Abstract

Olmutinib (OTB, Olita™) is an orally available third-generation epidermal growth factor receptor tyrosine kinase inhibitor (EGFR TKI). It was developed by Boehringer Ingelheim and Hanmi Pharmaceutical Co. Ltd for the cure of non-small cell lung cancer (NSCLC). In May 2016, OTB was approved in South Korea for the treatment of patients suffering from metastatic or locally advanced EGFR T790M mutation-positive NSCLC. A LC-MS/MS methodology was validated for OTB quantification in human plasma. An extended application for this validated LC-MS/MS is OTB metabolic stability evaluation. Chromatographic separation of OTB and ponatinib (PNT, IS) was attained using a reversed phase with isocratic elution. The linearity of the developed LC-MS/MS method ranged from 5.00 to 500.00 ng mL−1 with r2 ≥ 0.9999 in human plasma. LOD and LOQ were 1.12 and 3.39 ng mL−1, respectively. The intra-day and inter-day precision and accuracy were 1.17 to 2.75% and 97.86 to 101.48%, respectively. The intrinsic clearance (CLint) was 2.71 mL min−1 kg−1 and the in vitro half-life (t1/2) was 48.80 min. A review of the literature revealed that there are no previous articles about the quantification of OTB in human plasma using LC-MS/MS or its metabolic stability assessment.

Highlights

  • Cancer is considered as one of the major reasons of death, and it causes more than one fourth of the world's deaths.[1]

  • From all types of cancers reported worldwide, lung cancer is the major reason of death because it was responsible for around 20% of cancer deaths (1.59 million deaths) in 2012.3 Non-small cell lung cancers (NSCLCs) represent almost 90% of lung cancers.[4,5]

  • Patients suffering from advanced-stage NSCLCs accompanied by active mutations of epidermal growth factor receptors (EGFR) have received a rstline targeted medication of tyrosine kinase inhibitors (TKIs).[6]

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Summary

Introduction

Cancer is considered as one of the major reasons of death, and it causes more than one fourth of the world's deaths.[1] Molecular targeting strategies have lately been utilized for curing disseminated cancer.[2] From all types of cancers reported worldwide, lung cancer is the major reason of death because it was responsible for around 20% of cancer deaths (1.59 million deaths) in 2012.3 Non-small cell lung cancers (NSCLCs) represent almost 90% of lung cancers.[4,5] Patients suffering from advanced-stage NSCLCs accompanied by active mutations of epidermal growth factor receptors (EGFR) have received a rstline targeted medication of tyrosine kinase inhibitors (TKIs).[6] The rst-generation TKIs such as ge tinib and erlotinib have a very good initial response against these active mutations of EGFR.[7] a major drawback for this group appears during the rst year of treatment, which is the acquired resistance development in most patients.[7,8] This has led to vigorous attempts by scientists to develop the second generation of EGFR TKIs (e.g., avitinib, dacomitinib, etc.), which is irreversibly linked to a domain in EGFR called TK.[8,9] The third-generation

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