Amisulpride
Amisulpride
Amisulpride
at
Abstract
In this study, authors developed a simple, sensitive and specific liquid
chromatography–tandem mass spectrometry (LC–MS/MS) method for
quantification of Amisulpride in human plasma using Amisulpride-d5 as an
internal standard (IS). Chromatographic separation was performed on Zorbax
Bonus-RP C18, 4.6 x 75 mm, 3.5 µm column with an isocratic mobile phase
composed of 0.2% formic acid:methanol (35:65 v/v), at a flow-rate of
0.5 mL/min. Amisulpride, Amisulpride-d5 was detected at m/z 370.1→242.1 and
375.1→242.1. The drug and the IS were extracted by a liquid-liquid extraction
method. The method was validated over a linear concentration range of
2.0–2500.0 ng/mL for Amisulpride with a correlation coefficient of (r2) ≥ 0.9982.
This method demonstrated intra- and inter-day precision within 0.9 to 1.7 and
1.5 to 2.8 % and intra- and inter-day accuracy within 98.3 to 101.5 and 96.0 to
101.0 % for Amisulpride. Amisulpride was found to be stable at 3 freeze–thaw
cycles, bench top and auto sampler stability studies. The developed method
was successfully applied to a pharmacokinetic study.
584 R. Mogili et al.:
Keywords
Liquid chromatography–tandam mass spectrometry • Method development • Method
Validation • Amisulpride
Introduction
Amisulpride, 4-amino-N-[(1-ethylpyrrolidin-2-yl)methyl]-5-(ethylsulfonyl)-2-methoxybenz-
amide, has a molecular formula of C17H27N3O4S and a molecular weight of 369.48 g/mol
(Fig.1) [1]. Amisulpride is an ortho-methoxybenzamide derivative chemically related to
sulpiride. This CNS agent shows a high affinity for dopamine D2 and D3 receptors and
demonstrates anti schizophrenic and antidysthymic (antidepressant) properties [2, 3]. This
drug is effective as maintenance therapy in patients with chronic schizophrenia, and
generally a long-term treatment with Amisulpride was associated with improvement in
quality of life and social functioning [4]. Amisulpride is generally well tolerated and the
neurological tolerability profile is superior to that of conventional antipsychotics (e.g.
haloperidol and flupenthixol) [5, 6]. Amisulpride poisoning may induce seizures, QT
prolongation and torsades de pointes [7].
D3C
O O CD2 O O
N S N S
N N
O O
H H
O NH2 O NH2
Amisulpride Amisulpride-d5
After a single oral dose of 50 mg racemic Amisulpride, the drug shows a rapid absorption
with an absolute bioavailability of about 50% and a biphasic absorption profile [8–10]. After
a 50 mg oral dose, the renal clearance ranges from about 17–20 l/h and exhibits little
variation with the dose administered but correlates linearly with creatinine clearance (the
plasma systemic clearance is about 31–421/h) [8–11].
Literature survey reveals that for quantification of amisulpride in biological samples by LC-
MS/MS [12–18], HPLC [19–36], pharmaceuticals by chromatographic, electrophoretic,
spectrophotometric [37] and voltametric [38] were reported. Of all of the studies, Nirogi et
al. [12] achieved better results for quantitative estimation of amisulpride in human plasma.
Authors could not achieve better results for quantification of amisulpride in terms of
sensitivity, runtime, consumption of mobile phase and in recovery.
The aim of the present research is to develop and validate a simple, sensitive, selective,
fast, rugged and reproducible analytical method for quantification of Amisulpride in Human
plasma samples by liquid chromatography coupled to electro spray (ES) tandem mass
spectrometry. Moreover, the analyte is compared with a deuterated internal standard,
which is most useful in selectivity and matrix effect experiments using LC-MS/MS.
Instrumentation
HPLC system (1200 series model, