DOSSIER-LE-ONE TAB (Levofloxacin 500mg)
DOSSIER-LE-ONE TAB (Levofloxacin 500mg)
DOSSIER-LE-ONE TAB (Levofloxacin 500mg)
500mg
(Levofloxacin ….500mg)
REGISTRATION DOSSIER
FOR
AFGHANISTAN
Submitted by:
WELLBORNE
PHARMACHEM & BIOLOGICALS
ADDRESS: Head Office & Plant
Plot No. 51/1, 52/2 Phase I & II Industrial Estate, Hattar – Pakistan
PHONE: +92-0995617333
E-mail: [email protected]
DETAILS OF SECTIONS:
1. Cover Letter
1. The covering letter submitted with the application for registration should include a clear
statement by the responsible person submitting the dossier on the product owner’s original
letterhead, indicating the contact details (telephone number, e-mail, and fax) of the person to
whom all correspondences should be addressed.
2. The letter should be dated and signed by the responsible person who can be the managing
director, president or equivalent person who has overall responsibility for the company
organization.
3. Letter of Authorization
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
1. Applicant should provide a copy of the Letter of Authorization from the product owner forthe application
of registration of products (not applicable if the applicant is the product owner).
2. The letter of authorization should be on the product owner’s original letterhead and be datedand signed by
the Managing Director, President, or an equivalent person who has overallresponsibility for the company or
organization.
4. Certifications
For Imported Products:
b) A copy of “Certificate of Pharmaceutical Product”* (issued by the competent authorityin the country of
origin according to the current WHO format)
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c) A copy of “Site Master File” of manufacturer (All site master file, if productionoccurred in different
sites.)
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e) A copy of “Certificate of Analysis” (CoA)
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f) A copy of “Registration Certificate”* of the product in in one another country
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Notes:
* Copies of the documents must be duly endorsed by the three organs (Ministry of Health, Ministry
of Commerce and Ministry of Foreign Affairs) of the country of origin and Afghanistan Embassy, in
the absence of Afghanistan Embassy in that country; the un-resident embassy can endorsed the
certificates / licenses.
1. Applicant should provide samples or proposed drafts of product labeling for the applicationof registration
of products.
2. Language used for labeling shall be English, Dari or Pashto.
3. Samples or proposed drafts of the product labeling are for unit carton, inner label andblister/strips:
6. Product Information
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
1. Applicant should provide samples or proposed drafts of “Patient Information Leaflet” for
theapplication of registration of products.
2. Language used for product information shall be English and/or Dar/Pashto.
3. Samples or proposed drafts of the product information are for Patient Information Leaflet(PIL).
SECTION THREE
ACTIVE PHARMACEUTICAL
INGREDIENT(S) (APIs)
The information on the Active Pharmaceutical Ingredient(s) [API(s)] can be submitted according to
the following order of preference .Provide at least the following information for each active
pharmaceutical ingredient:
1-) Nomenclature
International Non-proprietary Name (INN)
Compendial Name if relevant
Chemical Name(s)
Company or laboratory code, if applicable
Other nonproprietary name(s) (e.g., National Name, United States Adopted Name
(USAN),British Approved Name (BAN) and Japanese Accepted Name (JAN) ); and
Chemical Abstracts Service (CAS) registry number.
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2.2. API NOT Described in Recognized Pharmacopeia (BP, USP, EP, JP& IP)
Provide the following information
Chemical structure, including relative and absolute stereochemistry, (e.g. racemate,
pure (S)-isomer, 50/50 mixture of (Z) - and (E)- isomers), the molecular formula, and
the relative molecular mas;
Isomeric nature including stereochemical configuration;
Provide documented evidence of correctness of structure and stereochemistry, such as
infrared, nuclear magnetic resonance, ultraviolet, mass and X-ray spectra, together
withinterpretation of the relevant parts of spectra. Correlation of the spectral data with
datafrom peer reviewed literature may also be used for confirmation;
Physicochemical and other relevant properties of the API, such as solubility in water,
other solvents such as ether, ethanol, acetone, and solubility in buffers of different pH;
including at pH 1.2, acetate buffer at 4.5 and phosphate buffer at pH 6.8; partition
coefficient; existence/absence of polymorphic forms and water/solvent of
crystallization; results of hygroscopicity testing and particle size.
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4.1. API Described in Recognized Pharmacopeia (BP, USP, EP, JP& IP)
Provide a copy of the monograph together with any test methods referenced in the
monograph. that the current monograph should always control the quality of the API.
Any additional tests, with limits, not appearing in the monograph should be described
in sufficient detail to be replicated by another laboratory. Additional tests may for
example include synthesis- (process-) specific impurities not covered by the
monograph, and requirements that are important for the pharmaceutical product (for
instance particle size and crystal form when there are polymorphs).
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Accelerated 40 ± 2 75 ± 5 6
Long-term 30 ± 2 65 ± 5or 75 ± 5 12
Provide the post-approval stability protocol and stability-testing commitment, when applicable.
A storage statement should be proposed for the labeling (if applicable), which should be based on the
stability evaluation of the API.
The shelf life should be derived from the stability information, and the approved shelf life should be
displayed on the container label and certificate of analysis.
The WHO guideline on Stability testing of active pharmaceutical ingredients and finished
pharmaceutical products, WHO Technical Report Series, No. 953, Annex 2 should be considered.
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SECTION FOUR
FINISHED PHARMACEUTICAL
PRODUCTS (FPPs)
2. Formulation
Provide the composition, i.e. list of all components of dosage form in a tabular format as bellow:
- List of all components of the dosage form, and their amount on a per unit basis (includingoverages, if any),
the function of the components, and a reference to their quality standards(e.g. compendial monographs or
manufacturer’s specifications). If an excipient performsmultiple functions the predominant function should
be indicated. Use the table below topresent the information on the composition of the FPP.
UNIT FORMULA:-
Pack Size 1 x 10’s
Batch Size 5,000 Packs
Remarks:
The Standard quantity of Levofloxacin is considering on the basis 100% Assay & 0% LOD/Water.
The required quantity of Levofloxacin should be calculated on the basis of Assay result, from Q.C. Raw
Material Report by the following formula:
Batch Size (in numbers) X (Label Claim + overage %) X 100 X 100
= -------------------------------------------------------------------------------------------- = kg
Assay value (OAB) X (100 - % LOD) X 1000 X 1000
3. Pharmaceutics Development
Provide either the results of development pharmaceutics or a review of literature information on the
same topic, including for example:
- The definition of the quality target product profile (QTPP) as it relates to quality, safety and
efficacy, considering, for example, the route of administration, dosage form, bioavailability,strength and
stability;
- Identification of the potential critical quality attributes (CQAs) of the FPP so as to adequatelycontrol the
product characteristics that could have an impact on quality;
- Studies of the chemical and physicochemical compatibility of the API with potentialexcipients, and with
other APIs if present;
- Dissolution rate of pilot formulations, and the selection and justification of the dissolutionmethod and limit
for the final product. Provide dissolution profiles for at least threeconsecutive batches manufactured
according to the final formulation and manufacturingprocedure;
- Stability of pilot formulations under accelerated conditions and under the maximum
recommended conditions of storage;
- Rationale for the selection of excipients and the function of each in the formulation.
For well-established products, a product quality review can be provided in lieu of the
developmentpharmaceutics. For this purpose, a well-established product is one that has been marketed by
theapplicant or manufacturer associated with the dossier for at least ٥ years and for which at least
10production batches were produced over the previous year, or, if less than 10 batches were producedin the
previous year, not less than 25 batches were produced in the previous three years.
Molecular formular:
The empirical formula is C18H20FN3O4• ½ H2O
Molecular weight:
The molecular weight is 370.38
Chemical Name:
Levofloxacin is a light yellowish-white to yellow-white crystal or crystalline powder. The molecule exists as a
zwitterion at the pH conditions in the small intestine.
Molecular structure:
P.3.3.2 Excipients
The drug product was developed by following the established SOP where various trials were conducted to
achieve the intended profile comparable to concerned brand. The excipients profile is compatible, non-
reactive and safe.
The following table shows the excipients used in the manufacturing process of LE-ONE 500MG tablets,
their influence in the drug product performance as well as their quantity in the formulation:
The document has been prepared, reviewed and approved by R & D OFFICER, R & D MANAGER, and PLANT
MANAGER.
2.0 Objective:
To develop LE-ONE (Levofloxacin-as Hemihydrate) 500 mg Tablets. comparable to innovator product
of same strength product with the following objectives
3.0 Scope:
This development report is applicable to development of LE-ONE (Levofloxacin-as Hemihydrate) 500
mg Tablets. using the facility of WellBorne Pharmachem & Biologicals Pvt. Ltd, Pakistan.
