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IDENTIFICATION AND QUANTIFICATION
OF DRUGS, METABOLITES,
DRUG METABOLIZING ENZYMES,
AND TRANSPORTERS
Concepts, Methods, and Translational Sciences
IDENTIFICATION AND
QUANTIFICATION
OF DRUGS,
METABOLITES, DRUG
METABOLIZING
ENZYMES, AND
TRANSPORTERS
Concepts, Methods, and
Translational Sciences
Edited by
SHUGUANG MA
SWAPAN K. CHOWDHURY
Elsevier
Radarweg 29, PO Box 211, 1000 AE Amsterdam, Netherlands
The Boulevard, Langford Lane, Kidlington, Oxford OX5 1GB, United Kingdom
50 Hampshire Street, 5th Floor, Cambridge, MA 02139, United States
© 2020 Elsevier B.V. All rights reserved.
No part of this publication may be reproduced or transmitted in any form or by any means, electronic or
mechanical, including photocopying, recording, or any information storage and retrieval system, without
permission in writing from the publisher. Details on how to seek permission, further information about the
Publisher’s permissions policies and our arrangements with organizations such as the Copyright Clearance
Center and the Copyright Licensing Agency, can be found at our website: www.elsevier.com/permissions.
This book and the individual contributions contained in it are protected under copyright by the Publisher
(other than as may be noted herein).
Notices
Knowledge and best practice in this field are constantly changing. As new research and experience broaden our
understanding, changes in research methods, professional practices, or medical treatment may become
necessary.
Practitioners and researchers must always rely on their own experience and knowledge in evaluating and using
any information, methods, compounds, or experiments described herein. In using such information or methods
they should be mindful of their own safety and the safety of others, including parties for whom they have a
professional responsibility.
To the fullest extent of the law, neither the Publisher nor the authors, contributors, or editors, assume any liability
for any injury and/or damage to persons or property as a matter of products liability, negligence or otherwise, or
from any use or operation of any methods, products, instructions, or ideas contained in the material herein.
Farah Al Qaraghuli Department of Pharma- Liam Evans Hypha Discovery Ltd., Oxford-
ceutical Sciences, School of Pharmacy and shire, United Kingdom
Pharmaceutical Sciences, The State University Raymond Evers Department of Pharmacokinet-
of New York at Buffalo, Buffalo, NY, United ics, Pharmacodynamics and Drug Metabolism,
States Merck & Co Inc., Kenilworth, NJ, United States
Ravindra Varma Alluri Clinical Pharmacology Robert S. Foti Pharmacokinetics, Pharmaco-
and Safety Sciences, R&D BioPharmaceuticals, dynamics and Drug Metabolism, Merck
AstraZeneca, Cambridge, United Kingdom Research Laboratories, Boston, MA, United
Sophie M.A. Argon Department of Pharma- States
ceutics, School of Pharmacy, University of Adrian J. Fretland DMPK, Research and Early
Washington, Seattle, WA, United States Development, Oncology R&D, AstraZeneca,
Piyush Bajaj Drug Safety Research and Evalua- Waltham, MA, United States
tion, Takeda Pharmaceutical International Co., Christopher Gemski Translational Research
Cambridge, MA, United States Bioassay and Immunogenicity Group, Drug
Tashinga E. Bapiro DMPK, Research and Early Metabolism and Pharmacokinetic Department,
Development, Oncology R&D, AstraZeneca, Takeda Pharmaceuticals International Co.,
Cambridge, United Kingdom Cambridge, MA, United States
Abdul Basit Department of Pharmaceutics, Anima Ghosal Independent Consultant,
University of Washington, Seattle; Depart- Piscataway, NJ, United States
ment of Pharmaceutical Sciences, Washington Jia Hao Drug Metabolism, Gilead Sciences
State University, Spokane, WA, United States Inc, Foster City, CA, United States
Andreas Brink Roche Pharma Research Satyajeet Haridas Translational Research Bio-
and Early Development, Roche Innovation assay and Immunogenicity Group, Drug
Center Basel, F. Hoffmann-La Roche Ltd, Basel, Metabolism and Pharmacokinetic Department,
Switzerland Takeda Pharmaceuticals International Co.,
Tingting Cai Laboratory Testing Division, Cambridge, MA, United States
WuXi AppTec, Nanjing, China Simon Hauri Roche Pharma Research and Early
