Quantification of amikacin and kanamycin in serum using a simple and validated LC-MS/MS method
Jacob A Dijkstra1, Marieke Gg Sturkenboom, Kai van Hateren
1University of Groningen, University Medical Center Groningen, Department of Clinical Pharmacy & Pharmacology, PO Box 30.001, 9700 RB Groningen, The Netherlands.
Background:
Amikacin and kanamycin are frequently used in the treatment of multidrug-resistant TB. The current commercially available immunoassay is unable to analyze kanamycin and trough levels of amikacin. The objective was therefore to develop a LC-MS/MS method for the quantification of amikacin and kanamycin in human serum.
Materials & Methods:
Using apramycin as internal standard, selectivity, accuracy, precision, recovery, matrix effects and stability were evaluated.
Results:
The presented LC-MS/MS method meets the recommendations of the US FDA with a low LLOQ of 250 ng/ml for amikacin and 100 ng/ml for kanamycin. No statistical significant difference was found between the LC-MS/MS method and the immunoassay of amikacin (Architect(®) assay, p = 0.501).
Conclusion:
The low LLOQ of amikacin and the ability to analyze kanamycin makes the LC-MS/MS method the preferred method for analyzing these aminoglycosides.
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