Drug Saftey Conferences| Pharmacovigilance Industry Conferences|USA|Europe

Conference Series Ltd invites all the participants across the globe to attend International Conference and Exhibition on Drug Safety & Pharmacovigilance Toronto, UK.

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Day :

Analytical Chemistry and Engineering | Advances in Chromatography & HPLC Techniques | Pre- Clinical and Clinical Trials | Mass Spectrometry and Metabolomics | The key benefi ts of HPLC systems | Analytical Chemistry in Agricultural Research | Method Development and Validation | Analytical Chemistry In Veterinary Drug Analysis | Sensor Modifi cations

Location: Conference Hall: Frederick

Chair

Milos Netopilik

Academy of Sciences of the Czech Republic, Czech Republic

Co-Chair

Abuzar Kabir

International Forensic Research Institute, USA

Session Introduction

Marc Plante

Boston Analyticals, USA

Title: HPLC method development and troubleshooting

Time : 12:15-12:55

Biography:

Marc Plante has been working in the field of analytical chemistry and chromatography for over 25 years, complete with a variety of publications, speeches, webinars and a wide range of experience. He first earned his BSc in Chemistry with two minors in engineering at Rensselaer Polytechnic Institute in Troy, New York and then a doctorate in Physical-Organic chemistry at Northeastern University. His first employment involved a novel semi-synthetic taxane process, for which he helped developed a now-patented chromatographic purification system. Over the course of his current career, he has largely worked with small-molecule chromatography, with much of his work involving the Corona Charged Aerosol Detector. At ESA, Dionex and Thermo Fisher Scientific, he created application notes and posters, gave many presentations and wrote two book chapters. He also provided some ideas for improving the detector's capabilities.

Abstract:

Separation technology is a critical tool for the determination of many aspects for the goods and products that we use every day: from the multiple aspects of pharmaceuticals we take for our health, the researching and evaluation of new biosimilars, the products that we buy and use and to the food and water we consume every day. It's being an honor of being invited to speak on some of this technology, where I will have experience with the development and promotion of one of the more recent detector technologies for HPLC: the Corona charged aerosol detector. During my eight years as an applications chemist ESA Biosciences, Dionex and Thermo Fisher Scientifically its being able to create many novel applications encompassing lipids of all variety, biofuels, carbohydrates, foods, ions, pharmaceuticals, surfactants, proteins, industrial chemicals and pretty much everything else. Along with this work, it’s a unique opportunity to provide ideas for improving the detector, some of which were incorporated. This detector is still relatively new for HPLC and here at this conference, we will be hearing about the newer technologies that are in development and their uses, including new solid-phase extraction techniques, column materials and other separation technologies and methods.

Uchenna Samson Obi

University Hospital of the West Indies, Jamaica

Title: An assessment of nursesâ€™ Knowledge Attitude and Practice (KAP) of pharmacovigilance

Time : 14:00-14:40

Biography:

Uchenna Obi was born in Lagos Nigeria, with a migration to Jamaica in 2007 for educational pursuits, Uchenna Obi holds a Bachelor of Science degree in Nursing from the Northern Caribbean University in Mandeville Jamaica. While working as a Registered Nurse at the University Hospital of the West Indies Jamaica, he went on to obtain a Post-graduate certificate in Critical Care Nursing, together with a Master of Science degree in Applied Pharmacology from the University of the West Indies, Jamaica. Uchenna is a Registered/Critical Care Nurse who is committed to applying quality research to clinical practice for the improvement of patient outcomes and over-all health safety of the public. His research article is published in the Journal of Clinical Review & Case Reports.

Abstract:

Purpose: The objective of the study is to assess nurses’ Knowledge, Attitude and Practice (KAP) of pharmacovigilance. Methods: This is a cross-sectional study that utilizes a questionnaire to evaluate nurses’ KAP of pharmacovigilance at the University Hospital of the West Indies, Mona. A sample size of 234 nurses was selected using a 95% confidence level with the raosoft online sample size calculator. Data obtained from filled questionnaires were analyzed using the SPSS 20 using descriptive and inferential measures. The chi-square test was used to test the association between two attributes at a P<0.05 significant level. Results: 209 responses were received from 260 distributed questionnaires, giving an 80% response rate. 13.5% of the nurses had heard of the term pharmacovigilance prior to the study. 58.4% correctly stated the functions of pharmacovigilance. Results for attitude towards pharmacovigilance revealed 93.7% of the nurses felt it was a professional obligation to report Adverse Drug Reactions (ADR). 55.3% of nurses indicated they had reported an ADR. A χ2 test of independence was performed to determine an association between nurses who noted ADRs in clinical practice and nurses who reported ADRs. Results showed a significant association between these two variables, χ2 (1) = 86.642, p<0.05. Conclusion: This study concludes that the registered nurses at UHWI had a good attitude towards pharmacovigilance, although their knowledge and practice was limited. Recommendation from the study includes instituting pharmacovigilance training programs that will improve nurses’ knowledge and hopefully impact their practice.

Dusan Berek

Polymer Institute of the Slovak Academy of Science, Slovakia

Title: Separation of parent homopolymers from block copolymers with advanced liquid chromatography methods

Time : 14:45-15:05

Biography:

Dusan Berek is employed at Polymer Institute, Slovak Academy of Sciences in Bratislava. Served as elected member of the Presidium of the Slovak Academy of Sciences, President of the Slovak Chemical Society, Chairman of the Czecho-Slovak and Slovak National Committee of Chemistry for IUPAC. Corresponding member of the Central European Academy of Sciences and member of the Learned Society of the Slovak Academy of Sciences. Author or co-author of two monographs and 300+ scientific papers in extenso published in refereed periodicals, proceedings and chapters of books, as well as 60+ patents (four of them were licensed) - cited more than 3,000x. Presented over 130 invited plenary, key and main lectures, as well as over 900 regular lectures and poster contributions on symposia and conferences, as well as during lecturing tours to over fourty countries. Elected "Slovak scientist of the year 1999" and "Slovak innovator of the year 2002".

Abstract:

Block copolymers present an important group of materials with numerous applications in science, medicine and technology. In a block copolymer, at least two chemically distinct polymer chains are connected with a chemical bond. Comprehensive molecular characterization of block copolymers is an analytical challenge. A special problem makes a determination of the amount and molar mass of parent homopolymers, which occur in most block copolymers and constitute highly undesired ballast. Gel permeation (size exclusion) chromatography GPC/SEC is commonly employed for the characterization of block copolymers. Molar mass of a precursor, the block polymerized as first, is determined by GPC/SEC and the same method serves for the approximate assessment of total molar mass of the block copolymer under study. Due to its low separation selectivity and detector sensitivity, GPC/SEC can hardly identify the presence of parent homopolymers and render their molar mass. We will discuss principles and applications of the new separation methods namely liquid chromatography under limiting conditions of enthalpic interactions, LC-LC and sequential two-dimensional polymer liquid chromatography, S2D LC to solve the above tasks. LC-LC methods are well robust and experimentally feasible. Their separation selectivity is very high and sample recovery is reasonable. LC-LC can efficiently separate both parent homopolymers from diblock copolymers in one single step. The separated sample constituents can be one-by-one forwarded into an on-line GPC/SEC column for determination of their molar mass average and distribution. Parent homopolymers present in the block copolymer at a very low concentration below 1% of can be tracked-down and characterized with help of the S2D LC.

LounÃ¨s Haroune

Pharmacology Institute of Sherbrooke, Canada

Title: (Not Yet Disclosed)

Time : 15:10-15:30

Biography:

Lounès Haroune is manager of the bioanalytical platform of the pharmacology institute of Sherbrooke University. After 5 years as analytical development manager in an analytical laboratory and graduated in analytical chemistry, he is working on the development of analytical methodology and sample preparations for the detection and quantification of biomolecules in biological matrices. He also works on the metabolomics and peptidomics methodologies in complex matrices. He also focuses on the development and implementation of new analytical workflow for molecular characterizations (biocatalysis, physico-chemistry reaction, etc).

Abstract:

While there has been a growing interest in understanding the pharmacological and physiological properties of cannabinoids in the last decades, analytical methodologies including sample preparations, remain one of the most challenging topics for their quantification in biological matrices. Moreover, the low sample weight or volume coupled to the complexity of biological samples (i.e. whole blood, plasma, etc.) could overwhelm the analyst expectations. In this study, we explored different possibilities to quantify a mixture of 8 natural phytocannabinoids present in biological samples (cannabinol, cannabigerolic acid, cannabinochromene, cannabigerol, cannbidiolic acid, tetrahydrocanninol, tetratracannabinolic acid and cannabidiol). The evaluation was carried-out using plasma and whole blood samples using different usual extraction protocols (solid phase extraction, liquid-liquid extraction, protein precipitation and blood spot sampling). Stability of tested molecules was also evaluated in several matrices (plasma, serum, ex vivo and pharmacokinetic profiles). The results showed a moderate matrix effect resulting by signal suppression (≤30%) and acceptable recoveries (≥60%) for most of the different tested extractions and matrices, except for whole blood when using acetonitrile for protein precipitation, which appears to be the less efficient approach for cannabinoid extraction, with a recovery lower than ≤40%. The applicability of tested methodologies was also applied for the determination of pharmacokinetic profiles and showed that dried blood spot sampling (DBS) could become an interesting alternative for in vivo studies. DBS is a rapid, acute and minimally invasive technic based on a single blood drop (10µL–25µL) that reduces handling and quantity of blood to be sampled, which consequently also reduces the cost of analysis. According to these aspects, DBS could become a reference methodology for in vivo pharmacokinetic experiments.

Michael Anjello Jothi Rajan

Tamil Nadu State Council for Science & Technology, India

Title: Photoacoustics spectroscopy: The less explored non-destructive spectroscopy for multicharacterization

Time : 15:50-16:10

Biography:

Michael Anjello Jothi Rajan, Ph.D., Doctorate in Physics, (Ph .D. Physics), now is Project Scientist in Tamil Nadu State Council for Science & Technology, Chennai – 600025, INDIA. He was an Associate professor of Physics, Director, Bio-Nano Research Laboratory and Dean of Research in Arul Anandar College (Autonomous), Karumathur – 625514, India. He also headed the Department of Foundation Courses as an honorary member He is a popular science communicator and has started many science clubs in rural high schools in Tamil Nadu, India. He has specialized in Human Rights, Personality Development, Environmental Studies, Bioethics, Biocosmology and Peace education. He is a recipient of many awards in Physics as well as humanitarian. He has written books on Human Rights, Bioethics, Personality Development and Environmental Studies. He has many projects in Biomedical engineering, Eco-Water, Sanitation and Hygiene and socio-economic development of Below Poverty Line families in rural Tamil Nadu. His team works seriously on Cancer Cells. This lab is short of much good instrumentations but his well-wishers in many countries had come forward to help his team. He and his team (8 Research Scholars) are open for any type of collaboration with teams of similar missions.

Abstract:

Optical spectroscopy remains a widely used and most important tool for investigating and characterizing the properties of matter. The energy used in optical spectroscopy exists in the form of optical photons or quanta, with a wavelength ranging from less than 1AËš in the x-ray region to more than 10 6AËš in the far-infrared. It is highly versatile, widely ranged and nondestructive in nature. Optical Spectroscopy has been a scientific tool for over a century and a half and it has proven invaluable in studies on reasonably clear media, such as solutions and crystals and on specularly reflective surfaces. There are, however, several instances where conventional transmission spectroscopy is inadequate even for the case of clear, transparent materials. Such a situation arises when one is attempting to measure a very weak absorption, which in turn involves the measurement of a very small change in the intensity of a strong, essentially unattenuated, transmitted signal. Although this problem occurs for all forms of matters, it has received particular attention in the case of transparent gas mixtures containing minute quantities of an absorbing species or pollutant. Various techniques develop to overcome this difficulty, such as derivative spectroscopic, have proven to generally inadequate. In addition to weakly absorbing materials, there are a great many nongaseous substances, both organic and inorganic, that are not readily amenable to the conventional transmission or reflection modes of optical spectroscopy. These are usually highly light-scattering materials, such as powders, amorphous solids, gels, smears and suspensions. Other difficult materials are those that are optically opaque and have dimensions that far exceed the penetration depth of the photons. Over the years, several techniques have been developed to permit optical investigation of highly light – scattering and opaque substances. The most common of these are diffuse reflectance, attenuated total reflection (ATR) and internal reflection spectroscopy and Raman scattering. All these techniques have proven to be very useful, yet each suffers from serious limitations. In particular, each method is applicable to only a relatively small category of materials, each is useful over a small wavelength range and the data obtained are often difficult to interpret. The modern scanning and tunneling microscopic techniques in spite of their versatility are having inherent inadequacies and economically very costly. The photoacoustic spectroscopy strikes a balance between the optical spectroscopy and the modern microscopic techniques in that it is relatively cheaper, highly efficient over a wide range of wavelengths, applicable for any type of material. The newly developed electronics technology is highly assisting the versatility of the photoacoustic spectroscopy (PAS), Ultrasonic photoacoustic microscopy and Piezoelectric Photoacoustic microscopy (PPAM) to study the thermal and optical characteristics of any type of materials in the micro and nanoscales. In this work, we present the thermal diffusivity measurement of Poly (methyl methacrylate) (PMMA) - montmorillonite (MMT) clay nanocomposite by PPAM and compare it with the X-ray diffraction studies.