P3.3.1:PREPARATORY WORK
BATCHES DETAILS
S.
No Ingredients Trial 01 Trial 02 Trial 03 Trial 04
.
1 Levofloxacin(As Hemihydrate) 25-KGS Kg 25-KGS Kg 25-KGS Kg 25-KGS Kg
2 Kyron 0.650-KGS 0.650-KGS 0.650-KGS 0.650-KGS
3 Lactose Monohydrate 1.628-KGS 1.628-KGS 1.628-KGS 1.628-KGS
4 PVP K 30 1.50-KGS 1.50-KGS 1.50-KGS 1.50-KGS
5 *IPA 10.50-Lits. 10.50-Lits. 10.50-Lits. 10.50-Lits.
6 Mangnesium Sterate 0.650-KGS 0.650-KGS 0.650-KGS 0.650-KGS
7 Sodium Starch Glycolate 1.30-KGS 1.30-KGS 1.30-KGS 1.30-KGS
8 HPMC E 5 0.900-KGS 0.900-KGS 0.900-KGS 0.900-KGS
9 Titanium Dioxide 0.200-KGS 0.200-KGS 0.200-KGS 0.200-KGS
10 PEG 6000 0.100-KGS 0.100-KGS 0.100-KGS 0.100-KGS
11 *IPA 11.5-Lits. 11.5-Lits. 11.5-Lits. 11.5-Lits.
12 *R/OWater 5.20-Lits. 5.20-Lits. 5.20-Lits. 5.20-Lits.
Batch Size 5000-Packs 5000-Packs 5000-Packs 5000-Packs
The option for this formulation is justified by the demonstrate advantages namely:
- The pharmaceutical form manufactured by Well-Borne Pharmachem & Biologicals (Pvt) Ltd. is
optimum for oraladministration.
- Ensure a good stability for the Drug substance, fact demonstrated through stability studies
- Patient compliance beside this pharmaceutical form
- Easy dosing
The excipient from the composition of LE-ONE 500mg Tablets (Levofloxacin Hemihydrate INN
equivalent to Levofloxacin 500.00 mg) in each tablet does not interact with Drug substance. These
excipients are currently used in pharmaceutical industry and their quality corresponds to
BP & inhouse specification
As we said, for determining theLE-ONE 500mg Tablets formulation we start from the qualitative
formulation of the product Tanavic 500 mg Tablet (Hoechst Marion Roussel Ltd).
Comparative Dissolution Report of LE-ONE 500mg Tablets with Tanavic 500 mg Tablet
Dissolution
Tablet Concentration (% ) of the
No. labeled amount
Ingredient Tolerance Remarks
LE-ONE Tanavic 500 mg
500 mg Tablet
Tablets
Levofloxacin 1 95.25 94.33 Not less than 80% (Q) Satisfactory
2 94.79 93.87 of the labeled amount of
3 96.32 95.85 Levofloxacin
4 93.06 96.01 ( C18H20FN3O4) is
5 94.87 93.89
dissolved in 30 minutes
6 93.88 94.55
Average 94.70 94.75
Comments: Dissolution values of LE-ONE 500mg Tabletsand Tanavic 500 mg Tablet are very close
together. Hence Dissolution Profile of LE-ONE 500mg Tabletsis comparable to Tanavic
500 mg Tablet.
It was considered that the product was to be developed LE-ONE 500mg Tabletscan be formulated
qualitatively similar of Drug product Tanavic 500 mg Tablet-manufactured by Hoechst Marion Roussel
Ltd, England.
P3.3.2: Overages:
Overage 5% is needed to ensure the declared concentration of the active substance at the end of shelf
life
Overage is to cover loss of potency on storage.
Overages 5 %, Overages taken due to waste of raw materials that occur during manufacturing of finished
products.
Physicochemical Properties:
Weight of 20 Tablets
Average weight = --------------------------------------
20
WEIGHT VARIATION:
Take 20 tablets and weigh individually. Calculate the maximum and minimum weight variation of the tablet as
follow.
Maximum Weight Variation = Max weight of the tablet - Avg. weight of the tablet
Avg. weight of the tablet
Minimum Weight Variation = Min weight of the tablet - Avg. weight of the tablet
Avg. weight of the tablet
Detail description of the physical and chemical tests conducted on drug product during the development:
Not applicable
P.3.2.7 Compatibility
As the results of stability studies of the preparation, all excipients are compatible with each other and with
the medicinal substance and not form complexes, which may adversely affect the efficiency and quality of
the drug.
Compression
Dedusting
Coating
Final Packing
Dispatch
To achieve the LE-ONE 500 mg tablets of required specifications, the Raw Materials mentioned in Formula
are gone through the following steps.
Granulation:
Granulation is carried out according to the following steps.
a) Premixing:
Mix Throoughly all above sieved materials in to Hobart Mixer for 30 min. Add recovered materials (if any)
already crushed and passed through 12# mesh.
c) Kneading:
Add the prepared binder solution in step 3.1 to the premix of step 2.1 in a stream line and mix the entire
bulk for 10 min till the completion of kneading process with Hobart mixer.
d) Wet Granulation:
The kneaded mass obtained in step (c) through mesh # 6 or directly, dry in the form of lumps. Spread the
contents in the S.S Trays for drying.
e) Wet Drying
Dry the wet granules of step (d) in a fluidized bed dryer for 60 mins at a temperature not exceeding 70 o C.
f) Dry Granulation:
Using OSC granulator, sieve the dried granules obtained in step (e) through mesh # 12.
g) Final Drying:
If required, further dry the granules in fluid bed dryer at a temperature not exceeding 60 C to a L.O.D. not
more than 2%. Avoid over drying.
Take Clearance from Quality Control Lab by sampling the final mixture.
Compression:
Clean the compression section and the ZP-17 rotary compression machine, adjust the following dies and
punches on it
DESCRIPTION SIZE SHAPE
Upper Punch 20 mm Oblong, BiConvex,
Lower Punch 20 mm Oblong, BiConvex,
Dies 20 mm Oblong
After setting of the machine, Label it properly and ask the Q.C.D. to issue area clearance certificate.
After getting release slip and analysis report of the granules, adjust the machine speed and pressure and
compress few tablets according to the following parameter.
PARAMETER SPECIFICATIONS
Send request to the Q.C.D. to collect the sample of the tablets for physical analysis. After getting results of
the physical analysis from the Q.C.D., start compression. Carry out the periodic check for average weight,
Hardness, Thickness, and Physical appearance and record on compression control sheet.
After completion of compression send request to the Q.C.D. to take Sample of compressed tablets for
analysis and give release for film coating.
Store the core in suitable properly labeled containers with double polythene bags and a packet of silica gel
between the two bags. Note the weight of the cores.
Film Coating
After getting release slip and analysis report of cores for film coating, proceed for the film coating. Clean
the area and all the Machines & equipments, Label them properly and ask the Q.C.D. to issue the Clearance
Certificate.
Using container of 30 Lit add following in sequence while Silver Son Mixer is switched on. Mix the entire
solution for 50 min till it becomes homogenized. Manually sieve the suspension through 100 # Mesh screen.
Pre heat the core to about 40 C, open the exhaust and start the film coating process by spraying the
coating suspension on the cores. Complete the film coating process in the same manner. During film
coating process, take care not to over heat the tablets and also avoid over wetting.
After completion of film coating, send request to the Q.C.D. to take Sample of film coated tablets for
analysis and give release for packing.
Store the Film Coated Tablets in suitable properly labeled containers with double polythene bags and a
packet of silica gel between the two bags. Note the weight of the Film Coated Tablets.
Note: Carry out the film coating process in controlled conditions of relative Humidity (NMT 45%)
IN Process Control
Physical appearance
Weight variation
Disintegration
Hardness,
Friability,
Length,
Thickness,
Capping, Optical checking
*The blend and tablets shall not be stored for more than 07 days during the manufacturing process and Compression
Check the following equipments for the cleanliness and cleaned status before use cleaning to be done as per
SOP.
