G1F014017 Bioanalisis 2017 PDF
G1F014017 Bioanalisis 2017 PDF
G1F014017 Bioanalisis 2017 PDF
A R T I C L E I N F O A BS T RAC T
Keywords: The present study describes a simple, reliable and reproducible liquid chromatographytandem mass spectro-
Allopurinol metry method (LCMS/MS) for the simultaneous determination of allopurinol and its active metabolite,
Oxypurinol oxypurinol in human plasma for a pharmacokinetic/bioequivalence study. After protein precipitation (PPT) of
Liquid chromatographytandem mass 100 L plasma sample with 1.0% formic acid in acetonitrile, the recovery of the analytes and allopurinol-d2 as
spectrometry
an internal standard ranged from 85.36% to 91.20%. The analytes were separated on Hypersil Gold
Bioequivalence study
(150 mm4.6 mm, 5 m) column using 0.1% formic acid-acetonitrile (98:2, v/v) as the mobile phase.
Quantication was done using electrospray ionization in the positive mode. The calibration concentration
range was established from 60.0 to 6000 ng/mL for allopurinol and 80.08000 ng/mL for oxypurinol. Matrix
eect in human plasma, expressed as IS-normalized matrix factors ranged from 1.003 to 1.030 for both the
analytes. The developed method was found suitable for a clinical study with 300 mg allopurinol tablet
formulation in healthy subjects.
1. Introduction the pharmacological eect, the parent drug is still used due to poor
absorption of OP preparations [6]. As new and more ecacious AP
Gout is a common medical illness associated with inammatory formulations are being developed, it is essential to have more selective,
arthritis due to increased levels of uric acid in blood, leading to sensitive and reliable methods to measure the plasma concentration of
monosodium urate monohydrate crystal formation in the joints [1]. AP and OP for improved hypouricaemic response, to reduce risk of
Allopurinol (AP) is one of the most eective and widely used drugs for toxicity and for better patient compliance.
the treatment of hyperuricaemia and gout. Its main function is to A survey of literature reveals several methods for the simultaneous
inhibit xanthine oxidase which catalyzes the formation of xanthine determination of AP and OP in dierent biological samples like human
from hypoxanthine and further to uric acid [2,3]. AP is rapidly plasma [3], human urine [7], human serum [8,9], rat plasma, intestinal
metabolized by xanthine oxidase to its major active metabolite, wash and bile [10]. These methods are mainly based on high-
oxypurinol (OP). After intravenous and oral administration, AP is performance liquid chromatography (HPLC) with UV or electrochemi-
recovered unchanged in the urine up to 12% and about 76% as OP, cal detection, except for one report which utilizes capillary electro-
while OP is eliminated unchanged almost entirely in urine with phoresis with end-column amperometric detection [7]. AP has also
1.0%3.0% as two riboside metabolites [4]. The mean oral bioavail- been estimated by micelle-stabilised room temperature phosphores-
ability of unchanged AP is estimated to be 79.0% 20.0% with an cence in urine samples [11]. However, some of these methods involve
apparent oral clearance of 15.8% 5.2%. OP has a much longer lengthy extraction protocols [10], have chromatographic run time more
elimination half life (~23 h) compared to AP (approximately 1.2 h) than 10 min [8], are less sensitive [8,9] and employ large sample
and the hypouricaemic ecacy of AP is essentially due to this volume for processing [3]. Few methods report use of liquid chroma-
metabolite [2,5]. Despite the fact that OP is mainly responsible for tographytandem mass spectrometry (LCMS/MS) technique for the
http://dx.doi.org/10.1016/j.jpha.2016.05.005
Received 24 March 2016; Received in revised form 12 May 2016; Accepted 23 May 2016
Available online 26 May 2016
2095-1779/ 2017 Xi'an Jiaotong University. Production and hosting by Elsevier B.V.
This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/BY-NC-ND/4.0/).
