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Application  No.C123
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            Calibration curves were prepared by continuous     including the minimum limit of quantification. Similarly,
            analysis, then used to validate accuracy and precision   precision was measured at a %RSD of within 15 %,
            (repeatability). Good linearity was obtained across the   showing that good repeatability was achieved (Table 3).
            set calibration curve range for each of the highly   These results indicate that sample preparation and
            hydrophilic drug sotalol and the highly hydrophobic   analysis performed using the fully automated sample
            drug amiodarone and its active metabolite          preparation system is suitable for a wide range of
            N-desethylamiodarone,  with  accuracy  within      hydrophilic and hydrophobic drugs.
            100  %  ±15  %  over  the  entire  measurement  range


                               Table 3  Results of Validation Test for Simultaneous Analysis of Antiarrhythmic Drugs
                                            QC samples concentration
                                    Range                              Accuracy (%)          % RSD (n=6)
                   Compounds                       (ng/mL)
                                   (ng/mL)
                                            LLOQ   Medium  High   LLOQ   Medium  High   LLOQ   Medium  High
             Sotalol               100-5000  100    1000   2000   107.0   101.2  101.1   3.20   1.83    1.80
             Amiodarone            100-5000  100    1000   2000     99.2  102.6  100.6   3.78   1.66    1.99
             N-Desethylamiodarone  100-5000  100    1000   2000   101.2   103.3  100.1   4.22   1.48    3.01



                                        Table 4  Preparation Conditions for Antiarrhythmic Drugs
                                                 Sample Volume : 50 μL
                                                 Reagent   : Acetonitrile 200 μL
                                                 Shaking   : 90 sec, 1900 rpm
                                                 Filtration   : 150 sec



                                         Table 5  Analytical Conditions for Antiarrhythmic Drugs
                               Column          : Mastro C18 (100 mm L. × 2.1 mm I.D., 3 μm)
                               Mobile Phase    : A 0.1 % Formic acid - Water
                                               : B 0.1 % Formic acid - Methanol
                               Flowrate        : 0.4 mL/min
                               Time Program    : B. Conc. 5 % (0 - 1.5 min) - 100 % (5.5 - 7.5 min) - 5 % (7.51 - 10 min)
                               Column Temperature   : 40 °C
                               Injection Volume   : 0.3 μL
                               Probe Voltage   : 4.5 kV (ESI-positive mode)
                               DL Temperature   : 250 °C
                               Block Heater Temperature : 400 °C
                               Nebulizing Gas Flow   : 3 L/min
                               Drying Gas Flow   : 15 L/min
                               MRM Transition   : Sotalol (+) m/z 273.1 > 133.0,
                                                 Amiodarone (+) m/z 646.0 > 58.2,
                                                 N-Desethylamiodarone (+) m/z 618.0 > 72.2


            n Conclusion
            Results indicate that the fully automated sample   precision analytical workflow that is compatible with
            preparation LC/MS/MS system can eliminate the risk of   drugs with a wide variety of physicochemical properties.
            error or variability introduced by manual sample   We anticipate the fully automated sample preparation
            preparation that has been a problem for TDM, and also   LC/MS/MS system will contribute to improved analytical
            indicate this system can implement a quick and high-  reliability and throughput in TDM.

            <Acknowledgments>
            This research was performed with considerable help from Dr. Takeshi Kuwahara of the Pharmacy Department, National
            Cerebral and Cardiovascular Center in Japan.

            [References]
            1) Guidance for Industry: Bioanalytical Method Validation (2001, US FDA)
            2) Guideline on Bioanalytical Method Validation in Pharmaceutical Development (Japan's MHLW, 2013)
            Notes
            • The products mentioned in this article have not been approved/certified as medical devices according to the Pharmaceutical and Medical Device Act
             in Japan.
            • The analytical methods mentioned in this article cannot be used for diagnostic purposes.

                                                                                                      First Edition: Mar. 2016


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