharmaceutical analysis,

M.L.College of Pharmacy, S. Konda

Email: mlcollegeofpharmacy@gmail.com

This article is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License. Copyright © 2021 Author(s) retain the copyright of this article. 

Introduction

Netupitant  (NTP)  is  a  novel  antiemetic  [1,2]  drug  in  the  combination  of  NTP/ palonosetron  (PLS).  It  is  used  to  the  prevention  of  acute  and  delayed  chemotherapy-induced  nausea  and  vomiting  [3],  including  highly  emetogenic  [4]  chemotherapy  [5]  such  as  with  cisplatin  [6].  5-hydroxytryptamine  (5-HT3)  receptors  [7]  are  located  on  the  nerve  terminals  [8]  of  the  vagus  [9]  in  the  periphery  and  centrally  in  the  chemoreceptor  [10]  trigger  zone  of  the  area  postrema  [11].  It  is  thought that chemotherapeutic agents produce nausea and vomiting by releasing serotonin [12] then activate 5-HT3 receptors located on vagal afferents [13] to initiate the vomiting reflex. Netupitant is chemically called as 2-[3,5-bis (trifluoromethyl) phenyl]-N,2- dimethyl- N- [4-(2-methylphenyl) -6- (4-methylpiperazin-1-yl) pyridin-3-yl] propenamide. It Delayed emesis (vomiting) has been largely associated with the activation of tachykinin family neurokinin 1 (NK1) receptors (broadly distributed in the central and peripheral nervous systems) by substance P. As shown in in vitro and in vivo studies, netupitant inhibits substance P mediated responses. The structure is shown in figure 01.

 

Figure 01: Chemical structure of Netupitant

Palonosetron chemically called as (5S)-3-[(3S)-1-azabicyclo[2.2.2]octan-3-yl]-3-azatricyclo [7.3.1.05,¹³] trideca- (12), 9(13), 10-trien-2-one.it is a selective serotonin 5-HT3 receptor antagonist. The antiemetic activity of the drug is brought about through the inhibition of 5-HT3 receptors present both centrally (medullary chemoreceptor zone) and peripherally (GI tract). This inhibition of 5-HT3 receptors in turn inhibits the visceral afferent stimulation of the vomiting center, likely indirectly at the level of the area postrema, as well as through direct inhibition of serotonin activity within the area postrema and the chemoreceptor trigger zone. The chemical structure shown in figure 02

 

Figure 02: Chemical structure of Palonosetron

The   review   of   literature   revealed   that   several   analytical   methods  have  been  reported  for  NTP  and  PLS  in  spectrophotometry,  high-performance  liquid  chromatography  (HPLC),  high-performance  thin-layer  chromatograph y  [14-22]  individually,  and  in  the  combination.  To date, there are  no  reports  for  stability-indicating  simultaneous estimation and forced degradation study of NTP and PLS.

Materials and methods

Materials

Netupitant and Palonosetron pure drugs (API), Combination Netupitant and Palonosetron  capsules (Flumed N), Distilled water, Acetonitrile, Phosphate buffer, , Methanol, Potassium dehydrogenate  ortho phosphate buffer,  Ortho-phosphoric acid. All the above chemicals andsolvents are from Rankem

Instruments

Electronics Balance-Denver, pH meter -BVK enterprises, India, Ultrasonicator-BVK enterprises, WATERS HPLC 2695 SYSTEM equipped with quaternary pumps,Photo Diode Array detector and Auto sampler integrated with Empower 2 Software , UV-VIS spectrophotometer PG Instruments T60 with special bandwidth of 2 mm and 10mm and matched quartz cells integrated with UV win 6 Software was used for measuring absorbances of Netupitant and Palonosetron  solutions.

