Development and clinical application of a LC-MS/MS method for simultaneous determination of various tyrosine kinase

Lutz Götze1, Axel Hegele, Stephan Klaus Metzelder

  • 1Institute of Laboratory Medicine and Pathobiochemistry, Philipps-University Marburg, Marburg, Germany.

Abstract

Insights

A new method accurately quantifies multiple tyrosine kinase inhibitors (TKIs) in plasma, aiding cancer therapy. This rapid, simultaneous assay is suitable for routine clinical use.

Area of Science:

  • Pharmacology
  • Analytical Chemistry
  • Biochemistry

Background:

  • Tyrosine kinase inhibitors (TKIs) are increasingly used for treating malignancies and other diseases.
  • Developing efficient methods for monitoring TKI levels in patients is crucial for optimizing therapy.

Purpose of the Study:

  • To develop and validate a specific, simple, and rapid quantification method for various TKIs in human plasma.
  • To enable simultaneous measurement of multiple TKIs, improving clinical monitoring efficiency.

Main Methods:

  • Liquid chromatography tandem mass spectrometry (LC-MS/MS) in multiple reaction monitoring (MRM) mode was employed.
  • A simultaneous assay for six TKIs (erlotinib, imatinib, lapatinib, nilotinib, sorafenib, sunitinib) was developed.
  • Protein precipitation followed by RP-C18 column separation with a specific mobile phase gradient was utilized.

Main Results:

  • The method demonstrated high accuracy with coefficients of determination ≥0.99 for all analytes.
  • Intra- and inter-day coefficients of variation were ≤15%, indicating good precision.
  • The assay achieved a rapid chromatographic run time of 12 minutes and demonstrated plasma sample stability for at least one week at 4°C.

Conclusions:

  • This novel high-throughput method is suitable for the specific and simultaneous determination of different TKIs.
  • The assay is well-suited for routine clinical practice, facilitating improved patient management and TKI therapy optimization.