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Estradiol Transdermal System Type of Posting Revision Bulletin Posting Date 27 Jan 2017 Official Date 01 Feb 2017 Expert Committee Chemical Medicines Monographs 5 Reason for Revision Compliance In accordance with the Rules and Procedures of the 2015-2020 Council of Experts, the Chemical Medicines Monographs 5 Expert Committee has revised the Estradiol Transdermal System monograph. The purpose for the revision is to add Drug Release Test 4 to accommodate a drug product that was approved with different drug release test conditions and acceptance criteria. The liquid chromatographic procedure used in Drug Release Test 4 is based on analyses performed with the Symmetry C18 brand of L1 column manufactured by Waters. The typical retention time for estradiol is about 4.5 minutes. The Estradiol Transdermal System Revision Bulletin supersedes the currently official monograph. The Revision Bulletin will be incorporated in the Second Supplement to USP 40 NF 35. Should you have any questions, please contact Gerald Hsu, Ph.D., Senior Scientific Liaison (240-221- 3097 or gdh@usp.org).

. Standard Revision Bulletin Official February 1, 2017 Estradiol 1 solution: 2.5 mg/ml of ethanol. Prepare by Estradiol Transdermal System pipeting 25.0 ml of the Standard stock solution into a 50-mL volumetric flask. Add 5.0 ml of the Internal standard solution, and dilute with water to volume. DEFINITION Sample solutions: Prepare as directed for the Sample Estradiol Transdermal System contains NLT 85.0% and solutions in the Assay, with the following changes. Pi- NMT 120.0% of the labeled amount of estradiol pet 25.0 ml of each solution into individual 50-mL vol- (C 18H 24O 2). umetric flasks. Add 5.0 ml of the Internal standard solution, and dilute with water to volume. IDENTIFICATION A. The retention time of the major peak of the Sample solution corresponds to that of the Standard solution, as obtained in the Assay. Mode: GC Detector: Flame ionization ASSAY Column: 2-mm 2-m glass; support S2 PROCEDURE Temperature Diluent: Acetonitrile and water (1:1) Column: 100 Mobile phase: Acetonitrile and water (55:45) Injection port: 200 Standard solution: 0.1 mg/ml of USP Estradiol RS in Detector: 200 Diluent Carrier gas: Helium Sample solutions: Equivalent to 0.1 mg/ml of es- Flow rate: 30 ml/min tradiol in Diluent, prepared as follows. Cut 10 Trans- Injection size: 2 µl dermal Systems into pieces, and keep the pieces from each system separate. Remove and discard the protec- tive liners, if present, from the strips. Transfer the [NOTE The relative retention times for the methanol pieces of each system into separate stoppered flasks of and alcohol peaks are 0.4 and 1.0, respectively.] suitable size, and add a measured volume of Diluent to Suitability requirements each flask to provide the target estradiol concentration. Relative standard deviation: NMT 1.5% from the Shake by mechanical means for about 3 h, and soni- peak response ratio of alcohol to methanol cate for 15 min. Analysis Samples: Standard solution and Sample solutions Calculate the percentage of alcohol (C 2H 5OH) in each Transdermal System taken: Detector: UV 280 nm Column: 4.6-mm 15-cm; packing L1 Result = (R U/R S) (C S/C U) 100 Column temperature: 35 Flow rate: 1 ml/min R U = peak response ratio of alcohol to methanol Injection size: 25 µl from the Sample solution R S = peak response ratio of alcohol to methanol from the Standard solution Suitability requirements C S = concentration of dehydrated alcohol in the Tailing factor: 0.9 1.6 Standard solution (mg/ml) Relative standard deviation: NMT 2.5% C U = nominal concentration of alcohol in the Analysis Sample solution (mg/ml) Samples: Standard solution and Sample solution Average the percentage of alcohol found in the Calculate the percentage of estradiol (C 18H 24O 2) in Transdermal Systems analyzed. each Transdermal System taken: Acceptance criteria: 80% 120% of the labeled amount of C 2H 5OH Result = (r U/r S) (C S/C U) 100 PERFORMANCE TESTS r U = peak response from the Sample solution r S C S = peak response from the Standard solution = concentration of USP Estradiol RS in the Change to read: Standard solution (mg/ml) DRUG RELEASE 724 C U = nominal concentration of estradiol in the Test 1: For products labeled for dosing every 84 h Sample solution (mg/ml) Medium: Water; 900 ml, deaerated Use the individual assays to determine Uniformity of Apparatus 5: 50 rpm Dosage Units. Times: 24, 48, and 96 h Acceptance criteria: 85.0% 120.0% Mobile phase: Water and acetonitrile (3:2) OTHER COMPONENTS Standard