Methods

Diluent

Based up on the solubility of the drugs, diluent was selected, Acetonitrile and Water taken in the ratio of 50:50

Preparation of Standard stock solutions

Accurately weighed 150 mg of Netupitant ,  0.25mg of Palonosetron  and transferred to individual 50 ml volumetric flasks separately. 3/4 th of diluents was added to both of these flasks and sonicated for 10 minutes. Flasks were made up with diluents and labeled as Standard stock solution 1and 2. (3000µg/ml of Netupitant  and 5µg/ml of Palonosetron )

Preparation of Standard working solutions (100% solution)

1ml from each stock solution was pipetted out and taken into a 10ml volumetric flask and made up with diluent. (300µg/mlNetupitant  of and 0.5µg/ml of Palonosetron )

Preparation of Sample stock solutions

5 capsules were weighed and the average weight of each capsule was calculated,then the weight equivalent to 1 capsule was transferred into a 100ml volumetric flask, 5ml of diluents was added and sonicated for 25 min, further the volume was made up with diluent and filtered by HPLC filters (3000µg/ml of Netupitant  and 5µg/ml of Palonosetron )

Preparation of Sample working solutions (100% solution)

1ml of filtered sample stock solution was transferred to 10ml volumetric flask and made up with diluent.(300µg/ml of Netupitant  and 0.5µg/ml of Palonosetron )

Preparation of buffer

0.1% OPABuffer:1ml of Conc Ortho Phosphoric acid was diluted to 1000mlwith water.

Method Validation [23,24, 26, 27,28,29]

System suitability parameters

The system suitability parameters were determined by preparing standard solutions of Netupitant  (300ppm) and Palonosetron  (0.5ppm) and the solutions were injected six times and the parameters like peak tailing, resolution and USP plate count were determined.

The % RSD for the area of six standard injections results should not be more than 2%.

Specificity

Checking of the interference in the optimized method.We should not find interfering peaks in blank and placebo at retention times of these drugs in this method. So this method was said to be specific.

Precision

Preparation of Standard stock solutions 

Accurately weighed 150 mg of Netupitant ,  0.25mg of Palonosetron  and transferred to individual 50 ml volumetric flasks separately. 3/4 th of diluents was added to both of these flasks and sonicated for 10 minutes. Flasks were made up with diluents and labeled as Standard stock solution 1and 2. (3000µg/ml of Netupitant  and 5µg/ml of Palonosetron )

Preparation of Standard working solutions (100% solution)

1ml from each stock solution was pipetted out and taken into a 10ml volumetric flask and made up with diluent. (300µg/mlNetupitant  of and 0.5µg/ml of Palonosetron )

Preparation of Sample stock solutions

5 capsules were weighed and the average weight of  each capsule was calculated,then the weight equivalent to 1 capsule was transferred into a 100 ml volumetric flask, 5ml of diluents was  added and sonicated for 25 min, further the volume was  made up with diluent and filtered by HPLC filters(3000µg/ml of Netupitant  and 0.5µg/ml of Palonosetron )

Preparation of Sample working solutions (100% solution)

1ml of filtered sample stock solution was transferred to 10ml volumetric flask and made up with diluent.(300µg/ml of Netupitant  and 0.5µg/ml of Palonosetron )

Linearity

Preparation of Standard stock solutions

Accurately weighed 150 mg of Netupitant ,  0.25mg of Palonosetron  and transferred to individual 50 ml volumetric flasks separately. 3/4 th of diluents was added to both of these flasks and sonicated for 10 minutes. Flasks were made up with diluents and labeled as Standard stock solution 1and 2. (3000µg/ml of Netupitant  and 5µg/ml of Palonosetron )

25% Standard solution

0.25ml each from two standard stock solutions was pipetted out and made up to 10ml. (75µg/ml of Netupitant  and 0.125 µg/ml of Palonosetron )

50% Standard solution

0.5ml each from two standard stock solutions was pipetted out and made up to 10ml. (150µg/ml of Netupitant  and 0.25µg/ml of Palonosetron )

75% Standard solution

0.75ml each from two standard stock solutions was pipetted out and made up to 10ml. (225µg/ml of Netupitant  and 0.375µg/ml of Palonosetron )

100% Standard solution: 1.0ml each from two standard stock solutions was pipetted out and made up to 10ml. (300µg/ml of Netupitant  and 0.5µg/ml of Palonosetron )

125% Standard solution

1.25ml each from two standard stock solutions was pipetted out and made up to 10ml. (375µg/ml of Netupitant  and 0.625g/ml of Palonosetron )

150% Standard solution

1.5ml each from two standard stock solutions was pipettede out and made up to 10ml (450µg/ml of Netupitant  and 0.75g/ml of Palonosetron )

Accuracy

Preparation of Standard stock solutions

Accurately weighed 150 mg of Netupitant ,  0.25mg of Palonosetron  and transferred to individual 50 ml volumetric flasks separately. 3/4 th of diluents was added to both of these flasks and sonicated for 10 minutes. Flasks were made up with diluents and labeled as Standard stock solution 1and 2. (3000µg/ml of Netupitant  and 5µg/ml of Palonosetron )

Preparation of 50% Spiked Solution

0.5ml of sample stock solution was taken into a 10ml volumetric flask, to that 1.0ml from each standard stock solution was pipetted out, and made up to the mark with diluent.