D.M. Rathod et al. Journal of Pharmaceutical Analysis 7 (2017) 5662
determination of OP as a single analyte in human urine [12] and for the (MeOH):1.0% (m/v) NaOH in water (90:10, v/v). Their combined
simultaneous estimation of AP and OP in human plasma [1315] and intermediate solution containing 300.0 g/mL of AP and 400.0 g/mL
urine [14]. The method described by Ayalasomayajula et al. [13] of OP was prepared in MeOH:water (60:40, v/v). Calibration standards
involved a combination of protein precipitation (PPT) and liquid-liquid (CSs) and quality control (QC) samples were made by spiking blank
extraction (LLE) for the extraction of the analytes; however, there was plasma with appropriate volumes of working solutions prepared from
limited information on the method development as the aim was to intermediate stock solutions for both the analytes. The CS concentra-
study the eect of AP on the pharmacokinetics of aliskiren. Though the tions were 60.0, 120.0, 300.0, 600.0, 1200, 2400, 3600, 4800 and
method reported by Liu et al. [14] is sensitive but employs two dierent 6000 ng/mL for AP and 80.0, 160.0, 400.0, 800.0, 1600, 3200, 4800,
mobile phases for eluting AP and OP separately and also dierent 6400 and 8000 ng/mL for OP. The QC samples were prepared at four
electrospray ionization (ESI) modes for mass spectrometric detection. concentration levels, lower limit of quantication quality control
Another LCMS/MS method developed by Kasawara et al. [15] (LLOQ QC): 60.0/80.0 ng/mL, low quality control (LQC): 180.0/
required large plasma volume for processing (500 L) and both the 240.0 ng/mL, medium quality control (MQC): 1920/2560 ng/mL and
analytes were detected in the negative ionization mode. high quality control (HQC): 4620/6160 ng/mL for AP/OP, respec-
To the best of our knowledge, there are no reports on the tively. The stock solution of AP-d2 (100.0 g/mL) was prepared by
pharmacokinetics of AP in the Indian subjects. Thus, in the present dissolving accurately weighed amount in methanol: 1.0% (m/v) NaOH
work we report a simple, sensitive and rugged LCMS/MS assay for the in water (90:10, v/v). Its working solution (10.00 g/mL) was prepared
simultaneous estimation of AP and OP from small plasma volume in MeOH: water (60:40, v/v). Standard stock and working solutions
(100 L). Both the analytes were detected in the positive ionization used for spiking were stored at 28 C, while CSs and QC samples in
mode using a single mobile phase to aord baseline separation of the plasma were kept at 20 C until use.
analytes with minimal matrix interference. The method was success-
fully applied for a clinical study involving healthy Indian subjects. 2.4. Sample preparation
2. Experimental Prior to analysis, all frozen subject samples, CSs and QC samples
were adequately thawed and allowed to equilibrate at room tempera-
2.1. Chemicals and materials ture. To an aliquot of 100 L of spiked plasma sample/ subject sample,
25 L of AP-d2 (10.00 ng/mL) was added and vortexed for 30 s.
AP (99.76%), OP (99.60%) and allopurinol-d2 (AP-d2, 98.00%; Further, 500 L of 1.0% FA in ACN was added and again vortexed
isotopic purity, 99.2 atom% deuterium, 0.6% Do) were purchased from for 30 s to precipitate the proteins. The sample was centrifuged at
Ipca Laboratories Ltd. (Mumbai, India), Vivan Life Sciences Pvt. Ltd. 13,148g for 10 min at 10 C and the supernatant was collected in a pre-
(Mumbai, India) and Toronto Research Chemicals Inc. (Toronto, Canada), labeled radioimmunoassay vial. The supernatant was then evaporated
respectively. HPLC grade methanol (MeOH) and acetonitrile (ACN) were to dryness at 50 C under nitrogen. Thereafter, the sample was
procured from J. T. Baker Inc. (Phillipsburg, NJ, USA). Analytical reagent reconstituted with 500 L of 1.0% FA in water, vortexed for 30 s and
grade formic acid (FA) and sodium hydroxide (NaOH) were purchased 2 L was used for injection into the chromatographic system.
from Qualigens Fine Chemicals (Mumbai, India) and Merck Specialties
Pvt. Ltd. (Mumbai, India), respectively. Water was puried using Milli-Q 2.5. Method validation procedures
water purication system from Millipore (Bangalore, India). Blank human
blood was collected with sodium heparin as anticoagulant from healthy The method was validated for system suitability, selectivity, carry-
and drug free volunteers. Plasma was separated by centrifugation at 2061g over, sensitivity, linearity, accuracy and precision, recovery, matrix
at 10 C and stored at 20 C. eect, stability, ruggedness and dilution reliability as per the current
regulatory requirements [16]. The experimental details of the para-
2.2. Liquid chromatographic and mass spectrometric conditions meters studied were similar to our previous work [17] and are briey
described in Supplementary material.
A Shimadzu HPLC system (Kyoto, Japan) with a Hypersil Gold
(150 mm4.6 mm, 5 m) analytical column from Thermo Scientic 2.6. Bioequivalence study and incurred sample reanalysis
(Cheshire, UK) was used for chromatographic separation of analytes.
