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6

An Improved Immunosuppressant Drug Research Method Based on a Novel SPLC-MS/MS System

Conclusion

Improved reliability and economy was achieved for ISD analysis for

research purposes by using a novel SPLC-MS/MS system and method.

Ion suppression of ISDs by co-eluting phospholipids was largely avoided

by using the short Accucore C8 HPLC column.

Using 1/x weighting, correlation coefficients (r2) > 0.995 were typical for:

Cyclosporin A, from 25 to 1250 ng/mL,

Everolimus, Sirolimus & Tacrolimus, from 2.5 to 50 ng/mL.

Carryover, measured by peak areas corresponding to the ISDs from blank

injections following the highest calibrators, was typically less than 0.1%.

Reproducible ISD QC results were obtained from three research test sites

evaluating this method with the PreludeSPLC-TSQ Vantage system.

A reduction in solvent waste of about 40% was achieved, comparable to

legacy TurboFlow methods for ISDs.

Acknowledgements

The authors thank the following who hosted our testing program at their

laboratories:

Dr. William Clarke & Autumn Breaud of Johns Hopkins Medical Center,

Dr. Mark Kellogg & Dr Roy Peake of Boston Children’s Hospital and

Dr. Sihe Wang & Jessica Gabler of the Cleveland Clinic.

ChromSystems 6PLUS1 and MassCheck are registered trademarks of Chromsystems Instruments &

Chemicals, GmbH. All other trademarks are the property of Thermo Fisher Scientific and its subsidiaries

This information is not intended to encourage use of these products in any manners that might

infringe the intellectual property rights of others.

For Research Use Only. Not for use in diagnostic procedures.

Cs

o Significant Carryover

onsistently showed linear responses

Sirolimus and Tacrolimus and

rin A. Weighting the data by 1/x

nd calculated concentrations in

d QCs

Across 3 Different Test Sites.

re reported from three different

y, Boston Children’s Hospital and

C) Reproducibility Results

ithin 30 days

Matching Results from Legacy Method

As shown in Table 2, the Prelude method produced results that agreed with

those produced by a legacy TurboFlow method for ISDs. Furthermore, the

Prelude results were reproduced remarkably well from sample preparations that

were almost 1 month old.

Repeated

Repeated

Ran on 1/9/2013 1/29/2013

Ran on 1/9/2013 1/29/2013

Test

Legacy Prelude Prelude

Test

Legacy Prelude Prelude

Sample

ISD

Method Method Method

Sample

ISD Method Method Method

8KLE Cyclosporin A:

86

105

103

120726-­‐001 Everolimus:

3.5

3.0

4.5

8KBG Cyclosporin A:

186

201

203

120726-­‐002 Everolimus:

2.0

1.7

1.8

8KOU Cyclosporin A:

84

99

93

120726-­‐003 Everolimus:

2.0

1.8

2.0

8L20 Cyclosporin A:

80

81

75

120904-­‐001 Everolimus:

4.0

4.3

3.9

8LB5 Cyclosporin A:

88

94

94

121227-­‐001 Everolimus:

4.6

3.9

4.4

8JDF Cyclosporin A:

168

176

176

121227-­‐002 Everolimus:

2.3

2.2

2.5

8I6C Cyclosporin A:

53

58

58

121227-­‐003 Everolimus:

2.3

2.3

2.1

8KJNK

Sirolimus:

3.6

2.2

1.8

8LO5 Tacrolimus:

7.3

7.6

7.6

8KN6

Sirolimus:

3.0

1.2

2.0

8M3Y Tacrolimus:

2.6

3.2

2.9

8L5K

Sirolimus:

8.4

9.5

7.3

8M4D Tacrolimus:

12.5

11.1

12.5

8JB0

Sirolimus:

3.3

3.5

2.8

8M8F Tacrolimus:

2.3

2.8

2.8

8GOC

Sirolimus:

14.4

12.5

10.9

8MI1 Tacrolimus:

16.2

15.0

17.9

8I27

Sirolimus:

3.2

2.5

1.9

8MDV Tacrolimus:

8.9

8.8

9.6

86HF

Sirolimus:

5.7

5.5

4.2

8LRH Tacrolimus:

20.0

17.7

19.0

TABLE 2. Everolimus Calibrators and QCs

Everolimus

Expected Average RSD%

2.3

2.3 11.7

4.4

4.4 11.0

8.5

8.8 8.4

28.8

28.6 6.1

Tacrolimus

Expected Average RSD%

2.6

2.8 5.3

7.3

7.1 6.1

16.7

16.4 4.1

34.2

33.8 4.1