Jose Castro-Perez Agios Pharmaceuticals, Inc., Development, Roche Innovation Center Basel,
Cambridge, MA, United States F. Hoffmann-La Roche Ltd, Basel, Switzerland
Jae H. Chang Preclinical Development, ORIC Nina Isoherranen Department of Pharma-
Pharmaceuticals, South San Francisco, CA, ceutics, University of Washington, Seattle,
United States WA, United States
Eugene Chia-Te Chen Department of Drug Wenying Jian DMPK, Janssen R&D, Spring
Metabolism and Pharmacokinetics, Genentech, House, PA, United States
South San Francisco, CA, United States Kevin Johnson Drug Metabolism and Pharma-
Marie Croft Pharmaron ABS, Germantown, cokinetics, Genentech, South San Francisco,
MD, United States CA, United States
xi
xii Contributors
Barry Jones DMPK, Research and Early Devel- Kaushik Mitra Department of Drug Metabo-
opment, Oncology R&D, AstraZeneca, Cam- lism and Pharmacokinetics, Janssen Research
bridge, United Kingdom and Development, Springhouse, PA, United
Robert S. Jones Drug Metabolism and Pharma- States
cokinetics, Genentech, South San Francisco, Diana Montgomery Department of Pharma-
CA, United States cokinetics, Pharmacodynamics and Drug
Jan Felix Joseph Freie Universitaet Berlin, Insti- Metabolism, Merck & Co Inc., Kenilworth, NJ,
tute of Pharmacy—Pharmaceutical Analysis; United States
Freie Universitaet Berlin, Department of Alexandra L. Orton DMPK, Research and Early
Biology, Chemistry, Pharmacy, CoreFacility Development, Oncology R&D, AstraZeneca,
BioSupraMol, Berlin, Germany Cambridge, United Kingdom
S. Cyrus Khojasteh Drug Metabolism and Katie H. Owens Department of Pharmaceutics,
Pharmacokinetics, Genentech, South San School of Pharmacy, University of Washing-
Francisco, CA, United States ton, Seattle, WA, United States
Yurong Lai Drug Metabolism, Gilead Sciences Axel P€ ahler Roche Pharma Research and
Inc, Foster City, CA, United States Early Development, Roche Innovation Center
Hoa Le Drug Metabolism, Gilead Sciences, Basel, F. Hoffmann-La Roche Ltd, Basel,
Foster City, CA, United States Switzerland
Xiaomin Liang Drug Metabolism, Gilead Sci- Maria Kristina Parr Freie Universitaet Berlin,
ences Inc, Foster City, CA, United States Institute of Pharmacy—Pharmaceutical Analy-
sis, Berlin, Germany
Liming Liu Product Development, Curon
Biopharmaceutical Ltd, Shanghai, People’s Shefali Patel DMPK, Janssen R&D, Spring
Republic of China House, PA, United States
Filipe Lopes Roche Pharma Research and Ichiko D. Petrie Department of Pharma-
Early Development, Roche Innovation Center ceutics, School of Pharmacy, University of
Basel, F. Hoffmann-La Roche Ltd, Basel, Washington, Seattle, WA, United States
Switzerland Richard Phipps Hypha Discovery Ltd., Oxford-
Justin Q. Ly Drug Metabolism and Pharmacok- shire, United Kingdom
inetics, Genentech, South San Francisco, CA, Chandra Prakash Agios Pharmaceuticals, Inc.,
United States Cambridge, MA, United States
Shuguang Ma Drug Metabolism and Pharma- Bhagwat Prasad Department of Pharmaceutics,
cokinetics, Genentech Inc., South San Francisco, University of Washington, Seattle; Department
CA, United States of Pharmaceutical Sciences, Washington State
Roshini Markandu DMPK, Research and Early University, Spokane, WA, United States
Development, Oncology R&D, AstraZeneca, Isabelle Ragueneau-Majlessi Department of
Cambridge, United Kingdom Pharmaceutics, School of Pharmacy, Univer-
Rosalinde Masereeuw Division of Pharmacol- sity of Washington, Seattle, WA, United States
ogy, Utrecht Institute for Pharmaceutical Venkatesh Pilla Reddy DMPK, Research and
Sciences, Utrecht, The Netherlands Early Development, Oncology R&D; Depart-
J. Eric McDuffie Investigative & Mechanistic ments of Modeling and Simulation, Early
Toxicology, Janssen Research & Development, Oncology Drug Metabolism and Pharma-
San Diego, CA, United States cokinetics, R&D Oncology, AstraZeneca,
Cambridge, United Kingdom
Contributors xiii
Ellen Riddle Drug Metabolism, Gilead Sciences Caisheng Wu School of Pharmaceutical Sci-
Inc, Foster City, CA, United States ences, Xiamen University, Xiamen, China
Qian Ruan Pharmaceutical Candidate Charac- Graeme C. Young GlaxoSmithKline Research
terization, Bristol-Myers Squibb, Princeton, and Development Ltd., David Jack Centre,
NJ, United States Ware, United Kingdom
Simone Schadt Roche Pharma Research and Jingjing Yu Department of Pharmaceutics,