Preparation of 100% Spiked Solution

1.0ml of sample stock solution was taken into a 10ml volumetric flask, to that 1.0ml from each standard stock solution was pipetted out, and made up to the mark with diluent.

Preparation of 150% Spiked Solution

1.5ml of sample stock solution was taken into a 10ml volumetric flask, to that 1.0ml from each standard stock solution was pipetted out, and made up to the mark with diluent.

Acceptance Criteria

The % Recovery for each level should be between 98.0 to 102

Robustness

Small deliberatechanges in method like Flow rate, mobile phase ratio, and temperature are made but there were no recognized change in the result and are within range as per ICH Guide lines.

Robustness conditions like Flow minus (0.9ml/min), Flow plus (1.1ml/min), mobile phase minus, mobile phase plus, temperature minus (25°C) and temperature plus(35°C) was maintained and samples were injected in duplicate manner. System suitability parameters were not much affected and all the parameters were passed. %RSD was within the limit.

LOD sample Preparation

0.25ml each from two standard stock solutions was pipetted out and transferred to two separate 10ml volumetric flasks and made up with diluents. From the above solutions 0.1ml each of Netupitant, Palonosetron , solutions respectively were transferred to 10ml volumetric flasks and made up with the same diluents

LOQ sample Preparation: 0.25ml each from two standard stock solutions was pipetted out and transferred to two separate 10ml volumetric flask and made up with diluent. From the above solutions 0.3ml each of Netupitant, Palonosetron , and solutions respectively were transferred to 10ml volumetric flasks and made up with the same diluent.

Degradation studies [25,30,31]

Oxidation

To 1 ml of stock solution of Netupitant and Palonosetron , 1 ml of 20% hydrogen peroxide (H2O2) was added separately. The solutions were kept for 30 min at 600c. For HPLC study, the resultant solution was diluted to obtain 300µg/ml& 0.5µg/ml solution and 10µl were injected into the system and the chromatograms were recorded to assess the stability of sample.

Acid Degradation Studies

To 1 ml of stock ssolution Netupitant and Palonosetron , 1ml of 2N Hydrochloricacidwasadded and refluxed for 30 mins at 600c.The resultant solution was diluted to obtain 300 µg/ml & 0.5µg/ml solution and 10 µl solutions were injected into  the system and the chromatograms were recorded to assess the stability of sample.

Alkali Degradation Studies

To 1 ml of stock solution Netupitant and Palonosetron , 1 ml of 2N sodium hydroxidewasadded and refluxed for 30mins at 600c. Theresultantsolutionwas diluted to obtain 300µg/ml& 0.5µg/ml solution and 10µl were injected into the system and the chromatograms were recorded to assess the stability of sample.

Dry Heat Degradation Studies

Thestandarddrug solution was placed inovenat 105°C for1h tos tudy dry heat degradation.ForHPLCstudy,the resultant solution was diluted to 300µg/ml& 0.5µg/ml solution and10µl were injected into the system and the chromatograms were recorded to assess the stability of the sample.

Photo Stability studies

The photochemical stability of the drug was also studied by exposing the 3000µg/ml Netupitant  & 5µg/ml Palonosetron  solution to UV Light by keeping the beaker in UV Chamber for 1days or 200 Watt hours/m2 in photo stability chamber. For HPLC study, the resultant solution was diluted to obtain 300µg/ml& 0.5µg/ml solutions and 10µl were injected into the system and the chromatograms were recorded to assess the stability of sample.

Neutral Degradation Studies

Stress testing under neutral conditions was studied by refluxing the drugin water for 1 hrs at a temperature of 60º. For HPLC study, the resultant solution was diluted to 300 µg/ml& 0.5µg/ml solution and 10µl were injected into the system and the chromatograms were recorded to assess the stability of the sample.

