Last update :
19/11/2024
References   References 4102  
Type : Journal

Research teams : Auckland - Faculty of Medical and Health Sciences, University of Auckland
Authors : Svirskis D, Behera S, Naidoo N, Beachman J, Raina T, Zhou Y, Berkahn L, Costello I, Gu Y.
Title : Stability of vincristine sulfate, doxorubicin hydrochloride and etoposide phosphate admixtures in polyisoprene elastromeric pump supporting transition of the EPOCH regimen to oupatient care.
Reference : J Oncol Pharm Practice ;25,4:831-840. 2018

Level of Evidence : 
Level of evidence A+
Physical stability : 
Visual examination Microscopic examination 
Chemical stability : 
High Performance Liquid Chromatography - Diode Array detector (HPLD-DAD)
Stability defined as 95% of the initial concentration
Other methods : 
PH measurement Measurement of osmolality 
Comments : 

List of drugs
injectionDoxorubicin hydrochloride Anticancer drug
injectionEtoposide phosphate Anticancer drug
injectionVincristine sulfate Anticancer drug
Stability of mixtures
Polyisoprene elastomer Sodium chloride 0,9% 2-6°C Not specified
injection Vincristine sulfate 0,005 mg/ml
injection Doxorubicin hydrochloride 0,12 mg/ml
injection Etoposide phosphate 0,6 mg/ml
14 Day
Polyisoprene elastomer Sodium chloride 0,9% 2-6°C Not specified
injection Vincristine sulfate 0,01 mg/ml
injection Doxorubicin hydrochloride 0,24 mg/ml
injection Etoposide phosphate 1,2 mg/ml
14 Day
Polyisoprene elastomer Sodium chloride 0,9% 2-6°C Not specified
injection Vincristine sulfate 0,016 mg/ml
injection Doxorubicin hydrochloride 0,4 mg/ml
injection Etoposide phosphate 2 mg/ml
14 Day
Polyisoprene elastomer Sodium chloride 0,9% 35°C Protect from light
injection Vincristine sulfate 0,005 mg/ml
injection Doxorubicin hydrochloride 0,12 mg/ml
injection Etoposide phosphate 0,6 mg/ml
7 Day
Polyisoprene elastomer Sodium chloride 0,9% 35°C Protect from light
injection Vincristine sulfate 0,01 mg/ml
injection Doxorubicin hydrochloride 0,24 mg/ml
injection Etoposide phosphate 1,2 mg/ml
7 Day
Polyisoprene elastomer Sodium chloride 0,9% 35°C Protect from light
injection Vincristine sulfate 0,016 mg/ml
injection Doxorubicin hydrochloride 0,4 mg/ml
injection Etoposide phosphate 2 mg/ml
7 Day

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