Early Development, Roche Innovation Center School of Pharmacy, University of Washing-
Basel, F. Hoffmann-La Roche Ltd, Basel, ton, Seattle, WA, United States
Switzerland Lushan Yu Institute of Drug Metabolism and
Dhaval K. Shah Department of Pharmaceutical Pharmaceutical Analysis, Zhejiang University,
Sciences, School of Pharmacy and Pharma- Hangzhou, People’s Republic of China
ceutical Sciences, The State University of New Su Zeng Institute of Drug Metabolism and
York at Buffalo, Buffalo, NY, United States Pharmaceutical Analysis, Zhejiang University,
Julia Shanu-Wilson Hypha Discovery Ltd., Hangzhou, People’s Republic of China
Oxfordshire, United Kingdom Haeyoung Zhang Department of Pharma-
Kelly MacLennan Staiger Drug Metabolism, ceutics, University of Washington, Seattle,
Gilead Sciences Inc, Foster City, CA, United States WA, United States
Jonathan Steele Hypha Discovery Ltd., Oxford- Wanying Zhang Department of Pharma-
shire, United Kingdom ceutical Sciences, School of Pharmacy and
Manthena V.S. Varma Medicine Design, Pharmaceutical Sciences, The State Univer-
Worldwide R&D, Pfizer Inc., Groton, CT, sity of New York at Buffalo, Buffalo, NY,
United States United States
Matthew P. Wagoner Drug Safety Research Andy Z.X. Zhu Department of Drug Metabo-
and Evaluation, Takeda Pharmaceutical Inter- lism and Pharmacokinetics, Takeda Pharma-
national Co., Cambridge, MA, United States ceuticals International Co., Cambridge, MA,
United States
Naidong Weng DMPK, Janssen R&D, Spring
House, PA, United States Mingshe Zhu MassDefect Technologies, Prince-
ton, NJ, United States
Stephen Wrigley Hypha Discovery Ltd.,
Oxfordshire, United Kingdom
Foreword
It is my great pleasure to write the fore- identified many breakthroughs that have
word for this excellent book. The study of ultimately contributed to bringing drugs to
drug metabolism and disposition is a mature patients with an urgent need for better trea-
science, but still essential in drug discovery tments. It is very gratifying that the number
and development. Indeed, a quick search of of drugs approved by the FDA is increasing
PubMed, using “drug metabolism” as the steadily with 38 NMEs (new molecular en-
search term, came up with more than tity) and 10 BLAs (biological license applica-
18,000 hits. One of the earlier articles is by tion) approved by the US Food and Drug
Bernard Brodie, considered to be the founder Administration (FDA) in 2019 [2]. The level
of modern pharmacology and a major con- of innovation is best illustrated by about half
tributor to the study of drug metabolism. of the approved drugs in 2019 having a
His article—published in the Journal of Phar- breakthrough designation. Drug metabolism
macy and Pharmacology in 1956—is titled and pharmacokinetics (DMPK) scientists are
“Pathways of Drug Metabolism” and it is based fully embedded in project teams in drug dis-
on a lecture at the University of London [1]. covery and work hand in hand with medici-
It describes his work over the decade and nal chemists on the identification of drugs
some of it is based on collaborations with with superior properties. These scientists
other pioneers in the field such as Julius have become very good at dialing out the
Axelrod. One sentence still resonates very “known unknowns” such as metabolism by cy-
much and it actually covers much of the ma- tochrome P450 enzymes. However, this has
terial described in this book: actually resulted in having to deal with much
more complex drug disposition pathways in-
Finally, it is thought that a detailed knowl- volving less well-studied drug metabolizing
edge of enzymes involved in drug “detoxifica- enzymes and also more and more drug
tion” might help the medicinal chemist to transporters. This trend is also fueled by a
develop compounds of either high or low stabil- shift toward more and more drugs having
ity in the body, whichever would be more de- beyond the “rule of five” molecular proper-
sirable in gaining a desired therapeutic result. ties [3]. Indeed, the average molecular
weight of drugs approved by the FDA in
Drug metabolism sciences have advanced 2016 and 2017 was more than 500 Da and
tremendously since the publication of this ar- the median clogP of drugs approved from