Results And Discussion

Optimized method : Chromatographic conditions:

Mobile phase : 55% 0.1% OPA buffer: 450% Acetonitrile

Flow rate : 1ml/min

Column :  Discovery C18 (4.6 x 250mm, 5µm)

Detector wave length : 240nm

Column temperature :  30°C

Injection volume :  10mL

Run time :   6min

Diluent :  Water and Acetonitrile in the ratio 50:50

Results : Both peaks have good resolution, tailing factor,

theoretical plate count and resolution.

 

Fig 03 Optimized Chromatogram

Observation

Netupitant and Palonosetron were eluted at 2.325 min and 3.027 min respectively with good resolution. Plate count and tailing factor was very satisfactory, so this method was optimized and to be validated.

System suitability

All the system suitability parameters were within the range and satisfactory as per ICH guidelines

Table: 01 Systemsuitability parameters forNetupitant and Palonosetron

S no

 

Netupitant

 

Palonosetron

 

 

Inj

 

RT(min)

 

USP Plate Count

 

Tailing

 

RT(min)

 

USP Plate Count

 

Tailing

 

Resolution

1

2.308

6059

1.47

3.027

8554

1.38

5.4

2

2.325

6110

1.46

3.027

8468

1.38

5.4

3

2.326

6107

1.47

3.028

8479

1.41

5.4

4

2.327

6022

1.47

3.030

8411

1.41

5.3

5

2.327

6049

1.47

3.031

8354

1.48

5.2

6

2.328

6126

1.47

3.093

7946

1.51

5.2

Discussion

According to ICH guidelines plate count should be more than 2000, tailing factor should be less than 2 and resolution must be more than 2. All the system suitable parameters were passed and were within the limits.

Validation

Specificity

 

Figure No. 04 Chromatogram of blank

 

Figure No. 05 Chromatogram of placebo

 

Fig: 06 Typical chromotogram

Discussion

Retention times of Netupitant and Palonosetron  were 2.308 min and 3.093 min respectively. We did not found and interfering peaks in blank and placebo at retention times of these drugs in this method. So this method was said to be specific.

Linearity 

Table 02: Linearity table forNetupitant  and Palonosetron

Netupitant

Palonosetron

Conc   (μg/mL)

Peak area

Conc   (μg/mL)

Peak area

0

0

0

0

75

528177

0.125

3559

150

1129538

0.25

7597

225

1642104

0.375

11002

300

2129458

0.5

14542

375

2714082

0.625

18031

450

3272387

0.75

21704

 

 Fig: 07 Calibrationcurve of Netupitant 

 

Fig: 08 Calibration curve of Palonosetron

Discussion

Six linear concentrations of Netupitant  (150-450µg/ml) and Palonosetron  (0.125-0.75µg/ml) were injected in a duplicate manner. Average areas were mentioned above and linearity equations obtained for Netupitant  was y = 7232.8x + 3439.3and of Palonosetron  was y = 28857x + 97.732Correlation coefficient obtained was 0.999 for the two drugs.

Precision

System Precision

Table 03: System precision table of Netupitant  and Palonosetron

S. No

Area of Netupitant

Area of  Palonosetron

1.

2123440

14459

2.

2123114

14572

3.

2134157

14541

4.

2097548

14374

5.

2106005

14595

6.

2152700

14571

Mean

2122827

14519

S.D

19714.1

85.3

%RSD

0.9

0.6

Discussion

From a single volumetric flask of working standard solution six injections were given and the obtained areas were mentioned above. Average area, standard deviation and % RSD were calculated for two drugs.% RSDobtained as 0.9%and 0.6% respectively for Netupitant and Palonosetron  .As the limit of Precision was less than “2” the system precision was passed in this method.

Repeatability

Table: 04 Repeatability table of Netupitant  and Palonosetron

S. No

Area of

Netupitant

Area of

Palonosetron

1.

2107058

14392

2.

2110065

14486

3.

2116355

14486

4.

2109543

14438

5.

2108307

14515

6.

2114707

14518

Mean

2111006

14473

S.D

3693.4

48.8

%RSD

0.2

0.3

Discussion

Multiple sampling from a sample stock solution was done and six working sample solutions of same concentrations were prepared, each injection from each working sample solution was given and obtained areas were mentioned in the above table. Average area, standard deviation and % RSD were calculated for two drugs and obtained as 0.2% and 0.3% respectively for Netupitant  and Palonosetron . As the limit of Precision was less than “2” the system precision was passed in this method

Intermediate precision (Day_Day Precision)

Table: 05 Intermediate precision table of Netupitant  and Palonosetron

S. No

Area of  Netupitant

Area of Palonosetron

1.

