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Analysis of cocaine and its two
     metabolites in dried blood spots

                  Vishal N. Goyani
           M.S. (Pharmaceutical Analysis)
National Institute of Pharmaceutical Education and Research
Agenda
 ØIntroduction
    Bioanalysis
    DBS
   HPLC-Fluorescence
   Cocaine and its metabolite
 ØResearch paper
 ØAim
 ØMethod and Material
 ØResult & Discussion
 ØConclusion
 ØFuture aspect
Introduction
Bioanalytical method
Ø    Analytical methods for the quantitative
    evaluation of drugs and their metabolites in
    Biological matrix

Ø       Use:
    Ø Human clinical pharmacology
    Ø Toxicokinetics
    Ø BA and BE studies
    Ø Therapeutic drug monitoring
    Ø Forensic science
What are Dried Blood Spots? (DBS)
Ø Easy   way of collecting, shipping & storing blood samples

Ø Newborns     are screened for inherited metabolic
 disorders (>95% in US)

Ø Therapeutic    drug monitoring

Ø Mouse    PK-PD study

Ø For   trials in remote areas, e.g. anti-malarials

Ø Spot-punch-extract
Spot
Dry
Punch
Extract
Analysis
}   LC-MS

}   LC-MS-MS

}   HPLC-Fluorescence detection
R3 : Reduce ,Refine ,Replace
Ø   Lower blood volumes
    Ø   Fewer experimental animals
    Ø   Eliminating satellite colonies, so improved data quality
    Ø   Juvenile animals and humans can be studied
    Ø   Mice in place of Rat


                                                   100-200 l per sample
                                                 3 sample time point/mice



                                                 10 to 20 l per sample
                                              6-10 sample time point /mice
Advantage
}   Simplified blood sampling (finger prick)
}   Less invasive
}   Less solvent requirement

}   Simplified process     better quality
     û   Centrifugation
     û   Sub-aliquotting
     û   Freezing
     û   Defrosting
Advantage
}   Stability: Due to moisture removal greater analyte
    stability, especially for enzyme-sensitive compounds
}    Easier storage and transportation:
    }   Room temperature stability saves on cost of dry ice shipments
    }   Less bulky compare to liquid sample
    }   Remote sampling, particularly important for human clinical
        trail samples
}   Cost savings
    }   Animal numbers
    }   Procedures
    }   storage
HPLC with Fluorescence detector
}   Based on principle of fluorescence - light absorbed by
    a molecule causes one or more electrons to be
    excited to higher energy state then molecule may
    return to ground state by emitting energy as
    electromagnetic radiation
}   The wavelength (energy) required is specific to the
    molecule
}   Advantages
    }   Sensitivity
    }   Selectivity
    }   Insensitivity to pressure and flow rate fluctuations
Cocaine
}   Cocaine (benzoylmethylecgonine) is a crystalline
    tropane alkaloid that is obtained from the leaves of
    the caco plant.
}   Use:
    } Stimulant of CNS
    } Appetite suppressant
    } Topical anesthetic
}   illicit drug in Western countries
}   Need to analysis from blood
    to confirm abuse
Cocaine metabolism pathway




  a. cocaine(coc), b.benzoylecgonine(beg), c. cocaethylene (cet)
Research paper
Aim:
} Analysis of cocaine and two metabolites in
  dried blood spots by HPLC with uorescence
  detection: A novel test for cocaine and alcohol
  intake
} To carry out comparison between DBS &
  Plasma sampling
} Analysis of samples from cocaine abusers
Chemicals and solutions
}   Methanolic stock solutions of COC, BEG,CET and
    Venlafaxine (1 mg/mL) were purchased from LGC
    Standards (Teddington, UK)
}   Acetonitrile and methanol HPLC grade (>99.8%),
    85% (w/w) phosphoric acid, TEA and monobasic
    potassium phosphate pure for analysis (>99%) were
    purchased from Sigma Aldrich (Milan, Italy)
}   Ultrapure wate was obtained by means of a MilliQ
    apparatus
}   Standard solutions were obtained by diluting stock
    solutions with the mobile phase
Instrumentation and HPLC conditions
}   The chromatographic system with spectro uorimetric
    detector (Jasco)
}     exc = 230 nm, em = 315 nm
}   Varian (Walnut Creek, USA) Microsorb MV C8
    column (250 mm × 4.6 mm I.D., 4 m)
}   Mobile phase was composed of acetonitrile
    potassium phosphate buffer (pH 3.0; 50 mM)(15:85,v/v)
}   The ow rate was 1.5 mL/min.
}   Injections Volume was 50 l
}   Data processing by Jasco Borwin 3.0 software
}   Solid-phase extraction (SPE) was carried out on a Varian
    Vac Elut apparatus using C8 cartridges (50 mg, 1 mL)