The column temperature was maintained at 40 C. The mobile phase The aim of the study was to determine the bioequivalence of a single
consisted of 0.1% (v/v) FA in water-ACN (98:2, v/v). For isocratic dose of 300 mg AP tablet (Generic Company, India) with a reference
elution, the ow rate of the mobile phase was set at 0.5 mL/min. The tablet, ZYLOPRIM (Allopurinol, 300 mg) from Aspen Pharma Pty Ltd.
total eluant from the column was split in 70:30 (v/v) ratio; ow directed (Australia). The design was an open label, balanced, randomized, two-
to the ion spray interface was equivalent to 150 L/min. The auto- treatment, two-period, two-sequence, single dose, crossover study with
sampler temperature was maintained at 5 C, injection volume was kept 44 healthy Indian subjects under fasting. Each subject was checked to be
at 2 L, and the pressure of the system was maintained at 1100 psi. The healthy through medical history, physical examination and routine
LC system was connected to a triple quadrupole mass spectrometer MDS laboratory tests. All the subjects were informed about the objectives
SCIEX API-5500 (Toronto, Canada), equipped with electro spray and possible risks of the study and a written consent was obtained. The
ionization and operated in positive ionization mode. The multiple work was subject to review by an Independent Ethics Committee
reaction monitoring (MRM) transitions were monitored at m/z 137.0/ constituted as per Indian Council of Medical Research (ICMR), India,
109.9, 153.1/136.0 and 139.0/111.9 for AP, OP and AP-d2, respectively. which approved the study protocol. The study was conducted as per
The optimized mass parameters for quantitation of analytes and internal International Conference on Harmonization, E6 Good Clinical Practice
standard (IS) are presented in Supplementary Table 1. Analyst classic guidelines [18]. The subjects were orally administered a single dose of
software version 1.5.2 was used to control all parameters of LC and MS. test and reference formulations with 240 mL of water after recom-
mended wash out period of 10 days. Blood samples were collected at
2.3. Preparation of standard stock, calibration standards and quality 0.00 (pre-dose), 0.25, 0.50, 0.75, 1.00, 1.25, 1.50, 1.75, 2.00, 2.25, 2.50,
control samples 2.75, 3.00, 3.50, 4.00, 4.50, 5.00, 6.00, 8.00, 10.00, 12.00, 24.00, 36.00,
48.00, 72.00 and 96.00 h after oral administration of test and reference
Stock solutions of AP (1000 g/mL) and OP (1000 g/mL) formulation in labeled sodium heparin-vacuettes. After thorough mixing,
were prepared by dissolving their requisite amounts in methanol the plasma was separated by centrifugation at 1811g and kept frozen at
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D.M. Rathod et al. Journal of Pharmaceutical Analysis 7 (2017) 5662
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D.M. Rathod et al. Journal of Pharmaceutical Analysis 7 (2017) 5662
Table 1.
Summary of chromatographic methods developed for the analysis of allopurinol and oxypurinol in biological matrices.
Sr. no. Detection Linear range Sample volume; Retention time Application Ref.
technique (ng/mL) extraction (min) (AP/OP); run
technique time (min)
AP OP
1 HPLCUV 5005000 40020,000 100 L human serum; PPT with 4.58/3.99; 12.0 Pharmacokinetic study with 300 mg AP [9]
(260 nm) 10% TCA and ltration tablets in 2 healthy subjects
2 HPLCUV 50010,000 100040,000 100 L human serum; PPT with 12.3/9.9; 22.0 Measurement of AP and OP in 66 [8]
(254 nm) 10% perchloric acid followed by serum samples from patients
LLE with DCM undergoing AP therapy with 300 mg
tablets
3a LCMS/MS 505000 in 505000 in plasma 500 L human plasma/ urine; 5.85/2.57; 7.0 for Pharmacokinetic study with 100, 200 [14]
Positive polarity plasma and and 100050,000 Acidification of sample with 0.2 AP and 4.0 for OP and 300 mg injectable AP formulations
for AP and 50030,000 in in urine M HCl followed by LLE with EA in 36 healthy Chinese subjects
negative for OP urine
4 LCMS/MS 10010,000 10010,000 500 L human plasma; PPT with 4.02/3.78; 6.0 [15]
Negative polarity ACN
for AP and OP
5 LCMS/MS 60.06000 80.08000 100 L human plasma; PPT with 7.20/6.44; 9.0 Bioequivalence study with 300 mg of PM
Positive polarity 1.0% FA in ACN AP tablet in 44 healthy Indian subjects
for AP and OP and ISR study
a
Separate elution of AP and OP with dierent mobile phases and mass ionization modes; LLOQ: lower limit of quantication; AP: allopurinol; OP: oxypurinol; ACN: acetonitrile;
MeOH: methanol; TCA: trichloroacetic acid; DCM: dichloromethane; EA: ethyl acetate; FA: formic acid; PPT: protein precipitation; LLE: liquid-liquid extraction; ISR: incurred sample
reanalysis; PM: present method
Fig. 2. MRM ion-chromatograms of (A) double blank plasma, without allopurinol-d2, IS, (B) blank plasma spiked with IS, (C) allopurinol, allopurinol-d2 and oxypurinol at lower limit
of quantication and (D) a real subject sample at Cmax after oral administration of 300 mg allopurinol tablet formulation.