2100742

14043

2.

2109756

14045

3.

2102040

14054

4.

2077355

14074

5.

2087633

14049

6.

2131595

14118

Mean

2101520

14064

S.D

18708.3

28.8

%RSD

0.9

0.2

Discussion

Multiple sampling from a sample stock solution was done and six working sample solutions of same concentrations were prepared, each injection from each working sample solution was given on the next day of the sample preparation and obtained areas were mentioned in the above table. Average area, standard deviation and % RSD were calculated for two drugs and obtained as 0.9% and 0.2% respectively for Netupitant  and Palonosetron . As the limit of Precision was less than “2” the system precision was passed in this method.

Accuracy

Table: 06 Accuracy table of Netupitant

%  Level

Amount Spiked

(μg/mL)

Amount recovered

(μg/mL)

% Recovery

Mean %Recovery

50%

150

148.77

99.18

 

 

 

 

99.51%

150

148.80

99.20

150

148.94

99.29

100%

300

296.71

98.90

300

297.10

99.03

300

299.68

99.89

150%

450

451.17

99.15

450

449.27

99.84

450

449.93

99.98

 

Table: 07 Accuracy table of Palonosetron

%  Level

Amount Spiked

(μg/mL)

Amount recovered

(μg/mL)

% Recovery

Mean %Recovery

50%

0.25

0.25

99.36

99.29%

0.25

0.25

98.16

0.25

0.25

99.51

100%

0.50

0.50

99.61

0.50

0.50

99.72

0.50

0.49

98.61

150%

0.75

0.75

99.45

0.75

0.74

99.25

0.75

0.75

99.91

Discussion

Three levels of Accuracy samples were prepared by standard addition method. Triplicate injections were given for each level of accuracy and mean %Recovery was obtained as 99.51% and 99.29% for Netupitant and Palonosetron  respectively.

Sensitivity

Table: 08 Sensitivity table of Netupitant  and Palonosetron

Molecule

LOD

LOQ

Netupitant

1.84

5.59

Palonosetron

0.01

0.03

Robustness

Table : 09 Robustness data for Netupitant  and Palonosetron .

S.no

Condition

%RSD of Netupitant

%RSD of Palonosetron

1

Flow rate (-) 0.9ml/min

0.4

1.1

2

Flow rate (+) 1.1ml/min

0.1

0.8

3

Mobile phase (-) 50B:50A

0.8

0.7

4

Mobile phase (+) 60B:40A

0.7

0.1

5

Temperature (-) 25°C

0.3

0.5

6

Temperature (+) 35°C

1.1

0.8

 

Discussion

Robustness conditions like Flow minus (0.9ml/min), Flow plus (1.1ml/min), mobile phase minus (50B:50A), mobile phase plus (60B:40A), temperature minus (25°C) and temperature plus(35°C) was maintained and samples were injected in duplicate manner. System suitability parameters were not much affected and all the parameters were passed. %RSD was within the limit.

Assay

Akynzeo, bearing the label claim Netupitant  300mg, Palonosetron  0.5mg.Assay wasperformed with the above formulation. Average % Assay for Netupitant and Palonosetron  obtained was 99.34% and 99.58% respectively

Table: 10 Assay Data of Netupitant

S.no

Standard Area

Sample area

% Assay

1

2123440

2107058

99.16

2

2123114

2110065

99.30

3

2134157

2116355

99.60

4

2097548

2109543

99.27

5

2106005

2108307

99.22

6

2152700

2114707

99.52

Avg

2122827

2111006

99.34

Stdev

19714.1

3693.4

0.17

%RSD

0.9

0.2

0.2

Table: 11 Assay Data of Palonosetron

S.no

Standard Area

Sample area

% Assay

1

14459

14392

99.03

2

14572

14486

99.68

3

14541

14486

99.68

4

14374

14438

99.34

5

14595

14515

99.87

6

14571

14518

99.90

Avg

14519

14473

99.58

Stdev

85.3

48.8

0.3

%RSD

0.6

0.3

0.3

 

Fig 09 Chromatogram of working standard solution

 