ticle and this progress was to a large extent 2008 to 2017 is now 3.3, in part driven by try-
enabled by advances in the availability of ing, for example, to disrupt protein-protein
biochemical reagents and bioanalytical tech- interactions. An additional consequence of
niques, in particular mass spectrometry. this shift in properties is that in vitro to
Both academic and industrial scientists have in vivo extrapolation of ADME properties
xv
xvi Foreword
to predict the human pharmacokinetics has latter topic is covered in Chapter 5. The last
become more complex and the same can be chapter in the first section (Chapter 6)
said of predicting drug-drug interaction— focuses on accelerator mass spectrometry,
many of which now involve drug trans- a powerful tool to study ADME and the
porters. If anything, the involvement of absolute bioavailability in humans.
DMPK scientists is now more important than The second section addresses “Drug me-
ever because of the pursuit of novel molecular tabolizing enzymes, transporters and drug drug
modalities in academia and in the pharma- interactions.” Cytochrome P450-mediated
ceutical industry; a few that come to mind and non-cytochrome P450-mediated metab-
are antibody-drug conjugates, protein de- olism is discussed in Chapters 7 and 8.
graders, and macrocyclic peptides. DMPK In vitro to in vivo prediction of drug-drug in-
scientists can help make drugs out of these teraction is described in Chapter 9 while
hard-to-drug modalities. Finally, the integra- Chapter 10 specifically focuses on the role
tion of this diverse array of in vitro and in vivo of transporters in drug disposition and
data is enabled by computational modeling drug-drug interaction, and Chapter 11 on
and simulation. Physiologically based phar- the clinical relevance of these drug-drug
macokinetic (PBPK) modeling is a very pow- interactions. Making predictions using PBPK
erful tool to predict human pharmacokinetics modeling relies on accurate knowledge of
and study drug-drug interaction as well as physiologic constants and, most recently,
the pharmacokinetics in special populations mass spectrometry has been used to deter-
and infants. Pharmacokinetic/pharmaco- mine the abundance of drug metabolizing
dynamic modeling and its extension, quanti- enzymes and transporters in various tissues.
tative systems pharmacology, can help This is addressed in Chapter 12. Finally,
translate preclinical findings to the clinic. Chapter 13 focuses on disease-drug interac-
This book is comprised of many excellent tions mediated by therapeutic proteins such
chapters written by experts in the field that as interleukins.
address some of the challenges highlighted The third section focuses on “Strategy re-
in the previous paragraph. The first section lated to drug metabolism and safety.” Metabo-
focuses on “Techniques for identifying and lites in safety testing continues to be a
quantifying drugs and metabolites.” Chapters highly relevant area of research in drug dis-
1–3 introduce the readers to the latest ad- covery and development and it is addressed
vances in bioanalysis, in particular mass in Chapter 14. A close look at the (patent) lit-
spectrometry for the analysis of drugs, their erature indicates that finding drugs that bal-
metabolites, and endogenous biomarkers. In ance potency and metabolic stability can still
contrast to 20 years ago, high-resolution be problematic, and therefore many com-
mass spectrometry has now become routine panies incorporate deuterium to enhance
and it has had a great impact on the study metabolite stability and lower the dose—
of biotransformation. Of course, mass spec- see Chapter 15 for details. The focus on novel
trometry is frequently not sufficient to iden- chemical space and more molecular diversity
tify the definitive structure of a metabolite, has introduced more chirality in molecules
and hence Chapter 4 focuses on strategies and the impact of that on pharmacology, tox-
for generating metabolites and characteriza- icology, and drug metabolism is described in
tion via NMR. Supercritical fluid chromatog- Chapter 16. Drug-induced liver injury and
raphy has become easier to interface and it new predictive models for renal injury are de-
can greatly facilitate chiral separation; the scribed in Chapters 17 and 18, respectively.
