Abstract

Azacitidine is widely used for the treatment of myelodysplastic syndromes (MDS) and acute myelogenous leukaemia (AML). The analysis of azacitidine in biological samples is subject to interference by endogenous compounds. Previously reported high-performance liquid chromatography/tandem mass spectrometric (HPLC-MS/MS) bioanalytical assays for azacitidine suffer from expensive sample preparation procedures or from long separation times to achieve the required selectivity. Herein, supercritical fluid chromatography with tandem mass spectrometry (SFC-MS/MS) was explored as a more promising technique for the selective analysis of structure-like or chiral drugs in biological matrices. In this study, a simple, rapid and specific SFC/MS/MS analytical method was developed for the determination of azacitidine levels in rat plasma. Azacitidine was completely separated from the endogenous compounds on an ACQUITY UPLC™ BEH C18 column (100 mm × 3.0 mm, 1.7 μm; Waters Corp., Milford, MA, USA) using isocratic elution with CO2/methanol as the mobile phase. The single-run analysis time was as short as 3.5 min. The sample preparation for protein removal was accomplished using a simple methanol precipitation method. The lower limit of quantification (LLOQ) of azacitidine was 20 ng/mL. The intra-day and inter-day precisions were less than 15%, and the relative error (RE) was within ±15% for the medium- and high-concentration quality control (QC) samples and within ±20% for the low-concentration QC samples. Finally, the developed method was successfully applied to a pharmacokinetic study in rats following the intravenous administration of azacitidine.

Highlights

  • Myelodysplastic syndromes (MDS) represent a diverse group of haematopoietic disorders derived from the inefficient production of blood cells, each with varying risks of transformation to acute myelogenous leukaemia (AML) [1,2]

  • Sufficient chromatographic separation of azacitidine from the endogenous compounds is difficult to accomplish in biological samples using ultra-performance liquid chromatography (UPLC)-MS/MS assays

  • We investigated the potential of an supercritical fluid chromatography (SFC)-MS/MS method as a complimentary approach to the high-performance liquid chromatography (HPLC)-MS/MS method for the determination of azacitidine levels in rat plasma samples

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Summary

Introduction

Myelodysplastic syndromes (MDS) represent a diverse group of haematopoietic disorders derived from the inefficient production of blood cells, each with varying risks of transformation to acute myelogenous leukaemia (AML) [1,2]. Azacitidine has a narrow therapeutical window, and an accurate quantitative method that would permit the monitoring of its plasma levels to ensure that these levels are maximally therapeutic but minimally toxic is urgently needed. Microbiological and radioactive carbon-labelling assays were used to determine azacitidine levels in biological samples, but the assays were not specific or accurate [9,10]. High-performance liquid chromatography (HPLC) assays were developed to quantitate azacitidine in aqueous media but not in plasma, and the data only confirmed previous assumptions concerning the hydrolytic kinetics [8,11,12]. HPLC assays have subsequently been established for the determination of azacitidine levels in biological fluids, but these assays suffer from low sensitivity, with a lower limit of quantification (LLOQ) of 250 ng/mL [13]

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