Simultaneous determination of duloxetine and 4-hydroxy duloxetine glucuronide in human plasma and back-conversion study

Bioanalysis. 2021 Nov;13(22):1681-1696. doi: 10.4155/bio-2021-0185. Epub 2021 Nov 8.

Abstract

Aim: To develop an LC-MS/MS method for simultaneous determination of duloxetine and its metabolite, 4-hydroxy duloxetine glucuronide (4HDG) in human plasma and to investigate the potential back-conversion of 4HDG to duloxetine using stability study. Materials & methods: The LC-MS/MS method was validated according to the EMA and USFDA Bioanalytical Method Validation Guidelines and applied to pilot bioequivalence study. Results & conclusion: The method validation results were within the acceptance limits. The stability study and incurred sample reanalysis results ruled out the occurrence of back-conversion. The study highlighted the conduct of back-conversion test and the advantages of LC-MS/MS method in terms of sensitivity, specificity and low consumption of organic solvents.

Keywords: 4-hydroxy duloxetine glucuronide; LC-MS/MS; back-conversion; duloxetine; human plasma; pilot bioequivalence study.

MeSH terms

  • Adolescent
  • Adult
  • Area Under Curve
  • Chromatography, High Pressure Liquid* / standards
  • Duloxetine Hydrochloride / administration & dosage
  • Duloxetine Hydrochloride / blood*
  • Duloxetine Hydrochloride / pharmacokinetics
  • Duloxetine Hydrochloride / standards
  • Glucuronides / chemistry
  • Half-Life
  • Humans
  • Quality Control
  • ROC Curve
  • Tandem Mass Spectrometry* / standards
  • Therapeutic Equivalency
  • Young Adult

Substances

  • Glucuronides
  • Duloxetine Hydrochloride