Emerging and Established Methods for Cefepime Quantification:
A Detailed Review
Diptimayee Jena, Apurba Poria, Adityanarayan Das, Debashis Mishra, Kirtimaya Mishra*
School of Pharmacy and Life Sciences, Centurion University of Technology and Management, Odisha, India.
*Corresponding Author E-mail: kirtimishra.pharma@gmail.com
ABSTRACT:
Cefepime (CFP, 4th generation cephalosporin) is a commonly used antibiotic that treats serious infections from bacteria. Accurate and reproducible measurements of cefepime is vital for quality control, pharmacokinetic studies and therapeutic drug monitoring. This article discusses established methods and new emerging analytical techniques (such as chromatography, spectrophotometry, electrochemical analysis, and advanced methods such as hyphenated and sensor-based analyses) for quantitative analysis of cephalosporins, with respect to their sensitivity, reliability, affordability and general applicability. Researchers are now employing Quality by Design (QbD) and Design of Experiments (DoEs) approaches in order to assist in the development and validation of analytical procedures. The article will provide a brief reference guide to help analysts decide upon which analytical techniques deserve validation. It will highlight the promising nature of new technologies (e.g., nanotechnology-based sensors and environmentally friendly techniques) in enhancing detection capability, while also addressing environmental and sustainability impacts. It will also point out limitations of established methodologies and future directions of research for innovative analytical tools. Overall, this effort will assist researchers and practitioners in identifying successful methodologies for quantifying cefepime, thereby facilitating advancements in the analysis of antibiotics.
KEYWORDS: Fourth Generation Cephalosporine, Quality by Design, Environmentally, Sustainability Impacts, Pharmacokinetic Studies, Spectrophotometry, Electrochemical Methods.
INTRODUCTION:
The fourth-generation cephalosporin antibiotic CFP is well-known for its broad-spectrum ability to combat both +VE Gram and -VE Gram bacteria, consist some Enterobacteriaceae and resistant strains of Pseudomonas aeruginosa. It functions by attaching to proteins that bind penicillin, which prevents the formation of bacterial cell walls and eventually causes cell lysis and death1. While CFP is ineffective against extended-spectrum beta-lactamase (ESBL) producers, it is well-known for its stability against a variety of beta-lactamases. Serious infections such as pneumonia, infections in the urinary tract, febrile neutropenia, infections in the skin, and infections in intra-abdominal area are treated with it in clinical settings, frequently for patients who are hospitalized. CFP, whether given intravenously or intramuscularly, has to be dose-adjusted for people with poor kidney function2,3. Despite being typically well tolerated, it can have negative side effects, especially in individuals with renal insufficiency, including rash, diarrhea, and in rare instances, neurotoxicity, including encephalopathy and convulsions in Table 1. It is recommended that those with prior neurological disorders or those who are old be closely monitored4-6.
Table 1: Provides information about nucleoside analogues.
|
Drug |
Structure |
IUPAC Name |
Molecular weight |
Solubility |
|
Abacavir |
|
{(1S,4R)-4-[2-Amino-6-(cyclopropylamino)-9H-purin-9-yl]-2-cyclopenten-1-yl} methanol |
322.79 g/mol |
Easily dissolved in methanol, ethanol, and water |
|
Adefovir dipivoxil |
|
2-(6-aminopurin-9-yl) ethoxymethylphosphonic acid |
273.19 g/mol |
Soluble in ethanol, methanol, water |
|
Cidofovir anhydrous drug |
|
[(2S)-1-(4-amino-2-oxopyrimidin-1-yl)-3-hydroxypropan -2 - yl] oxymethylphosphonic-acid |
279.19 g/mol |
Soluble in organic solvents such as ethanol, DMSO |
|
AVR (Zovirax) |
|
2-amino-9-(2- hydroxyethoxymethyl)-1H- purin-6-one |
225.21 g/mol |
Easily dissolved in ethanol and DSMO, minimally soluble in water |
|
Entecavir (Baraclude) |
|
2-amino-9-[(1S,3R,4S)-4- hydroxy-3-(hydroxy-methyl)-2- methylidene-cyclopentyl]-1H- purin-6-one |
277.279g/mol |
Easily dissolved in organic solvents like ethanol, DMSO, DMF and slightly soluble in water |
|
Famciclovir (Famvir) |
|
[2-(acetyloxy-methyl)-4-(2-amino-purin-9-yl)-butyl] acetate |
321.332g/mol |
Barely soluble in ethanol and isopropanol and freely soluble in acetone and methanol |
|
Tenofovir anhydrous |
|
[(2R)-1-(6-amino-purin-9-yl)-propan-2-yl]-oxymethyl-phosphonic acid |
287.213g/ mol |
Soluble in DMSO, methanol, water and ethanol |
|
Remdesivir (Veklury) |
|