EQUIPMENT DESCRIPTION FOR THE MANUFACTURING OF TABLETS (LE-ONE TABS 500 mg)
EQUIPMENT DESCRIPTION FOR THE Q. C. TESTING OF TABLETS (LE-ONE TABS 500 mg)
scientific
05 Analytical Balance D449517180 Japan WP/QC/INST/005
06 Moisture Analyzer AG53 Switzerland WP/QC/INST/006
WP/QC/INST/007
07 Hot plate Magnetic stirrer 78-1 China
Galvano
08 Friabiliator FT-L WP/QC/INST/008
scientific
Galvano WP/QC/INST/009
09 D.T Apparatus 122LR
scientific
WP/QC/INST/010
10 Dissolution Apparatus GDT6(L) China
11 Particle counter IEC828-1 California WP/QC/MI/011
12 Water bath DH6-9030A China WP/QC/INST/012
13 Distillation Plant --- China WP/QC/INST/013
3326S/N35310
14 Hot Incubator USA WP/QC/MI/014
-6278
15 Cold Incubator SPX-150 China WP/QC/MI/015
16 Microscope 891159 Japan WP/QC/MI/016
17 Colony counter manual 501A Japan WP/QC/MI/017
18 Dry Heat Sterilizer ANC-677 China WP/QC/MI/018
WP/QC/INST/019
19 Ultrasonic bath VGT-1730QD China
A-Heico
20 Stability Chamber(Real time) DSX-300H WP/QC/INST/020
Company
21 U.V Spectrophotometer UV/VIS China WP/QC/INST/021
Vortex Mixer ---- WP/QC/INST/022
22 China
TDS, Conductivity & pH H19811-5
23 Europe WP/QC/INST/023
Meter
24 Biological Air Sampler MB-1 UK WP/QC/MI/024
25 Anemometer 8340 USA WP/QC/MI/025
26 Micropipette CE-092677 China WP/QC/MI/026
27 Autoclave ---- China WP/QC/MI/027
28 Millipore Filtration Assembly --- China WP/QC/MI/028
29 Laminar Flow Hood --- China WP/QC/MI/029
DISTEK WP/QC/INST/030
30 UV Spectrophotometer China
13599
31 Vacuum Pump AS20 --- WP/QC/INST/031
32 Sealing Apparatus KARTELL ITALY WP/QC/INST/032
33 Refractive Index ABBE China WP/QC/INST/033
34 pH meter 290A USA WP/QC/INST/034
35 Vacuum Pump XX5500000 China WP/QC/MI/035
36 Refrigerator --- DAWLANCE WP/QC/MI/036
37 TOC Analyzer SIEVER 800 USA WP/QC/INST/037
Stability Chamber Caravell
38 Mec-450 WP/QC/INST/038
(Accelerated) Pakistan
39 pH meter bench top 3010M Jenco WP/QC/INST/039
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
For each site where the major production step(s) is/are carried out, when applicable submit a valid
GMP Certificate and attach an original Certificate of a Pharmaceutical Product (CoPP) issued by the
competent authority in terms of the WHO Certification Scheme on the Quality of Pharmaceutical
Products Moving in International Commerce.
Provide a list of tests and limits for results for each excipient, including solvents, liquids to adjust
pH, coatings, capsule shell, and inked imprint (on the dosage form). Include test methods in
sufficient detail for them to be replicated by another laboratory.
If the ingredient is tested on the
basis of a monograph in a pharmacopoeia, it is sufficient to provide a copy of the monograph
together with any test methods referenced but not duplicated in the monograph. Include
microbiological limits for materials of natural origin.
Only colors and other excipients permitted by
national regulation may be used*.
For excipients of human or animal origin, provide information on
the control of adventitious agents such as transmissible spongiform encephalopathies.
For oils of plant origin (e.g. soy bean or peanut oil), provide information on the control of aflatoxins
and other possible contaminants such as pesticides.
7.1. Excipients Described in Recognized Pharmacopeia (BP, USP, EP, JP& IP)
Provide a copy of the monograph together with any test methods referenced in the monograph but
not duplicated in the monograph. Note that the current monograph should always control the quality
of the excipient. Provide details of any specifications additional to those in the pharmacopoeia.
Certificate of analysis for one batch of each excipient should be provided.
7.2. Excipients NOT Described in in Recognized Pharmacopeia (BP, USP, EP, JP& IP)
For non-compendial excipients and those used for the first time in a FPP or by a new route of
administration, full details of manufacture, characterization, and controls, with cross references to
supporting safety data (non-clinical and/or clinical) should be provided. Certificate of analysis for
one batch of each excipient should be provided.
* Colors permitted in the EU may be found in the European Commission’s List of permitted food
colors. Colors permitted by FDA are listed in the on-line database Summary of Color Additives for
Use in United States in Foods, Drugs, Cosmetics, and Medical Devices.
7.1 SPECIFICATIONS
The Excipients used in the manufacturing of LE-ONE 500mg Tablets (Levofloxacin (as Hemihydrate))
are pharmacopoeia and comply with British Pharmacopoeia, United State Pharmacopoeia & In House
Specification.
04 pH 5.0-------------------7.50 BP
Appearance:
A white or almost white, fine or granular powder.
Solubility:
Practically insoluble in water, in acetone, in ethanol, in toluene and in dilute acids and in a 50g/l solution of
Sodium Hydroxide.
IDENTIFICATION:
ıA. Place about 10mg on a watch-glass and disperse in 2ml of iodinated zinc chloride solution R . The
substance becomes violet-blue.
TESTS:
pH (2.2.3):
Shake 5.0 g with 40.0 ml of carbon dioxide-free water R for 20 minutes and centrifuge. The pH of
supernatant liquid is 5.0 to 7.5.
Starch:
To 10gm add 90ml of water Rand boil for 5 minutes. Filter whilst hot. Cool and add to the filtrate 0.1ml of
0.05M Iodine. No blue color is produced.
Not more than 6.0 per cent, determined on 1.000 g by drying in an oven at 100°C to 105 0C for 3 hrs.
Microbial Contamination:
Total viable aerobic count (2.6.12) not more than 103 micro-organism per gram and with a limit for fungi of
102 per gram, determind by plate count. It complies with the tests for Esherichia coli, for Pseudomonas
aeruginosa, for Staphylococcus aureus and for Salmonella. ( 2.6.13) .
CHARACTERS
Appearance
White or yellowish-white, powder or flakes, hygroscopic.
Solubility
Freely soluble in water, in Alcohal and in Methanol, Slightly soluble in acetone, practically insoluble in Ether.
IDENTIFICATION
B. To 0.4 ml of solution S1 add 10 ml of water R, 5 ml of dilute hydrochloric acid R and 2 ml of
potassium dichromate solution R. An orange-yellow precipitate is formed.
C. To 1 ml of solution S1 add 0.2 ml of dimethylaminobenzaldehyde solution R1 and 0.1 ml of
sulphuric acid R. A pink colour is produced.
D. To 0.1 ml of solution S1 add 5 ml of water R and 0.2 ml of 0.05 M iodine. A red colour is
produced.
TESTS
Solution S
Dissolve 1.0 g in carbon dioxide-free water R and dilute to 20 ml with the same solvent. Add the substance
to be examined to the water in small portions, stirring using a magnetic stirrer.
Solution S1
Dissolve 2.5 g in carbon dioxide-free water R and dilute to 25 ml with the same solvent. Add the substance
to be examined to the water in small portions, stirring using a magnetic stirrer.
Water
Maximum 5.0 per cent, determined on 0.500 g.
pH:
The pH of Solution S is 3.0 to 7.0.
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
3-ISOPROPYL ALCOHOL BP
CHARACTERS
Appearance
A Clear, colourless liquid.
Solubility
Miscible with water and with alcohol and with ether.
IDENTIFICATION
A. Relative density 0.785 to 0.789.
B. Refractive index 1.376 to 1.379.
C. To 1 ml add 2 ml of potassium dichromate solution R and 1 ml of dilute sulphuric acid R. Boil. Vapour is
produced which changes the colour of a piece of filter paper impregnated with nitrobenzaldehyde solution R
to green. Moisten the filter paper with dilute hydrochloric acid R. The colour changes to blue.
TESTS
Appearance
The substance to be examined is clear and colourless . Dilute 1 ml to 20 ml with water R. After 5 min, the
solution is clear.
Acidity or alkalinity
Gently boil 25 ml for 5 min. Add 25 ml of carbon dioxide-free water R and allow to cool protected from
carbon dioxide in the air. Add 0.1 ml of phenolphthalein solution R. The protected from carbon dioxide in
the air. Add 0.1 ml of phenolphthalein solution R. The solution is colourless. Not more than 0.6 ml of 0.01 M
sodium hydroxide is required to change the colour of the indicator to pale pink.
Non-volatile substances
Evaporate 100 g to dryness on a water-bath after having verified that it complies with the test for peroxides
and dry in an oven at 100-105 °C. The residue weighs a maximum of 2 mg (20 ppm).