Alina Vasilescu

International Centre of Biodynamics, Romania

Title: Poster: Electrochemical sensors coated with prGO coated enable to capture different aggregation behaviors of proteins and peptides

Biography:

Alina Vasilescu is an analytical chemist with expertise in the development and validation of novel analytical methods. Her experience encompasses both academic

research and analytical research in the pharmaceutical industry. She currently works as a Senior Researcher at the International Centre of Biodynamics in

Bucharest, where she coordinates several research projects, focussing on the development of (bio)sensors for practical applications. Study of protein aggregation

is a primary research area and she collaborates with other groups for including nanomaterials in the development of novel sensors.

Abstract:

Statement of the Problem: Protein instability due to misfolding and aggregation is of big concern for protein-based therapeutics because it impacts the bioavailability and immunogenicity of such drugs. Simple and cost-effective analytical methods, indicating the presence or absence of protein aggregates, are consequently of high importance.

Methodology & Theoretical Orientation: Porous reduced graphene oxide (prGO) coated electrodes have been investigated for the early and sensitive identification of protein aggregation. The detection principle lies in following the change in the oxidative current of the proteins. The sensor architectures studied included glassy carbon electrodes with drop cast prGO and disposable, screen printed electrodes modified with prGO using the layer-by-layer deposition technique. The studies focused on the protein lysozyme and the pharmaceutical polypeptide calcitonin having the ability to form aggregates in different conditions of pH and temperature. Parallel experiments were performed by fluorescence with thioflavin T, size exclusion chromatography, and Atomic Force Microscopy Imaging.

Findings: Comparing the oxidation peak of lysozyme by differential pulse voltammetry for different electrode architectures allowed validating the higher sensitivity of the prGO-coated interfaces versus bare ones. Moreover, the modified electrodes allowed detecting in a fast and reliable manner the changes in the protein structure occurring at pH 2 and pH 7.4, as per processes leading to the formation of amyloid and amorphous aggregates, respectively (Fig.1). Screen printed electrodes modified with prGO enabled to differentiate between the amyloid-type aggregation of calcitonin (2 mg mL-1) in citrate buffer and no amyloid formation in acetate buffer. These electrodes were also applied to the analysis of a pharmaceutical drug product of low potency, Miacalcic (8.3 µg mL-1 calcitonin), where no aggregation was observed.

Conclusion & Significance: Electrochemical sensors coated with prGO coated enable to capture different aggregation behaviors of proteins and peptides and represent a complementary tool for biopharmaceutical analysis.

Nives Galic

University of Zagreb, Croatia

Title: Poster: Structural investigation of Fe(III) and Ga(III) complexes with aromatic hydrazones by ESI MS/MS

Biography:

Nives Galic was born in Zagreb, Croatia. She received a Ph.D. degree in Analytical Chemistry (1999). In 2016 she was elected to the position of Full Professor. During the period 2011-2017 she was the Head of the Division of Analytical Chemistry. She is a leader of the project funded by Croatian Science Foundation (IP2014-09-4841).

Abstract:

Aroylhydrazones can act as neutral, monoanionic or dianionic ONO tridentate ligands [1]. The coordination abilities of aromatic hydrazones derived from nicotinic acid hydrazide and differently substituted 2-hydroxybenzaldehydes towards Fe3+ and Ga3+ will be discussed. Different techniques, like UV-Vis, vibrational spectroscopy and mass spectrometry were used for structural investigation of the complexes in solution and in the solid state. In this work, the ESI MS and MS/MS spectra, including fragmentation pathways of Fe(III) and Ga(III) complexes with aroylhydrazones are presented.

LounÃ¨s haroune

Pharmacology Institute of Sherbrooke, Canada

Title: Poster: What about dried blood spot for cannabinoid quantification?