}   Whatman (Maidstone, UK) 903 Protein Saver cards were
    used for DBS sample collection
}   Harris Uni-Core Punch 3.0 mm
}   Lancet
Sample collection and preparation
DBS sample pretreatment
}   Each subject was punctured on a nger and 10µL of
    blood apply with micropipette onto card
}   The blood spot was left to dry for 2 h
}    Circle with 10 mm diameter DBS, was punched out
    from the card and placed into a vial with 500 L of
    methanol
}   The vial was then vortexed for 30 s and centrifuged at
    1400 × g for 10 min
}   The supernatant was brought to dryness under vacuum,
    re-dissolved with 100 L of mobile phase and injected
    into the HPLC
Plasma sample pretreatment
}   For plasma analysis, blood was sampled from the same
    subject into a vial containing EDTA as the anticoagulant. The
    blood was centrifuged at 1400 × g for 10 min to separate
    plasma

}   The SPE of analytes from 400µl plasma was carried out on
    C8 Cartridges & washed twice with 1 mL of ultrapure water
    and once with 1 mLof water/methanol (90:10, v/v) Then
    eluted with 1mL of methanol

}   The eluate was dried under vacuum, re-dissolved with 100 L
    of mobile phase and injected into the HPLC system
Spiking for method validation
}   DBS: Aliquots of 5µL of analyte standard solutions at
    seven different concentrations, containing the IS at a
    constant concentration, were added to 10µL DBS
}   Plasma sample: 20µLof analyte standard solutions at
    seven different concentrations, containing the IS at a
    constant concentration, was added to 400 µLof blank
    plasma
}   The resulting spiked DBS or plasma samples were
    subjected to the previously described pretreatment
    procedures and injected into the HPLC
Accuracy

Extraction
                              Precision
  yield

             Bioanalytical
               Method
              Validation
              Parameter
LOD
                               Selectivity
LOQ
               Linearity of
               Calibration
                  curve
Results and discussion
Analysis of standard solutions
(Without biological matrix)
}   Good linearity (r2 > 0.9998) was obtained over
    the 2 2000 ng/mL concentration range for COC and
    BEG and over the 1.2 2000 ng/mL concentration range
    for CET.
}   The LOQs and the LODs, respectively, were 2 ng/mL and
    0.7 ng/mL for COC and BEG and 1.2 ng/mL and 0.4
    ng/mL for CET.
}   Precision assays were carried out at three different levels
    and gave good results: the RSD values of repeatability
}   Intraday precision < 2.2% (2.0% for the IS).
}   Intermediate < 2.9% (3.3% for the IS).
No interference
Linearity
}   Seven different concentrations, containing the IS at a constant
    concentration spiked in DBS or plasma samples were
    analyzed
}   The procedure was carried out in triplicate for each
    concentration
}   The analyte/IS peak area ratios obtained were plotted against
    the corresponding concentrations of the analytes & the
    calibration curves prepared
}   The values of LOQ and LOD were the analyte
    concentrations, which give rise to peaks whose heights are
    10 and 3 times the baseline noise, respectively
Linearity, LOD and LOQ
Extraction yield, precision
}   Extraction yield (absolute recovery) and precision assays
    were carried out on blank DBS and plasma spiked with
    analyte concentrations corresponding to the lower limit,
    an intermediate point and a high value of the respective
    calibration curves
}   Above three sample repeated six times within the same
    day to obtain repeatability (intraday precision)
}   Six times over six different days to obtain intermediate
    precision (interday precision)
}   Both expressed as relative standard deviation (RSD%)
    values
Selectivity
}   Interference from endogenous compounds :Blank
    DBS or plasma samples from six different volunteers were
    subjected to the sample pre-treatment procedure and
    injected into the HPLC
}   The acceptance criterion was no interfering peak higher
    than an analyte peak corresponding to its LOD
}   Interference from xenobiotics: Standard solutions of
    several different compounds active on the central nervous
    system were injected into the HPLC system. The
    concentration of each standard solution was equal to 5
    times the upper limit of linearity for the analyte standard
    solutions (i.e., 10 g/mL)
Analysis of samples from Cocaine users