Water
Maximum 0.5 per cent, determined on 5.0 g.
CHARACTERS
Appearance
A white or almost white, fine, free-flowing powder, very hygroscopic.
Solubility
Practically insoluble in methylene chloride. It gives a translucent suspension in water.
IDENTIFICATION:
A. pH
The pH of Solution S1 is 5.5 to 7.5.
B. Prepare with shaking and without heating a mixture of 4.0 g of the substance to be examined
and 20 ml of carbon dioxide-free water R. The mixture has the appearance of a gel. Add 100
ml of carbon dioxide-free water R and shake. A suspension forms that settles after standing.
C. To 5ml of suspension obtained in Identification Test B add 0.05ml of iodine solution R1. A
dark blue color I produced.
D. Solution S2 gives reaction (a) of sodium.
TESTS:
Solution S1:
Centrifuge the suspension obtained in identification test B at 2500 g for 10 min. Collect carefully the
supernatant liquid.
Solution S2:
Place 2.5 g in a silica or platinum crucible and add 2 ml of a 500 g/l solution of sulphuric acid R. Heat on a
water-bath, then cautiously over a naked flame, raising the temperature progressively, then incinerate in a
muffle furnace at 600 ± 25 °C. Continue heating until all black particles have disappeared. Allow to cool,
add a few drops of dilute sulphuric acid R, heat and incinerate as above. Allow to cool, add a few drops of
ammonium carbonate solution R, evaporate to dryness and incinerate cautiously. Allow to cool and dissolve
the residue in 50 ml of water R.
Loss on drying:
Not More Than 10.0 per cent, determined on 1.000 g by drying in an oven at 100 °C for 4 h.
Microbial contamination:
It complies with the test for Escherichia coli and Salmonella .
5-MANGNESIUM STEARATE BP
05
Not more than 0.05 ml of 0.1 M
hydrochloric acid or 0.1 M sodium
06 Acidity or Alkalinity
hydroxide is required to change the colour
of the indicator.
TYMC
Microbial TAMC
07 BP
contamination Absence of E – Coli
Absence of Salmonella
CHARACTERS:
A white or almost white, very fine, light powder, greasy to the touch, practically insoluble in water and in
ethanol.
IDENTIFICATION:
A. Acid Value 195 to 210.
Dissolve 10.00gm of a ubstance in 50ml of a mixture of equal volume of Ethanol (96%) R
and light petroleum R3, previously neutralized with 0.1M Potassium Hydroxide or 0.1M
Sodium Hydroxide, using 0.5ml of phenolphthalein olution R1 as indicator. If necessary, heat
to about 900C to dissolve the substance. When the ubstance has dissolved, titrate it with
0.1M Potassium Hydroxide or 0.1M Sodium Hydroxide until the pink color persist for at least
15 seconds.
IA = 5.610n/m
Where n = ml of titrant
m = Mass of Substance
D. To 1 ml of solution S add 1ml of dilute ammonia R1; a white precipitate is formed that dissolves on
addition of 1ml of ammonium chloride solution R. Add 1ml of a 120g/L solution of disodium hydrogen
phosphate R; a white crystalline precipitate is formed.
TESTS
Solution S:
To 5.0 g add 50 ml of peroxide-free ether R, 20 ml of dilute nitric acid R and 20 ml of distilled water R and
heat under a reflux condenser until dissolution is complete. Allow to cool. In a separating funnel, separate the
aqueous layer and shake the ether layer with 2 quantities, separating funnel, separate the aqueous layer and
shake the ether layer with 2 quantities, each of 4 ml, of distilled water R. Combine the aqueous layers, wash
with 15 ml of peroxide-free ether R and dilute to 50 ml with distilled water R (solution S). Evaporate the
organic layer to dryness and dry the residue at 100-105°C.
Acidity or alkalinity:
To 1.0 g add 20 ml of carbon dioxide-free water R and boil for 1 min with continuous stirring. Cool and filter.
To 10 ml of the filtrate add 0.05 ml of bromothymol blue solution R1. Not more than 0.05 ml of 0.1 M
hydrochloric acid or 0.1 M sodium hydroxide is required to change the colour of the indicator.
Loss on drying:
Not more than 6.0 per cent, determined on 1.000 g by drying in an oven at 105 °C.
Microbial contamination:
TAMC: Acceptance criteria 103 CFU/g
TYMC: Acceptance criteria 102 CFU/g
Absence of E – Coli
Absence of SAlmonella
6-OPADRY WHITE
PHYSICAL ANALYSIS:
Identification:
A. IR spectrum of sample should comply with standard.
B. Dispersion
Place 10ml of IPA and 20ml of Methylene chloride in conical flask. Add 3.7gm sample. Stirr for
few minutes. Poure few ml of sample on watch glass plate and allow solvent to evaporation, a
clean brittle film obtained.
Loss on drying:
Not More Than 5.0 per cent, determined on 1.000 g by drying in an oven at 100 °C for 6 h.
7-METHYLENE CHLORIDE BP
Appearance
A clear, colourless, volatile liquid.
Solubility
Sparangly soluble in water, miscible with alcohol and with ether.
IDENTIFICATION
A. It complies with the Test for Relative Density.
D. Heat 2ml with 2g Potassium Hydroxide R and 20ml of Alcohol R under reflux condenser for 30 mint.
Allow to cool. Add 15ml of Dilute Sulphuric Acid R and filter. To 1ml of the filtrate add 1ml of a 15g/l
solution of chromotropic acid, salt R, 2ml of water R and 8ml of Sulphuric acid R. A violet color is
produced.
E. 2ml of the filtrate obtained in identification test D gives reaction (a) of chloride.
Acidity:
To 50 ml of Methanol R previously neutralized to 0.1ml of bromothymol blue solution R1 . Add 50gm of
sample. Not more than 0.15ml of 0.1M sodium Hydroxide is required to change the color of the indicator to
blue.
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
Relative Density:
1.320-------------1.332
Refractive Index:
1.423-------------1.425
Residue on Evaporation:
Evaporate 50 g to dryness on a water bath and dry in an oven at 100-105 °C for 30 mints. The residue
weighs not more than of 1 mg.
05 Ph 3.8----------5.8
Physical form/Descriptions:
A yellow colored powder..
Solubility:
Insoluble in water and most organic solvents.
Identification:
Should comply with previously accepted lot.
Color Comparison:
Take 0.1gm samople and 1gm of Talcum Powder in petri dish and mix well with spatula or glass rod and add
Methylene Chloride to make paste. Allow it to dryness at room temperature. Repeat the same process for
standard color, and compare the color shade of sample with the standard.
pH:
Weight 1.0000gm sample in a beaker and add 50ml of Dist. Water. Mix, sonicate for 10 minutes and stir well
for 2.5 hours. Slurry will form. Find out the pH with the help of pH meter.
Bulk Density:
Take a previously dried graduated cylinder and tare its weight on balance. Add sample in a cylinder to a
specified volume. Note down the both, weight in gm and volume in ml. Now divide the weight by the volume,
the resulted answer will be the Bulk Density of the sample in gm/ml.
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
Loss on Drying:
Take 1gm of sample in pre weighed clean and dry crucible. Place the crucible in the oven, and keeping it in
the oven for drying at 1100Cْfor about 5 hours. Cool in a desiccators allow it to come to room temperature.
Weigh and calculate the loss on drying by the difference between weights before drying and after drying and
dividing by the weight before drying and multiplying with 100.
9- P.E.G 6000 BP
04 pH 4.5----------7.5 BP
Appearance
White powder or creamy white flakes, free from foreign particles.
Solubility
Freely soluble in water, soluble in acetone, in alcohol, in chloroform, in ethylene glycol & and it is insoluble in
ether & hexane.
pH:
Take 5.0gm sample in 100ml of carbon dioxide free water and adding 0.30ml of saturated potassium chloride
solution.
Water
Maximum 0.5 per cent, determined on 0.250 g.
Melting Point.
560C-------------630C
Residue on Ignition.
Not more than 0.1%, a 25g sample and a tared platinium dish being used, and the residue being moistened
with 2ml of sulfuric acid.
P8.1 Specification
Product Name LE-ONE 500mg Tablets
Generic Name Levofloxacin (as Hemihydarte) 500 mg
Off white color oblong film coated tablet with a break line
Description on one face, blister in Alu – Alu packingwith multicolor
printing on off white color carton.