Biography:

Abstract:

Sabrina Saibi

UniversitÃ© de Sherbrooke, Canada

Title: Poster: A simple analytical method for the detection and quantifi cation of a pharmaceuticals and pesticides in complex environmental matrices

Biography:

Sabrina Saibi is PhD student at université de Sherbrooke. She is working on the development of analytical methodology and samples preparations for the detection and quantification of contaminants of emerging concern (CEC) in complexes matrices (biological, environmental). She also works on the monitoring and occurrence of the CEC in the environment. She also focuses on the development and implementation of new biotechnologies process for the removal of organic contaminants (fungi, bacteria, enzyme catalysis).

Abstract:

During the last years, the use of sewage sludge as soil amendments for crops has gain in interest. It limits the addition of fertilizers, it reduces the land occupation and it promotes waste valorization. However, the presence of organic compounds such as pharmaceuticals and pesticides (PhPCs) may cause the transfer of these contaminants to the soil and to the groundwaters. In this work, an analytical method for the simultaneous extraction of 70 compounds from complex matrices was developed and validated using an experimental design plan. Firstly, the targeted compounds were extracted by an optimized QuEChERS approach using ethyl acetate/water (4/1, v/v) as the extraction solvent and a dispersive solid phase extraction (dSPE) with C18/Na2SO4. Then, the analytes were quantified using a LC-MS/MS methodology. The method was validated in terms of accuracy and precision. The results obtained showed a strong matrix effect resulting by signal suppression. Therefore, the solvent matched calibration approach was chosen for the quantification. The applicability of the method for different matrices was demonstrated through the analysis of biosolids samples from Magog (Qc) waste water treatment plant, sediment samples from Massawippi (Qc) and Montjoie (Qc) Lakes and benthic organisms (cheronomedae and oligochaete). The recoveries were higher than 50% for most of the targeted compounds in all tested matrices. 10 compounds (acetaminophen, caffeine, carbendazim, naproxen, carbamazepine, atrazine, ibuprofen, fenofibrate and ketoprofen metolachlor) were quantified in the samples at concentration ranging from ≈ 5 ng.g-1 to ≈ 40 ng.g-1.

Isil Yasa

Bristol-Myers Squibb, USA

Title: Poster: Platform Size Exclusion Chromatography (SEC) method development for a broad range of monoclonal antibodies

Biography:

Abstract:

Understanding of size heterogeneity in biotherapeutic proteins is essential since it is one of the Critical Quality Attributes (CQA) due to its impact on safety and efficacy. The size heterogeneity covers the product related species/impurities that includes fragments, monomers and aggregates. Size exclusion chromatography (SEC) has been widely used to separate aggregates, monomer and fragments of monoclonal antibodies (mAbs) that might form during manufacturing, storage and shipping. The progress in biologics pipeline and the urgency to reach first-in-human (FIH) has provided an opportunity to develop a generic method that can serve as a platform method for monoclonal antibodies. This study describes platform SEC method development for monoclonal antibodies using commercially available highperformance liquid chromatography (HPLC) and ultra-performance liquid chromatography (UPLC) SEC columns. For this purpose, several antibodies covering a broad range of isoelectric points (pI) and hydrophobicity were analyzed. Initial comparison was performed using six different mAbs to understand the impact of mobile phase and organics on separation of aggregates and fragments.

Itaru Yazawa

Imtakt Corporation, Japan

Title: Poster: LC-MS analysis of intact amino acids on a novel mixed-mode HPLC column

Biography:

Itaru Yazawa has co-founded a company, Imtakt Corporation in 1999 at Kyoto Japan to focus on separation technology providing his own designed and manufactured HPLC columns to the global market. He used to work for Shimadzu Corporation (instrument development) and YMC Co.Ltd (column development) and then he wanted to supply his own unique column products such as RP+AX+CX muli-mode ODS column "Scherzo C18 Family" and 2um Non-porous ODS column "Presto FF-C18" etc. which are based on his own technical idea. Now he will introduce a next-generation novel amino acid analysis column for LC-MS "Intrada Amino Acid" for this conference.