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D.M. Rathod et al. Journal of Pharmaceutical Analysis 7 (2017) 5662
Table 2.
Extraction recovery for allopurinol and oxypurinol (n=6).
Allopurinol
LQC 187,006 219,067 85.36
MQC 2,043,446 2,336,715 87.45
HQC 5,347,462 6,013,475 88.92
Oxypurinol
LQC 187,079 211,748 88.35
MQC 2,020,810 2,258,645 89.47
HQC 4,723,337 5,417,914 87.18
Allopurinol-d2
LQC 1,891,768 2,105,005 89.87
MQC 1,951,733 2,140,058 91.20
HQC 1,890,315 2,083,451 90.73
LQC: low quality control; MQC: medium quality control; HQC: high quality control
Table 3.
Matrix effect for allopurinol and oxypurinol in human plasma (n=6).
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D.M. Rathod et al. Journal of Pharmaceutical Analysis 7 (2017) 5662
Table 4.
Stability results for allopurinol and oxypurinol under different conditions (n=6).
LQC: low quality control; HQC: high quality control; CV: coefficient of variation.
Fig. 4. Mean plasma concentration-time prole of (A) allopurinol and (B) oxypurinol
3.2.5. Stability of the analytes and IS
after oral administration of 300 mg allopurinol tablet formulation (test) and reference The stability results obtained were within the United States Food
formulation to 44 healthy Indian subjects. The plasma-time prole of allopurinol is and Drug Administration (US FDA) acceptance criteria required to
presented up to 24 h as the concentration was below the limit of quantitation beyond this establish the stability of analytes in plasma and stock/working solu-
time. None of the subjects had a measurable concentration after this time point. tions during storage, extraction and chromatographic analysis. The
stock and working solutions kept for assessing short-term and long-
range of 60.06000 ng/mL for AP and 80.08000 ng/mL for OP term stability were stable for a minimum period of 31 h and 24 days,
with correlation coecient (r2)0.9952. The corresponding mean respectively. The bench top stability of the analytes in plasma was
linear equations were y=(0.00063 0.00007) x-(0.00137 0.00308) established up to 28 h. Processed sample stability was determined up
andy=(0.00079 0.00010) x+(0.00274 0.000522) respectively. The to 6 h at 25 C. Samples kept in an autosampler maintained at 5 C
accuracy and precision (CV) values for the calibration curve standards were found stable for a period of 83 h, while the samples kept for
ranged from 97.7% to 102.3% and from 1.30% to 3.77% for both the ascertaining dry extract stability showed no appreciable change up to
analytes. The signal-to-noise (S/N) ratio was 28 for the established 46 h. Spiked plasma samples stored at 20 C for assessing long-term
LLOQ of 60.0 ng/mL (accuracy, 98.29% and precision, 0.99 CV) for AP stability of the analytes remained unaected for a minimum period of
and 80.0 ng/mL for OP (accuracy, 98.63% and precision, 1.39 CV). The 112 days. The detailed stability results are summarized in Table 4.
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D.M. Rathod et al. Journal of Pharmaceutical Analysis 7 (2017) 5662
Table 5.
Mean pharmacokinetic parameters ( SD) after oral administration of allopurinol tablet formulation to 44 healthy Indian subjects under fasting.
Cmax (ng/mL) 1904.54 834.83 2012.07 896.16 5878.05 1714.36 6039.43 1591.32
Tmax (h) 2.32 1.06 2.10 0.96 6.32 2.66 6.12 2.45
t1/2 (h) 1.24 0.27 1.25 0.25 25.76 8.45 25.24 7.15
AUC096 h (h ng/mL) 9285.77 5881.23 9392.12 5231.11 221064.1 67329.9 225876.9 59360.5
AUC0-inf (h ng/mL) 9565.22 5998.04 9676.56 5310.63 245456.8 78245.9 247859.1 70277.3
Kel (1/h) 0.579 0.103 0.572 0.093 0.029 0.008 0.029 0.008
Cmax: Maximum plasma concentration; Tmax: Time point of maximum plasma concentration; t1/2: Half life of drug elimination during the terminal phase; AUC096 h: Area under the
plasma concentration vs time curve from zero hour to 96 h; AUC0-inf: Area under the plasma concentration-time curve from zero hour to innity; Kel: Elimination rate constant; SD:
Standard deviation
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