Each film coated tablet contains
Label Claim Levofloxacin Hemihydrate USP Eq. to Levofloxacin 500
mg
Identification Zone Comparison
Average wt per
670mg
tablet
Disintegration time NMT 30 minutes
Weight Deviation NMT + 5.0%
Assay:
Levofloxacin 450mg/tab--------------------550mg/tab
Hemihydrate eq. to 90%---------------------------110%
Levofloxacin
Dosages form Film Coated Tablets
Shelf Life Three Years
Storage Condition Store in a cool, dry place and protect from light.
Standard
Packing 1 x 10 Alu-Alu Pack 5,000 Packs
Batch Size
ASSAY:
Physical form.
Off white color oblong film coated tablet with a break line on one face, blister in Alu – Alu packingwith
multicolor printing on off white color carton.
Thickness:
Measure the Thickness of the tablet with the help of calibrated hardness Tester. It should be according to
specifications.
Weight Deviation:
Weigh 20 tablets and record the weights selected at random and determined the average weight of single
table and from that determine the deviation in weight. It should be + 5.0 %.
Identification:
Zone Comparison
Disintegration Time:
Introduce one tablet with disc into each tube in the assembly. Suspend the assembly in the beaker
containing Dist. Water and operate the apparatus. Check the all tablets and note down the time, all zix
tablets should be disintegrated.
Safety Considerations:
Wear protective gloves and mask.
Don’t leave the infected wire loop on working bench without disinfecting it with IPA 70%.
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
Procedure:
Test Organism:
Maintain the test organism Bacillus pumillus antibiotic medium No. 1.
Inoculate fresh sterile antibiotic medium No.1 with culture of test organism and incubate at 37 oC for 18-24
hrs.
Preparation of Inoculums:
Take loop full growth of test organism and suspend in 10ml of sterile saline TS.
Adjust the turbidity of suspension according to the turbidity of standard (Take 0.5ml of 1.17% of BaCl 2
solution and 99.5 ml of 1% w/v H2SO4 solution and makeup volume up to 100 ml).
The quantity of inoculums may be adjusted according to the response of test organism.
Preparation of Standard:
Manager Quality Control Manager Quality Assurance
Dossier Le-One Tab. 500mg
(Levofloxacin ….500mg)
Weigh 500mg of reference standard of Levofloxacin of known potency and dissolve in 100ml of phosphate
buffer pH8.0.
Then prepare the standard dilution from s1to s5with phosphate buffer.
Volume of stock
Sr.# Dilution Volume up to
solution
1 S1 0.6 ml 100ml
2 S2 0.8 ml 100ml
3 S3 1.0ml 100ml
4 S4 1.25 ml 100ml
5 S5 1.56 ml 100ml
Preparation of Sample:
Measure accurately 650 of sample Levofloxacin to be tested and dilute to 100ml with phosphate buffer pH 8
to give the concentration of label claim.
Concentration of sample solution is equivalent to S 3 dilution of standard.
NOTE:
IN THE USP 32 NF 27, PAGE NO 733 CONTAINS MONOGRAPH (1225) NAME VALIDATION OF COMPENDIAL.
IN THE MONOGRAPH, IT IS GIVEN THAT (ACCORDING TO THESE REGULATIONS [21 CFR 211.194 (A) (2)]
USERS OF ANALYTICAL METHODS DESCRIBED IN USP-NF ARE NOT REQUIRED TO VALIDATE THE
ACCURACY AND RELIABILITY OF THESE METHODS)
The container & closure as described above used for the storage, transportation (shipping) and use of the
product, is suitable & compatible for LE-ONE (Levofloxacin Hemihydrate 500 mg Tablets) is protected
from moisture and light. Stability study also proves the container closure system to be effective for the
product during the shelf life.
PURPOSE :
To insure the analysis of incoming Packing material and to confirm the parameters according to specifications.
SCOPE:
It is established for the analysis of Unit Cartons in Quality Control Department.
PROCEDURE:
PHYSICAL ANALYSIS:
Grammage
Place 5x 5 cm calibrated metal piece on unit Carton and mark the area. Cut the marked area with the help of
knife or cutter. Weigh it on analytical balance. The grammage is calculated by multiplying the weight With 400.
The grammage so obtained should be within the specifications.
Size:
Check length, width and height of the Unit carton with calibrated measuring instrument (ruler). The size should
be according to the specifications.
Printed matter:
Read the printed matter on the Unit Carton and compare it with the standard Unit Carton. The new unit carton
should be printed with new batch No and expiry date. The printed mater should be according to specimen.
PURPOSE :
To insure the analysis of incoming Packing material and to confirm the parameters according to specifications.
SCOPE:
It is established for the analysis of printed leaflets in Quality Control Department.
PROCEDURE:
PHYSICAL ANALYSIS:
Grammage
Place 5x 5 cm calibrated metal piece on leaflets and mark the area. Cut the marked area with the help of knife or
cutter. Weigh it on analytical balance. The grammage is calculated by multiplying the weight With 400. The
grammage so obtained should be within the specifications.
Size:
Check length, width of the leaflet with calibrated measuring instrument (ruler). The size should be according to
the specifications.
Printed matter:
Read the printed matter on the Leaflet and compare it with the standard Leaflets. The printed mater should be
according to specimen.
Printed Metter
2. Purpose:
To ensure the analysis of Packing Material and to confirm the contents according to specifications.
3. Scope:
4. Procedure:
PHYSICAL ANALYSIS:
Dimensions:
Check width and thickness of the aluminum foil with calibrated measuring instrument (ruler and micrometer). The
dimensions should be according to the specifications.
Printed matter:
Read the printed matter on the aluminum foil and compare it with the standard specimen. The printed mater
should be according to specimen.
Printed colours:
Compare the Printed colours of the aluminum foil with the standard specimen with naked eye. It should be
according to specimen.
Shipper Specifications:
1. Title: Shippers
2. Purpose:
To ensure the analysis of Packing Material and to confirm the contents according to specifications.
3. Scope:
PHYSICAL ANALYSIS:
Grammage
Place 5x 5 cm calibrated metal piece on shipper and mark the area. Cut the marked area with the help of knife
or cutter. Weigh it on analytical balance. The grammage is calculated by multiplying the weight With 400. The
grammage so obtained should be with in the specifications.
Size:
Check length, width and height of the shipper with calibrated measuring instrument (inchi tape). The dimensions
should be according to the specifications.
Ply:
Check the ply of the shipper with necked eye. It should be according to specifications.
information. It may be appropriate to have justifiable differences between the shelf-life and release
acceptance criteria based on the stability evaluation and the changes observed on storage. Any
differences between the release and shelf-life acceptance criteria for antimicrobial preservative
content should be supported by a validated correlation of chemical content and preservative
effectiveness demonstrated during development of the pharmaceutical product with the product in
itsfinal formulation (except for preservative concentration) intended for marketing.
A single primarystability batch of the FPP should be tested for effectiveness of the antimicrobial
preservative at theproposed shelf-life for verification purposes, regardless of whether there is a
difference between therelease and shelf-life acceptance criteria for preservative content.
The minimum data required at the time of submitting the dossier (in the general case):
Impurities
AssayEtc.
For most types of product, results should be included for physical as well as chemical tests, e.g.
(where relevant) the presence of particles in a solution and the dissolution rate of solid oral
dosageforms.
If the product contains an antimicrobial preservative, then preservative efficacy should be
demonstrated at batch release and at the end of the shelf life.
For sterile products sterility should be reported at the beginning and end of shelf life. For
parenteralproducts, sub visible particulate matter should be reported frequently, but not
necessarily at everytest interval. Weight loss from plastic containers should be reported over the
shelf life.
In-useperiods for parenteral and ophthalmic products should be justified with experimental
data.
The information on the stability studies should include details such as storage conditions,
strength,batch number, including the API batch number(s) and manufacturer(s), batch size,
container closuresystem and orientation (e.g. erect, inverted, on-side) where applicable, and
completed (andproposed) test intervals.
The discussion of results should focus on observations noted for the various tests, rather than
reporting comments such as “all tests meet specifications”. This should include ranges of
analyticalresults and any trends that were observed. For quantitative tests (e.g. individual and
total degradation
product tests and assay tests), it should be ensured that actual numerical results are provided
rather than vague statements such as “within limits” or “conforms”.
Applicants should consult ICH’s Q1E guideline for details on the evaluation and extrapolation of
results from stability.
The recommended labeling statements for use, based on the stability studies, are provided in theWHO stability
guideline.
