Determination of Clopidogrel and Its Three Metabolites Concentrations in Human Plasma by LC-MS/MS
- VernacularTitle:液相色谱-质谱联用法测定人血浆中氯吡格雷及其3种代谢产物的浓度
- Author:
Zhirui LIU
1
;
Pu YAO
1
;
Bo YANG
1
;
Yu WANG
1
;
Wei FENG
1
;
Fengjun SUN
1
Author Information
1. Dept. of Pharmacy,the First Affiliated Hospital of Army Medic al University,Chongqing 400038,China
- Publication Type:Journal Article
- Keywords:
LC-MS/MS;
Clopidogrel;
Metabolites;
Plasma concentration
- From:
China Pharmacy
2019;30(21):2946-2951
- CountryChina
- Language:Chinese
-
Abstract:
OBJECTIVE: To establish the method for simultaneous determination of clopidogrel (CLP), its intermediate metabolite (2-O-CLP), inactive metabolite (CLPCA) and active metabolite (CLPTM) in human plasma. METHODS: Totally 90 patients diagnosed as stroke were selected from the First Affiliated Hospital of Army Medical University. They were given one CLP tablet (75 mg/tablet) orally on an empty stomach in the morning. Blood samples were collected 2 h after taking the tablet. CLPTM- D was formed by derivation of CLPTM with 2-bromo-3’-methoxyacetophenone and extracted by precipitation of acetonitrile protein together with the other three substances to be measured. LC-MS/MS method was adopted. The determination was performed on Agilent poroshell 120 EC-C18 column with mobile phase consisted of acetonitrile (0.1% formic acid) and water (0.1% formic acid) (90 ∶ 10, V/V). The quantitation analysis was performed using multiple reaction monitoring at the specific ion transitions of m/z 308.1→198.1 (CLPCA), 322.3→212.0 (CLP), 338.3→155.0 (2-O-CLP), 504.4→354.1 (CLPTM-D) and 264.0→154.1 (ticlopidine, internal standard), respectively. RESULTS: The retention time of CLPCA, CLP, 2-O-CLP, CLPTM-D and internal standard were 2.01, 3.32, 2.83, 2.68, 1.87 min, respectively. The linear range of CLPCA, CLP, 2-O-CLP and CLPTM-D were 100-10 000, 0.2-20, 0.3-30, 0.5-50 ng/mL (all r≥0.999 5). The intra-day and inter-day RSD were all less than 9.5% (n=5). Accuracy ranged from 93.5%-98.9% (n=5), and extraction recovery was from 85.4% to 95.9% (n=5). The matrix effect ranged from 2.7%-6.2% (n=5). In stability tests (storing at -80 ℃ for 3 months, 3 freeze-thaw cycles, storing at 4 ℃ for 8 h), RE of CLP, CLPCA and CLPTM-D were all lower than 10.0% (n=5). CONCLUSIONS: Established LC-MS/MS method has the advantages of high specificity, accuracy and reliability, and can be used to detect the concentration of CLP and its three metabolites in human plasma.