Foreword xvii
Finally, Chapter 19 focuses on immuno- excellent set of chapters that describe the
genicity as a key component of antibody state of the art in ADME sciences as it
development. relates to drug discovery and development.
The fourth and last section is dedicated to The efforts by all authors, and in particular
“Translational sciences.” The use of geneti- the editors Shuguang Ma and Swapan
cally modified rodents is explored further Chowdhury, are greatly appreciated. This
in Chapter 20, while Chapter 21 speaks to book will be used as a resource for many
the use of CRISPR to advance in vitro ADME years to come.
models. In vitro to in vivo extrapolation of Cornelis E.C.A. Hop
hepatic and renal clearance is discussed in
Chapter 22. The breadth of our science is
nicely illustrated by Chapter 23 which de- References
scribes the role of mathematical modeling [1] B.B. Brodie, Pathways of drug metabolism, J. Pharm.
in translational sciences. Last, but by no Pharmacol. 8 (1) (1956) 1–17.
means least, Chapter 24 elegantly defines [2] A. Mullard, 2019 FDA drug approvals, Nat. Rev.
Drug Discov. 19 (2) (2020) 79–84.
ways to predict the human efficacious dose
[3] M.D. Shultz, Two decades under the influence of
using PK/PD modeling. the rule of five and the changing properties of ap-
As is the case with many compilations, a proved oral drugs, J. Med. Chem. 62 (4) (2019)
lot of effort has gone into assembling an 1701–1714.
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Preface
Some 15 years ago, one of us (SKC) com- and excretion (ADME), the potential for he-
piled the first edition of this book that patic and renal toxicity, immunogenicity of
covered the most up-to-date information biotherapeutics, and translational tools for
previously available on the strategies, predicting human dosage, safety, and effi-
methods, applications, and implications of cacy of small molecules and biologics.
scientific data on the role of enzymes and This book is organized into four sections:
transporters in the disposition of pharma- (1) techniques for identifying and quantify-
ceuticals. The book was a great success and ing drugs and metabolites, (2) drug metabo-
was widely used as a valuable resource by lism enzymes, transporters, and drug-drug
scientists in both industry and academia. interactions, (3) strategies related to drug
Since then, a lot has changed in the field of metabolism and safety, and (4) translatio-
drug metabolism, including how recent nal sciences. The book contains 24 chapters
scientific advances are being utilized to dis- covering the most recent, novel scientific
cover and develop safer medicines. There- breakthroughs and how they are utilized to
fore, it has become apparent that a new develop medicines in the modern era. It is
edition of the book is required to fully cap- our sincere hope that this material will serve
ture these profound changes, which involves as an important tool and desk reference for
the implementation of newer technologies in pharmacologists, toxicologists, clinical scien-
the discovery and development of medicines tists, and students interested in the fields
to treat a wide range of maladies. With much of pharmacology, biochemistry, and drug
enthusiasm from the publisher, we collabo- metabolism.
rated to assemble a comprehensive treatise Finally, we wish to acknowledge the con-
that would capture how the latest scientific tributions of the many scholars who partici-
findings are having a fundamental impact pated in and contributed to this book from
on the utilization of these novel advances conception and passion into print. We also
in drug research. This second edition is want to extend our gratitude to the contribu-
completely updated and provides an over- tions of the editorial staff and production
view of the last decade’s numerous improve- manager at Elsevier, and last but not least,
ments in analytical technologies for the the families of the editors for their encour-
detection and quantification of drugs, metab- agement, love, and support.