 (a) a DBS sample and (b) a plasma sample from a COC and ethanol user.
Comparison between DBS & Plasma
}   The analyte amounts found in DBS and those found in
    plasma are always in good agreement, taking into account
    the presence of hematocrit in DBS and its absence from
    plasma
}    Since the mean normal hematocrit is 38% (v/v) in women
    and 48% (v/v) in men, the concentrations found in DBS
    samples were multiplied by a corresponding correction
    factor (1.62 for women and 1.92 for men)
      Concentration cocaine     benzoylecgonine cocaethylene
      (ng/mL)
      DBS           37          113             34
      DBS x 1.62    60          183             55
      Plasma        62          180             56
Conclusion
Conclusion
}   The HPLC method with uorescence detection presented
    here for the determination of cocaine, benzoylecgonine,
    cocaethylene in DBS and plasma is fast, sensitive and
    selective
}   The proposed method is suitable for the monitoring of
    cocaine use & of cocaine -ethanol simultaneous intake,
    through DBS testing and plasma
}   DBS sampling can be considered a good candidate to be
    applied, in the near future, for the testing of subjects
    suspected of driving under the in uence of drugs and
    alcohol, hopefully becoming a useful and reliable tool to
    contain number and severity of car accidents.
Outlook (In future                   )
}  Direct analysis off the spot to enable routine
   application of DBS Analysis by surface MS
    e.g. TLC-MS (CAMAG)
} DBS cards to become
 less expensive for routine use
Reference
}   Analysis of cocaine and two metabolites in dried
    blood spots by liquid chromatography with
     uorescence detection: A novel test for cocaine and
    alcohol intake Laura Mercolini et.al
}   Dried blood spot microvolume sampling for DMPK
    manual by GE Healthcare
}   Guidance for Industry, Bioanalytical Method Validation,
    U.S. Food and Drug Administration
}   A.J. Jenkins, B.A. Goldberger, On-site Drug Testing,
    Humana Press, Totowa, 2002.
Thank
You     ..
Now, Its
your turn!!!
stability

}   Whole blood stability at 37°C for 4 hours
}   On card stability
}   Assay robustness to pipetting error (10 - 20 L)
}   Processed sample stability
Table II: Specialty DBS cards commercially available
}   Fluorescence detectors
    }   Based on principle of fluorescence - light absorbed by a
        molecule causes one or more electrons to be excited to higher
        energy state. The wavelength (energy) required is specific to
        the molecule. The molecule may return to ground state by
        emitting energy as electromagnetic radiation.
}   Advantages
    }   Sensitivity
    }   Selectivity
    }   Relative insensitivity to pressure and flow rate fluctuations
Future aspect
}      Direct analysis off the spot to enable routine
    application of DBS
}   - Analysis by surface MS
}   - e.g. TLC-MS (CAMAG), DESI, other?
}   - MS vendors encouraged to provide the tools

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dry blood spotting technique,DBS

  • 1. Analysis of cocaine and its two metabolites in dried blood spots Vishal N. Goyani M.S. (Pharmaceutical Analysis) National Institute of Pharmaceutical Education and Research
  • 2. Agenda ØIntroduction Bioanalysis DBS HPLC-Fluorescence Cocaine and its metabolite ØResearch paper ØAim ØMethod and Material ØResult & Discussion ØConclusion ØFuture aspect
  • 4. Bioanalytical method Ø Analytical methods for the quantitative evaluation of drugs and their metabolites in Biological matrix Ø Use: Ø Human clinical pharmacology Ø Toxicokinetics Ø BA and BE studies Ø Therapeutic drug monitoring Ø Forensic science
  • 5. What are Dried Blood Spots? (DBS) Ø Easy way of collecting, shipping & storing blood samples Ø Newborns are screened for inherited metabolic disorders (>95% in US) Ø Therapeutic drug monitoring Ø Mouse PK-PD study Ø For trials in remote areas, e.g. anti-malarials Ø Spot-punch-extract
  • 7. Dry
  • 10. Analysis } LC-MS } LC-MS-MS } HPLC-Fluorescence detection
  • 11. R3 : Reduce ,Refine ,Replace Ø Lower blood volumes Ø Fewer experimental animals Ø Eliminating satellite colonies, so improved data quality Ø Juvenile animals and humans can be studied Ø Mice in place of Rat 100-200 l per sample 3 sample time point/mice 10 to 20 l per sample 6-10 sample time point /mice
  • 12.
  • 13. Advantage } Simplified blood sampling (finger prick) } Less invasive } Less solvent requirement } Simplified process better quality û Centrifugation û Sub-aliquotting û Freezing û Defrosting
  • 14. Advantage } Stability: Due to moisture removal greater analyte stability, especially for enzyme-sensitive compounds } Easier storage and transportation: } Room temperature stability saves on cost of dry ice shipments } Less bulky compare to liquid sample } Remote sampling, particularly important for human clinical trail samples } Cost savings } Animal numbers } Procedures } storage
  • 15. HPLC with Fluorescence detector } Based on principle of fluorescence - light absorbed by a molecule causes one or more electrons to be excited to higher energy state then molecule may return to ground state by emitting energy as electromagnetic radiation } The wavelength (energy) required is specific to the molecule } Advantages } Sensitivity } Selectivity } Insensitivity to pressure and flow rate fluctuations
  • 16. Cocaine } Cocaine (benzoylmethylecgonine) is a crystalline tropane alkaloid that is obtained from the leaves of the caco plant. } Use: } Stimulant of CNS } Appetite suppressant } Topical anesthetic } illicit drug in Western countries } Need to analysis from blood to confirm abuse
  • 17. Cocaine metabolism pathway a. cocaine(coc), b.benzoylecgonine(beg), c. cocaethylene (cet)
  • 19.
  • 20. Aim: } Analysis of cocaine and two metabolites in dried blood spots by HPLC with uorescence detection: A novel test for cocaine and alcohol intake } To carry out comparison between DBS & Plasma sampling } Analysis of samples from cocaine abusers
  • 21. Chemicals and solutions } Methanolic stock solutions of COC, BEG,CET and Venlafaxine (1 mg/mL) were purchased from LGC Standards (Teddington, UK) } Acetonitrile and methanol HPLC grade (>99.8%), 85% (w/w) phosphoric acid, TEA and monobasic potassium phosphate pure for analysis (>99%) were purchased from Sigma Aldrich (Milan, Italy) } Ultrapure wate was obtained by means of a MilliQ apparatus } Standard solutions were obtained by diluting stock solutions with the mobile phase
  • 22. Instrumentation and HPLC conditions } The chromatographic system with spectro uorimetric detector (Jasco) } exc = 230 nm, em = 315 nm } Varian (Walnut Creek, USA) Microsorb MV C8 column (250 mm × 4.6 mm I.D., 4 m) } Mobile phase was composed of acetonitrile potassium phosphate buffer (pH 3.0; 50 mM)(15:85,v/v) } The ow rate was 1.5 mL/min. } Injections Volume was 50 l } Data processing by Jasco Borwin 3.0 software
  • 23. } Solid-phase extraction (SPE) was carried out on a Varian Vac Elut apparatus using C8 cartridges (50 mg, 1 mL) } Whatman (Maidstone, UK) 903 Protein Saver cards were used for DBS sample collection } Harris Uni-Core Punch 3.0 mm } Lancet
  • 24. Sample collection and preparation
  • 25. DBS sample pretreatment } Each subject was punctured on a nger and 10µL of blood apply with micropipette onto card } The blood spot was left to dry for 2 h } Circle with 10 mm diameter DBS, was punched out from the card and placed into a vial with 500 L of methanol } The vial was then vortexed for 30 s and centrifuged at 1400 × g for 10 min } The supernatant was brought to dryness under vacuum, re-dissolved with 100 L of mobile phase and injected into the HPLC
  • 26. Plasma sample pretreatment } For plasma analysis, blood was sampled from the same subject into a vial containing EDTA as the anticoagulant. The blood was centrifuged at 1400 × g for 10 min to separate plasma } The SPE of analytes from 400µl plasma was carried out on C8 Cartridges & washed twice with 1 mL of ultrapure water and once with 1 mLof water/methanol (90:10, v/v) Then eluted with 1mL of methanol } The eluate was dried under vacuum, re-dissolved with 100 L of mobile phase and injected into the HPLC system