Strength: 500 mg
Storage Conditions: Store below 30 °C. Protect from light & moisture. Keep all medicines
out of the reach of Children
SECTION FIVE
For each of the following types of application, provide full information on safety and efficacy as
defined in guidelines by the European Union, the US Food and Drug Administration, or the Japanese
2. New indications,
Pharmacological Properties
LE-ONE TABLETS 500MG ( LEVOFLOXACIN HEMIHYDRATE)
For the treatment of bacterial conjunctivitis caused by susceptible strains of the following organisms:
Corynebacterium species, Staphylococus aureus, Staphylococcus epidermidis, Streptococcus pneumoniae,
Streptococcus (Groups C/F/G), Viridans group streptococci, Acinetobacter lwoffii, Haemophilus influenzae,
Serratia marcescens.
Mechanism of action: Levofloxacin inhibits bacterial type II topoisomerases, topoisomerase IV and DNA
gyrase. Levofloxacin, like other fluoroquinolones, inhibits the A subunits of DNA gyrase, two subunits
encoded by the gyrA gene.
This results in strand breakage on a bacterial chromosome, supercoiling, and resealing; DNA replication and
transcription is inhibited.
Absorption: Absorption of ofloxacin after single or multiple doses of 200 to 400 mg is predictable, and the
amount of drug absorbed increases proportionately with the dose
Mechanism of Actions
Levofloxacin is the L-isomer of the racemate, ofloxacin, a quinolone antimicrobial agent. The antibacterial
activity of ofloxacin resides primarily in the L-isomer. The mechanism of action of Levofloxacin and other
fluoroquinolone antimicrobials involves inhibition of bacterial topoisomerase IV and DNA gyrase (both of
which are type II topoisomerases), enzymes required for DNA replication, transcription, repair and
recombination.
Drug Resistance:Fluoroquinolone resistance can arise through mutations in defined regions of DNA gyrase or
topoisomerase IV, termed the Quinolone-Resistance Determining Regions (QRDRs), or through altered efflux.
Fluoroquinolones, including Levofloxacin, differ in chemical structure and mode of action from
aminoglycosides, macrolides and b-lactam antibiotics, including penicillins. Fluoroquinolones may, therefore,
be active against bacteria resistant to these antimicrobials.
Resistance to Levofloxacin due to spontaneous mutation in vitro is a rare occurrence (range: 10-9to 10-10).
Although cross-resistance has been observed between Levofloxacin and some other fluoroquinolones, some
microorganisms resistant to other fluoroquinolones may be susceptible to Levofloxacin.
Activity in vitro and in vivo: Levofloxacin has in vitro activity against a wide range of Gram-negative and
Gram-positive microorganisms.
Levofloxacin is often bactericidal at concentrations equal to or slightly greater than inhibitory concentrations.
Staphylococcus saprophyticus
Streptococcus pyogenes
MDRSP (Multi-drug resistant Streptococcus pneumoniae) isolates are strains resistant to two or more of the
following antibiotics: penicillin (MIC ≥ 2 mcg/mL), 2nd generation cephalosporins, e.g., cefuroxime;
macrolides, tetracyclines and trimethoprim/sulfamethoxazole.
As with other drugs in this class, some strains of Pseudomonas aeruginosa may develop resistance fairly
rapidly during treatment with Levofloxacin.
Other Microorganisms
Levofloxacin has been shown to be active against Bacillus anthracis both in vitro and by use of plasma levels
as a surrogate marker in a rhesus monkey model for anthrax (post-exposure).
Viridans group streptococci
Acinetobacter baumannii, Acinetobacter lwoffii, Bordetella pertussis, Citrobacter koseri, Citrobacter freundii
Pantoea agglomerans, Proteus vulgaris, Providencia rettgeri, Providencia stuartii, Pseudomonas fluorescens
Clostridium perfringens, Susceptibility Tests, Susceptibility testing for Levofloxacin should be performed, as it is
the optimal predictor of activity.
Dilution techniques:
Quantitative methods are used to determine antimicrobial minimal inhibitory concentrations (MIC values).
These MIC values provide estimates of the susceptibility of bacteria to antimicrobial compounds. The MIC
values should be determined using a standardized procedure. Standardized procedures are based on a
dilution method1 (broth or agar) or equivalent with standardized inoculum concentrations and standardized
concentrations of Levofloxacin powder. The MIC values should be interpreted according to the criteria
outlined in Table 9.
Diffusion techniques:
Quantitative methods that require measurement of zone diameters also provide reproducible estimates of the
susceptibility of bacteria to antimicrobial compounds. One such standardized procedure2 requires the use of
standardized inoculum concentrations. This procedure uses paper disks impregnated with 5 mcg Levofloxacin
to test the susceptibility of microorganisms to Levofloxacin.
Reports from the laboratory providing results of the standard single-disk susceptibility test with a 5 mcg
Levofloxacin disk should be interpreted according to the criteria outlined in Table 9. Interpretation involves
correlation of the diameter obtained in the disk test with the MIC for Levofloxacin.
Enterobacteriaceae ≤2 4 ≥8 ≥ 17 14–16 ≤ 13
Enterococcus faecalis ≤2 4 ≥8 ≥ 17 14–16 ≤ 13
Methicillin-susceptible ≤2 4 ≥8 ≥ 17 14–16 ≤ 13
Staphylococcus specie
s
Pseudomonas ≤2 4 ≥8 ≥ 17 14–16 ≤ 13
aeruginosa
Haemophilus ≤ _b _b ≥ 17c _b _b
influenzae 2a
Haemophilus ≤ _b _b ≥ 17c _b _b
parainfluenzae 2a
Streptococcus ≤ 4d ≥ 8d ≥ 17e 14–16e ≤ 13e
pneumoniae 2d
Streptococcus ≤2 4 ≥8 ≥ 17 14–16 ≤ 13
pyogenes
a These interpretive standards are applicable only to broth microdilution susceptibility testing
with Haemophilus influenzae and Haemophilus parainfluenzae using Haemophilus Test Medium.1
b The current absence of data on resistant strains precludes defining any categories other than
“Susceptible”. Strains yielding MIC /zone diameter results suggestive of a “nonsusceptible” category should be
submitted to a reference laboratory for further testing.
c These interpretive standards are applicable only to disk diffusion susceptibility testing with Haemophilus
influenzae and Haemophilus parainfluenzae using Haemophilus Test Medium.2
d These interpretive standards are applicable only to broth microdilution susceptibility tests using cation-
adjusted Mueller-Hinton broth with 2–5% lysed horse blood.
e These zone diameter standards for Streptococcus spp. including S. pneumoniae apply only to tests
performed using Mueller-Hinton agar supplemented with 5% sheep blood and incubated in 5% CO2.
A report of Susceptible indicates that the pathogen is likely to be inhibited if the antimicrobial compound in
the blood reaches the concentrations usually achievable. A report of Intermediateindicates that the result
should be considered equivocal, and, if the microorganism is not fully susceptible to alternative, clinically
feasible drugs, the test should be repeated. This category implies possible clinical applicability in body sites
where the drug is physiologically concentrated or in situations where a high dosage of drug can be used. This
category also provides a buffer zone which prevents small uncontrolled technical factors from causing major
discrepancies in interpretation. A report of Resistant indicates that the pathogen is not likely to be inhibited if
the antimicrobial compound in the blood reaches the concentrations usually achievable; other therapy should
be selected.
Quality Control:
Standardized susceptibility test procedures require the use of laboratory control microorganisms to control the
technical aspects of the laboratory procedures. For dilution technique, standard Levofloxacin powder should
give the MIC values provided in Table 10. For diffusion technique, the 5 mcg Levofloxacin disk should provide
zone diameters provided in Table 10.
a This quality control range is applicable to only H. influenzae ATCC 49247 tested by a broth microdilution
procedure using Haemophilus Test Medium (HTM).1
b This quality control range is applicable to only H. influenzae ATCC 49247 tested by a disk diffusion
procedure using Haemophilus Test Medium (HTM).2
c This quality control range is applicable to only S. pneumoniae ATCC 49619 tested by a broth
microdilution procedure using cation-adjusted Mueller-Hinton broth with 2–5% lysed horse blood.
d This quality control range is applicable to only S. pneumoniae ATCC 49619 tested by a disk diffusion
procedure using Mueller-Hinton agar supplemented with 5% sheep blood and incubated in 5% CO2.
* Careful maintenance of this organism is required as the strain may lose its plasmid.
Pharmacodynamic Properties:
Pharmacotherapeutic group: Antiifectives for systemic use – Antibacterials for systemic use – Quinolone
antibasterials – Fluoroquinolones
ATC code: J01MA12
Levofloxacin is a synthetic antibacterial agent of the fluoroquinolone class and is the S (-) enantiomer of the
racemic drug substance ofloxacin.