Abstract:

There are four established methods for analyzing amino acids: pre-labeled, post-labeled, ion-pairing reversed phase and normal-phase, but each of these methods has disadvantages. The pre-labeled method has problems with derivitization efficiency and cost, while the post-labeled method is usually not compatible with LC-MS due to non-volatile mobile phases. The ion-pairing reversed-phase method has difficulty separating polar amino acids; on the other hand, the normal-phase mode has problems separating all the compounds, especially the Leu and Ile isomers. We have developed a novel amino acid separation column for LC-MS (MS) which can separate all 20 amino acids in protein using a mixed-mode stationary phase structure. We have also estimated separation and detection characteristics using LC-MS instruments. We found two methods to successfully analyze the complete array of 20 amino acids: 1) high throughput separation with Leu/Ile separation in 5min and 2) simple gradient separation. We also found that detection can occur not only in single MS mode but also in triple MS mode. In addition, no derivitization is required and a standard LC-MS (MS) system is sufficient for the analysis. This novel HPLC method will be a powerful tool for amino acid LC-MS(MS) analysis in many different biochemistry applications.

Fekadu Desta

Addis Ababa University, Ethiopia

Title: Poster: Comparison of immune cells subsets, ex-vivo and in-vivo expression of T cell activation and memory marker between LNC and corresponding PBMC from calves exposed to natural mycobacterium bovis infection

Biography:

Fekadu Desta is a veterinarian with a dream and responsibility to control and prevent the existing endemic and emerging new diseases of livestock and companion animals, Ethiopia. For the last 6 years, he has been doing his PhD in Tropical Infectious Diseases with a PhD dissertation entitled “Comparison of Immune Cell Subsets, ex-Vivo and in-Vitro Expression of Activation and Memory Marker Between LNC and the Corresponding PBMC from Calves Exposed to Natural Mycobacterium bovis Infection in BCG Efficacy Trial” which is one of a research priority of the country. Currently, he is on data analysis, interpretation and result dissemination stage. He has published one paper on molecular epidemiology of M. bovis and preparing 3 more manuscript on bovine immunology.

Abstract:

Cell-mediated immunity and development of necrotic granulomas in Mycobacterium bovis (M. bovis) infected lymph node (LN) is pathognomonic for bovine tuberculosis (BTB). This delayed hypersensitive host response involves a complex interaction of cellular and immune mediators within systemic circulation and LN. Hence, tuberculosis immunological response should be independently investigated at the peripheral blood and LN tissue level. The objective of this study was, therefore, to compare the cell surface and cytokine expression between immune cell from peripheral blood and lymph node cells (LNC) from calves on BCG efficacy trial. Twenty pairs of peripheral blood mononuclear cells (PBMC) and) LNC from M. bovis naturally infected calves during BCG vaccine experiment trial were isolated and investigated in two phases of the flowcytometry experiment. In the first phase of a flow-cytometry experiment the proportion of ex-vivo CD25+ expressing cells was significantly higher (P<0.05) in CD4+ and CD8+ T node than that of peripheral blood. However, such difference in CD25+ expression was not observed in WC1 γδ T cells. Contrary to CD25+ ex-vivo expression, in-vitro IFN-γ and TNF-α producing cells were greater (P<0.05) in T cells of the peripheral blood than T cells of lymph node after PMA + ionomycin stimulation. This difference in IFNγ and TNFα responses was also statistically significant between a vaccinated and non-vaccinated group. An IL-4 producing cell was not evident in PBMC and LNC. During the second phase of flow-cytometry experiment additional surface marker; CD2, CD21, CD205, CD335 and CD1W2 were included to add more panels for immune cell subset. The second experiment revealed that PBMC CD4–WC1+ and CD8–WC1+ γδ T cells and CD205+D1W2+ DC subset exhibited lower percentage than γδ T cells and DC of LNC respectively (p=0.0001, p=0.0061). However, PBMC CD335+CD2+ NKT cells subset exhibited a higher percentage than NKT cells of LNC (p=0.0129). No difference was observed between groups in the percentage of the rest of T-cell and B-cell (p>0.05). Findings of this study suggest the existence of phenotypic immune compartmentalization between the two tissue compartments.

Julio C Fernandez Travieso

National Centre for Scientific Research, Cuba

Title: Poster: Effects of policosanol in older patients consuming nitrates vasodilators

Biography:

Julio Cesar Fernandez Travieso is a Senior Investigator in Clinical Trials Unit, National Centre for Scientific Research, Havana, Cuba. He has completed his BSc in Pharmaceutical Sciences from Havana University, Cuba in 1996. He was awarded with PhD in Pharmaceutical Sciences in 2003. He has published more than 130 publications and presented more than 100 papers in various scientific events. His research interest mainly focuses on clinical trials phase I-IV of different natural products: Policosanol, Abexol, Prevenox and Palmex.