Fig: 10 Chromatogram of working sample solution

Degradation data

Table 12 Robustness data for Netupitant  and Palonosetron

Type of degradation

Netupitant

Palonosetron

AREA

%RECOVERED

% DEGRADED

AREA

%RECOVERED

% DEGRADED

Acid

2012677

94.72

5.28

13751

94.62

5.38

Base

2032125

95.63

4.37

13801

94.96

5.04

Peroxide

2058647

96.88

3.12

14000

96.33

3.67

Thermal

2075561

97.68

2.32

14182

97.58

2.42

Uv

2075561

98.05

1.95

14334

98.63

1.37

Water

2083487

98.05

1.95

14404

99.11

0.89

Conclusion

A simple, Accurate, precise method was developed for the simultaneous estimation of the Netupitant and Palonosetron in pharmaceutical dosage form. Retention time of Netupitant and Palonosetron were found to be 2.308min and 3.093min. %RSD of the Netupitant and Palonosetron  were and found to be 0.9 and 0.6 respectively. %Recovery was obtained as 99.51% and 99.29% for Netupitant and Palonosetron  respectively. LOD, LOQ values obtained from regression equations of Netupitant and Palonosetron  were 1.84, 0.01 and 5.59, 0.03 respectively. Regression equation of Netupitant  is y = 7232.8x + 3439.3., and y = 28857x + 97.732 of Palonosetron. Retention times were decreased and run time was decreased, so the method developed was simple and economical that can be adopted in regular Quality control test in Industries.

Author Contribution

All authors are Contributed Equally.

Funding

No Funding

Conflict of Intrest

Authors are Declered no Conflict of Intrest.