Mechanism of action
As a fluoroquinolone antibacterial agent, levofloxacin acts on the DNA-DNA-gyrase complex and
topoisomerase IV.
PK/PD relationship
The degree of the bactericidal activity of levofloxacin depends on the ratio of the maximum concentration in
serum (Cmax) or the area under the curve (AUC) and the minimal inhibitory concentration (MIC).
Mechanism(s) of resisance
Resistance to levofloxacin is acquired through a stepwise process by target site mutations in both type II
topoisomerases, DNA gyrase and topoisomerase IV. Other resistance mechanisms such as permeation
barriers (common in Pseudomonas aeruginosa) and efflux mechanisms may also affect susceptibility to
levofloxacin.
Cross-resistance between levofloxacin and other fluoroquinolones is observed. Due to the mechanism of
action, there is generally no cross-resistance between levofloxacin and other classes of antibacterial agents.
Breakpoints
The EUCAST recommended MIC breakpoints for levofloxacin, separating susceptible from intermediately
susceptible organisms and intermediately susceptible from resistant organisms are presented in the below
table for MIC testing (mg/L).
Chlamydia trachomatis
Legionella pneumophila
Mycoplasma pneumoniae
Mycoplasma hominis
Ureaplasma urealyticum
Species for which acquired resistance may be a problem
Aerobic Gram-positive bacteria
Enterococcus faecalis
Staphylococcus aureus methicillin-resistant#
Coagulase negative Staphylococcus spp
Aerobic Gram- negative bacteria
Acinetobacter baumannii
Citrobacter freundii
Enterobacter aerogenes
Enterobacter cloacae
Escherichia coli
Klebsiella pneumoniae
Morganella morganii
Proteus mirabilis
Providencia stuartii
Pseudomonas aeruginosa
Serratia marcescens
Anaerobic bacteria
Bacteroides fragilis
Inherently resistant Strains
Aerobic Gram-positive bacteria
Enterococcus faecium
# Methicillin-resistant S. aureus are very likely to possess co-resistance to fluoroquinolones, including
levofloxacin.
Pharmacokinetic Properties:
The mean ± SD pharmacokinetic parameters of Levofloxacin determined under single and steady-state
conditions following oral tablet, oral solution, or intravenous (IV) doses of Levofloxacin are summarized
in Table 8.
500 mg oral solution12 5.8 ± 1.8 0.8 ± 47.8 ± 10.8 183 ± 40 112 ± 7.0 ± ND
0.7 37.2 1.4
500 mg IV3 6.2 ± 1.0 1.0 ± 48.3 ± 5.4 175 ± 20 90 ± 11 6.4 ± 112 ± 25
0.1 0.7
750 mg oral tablet5* 9.3 ± 1.6 1.6 ± 101 ± 20 129 ± 24 83 ± 17 7.5 ± ND
0.8 0.9
750 mg IV5 11.5 ± ND 110 ± 40 126 ± 39 75 ± 13 7.5 ± ND
4.04 1.6
Multiple dose
500 mg every 24h oral 5.7 ± 1.4 1.1 ± 47.5 ± 6.7 175 ± 25 102 ± 22 7.6 ± 116 ± 31
tablet3 0.4 1.6
500 mg every 24h IV3 6.4 ± 0.8 ND 54.6 ± 11.1 158 ± 29 91 ± 12 7.0 ± 99 ± 28
0.8
500 mg or 250 mg every 8.7± 4.07 ND 72.5 ± 51.27 154 ± 72 111 ± 58 ND ND
24h IV, patients with
bacterial infection6
750 mg every 24h oral 8.6 ± 1.9 1.4 ± 90.7 ± 17.6 143 ± 29 100 ± 16 8.8 ± 116 ± 28
tablet5 0.5 1.5
750 mg every 24h IV5 12.1 ± ND 108 ± 34 126 ± 37 80 ± 27 7.9 ± ND
4.14 1.9
500 mg oral tablet single dose, effects of gender and age:
Male8 5.5 ± 1.1 1.2 ± 54.4 ± 18.9 166 ± 44 89 ± 13 7.5 ± 126 ± 38
0.4 2.1
Female9 7.0 ± 1.6 1.7 ± 67.7 ± 24.2 136 ± 44 62 ± 16 6.1 ± 106 ± 40
0.5 0.8
Young10 5.5 ± 1.0 1.5 ± 47.5 ± 9.8 182 ± 35 83 ± 18 6.0 ± 140 ± 33
0.6 0.9
Elderly11 7.0 ± 1.6 1.4 ± 74.7 ± 23.3 121 ± 33 67 ± 19 7.6 ± 91 ± 29
0.5 2.0
500 mg oral single dose tablet, patients with renal insufficiency:
CLCR 50–80 mL/min 7.5 ± 1.8 1.5 ± 95.6 ± 11.8 88 ± 10 ND 9.1 ± 57 ± 8
0.5 0.9
CLCR 20–49 mL/min 7.1 ± 3.1 2.1 ± 182.1 ± 51 ± 19 ND 27 ± 10 26 ± 13
1.3 62.6
CLCR < 20 mL/min 8.2 ± 2.6 1.1 ± 263.5 ± 33 ± 8 ND 35 ± 5 13 ± 3
1.0 72.5
Hemodialysis 5.7 ± 1.0 2.8 ± ND ND ND 76 ± 42 ND
2.2
CAPD 6.9 ± 2.3 1.4 ± ND ND ND 51 ± 24 ND
1.1
1 clearance/bioavailability
4 60 min infusion for 250 mg and 500 mg doses, 90 min infusion for 750 mg dose
6 500 mg every 48h for patients with moderate renal impairment (CLCR 20–50 mL/min) and infections of
the respiratory tract or skin
7 dose-normalized values (to 500 mg dose), estimated by population pharmacokinetic modeling
10 young healthy male and female subjects 18–36 years of age
11 healthy elderly male and female subjects 66–80 years of age
* Absolute bioavailability; F = 0.99 ± 0.08 from a 500 mg tablet and F = 0.99 ± 0.06 from a 750 mg
tablet;
ND = not determined.
Absorption
Following a single intravenous dose of Levofloxacin to healthy volunteers, the mean ± SD peak plasma
concentration attained was 6.2 ±1.0 mcg/mL after a 500 mg dose infused over 60 minutes and 11.5 ± 4.0
mcg/mL after a 750 mg dose infused over 90 minutes.
Levofloxacin pharmacokinetics are linear and predictable after single and multiple oral or IV dosing regimens.
Steady-state conditions are reached within 48 hours following a 500 mg or 750 mg once-daily dosage
regimen. The mean ± SD peak and trough plasma concentrations attained following multiple once-daily oral
dosage regimens were approximately 5.7 ± 1.4 and 0.5 ±0.2 mcg/mL after the 500 mg doses, and 8.6 ± 1.9
and 1.1 ± 0.4 mcg/mL after the 750 mg doses, respectively. The mean ± SD peak and trough plasma
concentrations attained following multiple once-daily IV regimens were approximately 6.4 ± 0.8 and 0.6 ± 0.2
mcg/mL after the 500 mg doses, and 12.1 ± 4.1 and 1.3 ± 0.71 mcg/mL after the 750 mg doses,
respectively.
The plasma concentration profile of Levofloxacin after IV administration is similar and comparable in extent of
exposure (AUC) to that observed for Levofloxacin tablets when equal doses (mg/mg) are administered.
Therefore, the oral and IV routes of administration can be considered interchangeable
Distribution
The mean volume of distribution of Levofloxacin generally ranges from 74 to 112 L after single and multiple
500 mg or 750 mg doses, indicating widespread distribution into body tissues. Levofloxacin reaches its peak
levels in skin tissues and in blister fluid of healthy subjects at approximately 3 hours after dosing. The skin
tissue biopsy to plasma AUC ratio is approximately 2 and the blister fluid to plasma AUC ratio is approximately
1 following multiple once-daily oral administration of 750 mg and 500 mg doses of Levofloxacin, respectively,
to healthy subjects. Levofloxacin also penetrates well into lung tissues. Lung tissue concentrations were
generally 2- to 5-fold higher than plasma concentrations and ranged from approximately 2.4 to 11.3 mcg/g
over a 24-hour period after a single 500 mg oral dose.
