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e 1. Method variability for each analyte.

Analyte

Control 1

Control 2

Control 3

Control 4

Tacrolimus

Mean (ng/mL)

1.6

7.4

10.8

20.2

%CV

12.8

4.2

4.2

2.9

Sirolimus

Mean (ng/mL)

3.3

14.4

25.3

41.6

%CV

12.1

5.6

6.5

6.6

Everolimus

Mean (ng/mL)

2.9

13.9

24.2

41.8

%CV

9.4

3.7

4.4

5.5

Cyclosporin

Mean (ng/mL)

83

176

362

787

%CV

8.1

11.1

7.2

4.7

Table 1. Method variability for each analyte

Conclusion

The HRAM analysis using the Exactive mass spectrometer

demonstrates SRM comparable specificity, dynamic range,

LOQ and precision in whole blood matrix. There is good

correlation between SRM and HRAM results for the

immunosuppressant drugs monitored.

The precision of HRAM LC-MS analysis meets

current consensus guidelines and has acceptable perfor-

mance to be used as a candidate clinical research method

following further evaluation. All the method development

time for this application was associated with the sample

preparation and chromatography conditions. The mass

analysis method was established in less than 5 minutes

since there is no requirement to tune SRM transitions,

collision energies or transfer lens voltages.

Acknowledgement

We would like to thank Dr. Mark Harrison for

advice during the method set up.

For Research Use Only.

Not for use in diagnostic procedures.