Stability of a Urea Solution for the Diagnosis of Helicobacter pylori

Authors

Keywords:

stability; accelerated stability; rapid urease test; Helicobacter pylori

Abstract

Introduction: The rapid urease test is the method of choice for the initial diagnosis of Helicobacter pylori, as it qualitatively detects urease activity in gastric mucosal biopsies, providing rapid and specific results in clinical gastroenterology.

Objective: To evaluate the physicochemical and biological stability of a urea solution formulated for the diagnosis of Helicobacter pylori.

Methods: A stability study was conducted in accordance with the standards of the National Center for the Control of Medicines, Equipment, and Medical Devices. Key physicochemical and microbiological properties were monitored. Stability was evaluated in real time (use, transport, and shelf life) and under accelerated thermal stress. Samples were analyzed at 1, 2, 3, 6, 9, and 12 months, applying statistical validation protocols.

Results: Real-time monitoring confirmed the absence of changes in organoleptic properties, sterility, and volume. No precipitation, discoloration, or microbial contamination was observed. The pH remained stable within the expected range (7.0±2) and the substrate concentration remained within permissible limits (6.4 mmol/L). Accelerated testing projected a shelf life of 242 days at 4°C and 2.07 years at -20°C, thereby meeting international diagnostic standards.

Conclusions: The developed urea solution demonstrates robust long-term stability. Its validated performance in storage, transport, and clinical use ensures sustained diagnostic reliability, supporting its routine laboratory application without compromising analytical accuracy or patient safety.

Author Biography

Elizabeth Nicolau Pestana, Universidad de Ciencias Médicas Carlos J. Finlay, Centro de Inmunología y Productos Biológicos. Camagüey, Cuba.

profesora e investigadora del centro de inmunoilogia y productos biologicos de la universidad de ciencias medicas de camaguey

References

1. NC ISO 23640:2018. Dispositivos médicos para diagnóstico in vitro. Evaluación de la estabilidad de los reactivos para diagnóstico In Vitro. La Habana, Cuba: MINSAP/CECMED; 2020 [acceso 08/06/2024]. Disponible en: https://documents.pub/document/dispositivos-mdicos-para-diagnstico-in-vitro. htm l?page=4

2. Cervantes E. Helicobacter pylori: mecanismos de patogenicidad. Rev Latinoam Patol Clín med. labor. 2016 [acceso 08/06/2024];63(2). Disponible en: https://www.medigraphic.com/pdfs/patol/pt-2016/pt162h.pdf

3. Soria MR, Castillo MA. Patogenia y manejo de la Gastritis Aguda asociada a Helicobacter Pylori. jah. 2025 [acceso 06/04/2026];8(1):12. Disponible en: https://jah-journal.com/index.php/jah/article/view/216

4. Chahuán JA, Pizarro MR, Díaz LA, Villalón A, Pérez R. Métodos de diagnóstico para la detección de la infección por Helicobacter pylori Gastroenterol Latinoam. 2024 [acceso 08/06/2024];31(2). Disponible en: https://gastrolat.org/DOI/PDF/ 10.46613/gastrolat202002-08.pdf

5. Regulación M 116-23. Requisitos para los estudios de estabilidad de productos farmacéuticos terminados nuevos y conocidos. La Habana, Cuba: CECMED; 2023 [acceso 15/02/2024]. Disponible en: https://www.CECMED.cu/file/11864/ download?token=3QUGa9YS

6. Food and drug authority. Guideline on stability testing of active pharmaceutical ingredients and finished pharmaceutical products. Ghana: FDA-Ghana; 2024 [acceso 12/05/2025]. Disponible en: https://fdaghana.gov.gh/wp-content/ uploads/2024/09/GUIDELINES-ON-STABILITY-TESTING-OF-ACTIVE-PHARMACEU TICAL-INGREDIEN TS -AND-FINISHED-PHARMACEUTICAL-PRODUCTS-1.pdf

7. Chauhan YS, Nex R, Sevak G, Rathore MS. Stability testing of pharmaceutical products. Research Journal of Pharmaceutical Dosage Forms and Technology, 2021 [acceso 06/04/2026];13(4):317-28. Disponible en: https://www.indianjournals.com/ijor.aspx?target=ijor:rjpdft&volume=13&issue=4&article=009