olites, and biomarkers. This new edition goes
beyond conventional LC-MS and features
all-new chapters, including: how to evaluate Shuguang Ma
drug absorption, distribution, metabolism, Swapan K. Chowdhury
xix
C H A P T E R
1
Bioanalysis of small and large
molecule drugs, metabolites, and
biomarkers by LC-MS
Naidong Weng, Shefali Patel, Wenying Jian
DMPK, Janssen R&D, Spring House, PA, United States
1 Introduction
In this book chapter, we try to provide a brief overview of contemporary bioanalysis using
the LC-MS platform. It is an impossible task to provide a detailed and comprehensive review
of LC-MS bioanalysis in a book chapter. The case studies and literature are no doubt incom-
plete and biased toward our own experiences and publications. Interested readers are
referred to the excellent bioanalysis handbook by Li et al. for a more comprehensive overview
of this discipline [1]. Nevertheless, we hope the readers can appreciate the complexity and
dynamics of modern LC-MS-based bioanalysis for small and large molecule drugs, metabo-
lites, and biomarkers.
Bioanalytical support is required for important decision-making for all types of studies,
from discovery (non-GLP), to development (GLP), and to clinical (GCP) studies. Yet there
are many unique and complicated attributes of cost, quality, and timely delivery at each of
the abovementioned stages (or substage within each stage). For bioanalysis, the quality
and integrity of the bioanalytical data are ultimately the most important attributes. The right
scientific and compliance vigor must be applied to each study. The current regulatory land-
scape for regulated bioanalysis is highly complicated, with guidance from multiple regional
health authorities [2–6]. Since guidance from different regions are not totally harmonized, and
compounded by individual interpretation of different inspectors, it is still quite a challenge to
fully understand and execute the right level of compliance that can be acceptable in the global
filing. Efforts are currently being made to harmonize the guidelines into one single global
guideline ICH-M10 [7].
While timely delivery of bioanalytical data to support project decisions is a must-do item to
meet the ever-tightening drug discovery and development timelines, cost is another attribute
that should not be overlooked. The cost of bioanalysis activities should be carefully managed
to ensure that it stays within the predetermined budget. On the other side, the application of a
LC-MS has also been increasingly used for discovering and measuring endogenous protein or
peptide biomarkers [20, 21].
Both nonclinical development and clinical bioanalytical support are required to follow in-
ternal SOPs and regulatory recommendations. Dozens of SOPs are usually used to address
many aspects of bioanalytical activities ranging from instrument qualification, maintenance,
and calibration, to bioanalytical method validation, sample storage, analysis and destruction,
to data management and archiving, etc. The goal of these SOPs is to ensure the highest data
integrity which can pass the regulatory scrutiny. These SOPs are usually drafted based on spe-
cific regulations and the regulatory guidance from the Food and Drug Administration (FDA)
and other international regulatory agencies, such as the European Medicines Agency (EMA),
and other federal/state requirements, as well as policies at each institute. One of the most im-
portant regulatory guidelines is the US FDA guidance on bioanalytical method validation [2],
which provides a general guideline on establishing important parameters, some of which are
specificity/selectivity, sensitivity, linearity ranges from a lower limit of quantitation (LLOQ) to
an upper limit of quantitation (ULOQ), accuracy, precision, stability, matrix effects, carryover,
recovery, dilution integrity, incurred sample reanalysis (ISR), etc. The method should also
demonstrate reproducibility and accuracy for incurred samples and its suitability for its
intended use. However, it is up to each institute to formulate its own SOPs based on this general
guidance. Typically, method validations can be categorized into full, partial, and cross valida-
tions (Table 1). Most of the validations are conducted in the form of full validation, whereas the
partial or cross validation can be used when a full validation is not required, as shown in the
examples in Table 1.
During the project discussion, it is important to understand the objective of the study so
that important parameters such as matrix type, sample volume, ways of sampling (regular
sampling or microsampling), analytes to be measured (parent or parent plus metabolites),
anticoagulant selection, condition of centrifugation for harvesting plasma, sample storage
container, shipping condition and instruction, sample storage condition (20°C vs.
