An Extremely Sensitive LC-MS/MS Method for Quantitation of Fluticasone Propionate (0.4 pg/mL) in Human Plasma Xinping Fang, Dawei Zhou, and Jinn Wu XenoBiotic Laboratories, Inc., 107 Morgan Lane, Plainsboro, NJ 08536 USA, Overview An extremely sensitive and specific liquid chromatographic-tandem mass spectrometric (LC-MS/MS) method capable of quantifying fluticasone propionate in human plasma is described. In this method, method 0.5 0 5 mL of plasma was used. used The drug was extracted from plasma using a reverse phase C18 solid phase extraction procedure. The analytical separation was performed on a reverse phase C18 column with Acquity UPLC. Detection was achieved using a Waters Xevo TQ-S tandem mass spectrometer employing electrospray ionization in the positive ion mode along with multiple reaction monitoring (MRM). The lowest limit of quantitation is 0.400 pg/mL . The method has been successfully validated and applied to sample analysis in bioequivalent studies. Introduction Fluticasone propionate is an inhaled bronchodilator used to relieve the nasal symptoms of seasonal and year-round allergies. It helps to reduce the inflammation that leads to symptoms including congestion, sneezing, itchy, and runny nose. Two year ago, we published a validated method for determination of fluticasone propionate with the lowest limit of quantitation (LLOQ) of 1 pg/mL in human plasma. With this method, several thousand clinical samples have been analyzed. Recent clinical trials involve a lower dose level to improve the efficacy and safety. Since the circulating levels of fluticasone propionate are very low, it was necessary to further increase assay sensitivity to provide an adequate pharmacokinetic assessment. Here we report a more ruggedness analytical method capable of quantifying fluticasone propionate from 0.5 mL of human plasma at the level of 0.4 pg/mL. Currently, this is the most sensitive bioanalytical method for the determination of fluticasone propionate concentrations human plasma samples. Results and Discussion Sample Preparation The fluticasone propionate and the internal standard (fluticasone propionate-D3) were mixed with the buffer solution and transferred onto the preconditioned Strata C18-E 96-well plate (Phenomenex). The plate was preconditioned with 0.8 mL of methanol and 0.8 mL of water. The loaded plate l were washed h d with i h 1.6 1 6 mL L off water, andd 0.8 0 8 mL L off 20% methanol in water. Both analyte and internal standard were then eluted using 90% methanol in water. +MS2 (501.10) CE (20): 1.927 to 1.994 min from Sample 4 (100 ng/mL MSMS) of test032613.wiff (Turbo Spray), subtracted (1.692 to 1.... 3.2e4 275.4 Max. 3.2e4 cps. 313.2 MRM of 2 Channels ES+ 501 > 313 (Fluticasone Propionate) 6.00e3 (A) 2.0e4 % Mobile Phase B) Gradient Flow rate: Injection Volume: 1.4e4 205.5 369.0 341.2 361.1 251.2 8000.0 481.2 463.2 501.4 333.2 109.1 100 160 220 280 340 400 460 Method Recovery 0 540 m/z, Da 0.20 0.80 1.40 LLOQ 13012011M094 2.00 2.60 (B) Daughters of 501ES+ 2.80e7 % Mass Spectrometry MS System: Condition: MRM Transition: Fluticasone Propionate: Fluticasone Propionate-D3 0 204.7 332.9 358.8 389.0 406.9 109.0 154.9 0 100 160 220 280 340 m/z, Da. 481.1 400 460 540 504.2 MRM of 2 Channels ES+ 501> 313 (FluticasonePropionate) 2.00e4 100 Kinex 2.6 µ C18 column 313.2 313.2 1.40 2.00 2.60 3.40 Time • The objective of method development for quantitation of fluticasone propionate in human plasma was to achieve the best sensitivity in human plasma with 0.5 mL of plasma volume. In our previous article, we have validated a method capable quantifying 1 pg/mL of fluticasone propionate from 0.6 mL of human plasma plasma. In the sample preparation procedure of this study, SPE preconditioning, washing