  • 27. Spiking for method validation } DBS: Aliquots of 5µL of analyte standard solutions at seven different concentrations, containing the IS at a constant concentration, were added to 10µL DBS } Plasma sample: 20µLof analyte standard solutions at seven different concentrations, containing the IS at a constant concentration, was added to 400 µLof blank plasma } The resulting spiked DBS or plasma samples were subjected to the previously described pretreatment procedures and injected into the HPLC
  • 28. Accuracy Extraction Precision yield Bioanalytical Method Validation Parameter LOD Selectivity LOQ Linearity of Calibration curve
  • 30. Analysis of standard solutions (Without biological matrix) } Good linearity (r2 > 0.9998) was obtained over the 2 2000 ng/mL concentration range for COC and BEG and over the 1.2 2000 ng/mL concentration range for CET. } The LOQs and the LODs, respectively, were 2 ng/mL and 0.7 ng/mL for COC and BEG and 1.2 ng/mL and 0.4 ng/mL for CET. } Precision assays were carried out at three different levels and gave good results: the RSD values of repeatability } Intraday precision < 2.2% (2.0% for the IS). } Intermediate < 2.9% (3.3% for the IS).
  • 32. Linearity } Seven different concentrations, containing the IS at a constant concentration spiked in DBS or plasma samples were analyzed } The procedure was carried out in triplicate for each concentration } The analyte/IS peak area ratios obtained were plotted against the corresponding concentrations of the analytes & the calibration curves prepared } The values of LOQ and LOD were the analyte concentrations, which give rise to peaks whose heights are 10 and 3 times the baseline noise, respectively
  • 34. Extraction yield, precision } Extraction yield (absolute recovery) and precision assays were carried out on blank DBS and plasma spiked with analyte concentrations corresponding to the lower limit, an intermediate point and a high value of the respective calibration curves } Above three sample repeated six times within the same day to obtain repeatability (intraday precision) } Six times over six different days to obtain intermediate precision (interday precision) } Both expressed as relative standard deviation (RSD%) values
  • 35.
  • 36. Selectivity } Interference from endogenous compounds :Blank DBS or plasma samples from six different volunteers were subjected to the sample pre-treatment procedure and injected into the HPLC } The acceptance criterion was no interfering peak higher than an analyte peak corresponding to its LOD } Interference from xenobiotics: Standard solutions of several different compounds active on the central nervous system were injected into the HPLC system. The concentration of each standard solution was equal to 5 times the upper limit of linearity for the analyte standard solutions (i.e., 10 g/mL)
  • 37.
  • 38. Analysis of samples from Cocaine users (a) a DBS sample and (b) a plasma sample from a COC and ethanol user.
  • 39. Comparison between DBS & Plasma } The analyte amounts found in DBS and those found in plasma are always in good agreement, taking into account the presence of hematocrit in DBS and its absence from plasma } Since the mean normal hematocrit is 38% (v/v) in women and 48% (v/v) in men, the concentrations found in DBS samples were multiplied by a corresponding correction factor (1.62 for women and 1.92 for men) Concentration cocaine benzoylecgonine cocaethylene (ng/mL) DBS 37 113 34 DBS x 1.62 60 183 55 Plasma 62 180 56
  • 41. Conclusion } The HPLC method with uorescence detection presented here for the determination of cocaine, benzoylecgonine, cocaethylene in DBS and plasma is fast, sensitive and selective } The proposed method is suitable for the monitoring of cocaine use & of cocaine -ethanol simultaneous intake, through DBS testing and plasma } DBS sampling can be considered a good candidate to be applied, in the near future, for the testing of subjects suspected of driving under the in uence of drugs and alcohol, hopefully becoming a useful and reliable tool to contain number and severity of car accidents.
  • 42. Outlook (In future ) } Direct analysis off the spot to enable routine application of DBS Analysis by surface MS e.g. TLC-MS (CAMAG) } DBS cards to become less expensive for routine use
  • 43. Reference } Analysis of cocaine and two metabolites in dried blood spots by liquid chromatography with uorescence detection: A novel test for cocaine and alcohol intake Laura Mercolini et.al } Dried blood spot microvolume sampling for DMPK manual by GE Healthcare } Guidance for Industry, Bioanalytical Method Validation, U.S. Food and Drug Administration } A.J. Jenkins, B.A. Goldberger, On-site Drug Testing, Humana Press, Totowa, 2002.
  • 44. Thank You ..
  • 46. stability } Whole blood stability at 37°C for 4 hours } On card stability } Assay robustness to pipetting error (10 - 20 L) } Processed sample stability
  • 47. Table II: Specialty DBS cards commercially available
  • 48. } Fluorescence detectors } Based on principle of fluorescence - light absorbed by a molecule causes one or more electrons to be excited to higher energy state. The wavelength (energy) required is specific to the molecule. The molecule may return to ground state by emitting energy as electromagnetic radiation. } Advantages } Sensitivity } Selectivity } Relative insensitivity to pressure and flow rate fluctuations
  • 49. Future aspect } Direct analysis off the spot to enable routine application of DBS } - Analysis by surface MS } - e.g. TLC-MS (CAMAG), DESI, other? } - MS vendors encouraged to provide the tools