70°C), etc. can be provided to the project team. While during the early stage of drug
For urine samples, it is always advisable to conduct a nonspecific adsorption loss exper-
iment before protocol finalization so that, if necessary, the means of preventing nonspecific
adsorption can be implemented. Nonspecific adsorption happens frequently in urine assays
because urine lacks proteins and lipids that can bind to the analytes or solubilize lipophilic
analytes [22]. A common approach to urine method development with a focus on overcoming
adsorption issues was published [23]. A simple and quick way to identify an adsorption prob-
lem is through a series of transfers and incubations. In this test, a drug solution in control
urine is prepared at a low quality control (QC) level in a test container. Dry and clean test
containers that are made from the same material and are of the same size as those for future
urine samples should be used. A portion of the urine solution is poured into a next container,
and then the transfer process is repeated for a few more containers. Between transfers, each
solution in the container should be left at room temperature for about 5–20 min to allow ad-
sorption to take place before continuing to the next transfer step. Finally, the urine sample
from each test container is assayed to determine the compound response. A sequential loss
of analyte response after each transfer indicates the existence of nonspecific adsorption loss.
To overcome the issue, antiadsorptive agents can be utilized, such as bovine serum albumin
(BSA), zwitterionic detergents such as 3-[3-cholamidopropyl)-dimethylammonio]-1-propane
sulfonate (CHAPS), sodium dodecyl benzene sulfonate (SDBS), beta-cyclodextrin, Tween 80,
and Tween 20.
7 Tissue bioanalysis
When moving into the development phase, information about biotransformation of the
drug candidate and its metabolites becomes more available. While the parent drug may
not be subjected to glucuronidation, its phase 1 metabolism, for example, oxidation of alcohol
to the carboxylic acid group, may generate metabolites that can form acyl glucuronide. If the
plasma samples were collected without acidification to stabilize the acyl glucuronide, the
phase 1 carboxylic acid metabolite may be overestimated due to the breakdown of acyl glu-
curonide during sample collection, storage, and analysis. It should also be noted that acidi-
fication of the plasma samples will affect the protein binding between the drug candidate and
the endogenous proteins such as albumin [30]. If the protein-binding measurement is needed
with the incurred samples, a separate pool of unbuffered plasma samples should be collected.
Acidification of the samples could also lead to the instability of other metabolites. In one ex-
ample of quantitation of diclofenac and metabolites in mouse plasma, acidification to stabilize
diclofenac acyl glucuronide resulted in increased oxidative degradation of 5-OH diclofenac
and ascorbic acid was added to the samples to prevent the degradation [31].
As we can tell from this simple acyl glucuronide example, a bioanalytical sample collection
strategy may evolve, depending on the stage of the drug discovery and development. For ex-
ample, at the early stage of drug development, information on parent exposure might be
enough for a go-no-go decision. There, a simple stabilization of acyl glucuronide by adjusting
the pH is used. With the project moving forward and gaining of information regarding acyl
glucuronide migration, which may raise toxicity concern [32], the measurement of both the
parent and acyl glucuronide metabolite is needed. Plasma protein binding for both the parent
and acyl glucuronide metabolite may be needed to better predict the initial human dose. One
would then be careful about the potential free fraction (Fu) change with pH adjustment
(nonphysiological pH).
Bioanalytical methods typically consist of analyte extraction from biological samples, liq-
uid chromatography to separate analytes of interest from endogenous components and me-
tabolites that may cause a matrix effect or selectivity issue, and MS detection, often in the
format of tandem mass spectrometers, to enhance assay selectivity and sensitivity. When de-
veloping a quantitative bioanalytical LC-MS method, one needs to holistically consider all
three parts as one integrated system and sometimes trade-offs need to be carefully balanced
[33]. One will always need to keep in mind the integrity of the analyte during the sample ex-
traction, postextraction, and chromatography. It should also be noted that some labile
metabolites, even though not being measured, can convert to the analyte during sample ex-
traction, chromatography, and MS detection and cause quantitation bias for the analytes of
interest.
Biological samples are seldom amenable to direct injection onto the LC-MS system.
Analytes of interest need to be extracted from the biological matrices prior to LC-MS analysis.
