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Validated GC-MS methods to detect ethylene, diethylene, and triethylene glycol in serum, plasma, and urine samples
Nicolas Abrigo1,2, Susan Daniela Selaya1,3, Adil Mohammad1
1Office of Pharmaceutical Quality Research, Center for Drug Evaluation and Research Food and Drug Administration, Silver Spring, MD, USA.
Insights
This study developed analytical methods to detect ethylene glycol (EG), diethylene glycol (DEG), and triethylene glycol (TEG) in children using Polyethylene glycol 3350 (PEG 3350). The methods found DEG and TEG at very low levels, below quantification limits in a pilot study.
Area of Science:
- Analytical Chemistry
- Clinical Chemistry
- Pharmacology
Background:
- Polyethylene glycol 3350 (PEG 3350) is FDA-approved for adults but commonly used in children for constipation.
- Concerns exist regarding potential absorption of low molecular weight PEG 3350 species, leading to toxic byproducts like ethylene glycol (EG), diethylene glycol (DEG), and triethylene glycol (TEG).
Purpose of the Study:
- To develop and validate sensitive analytical methods for quantifying EG, DEG, and TEG in human biological matrices.
- To assess the presence of these glycols in children using PEG 3350.
Main Methods:
- Gas chromatography-mass spectrometry (GC-MS) and GC-MS/MS were employed for quantitation.
- Sample preparation involved derivatization and the use of deuterated internal standards.
- Analytical methods were validated for human plasma, serum, and urine.
Main Results:
- The analytical methods achieved a range of 2-20 µg/mL for EG, DEG, and TEG.
- In a pilot study of children using PEG 3350, DEG and TEG were detected below the limit of quantitation.
Conclusions:
- A robust platform of analytical methods was established for evaluating glycol analogs in clinical samples.
- The findings suggest minimal detectable levels of DEG and TEG in children using PEG 3350.
Background:
While Polyethylene glycol 3350 (PEG 3350) is approved by the USFDA for short term use by adults, it is commonly recommended for use in constipated children. Multiple reports of adverse events in children taking PEG 3350 raised safety concerns suggesting that low molecular weight species of PEG 3350 might be absorbed from the gut and cause side effects such as ethylene glycol (EG), diethylene glycol (DEG), and triethylene glycol (TEG).
Research Design And Methods:
This article documents the development, validation, and application of analytical methods using GC-MS and GC-MS/MS for the quantitation of EG, DEG, and TEG in human plasma, serum, and urine.
Results:
The analytical range for EG, DEG, and TEG was 2-20 µg/mL. The sample preparation process involves derivatization using N,O-bis(trimethylsilyl) trifluoroacetamide with 1% trimethylchlorosilane in each biological matrices. Deuterated internal standards for each of the analytes were included to provide accurate quantitation of the glycol analytes.
Conclusions:
The validated methods were applied to analyze samples a pilot study of children taking PEG 3350. DEG and TEG were detected at levels below the limit of quantitation. In summary, a platform of analytical methods was developed to evaluate glycol analogs in urine, serum, and plasma clinical samples.
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