Metabolism
Levofloxacin is stereochemically stable in plasma and urine and does not invert metabolically to its
enantiomer, D-ofloxacin. Levofloxacin undergoes limited metabolism in humans and is primarily excreted as
unchanged drug in the urine. Following oral administration, approximately 87% of an administered dose was
recovered as unchanged drug in urine within 48 hours, whereas less than 4% of the dose was recovered in
feces in 72 hours. Less than 5% of an administered dose was recovered in the urine as the desmethyl and N-
oxide metabolites, the only metabolites identified in humans. These metabolites have little relevant
pharmacological activity.
Excretion
Levofloxacin is excreted largely as unchanged drug in the urine. The mean terminal plasma elimination half-
life of Levofloxacin ranges from approximately 6 to 8 hours following single or multiple doses of Levofloxacin
given orally or intravenously. The mean apparent total body clearance and renal clearance range from
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approximately 144 to 226 mL/min and 96 to 142 mL/min, respectively. Renal clearance in excess of the
glomerular filtration rate suggests that tubular secretion of Levofloxacin occurs in addition to its glomerular
filtration. Concomitant administration of either cimetidine or probenecid results in approximately 24% and
35% reduction in the Levofloxacin renal clearance, respectively, indicating that secretion of Levofloxacin
occurs in the renal proximal tubule.
No Levofloxacin crystals were found in any of the urine samples freshly collected from subjects receiving
Levofloxacin.
Geriatric
There are no significant differences in Levofloxacin pharmacokinetics between young and elderly subjects
when the subjects’ differences in creatinine clearance are taken into consideration. Following a 500 mg oral
dose of Levofloxacin to healthy elderly subjects (66 – 80 years of age), the mean terminal plasma elimination
half-life of Levofloxacin was about 7.6 hours, as compared to approximately 6 hours in younger adults. The
difference was attributable to the variation in renal function status of the subjects and was not believed to be
clinically significant. Drug absorption appears to be unaffected by age. Levofloxacin dose adjustment based
on age alone is not necessary.
Pediatrics
The pharmacokinetics of Levofloxacin following a single 7 mg/kg intravenous dose were investigated in
pediatric patients ranging in age from 6 months to 16 years. Pediatric patients cleared Levofloxacin faster
than adult patients, resulting in lower plasma exposures than adults for a given mg/kg dose. Subsequent
pharmacokinetic analyses predicted that a dosage regimen of 8 mg/kg every 12 hours (not to exceed 250 mg
per dose) for pediatric patients 6 months to 17 years of age would achieve comparable steady state plasma
exposures (AUC0-24 and Cmax) to those observed in adult patients administered 500 mg of Levofloxacin once
every 24 hours.
Gender
There are no significant differences in Levofloxacin pharmacokinetics between male and female subjects when
subjects’ differences in creatinine clearance are taken into consideration. Following a 500 mg oral dose of
Levofloxacin to healthy male subjects, the mean terminal plasma elimination half-life of Levofloxacin was
about 7.5 hours, as compared to approximately 6.1 hours in female subjects. This difference was attributable
to the variation in renal function status of the male and female subjects and was not believed to be clinically
significant. Drug absorption appears to be unaffected by the gender of the subjects. Dose adjustment based
on gender alone is not necessary.
Race
The effect of race on Levofloxacin pharmacokinetics was examined through a covariate analysis performed on
data from 72 subjects: 48 white and 24 non-white. The apparent total body clearance and apparent volume
of distribution were not affected by the race of the subjects.
Renal Impairment:
Clearance of Levofloxacin is substantially reduced and plasma elimination half-life is substantially prolonged in
adult patients with impaired renal function (creatinine clearance < 50 mL/min), requiring dosage adjustment
in such patients to avoid accumulation. Neither hemodialysis nor continuous ambulatory peritoneal dialysis
(CAPD) is effective in removal of Levofloxacin from the body, indicating that supplemental doses of
Levofloxacin are not required following hemodialysis or CAPD.
Hepatic Impairment
Pharmacokinetic studies in hepatically impaired patients have not been conducted. Due to the limited extent
of Levofloxacin metabolism, the pharmacokinetics of Levofloxacin are not expected to be affected by hepatic
impairment.
Bacterial Infection:
The pharmacokinetics of Levofloxacin in patients with serious community-acquired bacterial infections are
comparable to those observed in healthy subjects.
TOXICOLOGY:
Nonclinical Toxicology
Carcinogenesis, Mutagenesis, Impairment of Fertility
In a lifetime bioassay in rats, levofloxacin exhibited no carcinogenic potential following daily dietary
administration for 2 years; the highest dose (100 mg/kg/day) was 1.4 times the highest recommended
human dose (750 mg) based upon relative body surface area.
Levofloxacin did not shorten the time to tumor development of UV-induced skin tumors in hairless albino
(Skh-1) mice at any levofloxacin dose level and was therefore not photo-carcinogenic under conditions of
this study. Dermal levofloxacin concentrations in the hairless mice ranged from 25 to 42 mcg/g at the
highest levofloxacin dose level (300 mg/kg/day) used in the photo-carcinogenicity study. By comparison,
dermal levofloxacin concentrations in human subjects receiving 750 mg of LEVAQUIN® averaged
approximately 11.8 mcg/g at Cmax.
Levofloxacin was not mutagenic in the following assays: Ames bacterial mutation assay (S. typhimurium
and E. coli), CHO/HGPRT forward mutation assay, mouse micronucleus test, mouse dominant lethal test, rat
unscheduled DNA synthesis assay, and the mouse sister chromatid exchange assay. It was positive in the in
vitro chromosomal aberration (CHL cell line) and sister chromatid exchange (CHL/IU cell line) assays.
Levofloxacin caused no impairment of fertility or reproductive performance in rats at oral doses as high as
360 mg/kg/day, corresponding to 4.2 times the highest recommended human dose based upon relative
body surface area and intravenous doses as high as 100 mg/kg/day, corresponding to 1.2 times the highest
recommended human dose based upon relative body surface area.
Nursing Mothers
Based on data on other fluoroquinolones and very limited data on LEVOFLOXACIN, it can be presumed that
levofloxacin will be excreted in human milk.
Because of the potential for serious adverse reactions from LEVOFLOXACIN in nursing infants, a decision
should be made whether to discontinue nursing or to discontinue the drug, taking into account the
importance of the drug to the mother.
Pediatric Use
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Quinolones, including levofloxacin, cause arthropathy and osteochondrosis in juvenile animals of several
species.
Pharmacokinetics following intravenous administration
The pharmacokinetics of levofloxacin following a single intravenous dose were investigated in pediatric
patients ranging in age from six months to 16 years. Pediatric patients cleared levofloxacin faster than adult
patients resulting in lower plasma exposures than adults for a given mg/kg dose.
Plague
Levofloxacin is indicated in pediatric patients, 6 months of age and older, for treatment of plague, including
pneumonic and septicemic plague due to Yersinia pestis (Y. pestis) and prophylaxis for plague.
Efficacy studies of LEVOFLOXACIN could not be conducted in humans with pneumonic plague for ethical and
feasibility reasons.
Non-clinical data reveal no special hazard for humans based on conventional studies of single dose toxicity,
repeated dose toxicity, carcinogenic potential and toxicity to reproduction and development.
Levofloxacin caused no impairment of fertility or reproductive performance in rats and its only effect on
fetuses was delayed maturation as a result of maternal toxicity.
Levofloxacin did not induce gene mutations in bacterial or mammalian cells but did induce chromosome
aberrations in Chinese hamster lung cells in vitro.
These effects can be attributed to inhibition of topoisomerase II. In vivo tests (micronucleus, sister chromatid
exchange, unscheduled DNA synthesis, dominant lethal tests) did not show any genotoxic potential.
Studies in the mouse showed levofloxacin to have phototoxic activity only at very high doses.
Levofloxacin did not show any genotoxic potential in a photomutagenicity assay, and it reduced tumour
development in a photocarcinogenity study.
In common with other fluoroquinolones, levofloxacin showed effects on cartilage (blistering and cavities) in rats
and dogs. These findings were more marked in young animals.
Levofloxacin did not induce gene mutations in bacterial or mammalian cells but did induce chromosome
aberrations in Chinese hamster lung cells in vitro.
These effects can be attributed to inhibition of topoisomerase II. In vivo tests (micronucleus, sister chromatid
exchange, unscheduled DNA synthesis, dominant lethal tests) did not show any genotoxic potential.
Studies in the mouse showed levofloxacin to have phototoxic activity only at very high doses.
Levofloxacin did not show any genotoxic potential in a photomutagenicity assay, and it reduced tumour
development in a photocarcinogenity study.
In common with other fluoroquinolones, levofloxacin showed effects on cartilage (blistering and cavities) in
rats and dogs. These findings were more marked in young animals.