2-ethyl-butyl-(2S)-2-[[[(2R,3S,4R,5R)-5-(4-amino-pyrrole-[2,1-f][1,2,4]-triazin-7-yl)-5-cyano-3,4-dihydroxy-oxolan-2-yl]-methoxy-phenoxy-phosphoryl]-amino]-propanoate |
602.585g/mol |
Easily dissolved in organic solvents like ethanol, DMSO, DMF and lightly soluble in water |
|
Sofosbuvir (Sovaldi) |
|
(S)-Isopropyl 2-((S)-(((2R,3R,4R,5R)-5-(2,4-dioxo-3,4-dihydropyrimidin-1(2H)-yl)-4-fluoro-3-hydroxy-4-methyltetrahydrofuran-2-yl) methoxy)-(phenoxy) phosphorylamino) propanoate |
529.453g/mol |
It is insoluble in heptane, soluble in 2-propanol, easily dissolve in ethanol and acetone, and slightly dissolved in water. |
Cefipime:
Among the advanced β-lactam antibiotics, CFP is briefly discussed in this dissertation. CFP, or one -{[(6R,7R) – 7 - [ (2Z) – 2 -(methoxyimino) acetamide-2-(2-amino -1,3 – thiazol – 4 - yl) [4.2.0] oct-2-en-3-yl]-2-carboxylato-8-oxo-5-thia-1-azabicyclo methyl-1-methylpyrrolidin-1-ium is an antibiotic belonging to the fourth family of cephalosporins (Fig. 1). Both Gram-positive and Gram-negative microorganisms, including those resistant to previous cephalosporins, are susceptible to its broad-spectrum antibacterial action. By attaching itself to penicillin-binding proteins (PBPs), CFP prevents the formation of bacterial cell walls, which results in cell lysis and death. It is appropriate for treating severe infections such pneumonia, urinary tract infections, and febrile neutropenia because it is especially efficient against Pseudomonas aeruginosa and stable against a variety of beta-lactamases. A selection of the most pertinent approaches was assembled in order to give a thorough overview of the bioanalytical use of liquid analytical chromatographic techniques coupled with mass spectrometry techniques (LCandMS).
Fig 1. Chemical Structure of Cefepime
Following a brief introduction to CFP and its therapeutic uses, this review provides a practical and regulatory overview of LC-MS and LC-MS/MS methods. For pharmacokinetic and pharmacodynamic research, sample extraction and plasma analysis are given particular attention because to the growing demand for accurate treatment monitoring7.
Importance of Analytical Estimation:
Analytical method development and validation (AMDV) are found critical processes in pharmaceutical industry and other scientific fields, ensuring that analytical techniques are found to be robust, reliable, and suitable for their intended purposes. This discussion highlights the importance of AMDV, its key components, and its implications for drug development and quality assurance8 - 10.
Importance of Analytical Method Development
· Establishing Methodology
Analytical method development involves creating and refining techniques to accurately measure and analyze the components of a product. The purpose of developing new measurement techniques and improving previously established methods is to confirm that the measurement techniques chosen for given substance characteristics (e.g., identity, purity, strength, and stability) provide appropriate data for the analysis of the substances involved11, 12.
· Regulatory Compliance
Validation of measurement techniques is not only considered a "good practice", but also a regulatory requirement. Regulatory agencies around the world require scientists to validate the analytical methods used in clinical trials, or when an analytical method will be used in the marketing authorization process, to validate that the analytical method is providing accurate, specific, precise, and robust measurements of the substance. The information is critical for obtaining drug approval as well as ensuring that the drug will be safe and effective for patient use13.
· Quality Assurance
Analytical method reliability is a direct contributor to product quality. When an analytical method is validated, the analytical method is established as producing reproducible data that meet predetermined criteria, which is critical for establishing quality assurance and control throughout the drug development process, including the evaluation of active pharmaceutical ingredients (APIs), excipients, and degradation products for safety and efficacy14,15.
Key Components of Analytical Method Validation:
Importance of validating analytical methods, one must consider other important criteria:
· Accuracy: Refers to how close the calculated amount is to the actual amount found.
· Precision: It is defined as the extent of variability between repeat measurements made under identical conditions.
· LOD and LOQ: These are used when establishing the lowest concentration of analyte that can be detected or quantified accurately.
· System suitability testing: Verifies that the analytical instrument is operating properly before any testing or analysis takes place.
