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中国临床药理学与治疗学 ›› 2018, Vol. 23 ›› Issue (7): 790-795.doi: 10.12092/j.issn.1009-2501.2018.07.011

• 临床药理学 • 上一篇    下一篇

LC-MS/MS法测定肿瘤患者血浆中阿帕替尼浓度及其临床应用

李 力1,李 贺2,刘杏娥3,魏 楠3   

  1. 1 浙江医院临床药学室,2 浙江医院临床试验机构,3 浙江医院肿瘤内科,杭州 310013,浙江
  • 收稿日期:2018-03-26 修回日期:2018-04-27 出版日期:2018-07-26 发布日期:2018-07-20
  • 通讯作者: 李力,男,博士,副主任药师,主要从事临床药代动力学研究。 Tel:0571-81595229 E-mail:ronaldoli2001@163.com
  • 作者简介:李力,男,博士,副主任药师,主要从事临床药代动力学研究。 Tel:0571-81595229 E-mail:ronaldoli2001@163.com
  • 基金资助:

    国家科技重大专项项目-老年病新药临床技术平台(2013ZX09303005);浙江省自然科学基金 (LQ15H310003);浙江省老年医学重点实验室开放基金(2014-01)资助项目

Determination of apatinib in tumor patients' plasma by liquid chromatography tandem mass spectrometry and its application

LI Li1, LI He2, LIU Xing'e3, WEI Nan3   

  1. 1 Institute of Clinical Pharmacy, Zhejiang Hospital, 2 Drug Clinical Trial Institution, Zhejiang Hospital, 3 Oncology Department of Zhejiang Hospital,Hangzhou 310013, Zhejiang, China
  • Received:2018-03-26 Revised:2018-04-27 Online:2018-07-26 Published:2018-07-20

摘要:

目的: 建立一种快速、灵敏地测定人血浆中阿帕替尼的LC-MS/MS方法,并应用于肿瘤患者的药物浓度测定。方法: 选用索拉菲尼作为内标,血浆样品用乙腈直接沉淀蛋白后,色谱柱采用 Eclipse Plus C18(2.1 mm×100 mm, 3.5 μm),流动相为乙腈-10 mmol/L醋酸铵溶液(均含0.1%甲酸) 85∶15(V/V),流速为0.25 mL/min,采用电喷雾离子化源,正离子方式,扫描方式为多反应监测(MRM),用于监测的离子反应分别为m/z 398.1→m/z 212.0(阿帕替尼)和m/z 465.3→m/z 270.1(内标索拉菲尼)。方法学验证后用于肿瘤患者的血药浓度检测。结果: 血浆中内源性物质对测定无干扰,阿帕替尼2.0~2 000.0 μg/L范围内线性关系良好(r=0.996 8);4个不同质控浓度水平(定量下限,低、中、高浓度)的准确度96.1%~105.3%范围内;批内(n=5)和批间(n=3)精密度良好,相对标准误差(RSD)均小于15%;阿帕替尼和内标的提取回收78.0%~87.8%,内标归一化阿帕替尼基质效应因子为92.4 %~107.3%。结论: 本方法特异性强,灵敏度高,符合临床生物样本分析要求,适用于人血浆中阿帕替尼浓度的测定。

关键词: 阿帕替尼, 液质联用法, 血药浓度, 药物动力学

Abstract:

AIM: To establish a rapid, accurate liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for the determination of apatinib in tumor patients and apply this method to analyze the clinical samples. METHODS: Sorafenib was employed as the internal standard. The analyte and internal standard were extracted from plasma by protein precipitation with acetonitrile and separated on Eclipse Plus C18 column (2.1 mm×100 mm, 3.5 μm) , mobile phase consisted of acetonitrile-10 mmol/L ammonium acetate (85∶15, V/V, containing 0.1% formic acid) at the flow rate of 0.25 mL/min. Electrospray ionization (ESI) source was applied and operated in the positive multiple reaction monitoring (MRM) mode.The MS/MS ion transitions monitored were m/z 398.1→m/z 212.0 and m/z 465.3→m/z 270.1 for apatinib and internal standard, respectively. After methodology validation, this method was applied for the clinical analysis of apatinib in plasma from tumor patients.RESULTS:Chromatograms showed no endogenous interfering peaks with blank samples. The standard curves were demonstrated to be liner in the range of 2.0-2 000 μg/L (r=0.996 8). The RSD of inter-day (n=5) and intra-day (n=3) for four different concentration levels were less than 15%, The average recoveries were between 78.0% and 87.8%.The internal standard normalized matrix effect 92.4% and 107.3%. CONCLUSION: The method is specific, sensitive and suitable for clinical determination of apatinib in tumor patients plasma efficiently.

Key words: apatinib, LC-MS/MS, plasma concentration, pharmacokinetics

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