The purpose of extraction is to eliminate or reduce interferences which can co-elute with the
analytes and cause matrix effects or quantitation errors, and to concentrate the analytes and
improve their detection. When optimizing the extraction, analyte rather than the matrix is the
focus. This means that an extraction method with the highest recovery for the analyte may
also suffer from a severe matrix effect. The commonly used sample preparation methods
are direct injection, dilute and shoot, protein precipitation, liquid-liquid extraction (LLE)
(solid-phase supported liquid-liquid extraction), and solid-phase extraction (SPE), the last
three being the most frequently used. For example, protein precipitation is widely utilized
and is also frequently the preferred extraction method during drug discovery and preclinical
development. Analytes of interest are released from protein when a protein precipitation
reagent such as organic solvents (e.g., acetonitrile, methanol), acids, or salt (e.g., ammonium
sulfate) is added to the biological samples to denature the protein. The analyte stays in the
supernatant after the centrifugation and can be analyzed directly or can go through evapo-
ration/reconstitution steps to make the injection solution compatible with the chromato-
graphic condition. This procedure is of low cost, easy to perform, and can be performed in
the 96-well format. The extraction is also very mild and thus avoids potential analyte degra-
dation or conversion from metabolite to parent. With the advancement of the modern mass
spectrometer, assay sensitivity at low ng/mL, which in most cases is adequate for discovery
and nonclinical studies, is easily achievable. However, if a simple sample extraction proce-
dure such as protein precipitation is used, one may need to compensate for the potential
ion-suppression or in-source conversion such as that from the glucuronide metabolite to
the parent compound by using a more extensive chromatographic elution. The mechanism
for sample extraction and chromatography ideally should be orthogonal so that a better
method selectivity is provided. On the other side, SPE is very powerful for sample cleanup
as it provides some level of chromatographic separation between the analytes and other
matrix components. SPE is also easily automatable and provides high capacity for analyte
enrichment. However, some of the SPE conditions can be harsh, especially in the case of
strong cation or strong anion SPE where extreme pH conditions are used to elute the analytes.
This may lead to unwanted instability of analytes or the breakdown of conjugated metabolites
to the analyte of interest. Therefore, these SPE conditions should only be used when stability
and biotransformation of the analyte are well established.
For large molecule bioanalysis, two approaches, namely the bottom-up and top-down, are
typically used [34]. The bottom-up approach involves an enzymatic digestion and selection of
a surrogate peptide that can represent the large molecule, while the top-down LC-MS mea-
sures the intact large molecule directly. Both approaches still require a good sample clean to
remove the abundant endogenous proteins and other interferences. In addition to the classic
sample cleanup procedures such as SPE, other novel approaches are also developed for pro-
tein bioanalysis, notably protein precipitation/pellet digestion, abundant protein depletion,
and affinity enrichment. While the bottom-up approach, using a triple quadrupole mass spec-
trometer for the detection, typically has a superior sensitivity to the top-down approach by
It is not the intention of this book chapter to cover every aspect of quantitative bioanalysis.
Rather, a few relatively newly developed areas are focused on to further illustrate the impact
of bioanalysis on drug discovery and development by using case studies from our own lab.
In the first example, we will discuss the status of using LC-MS, as a complementary tool to
the traditional ELISA methods, to analyze large molecules, particularly some of the novel
platform of biotherapeutics such as antibody-drug conjugate (ADC) and half-life extended
peptides. The value of multiple LC-MS methods such as the bottom-up and top-down as well
as simultaneous quantitation and catabolite identification is highlighted. The second example
is the development of microsampling technology which has been widely used to support both
preclinical and clinical studies. In comparison with the traditional plasma sampling technol-
ogy, microsampling presents some additional challenges for method establishment, valida-
tion, and sample analysis, from both the scientific and compliance points of view.
Biomarkers have become more and more important in drug discovery and development,
from confirmation of target engagement to patient stratification. As biomarkers are endoge-
nous molecules, their measurement is particularly challenging for bioanalytical scientists as
there is no “true” blank matrix to prepare standards and QC samples. It is also very difficult to
confirm the selectivity of a biomarker assay due its endogenous nature. Various strategies in
the third example have been proposed to mitigate these challenges. Lastly, the accurate read-
ing of important metabolites in the body has drawn a lot of attention recently since the pub-
lication of the FDA MIST guidance [47]. To establish safety coverage to ensure a safe clinical
trial is pivotal. It is not always straightforward to establish the right bioanalytical strategy for
metabolite measurement. In the last case study, the strategy for metabolite bioanalysis such as
CHAPTER I.
S TAT E O F T H E WA R I N S PA I N .
C O N Q U E S T O F VA L E N C I A .
SIEGE OF SAGUNTUM.
C ATA L O N I A .