· Specificity: It relates to the method's ability to measure an analyte in the presence of other components.
· Robustness: It refers to the ability of a method to provide consistently acceptable results when subjected to small variations in conditions.
Steps in Method Development and Validation:
· Evaluating Current Techniques: Assess whether existing techniques are satisfactory or require development of new techniques.
· Performing Experiments: Carry out experiments to measure the effectiveness of newer or improved methods using established benchmarks.
· Utilizing Theoretical Frameworks: Use a theoretical framework to project anticipated results and analyze obtained data.
· Implementation in Real Life: Apply the techniques to actual samples to confirm their successful application.
Role in Pharmaceutical Industry:
To ensure that drugs have good quality, safety and are effective, the pharmaceutical sector relies on the creation and validation of sophisticated analytical techniques. These techniques are essential for drug development lifecycle actions from initial research through clinical trials and manufacture16. Below is a synopsis of the importance of these techniques as well as process and regulatory issues concerning their use16.
Regulatory Guidelines:
The validation of analytical methods and development is associated with guidelines established by various regulatory bodies.
These include:
· ICH Q2(R1): Provides guidelines for the validation of analytical procedures.
· FDA Guideline for Industry: Outlines expectations for Validation of analytical techniques and processes for pharmaceuticals and biologics.
These guidelines help standardize the validation process across the industry, ensuring that all pharmaceutical products meet safety and efficacy standards.
Analytical Techniques for Estimation:
Pharmaceutical Analysis Techniques in figure 2:
|
Chromatography This method separates components in a moisture for analysis. It is widely used in pharmaceutical laboratories to identify and quantify drugs in formulations.
|
|
Spectroscopy The molecules arrangement of components is examined implementing methods like NMR and UV- visible spectroscopy , which provides information regarding their concentration and structure .
|
|
Electrophoresis Upon presence of an electric field this method is implemented is used to separates charged particles in a fluid. It is frequently implemented to analyse biomolecules alike nucleic acids and protein.
|
|
Titrimetric methods These involve chemical reactions to determine the concentration of an analyte in a solution. They are often used for routine control in pharmaceuticals.
|
|
Electrochemical methods These technique measure the electrical propertied of a solution to determine the concentration of specific ions or compounds, useful in various analytical applications
|
Fig 2. Different techniques for Analysis
The choice of analytical technique for estimation depends on the specific requirements of the project or analysis being conducted. Every approach has advantages and disadvantages, and frequently a mix of both of techniques is employed to achieve the most accurate and reliable results17, 18. Understanding these techniques is crucial for effective project management, data analysis, and pharmaceutical research In Table 2 and 3.
Chromatographic Techniques
Table 2. Analysis between acyclovir and different drugs in different column with mobile phase
|
Sl. No |
Stationay Phase (Column) |
Mobile Phase (with ratio) |
pH |
Wavelength |
Flowrate |
Reference |
|
|
ACYCLOVIR with CURCUMIN |
|||||||
|
1 |
C18 (250x4.6mm,5µm) |
Mixture of acetonitrile,0.1%phosphoric acid, and methanol in the proportion of 50:40:10%v/v/v |
- |
254nm |
0.8ml/min |
19 |
|
|
ACYCLOVIR with HYDROCORTISONE |
|||||||
|
2 |
C18 (25x4.6 mm,5µm) |
Mixture of Methanol: H2O in the proportion of 80:20%v/v |
3 |
254nm |
1ml/min |
20 |
|
|
ACYCLOVIR with LIDOCAINE |
|||||||
|
3 |
C18 (250x4.6 mm,5µm) |
Mixture of (20mM ammonium acetate in H2O and acetonitrile, in the proportion of 95:5%v/v/v |
3.5 |
254nm |
1ml/min |
21 |
|
|
ACYCLOVIR SINGLE FORMULATION |
|||||||
|
4 |
C18 (250x4.6 mm,5µm) |
Mixture of glacial acetic acid: acetonitrile Buffer in the proportion of 95:05% v/v |
3.8 |
253nm |
1ml/min |
22 |
|
|
5 |
C18 (150x4.6 mm,5µm) |
Mixture of H2O and acetonitrile, in the proportion of 95:05%v/v |
- |
254nm |
0.8 ml/min |
23 |
|
|
6 |
C-18, 250mm x 4.6mm,5µ |
Acetonitrile and pH-adjusted H2O in the proportion of 20:80%v/v |
6.74 |
254nm |
0.5 ml/min |
24 |
|
|
7 |
C18 (150x4.6 mm,3µm) |