8. Haider K, Akash MSH, Faheem A, Rehman K. Guidelines for Drug Stability and Stability Testing. In: Akash, MSH, Rehman K. (eds). Drug Stability and Chemical Kinetics. Springer, Singapore; 2020. DOI: https://doi.org/10.1007/978-981-15-6426-0_2

9. González O, Ramírez IO, Ramírez BI, O’Connell P, Ballesteros MP, Torrado JJ, et al. Drug Stability: ICH versus Accelerated Predictive Stability Studies. Pharmaceutics. 2022 [acceso 19/11/2024];14(11):2324. Disponible en: https://www.mdpi.com/1999-4923/14/11/2324

10. Pavčnik L, Prunk M, Trdan Lušin T, Roška R. Accelerated Predictive Stability Testing: Accelerating Registration Phase and Application of Reduced Designs for Shelf-Life Determination of Parenteral Drug Product. Pharmaceutics 2025 [acceso 06/04/2026];17(2):160. Disponible en: https://www.mdpi.com/1999-4923/17/2/ 160

11. USP. Stability Considerations in Dispensing Practice (1191); 2020 [acceso 25/11/2024]. Disponible en: http://www.uspbpep.com/usp32/pub/data/v32270/ usp32 nf27s0_c1191.html#usp32nf27s0_c1191

12. Sun MF, Liao JN, Jing ZY, Gao H, Shen BB, Xu YF, et al. Effects of polyol excipient stability during storage and use on the quality of biopharmaceutical formulations. J. Pharmcol. Anal. 2022 [acceso 08/11/2024].12(5):774-82 Disponible en: https://www.sciencedirect.com/science/article/pii/S2095177922000211?via%3Dihub

13. Correa H, Díaz E, Bernal O, Malvarez Y. Determinación de la estabilidad e irritabilidad del hidrolizado de sericina. Rev Colom Cien Química Farm. 2020 [acceso 26/04/2024];49(2). Disponible en: https://revistas.unal.edu.co/index.php/ rccquifa/article/view/88917/76981

14. Burguet N, Troche Y, Baró L, Martínez MV, Toledo G. Desarrollo tecnológico e introducción del inyectable succinilcolina 50 mg/ml en el cuadro básico de medicamentos nacional de Cuba. Rev Colom Cien Química Farm. 2021 [acceso 26/04/2024];50(2). Disponible en: https://revistas.unal.edu.co/index.php/rccquifa/ article/view/97915/81387

15. Callejo D, García Y, Gómez M, Simpson R, Besada E. Evaluación de la estabilidad en vida de estante del TROFIN® deshidratado. Rev Cubana Farm. 2023 [acceso 26/04/2024];56(1). Disponible en: https://revfarmacia.sld.cu/index.php/far/article/ view/871

16. García L, Rodríguez B, Aja G, Pérez JA, Russeaux N, Valdés L, et al. Desarrollo de una formulación estable de ureasa líquida para la determinación de urea en suero. Rev Cub Farm. 2014 [acceso 15/10/2024];48(3). Disponible en: http://scielo.sld.cu/ scielo.php?script=sci_arttext&pid=S0034-75152014000300006&lng=es

17. Sierra R C, González VL, Vicente R, Tamame D. Estudios de estabilidad del D005, nuevo ingrediente farmacéutico activo obtenido a partir de los frutos de acrocomia crispa. Rev CENIC Cien Quím. 2022 [acceso 26/04/2024];53(2). Disponible en: https://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S2221-244220220002002 52&lng=es&tlng=es

Published

2026-05-15

How to Cite

1.
Nicolau Pestana E, Arenal Cruz A, Castro Consuegra M, Quesada Leyva L, Bembibre Mozo D, León Ramentol CC. Stability of a Urea Solution for the Diagnosis of Helicobacter pylori. Rev Cubana Farm [Internet]. 2026 May 15 [cited 2026 Aug. 9];59. Available from: https://revfarmacia.sld.cu/index.php/far/article/view/1229

Issue

Section

ARTÍCULOS ORIGINALES