Development and full validation of an innovative HPLC-diode array detection technique to simultaneously quantify lacosamide, levetiracetam and zonisamide in human plasma

Bioanalysis. 2018 Apr 1;10(8):541-557. doi: 10.4155/bio-2017-0199. Epub 2018 Mar 21.

Abstract

Aim: To implement pharmacokinetic drug monitoring and individualize the posology of new antiepileptic drugs, the first HPLC-diode array detection method was developed and validated to simultaneously quantify lacosamide, levetiracetam and zonisamide in human plasma.

Materials & methods: Preceded by a reproducible liquid-liquid extraction, chromatographic separation was achieved by using a C18 column of 5 cm length and a mobile phase of water/acetonitrile. Full validation was performed according to international guidelines.

Results: The method was linear within 0.5-30, 2.5-40.0 and 0.5-50.0 μg ml-1 for lacosamide, levetiracetam and zonisamide, respectively (r2 ≥ 0.998), accurate (-12.411-8.303%), precise (≤8.875%).

Conclusion: This innovative HPLC-diode array detection method was successfully employed in clinical practice and is expected to empower epileptic patients with a personalized pharmacotherapy service. [Formula: see text].

MeSH terms

  • Acetamides / blood*
  • Anticonvulsants / blood*
  • Chromatography, High Pressure Liquid / methods
  • Drug Monitoring / methods*
  • Humans
  • Isoxazoles / blood*
  • Lacosamide
  • Levetiracetam
  • Piracetam / analogs & derivatives*
  • Piracetam / blood
  • Zonisamide

Substances

  • Acetamides
  • Anticonvulsants
  • Isoxazoles
  • Levetiracetam
  • Zonisamide
  • Lacosamide
  • Piracetam