Mixture of H2O and acetonitrile in the proportion of 05:95%v/v |
- |
253nm |
1ml/min |
25 |
|
|
8 |
C18 (75x4.6 mm,3.5µm) |
Mixture of H2O and in the proportion of 95:05%v/v |
- |
254nm |
1.9 ml/min |
26 |
|
|
9 |
C18 (150x3.9 mm,4µm) |
Mixture of H2O and acetonitrile in the proportion of 78:22%v/v |
- |
254nm |
0.8 ml/min |
27 |
|
|
10 |
C8 (4.6x1.5 mm,5µm) |
Mixture of Acetonitrile and in the proportion of 70:30%v/v |
3 |
254nm |
0.5 ml/min |
28 |
|
|
11 |
C18 (150x4.6 mm, 5µm) |
Mixture of Acetonitrile: Methanol: Phosphate buffer: Acetonitrile in the proportion of 16:20:64%v/v./v |
6 |
290nm |
1ml/min |
29 |
|
|
12 |
C18 (150x4.6 mm,5µm) |
Mixture of phosphate buffer and Methanol in the proportion of 95:05%v/v |
2.5 |
254nm |
1ml/min |
30 |
|
|
13 |
C18 (250x4.6 mm5µm) |
Mixture of 5 mM ammonium acetate and Acetonitrile, in the proportion of 40:60%v/v |
4 |
290nm |
1ml/min |
31 |
|
|
14 |
C18 (250x4.6 mm,5µm) |
Mixture of HPLC-grade H2O and Methanol in the proportion of 50:50%v/v |
- |
250nm |
1ml/min |
32 |
|
Spectroscopic Techniques:
Table 3. Determination of stability methods
|
Sl. No |
Drug |
Method |
Description |
Reference |
|
1 |
Stability-Indicating Method Development and Validation of a UV Method for the Determination of Tablets of AVR in Solid dosage Form |
Spectroscopic Method |
Detectionwavelength:252nmin0.1NSodiumHydroxide Linearity range: 5- 30 µg/ml Co-relation Coefficient: 0.999 %Recovery:99.72% %RSD: ≤2% |
33 |
|
2 |
UV Spectrophotometric Analysis and Validation of CFP in Solid Dosage Form |
Spectroscopic Method |
Detection wavelength: 263 nm in 0.2 Distilled Water Linearity range: 5- 30 µg/ml Co-relation Coefficient: 0.999 %Recoveryrange:100.1-100.5% %RSD: ≤2% |
34 |
Applications of Analytical Tools in Drug Development:
Analytical tools play a crucial role in drug development, enhancing various stages from discovery to clinical trials. This overview highlights key applications of analytical methods and technologies in the pharmaceutical industry35.
Applications of Analytical Tools in Drug Development
A. ML; Machine Learning and AI; Artificial Intelligence:
The implementation of artificial intelligence; AI and machine learning; ML algorithms in drug discovery and development procedures are expanding36.
B. Analytical Method Development:
Analytical methods are vital for ensuring drug quality and safety.
C. Process Analytical Technology (PAT):
PAT is a methodology that enhances the quality and efficiency of pharmaceutical manufacturing.
D. Data Analytics:
Pharmaceutical companies leverage data analytics to inform various aspects of drug development.
E. Quality Control and Compliance:
Ensuring compliance with stringent regulatory standards is paramount in drug development.
Formulation Development:
Importance of Analytical Method Validation in Formulation Development
· Ensuring Drug Quality: The initial goal of any development program of pharmaceutical industries is to produce high-quality outcomes. Analytical method validation helps in understanding the composition of chemical compounds, which is crucial for the development of new drugs37,38. This process allows for the identification of critical attributes that affect the drug's efficacy and safety.
· Regulatory Compliance: Regulatory authorities, such as the FDA and EMA, require that analytical methods be validated before they can be used in clinical trials or marketed. A poorly documented chemistry, manufacturing and controls (CMC) section can hinder of approval process in the clinical trials39- 41. Thus, having validated analytical methods simplifies regulatory compliance and provides clear information about the drug's quality.
· Patient Safety: Patient safety is paramount in drug development. Analytical methods ensure that only safe compounds are used in clinical trials, which is essential for protecting human subjects during early-phase studies42-44. The validation of these methods helps guarantee that the drugs administered are of the highest quality and efficacy.
Challenges and Future Perspectives:
A. Challenges:
Complexity of Drug Formulations:
Pharmaceutical formulations often consist of multiple active pharmaceutical ingredients (APIs) and excipients (inactive ingredients) and have a complex structure that adds difficulty when developing an analytical testing method. As a result of this complexity, the development of robust and sensitive analytical testing methods for measuring APIs (diarrhetic complexing factors (CFIs)) is not always guaranteed due to specificity or sensitivity issues45-47.