solution, and eluting solution were optimized with different volumes, different percentage, and different type of organic solution. A good extraction recovery (~79%), and low matrix effect (~ -9%) were obtained. Therefore, there is a little room to be improved in sample extraction part. Ascentis Express 2.7 µC18 column 501.2 0.80 Figure 3. LC-MS/MS (MRM) ion chromatograms of blank plasma (A), and lowest calibration standard with 0.4 pg/mL (B) Figure 1. Fluticasone propionate positve full scan mass spectrum collected at previous mass spectrometer (A), and the one collected at Xevo TQS mass spectrometer (B) Waters Xevo TQ-S System LC/(+)ESI-MS/MS (MRM) 0.20 501.0 274.9 Gemini‐ NX 3 µ C18 column BEH 1.7 µ C18 column % QC Conc. (pg/mL) LLOQ 0.400 Low 1.20 Medium 80.0 High 160 0.400 to 200 pg/mL 0.997 Accuracy RE% 2.75 0.83 ‐1.13 ‐3.13 Compared with Nominal Value (%) > 78.50 Time FP 313.0 293.0 (B) 3.40 MRM of 2 Channels ES+ 501 > 313 (Fluticasone Propionate) 6.00e3 1.45 100 12660 MS1M013 89 (1.487) Cm (84:89-(61:67+109:118)) 100 Acquity UPLC, I Class BEH C18, 50 x 2.0 mm, 1.7 Water with 0.04% ammonium hydroxide 10% IPA in methanol 0.5 mL/min 10 µL Validation data summary of fluticasone propionate in human plasma Inter‐Batch (n=18) LC-MS/MS Conditions Liquid Chromatography: HPLC System: Analytical Column: Mobile Phase A) Table I. Calibration Range Coefficient of Determination (R 2; Mean) Accuracy & Precision FP 0.0 The eluted samples were evaporated to dryness in 96-Well Nitrogen Evaporator (EvapArray ) at about 35 °C. The residue was redissolved in 125 µL of 50% methaol in water. Blank 13012011M002 100 293.1 (A) 2.6e4 Freeze/Thaw Bench‐Top Long‐Term Storage Stability Condition 3 Cycles, ‐20 ºC 21 hrs, Room Temperature 3 month, ~ ‐20 ºC Precision CV% 12.9 9.34 2.27 1.99 Accuracy RE% ‐3.70~2.50 3.20 ‐15.0~‐2.50 • In order to further improve the method sensitivity, we focused on how to improve the LC chromatography and mass spectrometer sensitivity. In this method development, we have screened different column with different manufactures (Figure 2) 2). Acquity UPLC BEH column gives lower noise background, higher peak response (better column recovery), and narrower peak width. Another key factor is the use of the extremely sensitive Xevo@ TQ-S mass spectrometer. The use of the StepWave ion guide in Xevo@ TQ-S resulted in a 5-fold increase in sensitivity, compared to previous generations of mass spectrometer (Figure 1). The ion pattern is very similar but the absolute response of TQ-S system is much higher. Figure 3 shows the fluticasone propionate ion chromatograms of calibrator with zero and 0.4 pg/mL (LLOQ) concentration. • Excellent linearity was obtained with the average Coefficient of determination of 0.997. The inter-day precision (CV%) and accuracy (RE%) for all QC plasma samples, including LLOQ were <13% and <3%, respectively (Table I). Three freeze/thaw cycles, ambient temperature storage QC samples for up to 21 h prior to analysis, and 3 month ~-20 °C long-term storage QC samples appeared to have little effect on the quantitation. Structures 0 0 10 0.10 0 70 0.70 1 30 1.30 Time 1 90 1.90 A 2 50 2.50 B O O S H F O H Conclusion O O HO HO Figure 2. The LC performance comparison of four brand column. Acquity UPLC BEH column gives highest peak response and lowest background (giving a better S/N ratio) O D 3C O S H F F H O F F Figure 4. Chemical structure of fluticasone propionate (A), and fluticasone propionate-d3 (B) F This is a most sensitive bioanalytical method for quantitation of fluticasone propionate in human plasma in current clinical sample analysis. The method is validated to demonstrate its ultra sensitivity, highly selectivity and robustness.
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