References

  1. Quinla JD,  Hill    Nausea  and  vomiting  of  pregnancy.  Am  Fam  Physician 2003;68:121-8.
  2. Christof S,   Peters   P,   Miller      Antiemetics   and   hyperemesis   gravidarum.  Drugs  During  Pregnancy  and  Lactation:  Handbook  of  Prescription  Drugs  and  Comparative  Risk  Assessment.  New  York:  Elsevier; 2001.
  3. Paula G,  Axel  G,  Loprinzi    Nausea  and  Vomiting  in  the  Cancer  Patient. New York: Springer; 2006. p. 1482-96.
  4. Judith   Emergency  Medicine:  A  Comprehensive  Study  Guide.  New York: McGraw-Hill Companies; 2010. p. 830.
  5. Corrie PG,   Pippa      Cytotoxic   chemotherapy   clinical   aspects.   Medicines 2008;36:24-8.
  6. Levi JA,  Aroney  RS,  Dalley    Haemolytic  anaemia  after  cisplatin  treatment. Br Med J (Clin Res Ed) 1981;282:2003-4.
  7. Barnes NM,  Hales  TG,  Lummis  SC,  Peters    The  5-HT3  receptor-the  relationship  between  structure  and  function.  Neuropharmacology  2009;56:273-84.
  8. Purves D, Augustine GJ, Fitzpatrick D. Neuroscience. 4th Sunderland (MA): Sinauer Associates; 2008. p. 11-20.
  9. Berthoud HR, Neuhuber WL. Functional and chemical anatomy of the afferent vagal system. Auton Neurosci 2000;85:1-7.
  10. Saunders CJ,  Christensen  M,  Finger  TE,  Tizzano    Cholinergic  neurotransmission    links    solitary    chemosensory    cells    to    nasal   inflammation. Proc Natl Acad Sci U S A 2014;111:6075-80.
  11. Lutz DS    Dictonary   of   Minor   Planet   Names-Posterma.   Berlin  Heidelberg: Springer; 2007. p. 118.
  12. Pietra   Indolic  derivatives  II.  A   new  way  to  synthesize  serotonin.  Farmaco Sci 1958;13:75-9.
  13. de Lartigue  G,  Ronveaux  CC,  Raybould    Deletion  of  leptin  signaling in vagal afferent neurons results in hyperphagia and obesity Mol Metab 2014;3:595-607.
  14. Pathi PJ,  Raju  NA   The  estimation  of  palonosetron  hydrochloride  in  parenterals by RP-HPLC. Asian J Pharm Tech 2012;2:77-9.
  15. Inturi S, Inturi RK, Venkatesh G. A validated novel RP-HPLC method development for the estimation of Palonosetron hydrochloride in bulk and softule dosage forms. Pharm Sin 2011;2:223-34.
  16. Murthy MV,  Krishnaiah  C,  Kodithyala  J,  Katkam  S,  Mukkanti  K,  Ramesh  K, et    Enantio  separation  of  palanosetron  hydrochloride  and  its  related  enantiomeric  impurities  by  computer  simulation  and  validation. Am J Anal Chem 2011;2:437-46.
  17. Jain PS, Chavan RS, Bari PR, Patil SS, Surana SJ. Stability indicating HPTLC method for estimation of palonosetron hydrochloride in tablet dosage form. J Adv Drug Deliv 2015;2:578-86.
  18. Patel H,  Lava  B .  Stability  indicating  HPLC  method  for  estimation  of  Palonosetron hydrochloride in Tablet dosage form. Int J Pharm Res Sch 2015;4:258-63.
  19. Jayesh B, Sharad K, Yoges Y. Development of chromatographic method for the  estimation  of palonosetron  hydrochloride    Indian  J  Pharm Sci 2011;2:24-32.
  20. Harole M,  Patil  RN,  Gaware  D,  Suryawansh  G,  Pise    A  validated  stability  indicating  RP-HPLC  method  for  simultaneous  determination of netupitant and palonosetron in pharmaceutical formulations. World J Pharm Pharm Sci 2016;5:878-87.
  21. Shilpa NV, Rajashree C, et   Simultaneous quantitative estimation of netupitant and palonosetron HCl by HPTLC method development and validation. Eur J Biomed Pharm Sci 2016;3:421-6.
  22. Hang TJ,   Yu   XR,   Song      Direct   enantiomeric   separation   of   palonosetron  hydrochloride  by  chiral  HPLC.  Chin  J  New  Drugs  2008;5:10-6.
  23. Rao CP, Rahaman SA, Prasad YR, Reddy PG. RP-HPLC method of simultaneous estimation of amlodipine besylate and metoprolol in combined dosage form. International Journal of Pharmaceutical Research and Development. 2010 Nov;2(9):69-76.
  24. Rao CM, Konda R, Ramanjeneeyulu S. Estimation of Nevirapine Anhydrous Bulk Formulation by Using IR, RP-HPLC, GC Methods. Research Journal of Pharmacy and Technology. 2010 Dec 28;3(4):1088-92.
  25. Ch M M Prasada et al, Development and Validation of a Novel Stability Indicating RP-HPLC Method for The Estimation of Entecavir In Tablet Formulation, EJBPS, 2017, 4(7):176-180
  26. Gandla, R.Lalitha, Dara Varun Kumar, and P.VR Teja Shruthi. “Analytical Method Development & Validation for the Simultaneous Estimation of Ledipasvir and Sofosbuvir in Bulk and it’s Dosage Form by Rp-Hplc”. International Journal of Pharmaceutics and Drug Analysis, Apr. 2020, pp. 6-15,
  27. Gokul S. Sanap, Nilesh S. Zarekar, and Sarita S. Pawar. “review on method development and validation”. International Journal of Pharmaceutics and Drug Analysis, May 2017, pp. 177-84,
  28. M. Sayyed, Aijaz A. Sheikh, Zakirhussain A. Shaikh, S. A. Shinde, . J. Chaware5, and K. R. Biyani. “development and validation of analytical method for simultaneous estimation of teno-fovir and emtricitabine in pharmaceutical dosage forms by hplc”. International Journal of Pharmaceutics and Drug Analysis, Jan. 2016, pp. 24-29.
  29. K, V. G., T. K, and S. P. P. “A New Stability Indicating Analytical Method Development And Validation for The Quantitative Determination of Emitricitabine And Lamivudine By RP-HPLC”. World Journal of Current Medical and Pharmaceutical Research, Vol. 2, no. 2, May 2020, pp. 184-90, doi:10.37022/WJCMPR.2020.2219.
  30. Pemra Raju, K. Thejomoorthy, and P.Sreenivasa Prasanna, “Development and Validation of New Analytical Method for The Simultaneous Estimation of Darunavir And Ritonavir in Pharmaceutical Dosage Form”, Int J Indig Herb Drug, pp. 49-57, Apr. 2021.
  31. P, S. P., T. K, and D. B. P. “HPLC Method Development And Validation For The Simultaneous Estimation Of Levocetirizine And Phenylephrine In Bulk And Pharmaceutical Dosage Form”. International Journal of Pharmacognosy and Chemistry, June 2020, pp. 19-30.