Regulatory Compliance:
Adhering to required regulations (e.g., FDA and ICH) is important for establishing a safe and effective analytical testing method for measuring APIs; therefore, the regulatory landscape is continuously evolving, which requires an ongoing commitment to develop and maintain compliant analytical testing methods and consumes substantial resource time to achieve compliance.
Method Transfer and Validation:
Method transfers from research and development (RandD) laboratories to quality control (QC) laboratories can contribute to variability in method performance between laboratories; therefore, it is necessary to ensure that analytical testing methods demonstrate the same level of performance regardless of the location of the analytical testing, which is often difficult to achieve and requires extensive validation, typically leading to time-consuming and costly analytical testing method validation processes48.
Technological Limitations:
Improvements in instrument capabilities (e.g., ultra-high performance liquid chromatography [UHPLC] and mass spectrometry [MS]) and enhancements to analytical testing methodology have provided laboratories with improved opportunities to perform analytical testing; however, compared with traditional analytical testing methodologies, there are still limitations regarding the sensitivity and specificity of these upgraded methodologies when validating for routine usage in complex biological matrices, and as a result, low levels of impurities and/or degradation products in pharmaceutical products may not be detected49.
Sample Preparation Challenges:
Having an effective method for preparing samples to reduce their effect on other substances while recovering your targeted substance is very important. If you don’t prepare your sample correctly, you won’t get accurate data and therefore will have to go back and change your method to get new results50,51.
B. Future Perspectives:
Integration of Advanced Technologies:
Future advancements in analytical chemistry may incorporate innovative technology such as AI and machine learning. The use of these technologies should improve the productivity of developing new analytical methods, enable faster evaluations of data and increase predictive capability of methods52.
Focus on Robustness and Flexibility:
Analytical chemists will continue to place increased emphasis on building robust methods that are capable of handling changes in sample composition and changes in the analytical environment. Analytical chemists will need to use systematic methods for assessing the robustness of their methods such as using design of experiments (DOE) to identify how the various parameters contribute to or affect the robustness of the method53,54.
Regulatory Evolution:
As regulatory agencies continue to develop more stringent guidelines, analytical chemists must continually educate themselves on and update their methods to adhere to new regulations. There will also be a focus on validating analytical methods for biopharmaceuticals because biopharmaceuticals typically have a different set of requirements than traditional small molecule drugs55, 56.
Collaboration across Disciplines:
A greater degree of communication and collaboration between analytical chemists, formulation scientists and regulatory affairs specialist will be necessary to develop more compliant and effective analytical methods that are consistent with the comprehensive strategy for drug development57-60.
Sustainability Considerations:
The future of the development of analytical methods will primarily include a focus on sustainability. This will include minimizing both waste and energy use in the analytical process. It also reflects the larger trend of environmentally responsible drug development within the greater pharmaceutical industry.
CONCLUSION:
Biological matrices and instability in the clinical formulation of pharmaceutical drugs under certain conditions make the development and validation of different analytical techniques for these drugs problematic. If promising developments continue, these processes will experience improved accuracy, efficiency and regulatory compliance. As various techniques in liquid chromatography and mass spectrometry (LCandMS) technology develop further for improved sample preparation methods, researchers, physicians and regulatory bodies will need to collaborate to overcome present-day barriers, and assure the continued accurate therapeutic monitoring and quality assurance of this very important class of drugs, namely broad-spectrum antibiotics.
ABERRATION:
CFP: Cefipime
VZV: varicella-zoster virus
HSV: herpes simplex virus
LC and MS: liquid chromatographic techniques coupled with mass spectrometry
AMDV: Analytical method development and validation
LOD: Limit of Detection
LOQ: Limit of Quantification
ML: Machine Learning
AI: Artificial Intelligence
CMC: chemistry, manufacturing, and controls
APIs: active pharmaceutical ingredients
RandD: research and development
QC: quality control
CONFLICT OF INTERESTS:
The authors admitted that there is no conflict of interest between the authors.
ACKNOWLEDGEMENT:
The authors are thankful to Centurion University of Technology and Management for providing the necessary infrastructure for the research work. We are also thankful to our society for its positive attitude.
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Received on 06.06.2025 Revised on 14.12.2025 Accepted on 08.04.2026 Published on 16.04.2026 Available online from April 18, 2026 Asian Journal of Pharmaceutical Analysis. 2026; 16(2):128-136. DOI: 10.52711/2231-5675.2026.00020 ©Asian Pharma Press All Right Reserved
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