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摘要
A recent clinical trial assessing human autonomic cardiovascular regulation applied pacemaker channel inhibition with ivabradine, norepinephrine transporter blockade with reboxetine, and beta-adrenoreceptor blockade with metoprolol. To verify patient adherence, we developed and validated a fast UPLC-MS/MS assay measuring all three compounds simultaneously. Deuterium-labeled drugs, d(3)-ivabradine, d(5)-reboxetine and d(7)-metoprolol, served as internal standards. Sample preparation of 200 mu L human plasma consisted of a single liquid-liquid extraction step by means of ethyl acetate. Chromatographic separation was performed on a 50-mm long BEH C18 column with gradient elution using a mixture of water and methanol each containing 2 mM ammonium acetate. over 4.5 min. The mass spectrometer was operated in the positive electrospray ionization (ESI+) mode. Characteristic product ions resulting from collision-induced dissociation of unlabeled and deuterium-labeled drugs with argon were used for quantification in the selected-reaction monitoring mode. We validated the method according to the European Medicines Agency (EMA) guideline on bioanalytical method validation over the range from 1 ng/mL to 500 ng/mL for all three analytes. Linear responses with correlation coefficients %26gt; 0.99 over that range were acquired. The LOQvalue was 1 ng/mL for each drug. Regulatory criteria for accuracy (80-120%) and precision (RSD %26lt; 15%) were met for all drugs. The internal standard-normalized matrix factor was close to 1 for low and high analyte concentrations. We successfully measured ivabradine, reboxetine, and metoprolol concentrations in 107 human plasma samples from a clinical trial. Quality control samples processed in parallel confirmed the method%26apos;s reliability in a clinical setting.
- 出版日期2013-5-15