solution: 9 µg/ml of USP Estradiol RS in dehydrated alcohol. Dilute this solution with Medium ALCOHOL CONTENT (if present) Diluent: Acetonitrile and water (1:1) to obtain solutions having concentrations of about Internal standard solution: Prepare by diluting 4.0 ml 0.9, 0.45, and 0.045 µg/ml. of dehydrated methanol with water to 100 ml. Standard stock solution: 5.0 mg/ml of ethanol in Dilwithdraw a 10-mL aliquot of the solution under test. uent. Prepare by weighing by difference 1.6 ml of de- hydrated alcohol into a tared 50-mL volumetric flask containing 15 ml of water, and dilute with Diluent to volume. Pipet 10.0 ml of this solution into a 50-mL Detector: Fluorimetric, with excitation at 220 nm volumetric flask, and dilute with Diluent to volume. and emission at 270 nm

2 Estradiol Official February 1, 2017 Column: 4.6-mm 3-cm; packing L1 Temperature: 40 Detector: UV 205 nm Column: 3.9-mm 30-cm; packing L1 Injection size: 50 µl Injection size: 100 µl Tailing factor: 0.9 2.5 Relative standard deviation: NMT 3.0%, using Tailing factor: NMT 2.0 0.45 µg/ml of the Standard solution Relative standard deviation: NMT 3.0% Analysis: Plot the peak responses of the Standard solu- Analysis: Calculate the amount of estradiol released at tions versus concentration, in µg/ml, of estradiol. each sampling time: From the graph determine the amount, in µg/ml, of estradiol released. Calculate the cumulative release M i = (r U/r S) C S V i rate as percentage of the labeled amount of estradiol: At 24 h: m 1 = M 1 Result = {[900(A 1 b)]/(1000 m L)} 100 At 48 h: m 2 = M 2 + M 1(V a/v 1) Result = {[890(A 2 b) + 10(A 1 b]/(1000 m L)} 100 m 3 = M 3 + M 2(V a/v 2) + M 1(V a/v 1) At 96 h: m 4 = M 4 + M 3(V a/v 3) + M 2(V a/v 2) + M 1(V a/v 1) Result = {[880(A 3 b) + 10(A 2 b) + 10(A 1 b)]/ Calculate the percentage of the labeled amount of es- (1000 m L)} 100 tradiol released at each sampling time: A 1 = peak area of estradiol in the Sample solution at the first time interval Result = (m i/l) 100 A n = peak area of estradiol in the Sample solution at M i = amount of estradiol released into the Medium the release interval n at a given sampling time (mg) m = slope of the calibration curve r U = peak response from the Sample solution b = y-intercept of the calibration curve r S = peak response from the Standard solution L = Transdermal System label claim (mg) C S = concentration of the Standard solution Tolerances:.See Table 1. (RB 1-Feb-2017) (mg/ml) V i = corrected volume of the Medium at a given Table 1 sampling time (ml) m 1, = total amounts of estradiol released from the Time Amount Dissolved m 2, patch at given sampling times (mg) (h) (release rate) m 3, m 4 24 1.2% 6.0% M 1, = amounts of estradiol released into the Medium 48 3.0% 11.4% M 2, at given sampling times (mg) 96 5.0% 16.3% M 3, M 4 V a = volume of the aliquot taken from the.the percentages of the labeled amount of estradiol dissolution vessel at each sampling time (ml) (C 18H 24O 2) released at the times specified conform to V 1, = volumes of Medium at given sampling times Drug Release 724, Acceptance Table 1. (RB 1-Feb-2017) V 2, V 3 (ml) Test 2: If the product complies with this test, the label- L = Transdermal System label claim (mg) ing indicates that it meets USP Drug Release Test 2. Tolerances:.See Table 2. (RB 1-Feb-2017) Medium: 0.005 M phosphate buffer, ph 5.5, containing 0.3% sodium lauryl sulfate; 500 ml Apparatus 5: 100 rpm. Use a 76-mm stainless steel Table 2 disk assembly. Adhere the patch to the disk assembly Time Amount Dissolved using transfer tape. [NOTE A suitable tape is available (h) (release rate) as 3M adhesive transfer tape 927, www.mmm.com.] 1 15% 40% Times: 1, 4, 8, and 24 h 4 45% 70% Mobile phase: Acetonitrile and water (1:1) 8 70% 90% Standard stock solution: 800 µg/ml of USP Estradiol RS in acetone 24 NLT 80% Standard solution: Dilute the Standard stock solution with Medium to obtain a solution having a known.the percentages of the labeled amount of estradiol concentration close to that expected in the solution (C 18H 24O 2) released at the times specified conform to Drug Release 724, Acceptance Table 1. (RB 1-Feb-2017) under test, assuming 100% drug release. Test 3: If the product complies with this test, the labelwithdraw a known volume aliquot of the solution ing indicates that it meets USP Drug Release Test 3. under test. Medium: 1% (v/v) polysorbate 40 in water; 900 ml Apparatus 5: 50 rpm Times: 4, 8, and 24 h Standard stock solution: Known concentration (mg/ml) of USP Estradiol RS in methanol

