Simultaneous quantification of imatinib and its main metabolite N-demethyl-imatinib in human plasma by liquid chromatography-tandem mass spectrometry and its application to therapeutic drug monitoring in patients with gastrointestinal stromal tumor

Biomed Chromatogr. 2017 Dec;31(12). doi: 10.1002/bmc.4022. Epub 2017 Aug 7.

Abstract

The aim of this study was to improve and validate a more stable and less time-consuming method based on liquid chromatography and tandem mass spectrometry (LC- MS/MS) for the quantitative measurement of imatinib and its metabolite N-demethyl-imatinib (NDI) in human plasma. Separation of analytes was performed on a Waters XTerra RP18 column (50 × 2.1 mm i.d., 3.5 μm) with a mobile phase consisting of methanol-acetonitrile-water (65:20:15, v/v/v) with 0.05% formic acid at a flow-rate of 0.2 mL/min. The Quattro MicroTM triple quadruple mass spectrometer was operated in the multiple-reaction-monitoring mode via positive electrospray ionization interface using the transitions m/z 494.0 → 394.0 for imatinib, m/z 479.6 → 394.0 for NDI and m/z 488.2 → 394.0 for IS. The method was linear over 0.01-10 μg/mL for imatinib and NDI. The intra- and inter-day precisions were all <15% in terms of relative standard deviation, and the accuracy was within ±15% in terms of relative error for both imatinib and NDI. The lower limit of quantification was identifiable and reproducible at 10 ng/mL. The method was sensitive, specific and less time-consuming and it was successfully applied in gastrointestinal stromal tumor patients treated with imatinib.

Keywords: GIST; LC-MS/MS; N-demethyl-imatinib; imatinib; pharmacokinetics.

MeSH terms

  • Adult
  • Antineoplastic Agents* / blood
  • Antineoplastic Agents* / therapeutic use
  • Chromatography, Liquid / methods*
  • Drug Monitoring / methods*
  • Female
  • Gastrointestinal Neoplasms / drug therapy*
  • Gastrointestinal Stromal Tumors / drug therapy*
  • Humans
  • Imatinib Mesylate* / analogs & derivatives
  • Imatinib Mesylate* / blood
  • Imatinib Mesylate* / therapeutic use
  • Limit of Detection
  • Linear Models
  • Male
  • Middle Aged
  • Reproducibility of Results
  • Tandem Mass Spectrometry / methods

Substances

  • Antineoplastic Agents
  • Imatinib Mesylate