Abstract:

Introduction: Policosanol is a cholesterol-lowering drug with concomitant antiplatelet effects. The efficacy and safety of policosanol have been investigated in clinical studies and post-marketing surveillance. Policosanol is very safe and no drugrelated Adverse Events (AE) have been demonstrated, even in population subsets with high consumption of concomitant therapy, indicating that the potential risk of Drug-Drug Interaction (DDI) for policosanol is low. Vasodilators are used in geriatric populations mainly to treat congestive heart failure and acute decompensating of heart failure, although associated with other anti-hypertensive are also used to manage arterial hypertension. Vasodilators, however, have a considerable risk of drugrelated toxicity, the most frequent symptoms being those derived from excessive vasodilation and hypotension, such as nausea, vomiting, loss of consciousness and reflex tachycardia. Vasodilators show important DDI derive from pharmacodynamic interactions with several drugs, those associated with the concomitant use of other vasodilators and diuretics being the most relevant. Considering such facts, the interest to study putative DDI between policosanol and vasodilators is supported. Objective: To investigate whether policosanol administered to older patients consuming vasodilators induces any specific disturbance on safety indicators and/or increase the frequency or severity of AE in such patients. Methods: This report was based in the analysis of the records of all patients (185) taking nitrates vasodilators included in a prevention study in the elderly randomized to policosanol 5 mg/d or placebo for 3 years. The analysis was by Intention-to-treat. Results: Baseline characteristics were well balanced in both groups. After one year on treatment, policosanol lowered significantly Low-Density Lipoprotein-Cholesterol (LDL-C) (20.9%), Total Cholesterol (TC) (15.9%) and triglycerides (19.3%), whereas raised High-Density Lipoprotein-Cholesterol (HDL-C) (8.3%). Policosanol effects persisted, even increased, during the 3 years treatment. At the end of the study, policosanol reduced LDL-C (35.0%), TC (25.0%), triglycerides (19.3%) and raised HDL-C (16.7%). Of 185 randomized patients taking vasodilators, 44 (23.8%) withdrew from the trial. The frequency of withdrawals in placebo (31/95; 32.6%) was greater (p<0.01) than in the policosanol group (13/90; 14.4%). Overall, 26/185 (14.1%) patients discontinued due to some AE: 23 placebo (24.2%) and 3 policosanol patients (3.0%) (p<0.01). Policosanol did not impair safety indicators compared with placebo but induced additional decreases in systolic pressure compared with placebo. The frequency of policosanol patients experiencing Serious Adverse Events (SAE) (3/90; 3.3%) was lower (p<0.01) than in the respective placebo (23/95; 24.2%). Likewise, the frequency of policosanol patients who experienced some mild or moderate AE during the study (10/90; 11.1%) was lower (p<0.05) than in matched placebo (28/95; 29.5%). Conclusions: Policosanol was well tolerated in older subjects with high coronary risk-taking vasodilators, not impairing safety indicators or increasing any AE respect to placebo. Policosanol, however, produced additional decreases of arterial pressure and reduced the frequency of SAE compared with placebo. Cholesterol-lowering efficacy of policosanol was persistent and consistent with that expected. These results indicate that policosanol can be administered to older patients taking vasodilators without risk of relevant adverse DDI.

Julio C Fernandez Travieso

National Centre for Scientific Research, Cuba

Title: Poster: Concomitant use of policosanol and antiplatelet drugs in older patients

Biography:

Abstract:

Introduction: Policosanol is a cholesterol-lowering drug with antiplatelet action. Policosanol effects have been investigated in clinical trials and post-marketing surveillance, its efficacy and safety are demonstrated. Policosanol has resulted very safely, even when administered to special populations with high consumption of concomitant drugs, without demonstration of drugrelated Adverse Events (AE). Accordingly, the potential risk of Drug-Drug Interaction (DDI) with policosanol appears to be low. DDI generally comes from pharmacokinetic or/and pharmacodynamic actions. Experimental data show that DDI with policosanol derived from pharmacokinetic interactions is not very probable. Nevertheless, DDI based on pharmacological interactions needs to be investigated. Antiplatelet drugs are widely used in middle-aged and geriatric populations mainly to prevent recurrent coronary or cerebrovascular events. Experimental and small clinical studies have shown that policosanol enhances the antiplatelet effects of aspirin in an additive manner. Hence, the interest to study putative DDI between policosanol and antiplatelet drugs in a population sensitive to drug-related effects, as the elderly, is supported. Objective: The objective of the present analysis as a part of a prevention study, we investigated whether policosanol administered to older individuals taking antiplatelet drugs supposes concern regarding a potential risk for adverse drug-drug interactions. Methods: We randomized 1470 elderly patients at high coronary risk to policosanol 5 mg/day or placebo for 3 years. For this analysis, the records of all patients (334) taking antiplatelet drugs were included. The analysis was by intention-to-treat. Results: After one year, policosanol decreased significantly Low-Density Lipoprotein-Cholesterol (LDL-C) (21.0%), total cholesterol (16.9%) and triglycerides (19.6%), while raised High-Density Lipoprotein-Cholesterol (HDL-C) (6.2%). Policosanol effects were maintained, even improved, during the follow-up. At study completion policosanol lowered LDL-C (34.3 %), total cholesterol (23.9%), triglycerides (22.2%) and raised HDL-C (14.5%). Sixty patients (41 placebo, 19 policosanol, p<0.01) withdrew from the study, 33 (23 placebo, 10 policosanol) (p<0.01) due to some adverse event, all serious. Policosanol did not impair safety indicators and did not increase any adverse event with respect to placebo. Conclusions: The policosanol can be administered to older patients taking antiplatelet drugs without risk of relevant adverse drug-drug interactions.

Maria Ramos Payan

University of Seville, Spain

Title: Video: New trends in sample miniaturization and its applications: On-chip devices

Time : 16:50-17:10

Biography:

Maria Ramos Payan has completed her Ph.D. from University of Seville, Spain and postdoctoral studies from University of Copenhagen (Denmark), University of

North Carolina (USA) and Microelectronic National Center of Barcelona (Spain). She is the leader of the microfluidic research line. She has published more than

30 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Sample preparation miniaturization is one of the latest trends in analytical chemistry. The development of new sample

preparation procedures is closely linked to the new on-chip microfluidic devices. These microchips have proven to offer new

advantages over traditional methodologies, such as a decreasement of the reagent volume, organic solvent and sample volume.

It also reduces the analysis time and offers very high extraction efficiencies when working under double flow conditions or

good enrichment factors when working under stationary conditions. These microchips systems have been employed using two

different extraction techniques: liquid phase microextraction and electromembrane. The parameters that affect both extractions

are the composition of the sample and the acceptor phase, the flow of the acceptor and donor phase, the organic solvent used as

a liquid membrane supported and the extraction time. The voltage is one of the extra parameters to be determined in the case

of the electromembrane. However, one of the most influential variables is related to the geometry of these microchips systems,

since depending on their length, width and depth, different extraction and enrichment efficiencies will be obtained. In this

work, new trends in the geometric study of microfluidic devices and their application to both environmental and biological

samples are presented.

Maria Ramos Payan

University of Seville, Spain

Title: Video: New trends in sample miniaturization and its applications: On-chip devices

Biography:

Maria Ramos Payan has completed her Ph.D. from University of Seville, Spain and postdoctoral studies from University of Copenhagen (Denmark), University of North Carolina (USA) and Microelectronic National Center of Barcelona (Spain). She is the leader of the microfluidic research line. She has published more than 30 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Sample preparation miniaturization is one of the latest trends in analytical chemistry. The development of new sample preparation procedures is closely linked to the new on-chip microfluidic devices. These microchips have proven to offer new advantages over traditional methodologies, such as a decreasement of the reagent volume, organic solvent and sample volume. It also reduces the analysis time and offers very high extraction efficiencies when working under double flow conditions or good enrichment factors when working under stationary conditions. These microchips systems have been employed using two different extraction techniques: liquid phase microextraction and electromembrane. The parameters that affect both extractions are the composition of the sample and the acceptor phase, the flow of the acceptor and donor phase, the organic solvent used as a liquid membrane supported and the extraction time. The voltage is one of the extra parameters to be determined in the case of the electromembrane. However, one of the most influential variables is related to the geometry of these microchips systems, since depending on their length, width and depth, different extraction and enrichment efficiencies will be obtained. In this work, new trends in the geometric study of microfluidic devices and their application to both environmental and biological samples are presented.

Polymer and Material Chemistry | Disease Detection and Formulation Development | Good Pharmacovigilance Practice | Mass spectroscopy and Gas chromatography | Hyphenated HPLC Methods | Electrophoresis | Principles and Applications of HPLC | Chromatography | Analytical Chemistry | Nuclear Magnetic Resonance

Location: Conference Hall : Frederick