Official February 1, 2017 Estradiol 3 Standard solution: Five different concentrations.test 4: If the product complies with this test, the within the range of the expected release amounts of labeling indicates that it meets USP Drug Release Test 4. estradiol, prepared as follows. Add 1.0 ml of polysor- Medium: Water; 500 ml for 0.025 mg/day and bate 40 into a 100-mL volumetric flask, and then add 0.0375 mg/day dosage; 900 ml for 0.05 mg/day, the required amount of Standard stock solution. Mix 0.075 mg/day, and 0.1 mg/day dosage well to dissolve the polysorbate 40, and dilute with Apparatus 6: 50 rpm. Use a stainless steel cylinder water to volume. assembly. Adhere the Transdermal System to the cyl- inder assembly using a strip of suitable double-sided withdraw a known volume aliquot of the solution transfer tape. under test. Times: 2, 6, and 12 h Mobile phase: Acetonitrile and water (2:3) Buffer solution: 25 mm of monobasic sodium phos- phate, adjusted with phosphoric acid to a ph of 3.0 Mobile phase: Acetonitrile and Buffer solution (40:60) Standard stock solution: 0.2 mg/ml of USP Estradiol Detector: UV 225 nm RS in methanol Column: 4.6-mm 15-cm, 5-µm packing L1 for Standard solution: Dilute the Standard stock solution 9-cm systems; 4.6-mm 12.5-cm, 5-µm packing L1 2. with Medium to obtain a solution having a known for 18-, 27-, or 36-cm systems. In any case, a guard 2. concentration that is approximately 90% of the concolumn containing packing L1 is used. centration expected from complete release in the so- lution under test. Injection size: 50 µl withdraw about 1.5 ml of the solution under test. Place each sample aliquot into an amber HPLC vial. Relative standard deviation: NMT 2.0% Analysis: Calculate the cumulative release rate as a percentage of the labeled amount of estradiol: Detector: UV 280 nm Result = {[900(A b)]/(1000 m L)} 100 Column: 3.0-mm 10-cm; 3.5-µm packing L1 Flow rate: 0.5 ml/min A = peak area of estradiol in the Sample solution at Injection volume: 15 µl each time interval Run time: 2.5 times the retention time of estradiol b = y-intercept of the calibration curve m = slope of the calibration curve L = Transdermal System label claim (mg) Tailing factor: NMT 1.8 Tolerances:.The percentages of the labeled amount Relative standard deviation: NMT 3.0% of estradiol (C 18H 24O 2) released at the times specified Analysis conform to Table 3, Table 4, and Table 5. (RB 1-Feb-2017) Samples: Standard solution and Sample solution L1 (6 units) Calculate the concentration (C i) of estradiol (C 18H 24O 2) in the sample withdrawn from the vessel at time Table 3 point i: Time Amount Dissolved (h) (individual values) C i = (r i/r S) C S 4 40% 71% r i = peak response of estradiol from the Sample 8 58% 94% solution at time point i 24 NLT 75% r S = peak response of estradiol from the Standard solution L2 (12 units) C S = concentration of USP Estradiol RS in the Standard solution (mg/ml) Table 4 Calculate the percentage of the labeled amount of estradiol (C 18H 24O 2) released at each time point (i): Amount Time Dissolved Amount Dissolved Result 1 = C 1 V (1/L) 100 (h) (average of 12) (individual values) 4 40% 71% 34% 77% 8 58% 94% 50% 102% Result 2 = {[C 2 (V V S)] + (C 1 V S)} (1/L) 100 24 NLT 75% NLT 68% L3 (24 units) Result 3 = ({C 3 [V (2 V S)]} + [(C 2 + C 1) V S]) (1/L) 100 Table 5 C i = concentration of estradiol in the portion of the sample withdrawn at each time point (i) Amount (mg/ml) Amount Dissolved Amount V = volume of Medium, 900 or 500 ml Dissolved (individual Dissolved L = Transdermal System label claim (mg) Time (average of for 22 units (individual V S = volume of Sample solution withdrawn from the (h) 24) of 24) for 24) Medium (ml) 4 40% 71% 34% 77% 29% 82% Tolerances: See Table 6. 8 58% 94% 50% 102% 43% 109% 24 NLT 75% NLT 68% NLT 60%

4 Estradiol Official February 1, 2017 Table 6 Change to read: Time Amount Dissolved (h) (release rate, %) LABELING: The label states the total amount of estradiol 2 20 40 in the Transdermal System and the release rate, in mg/day, for the duration of application of one system..when 6 48 68 more than one Drug Release test is given, the labeling 12 70 90 states the Drug Release test used only if Test 1 is not used. (RB 1-Feb-2017) The percentages of the labeled amount of estradiol (C 18H 24O 2) released at the times specified conform to Dissolution 711, Acceptance Table 2. (RB 1-Feb-2017) UNIFORMITY OF DOSAGE UNITS 905 : The results from the Transdermal Systems used in the Assay meet the requirements. ADDITIONAL REQUIREMENTS PACKAGING AND STORAGE: Preserve in hermetic, light-resistant, unit-dose pouches. USP REFERENCE STANDARDS 11 USP Estradiol RS