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高效液相色谱测定人血浆中米托坦浓度OA

Determination of mitotane in human plasma by high performance liquid chromatography

中文摘要英文摘要

目的 建立更适于临床应用的测定人血浆中米托坦浓度的高效液相色谱(HPLC)法,并完成符合人用药品技术要求国际协调理事会(ICH)《M10:生物分析方法验证及样品分析》要求的方法学验证.方法 以乙腈为蛋白沉淀剂,血浆样本经蛋白沉淀法前处理后进行HPLC分析,色谱柱采用Shim-pak CLC-ODS(150.0 mm ×60.0 mm,5.0 μm),流动相为水-乙腈=20:80(v/v,磷酸调节pH至3.5),流速1.00 mL·min-1,柱温35 ℃,紫外检测波长230 nm,进样量50 μL,进样时间30 min.结果 米托坦的标准曲线方程为y=1.08 × 10-1x-0.18×10-1(r=0.999 2),线性范围为 1.00~100.00 mg·L-1.批内准确度为-8.80%~14.39%、精密度为 0.07%~6.30%,批间准确度为-1.63%~4.47%、精密度为6.67%~9.20%.平均提取回收率均大于87.84%,血浆样品在多种条件下稳定性良好,无明显残留,临床常用合并用药无干扰,全血室温放置2 h稳定.结论 本方法符合ICH M10方法学验证.方法灵敏度高,准确性好,且操作安全简便,适用于临床米托坦血药浓度的常规治疗药物监测(TDM).

Objective To establish a more clinically applicable high performance liquid chromatography(HPLC)method for the determination of mitotane concentration in human plasma,and to complete a method validation in accordance with the requirements of The International Council for Harmonisation of Technical Requirements for Pharmaceuticals for Human Use(ICH)《BIO ANALYTICAL METHOD VALIDATION AND STUDY SAMPLE ANALYSIS,M10》.Methods Using acetonitrile as the protein precipitant,plasma samples were pre-treated by protein precipitation and then analysed by HPLC using a Shim-pak CLC-ODS column(150.0 mm × 60.0 mm,5.0 μm),with a mobile phase of water-acetonitrile=20∶80(v/v,pH adjusted to 3.5 with phosphoric acid),a flow rate of 1.00 mL·min-1,a column temperature of 35 ℃,a UV detection wavelength of 230 nm,an injection volume of 50 μL,and a run time of 30 min.Results The standard curve of mitotane was y=1.08 × 10-1x-0.18 × 10-1(r=0.999 2),the linear range was 1.00-100.00 mg·L-1.The intra-batch accuracy was-8.80%-14.39%,with the precision was 0.07%-6.30%,the inter-batch accuracy was-1.63%-4.47%,with the precision was 6.67%-9.20%.The average extraction recovery rate was greater than 87.84%,and the plasma samples demonstrated good stability under various conditions with no significant carry-over.The commonly concomitant medications in clinical practice had no interference,and the whole blood remained stable when stored at room temperature for 2 h.Conclusion The method complied with the ICH M10 for method validation.It was highly sensitive,accurate,safe and simple to operate,and was suitable for the routine clinical TDM of mitotane concentrationin in human plasm.

时舒萍;许婷婷;左玮;付强;梁春苏;刘鑫;张波

中国医学科学院北京协和医学院北京协和医院药剂科,北京 100730中国医学科学院北京协和医学院北京协和医院药剂科,北京 100730中国医学科学院北京协和医学院北京协和医院药剂科,北京 100730中国医学科学院北京协和医学院北京协和医院药剂科,北京 100730中国医学科学院北京协和医学院北京协和医院药剂科,北京 100730中国医学科学院北京协和医学院北京协和医院药剂科,北京 100730中国医学科学院北京协和医学院北京协和医院药剂科,北京 100730

医药卫生

米托坦肾上腺皮质癌高效液相色谱法血药浓度治疗药物监测方法学验证

mitotaneadrenocortical carcinomahigh-performance liquid chromatographydrug concentrationtherapeutic drug monitoringmethod validation

《中国临床药理学杂志》 2026 (14)

2054-2060,7

国家自然科学基金资助项目(82304638)北京市自然科学基金资助项目(L259076)

10.13699/j.cnki.1001-6821.2026.14.016

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