Abstract

Selpercatinib and pralsetinib are potent and selective tyrosine kinase inhibitors targeting the rearranged during transfection (RET) receptor in various types of cancer. In this study, a bioanalytical assay was developed and fully validated for selpercatinib and pralsetinib in mouse plasma and partially in eight mouse tissue homogenates using liquid chromatograph-tandem mass spectrometry. Samples were pre-treated by protein precipitation with acetonitrile using erlotinib as internal standard. Separation of the analytes was performed on an ethylene bridged octadecyl silica C18 column by gradient elution using ammonium hydroxide (in water) and methanol. Analytes were detected by positive electrospray ionization in selected reaction monitoring mode. A linear concentration range of 2–2000 ng/ml was used for the validation of the assay for both inhibitors. The precision values (within–day and between–day) ranged between 3.4 and 10.2% for selpercatinib and 3.1–14.6% for pralsetinib in all matrices. Furthermore, data obtained for accuracy were between 91.7 and 109.3% and 85.1–114.1% for selpercatinib and pralsetinib, respectively. No significant matrix effects or extraction losses were observed and both analytes were stable under all investigated conditions. Finally, a pilot study for selpercatinib in mice was conducted employing this method, followed by a successful incurred sample reanalysis.

Highlights

  • Cancer is still the leading global cause of death and is characterized by the abnormal division of cells, potentially spreading to different parts of the body

  • Different LC parameters were tested to achieve the optimal response in terms of peak area, shape and resolution

  • Among several mobile phase combinations of 0.1% (v/v) aqueous formic acid, 0.2% (v/v) ammonium hydroxide with acetonitrile and methanol as organic modifiers, ammonium hydroxide showed the highest response for ESIMS

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Summary

Introduction

Cancer is still the leading global cause of death and is characterized by the abnormal division of cells, potentially spreading to different parts of the body. This disease is caused by damage to genes that are responsible for maintaining cellular functions. The first selective and potent oral RET TKIs selpercatinib (LOXO-292, Fig. 1A) and pralsetinib (BLU-667, Fig. 1B) are currently in phase 1/2 studies for patients with advanced RET fusion-positive solid tumors [3,4,5] Both inhibitors show improved results for patients with RET fusion-positive cancer due to increased potency and minimal side effects

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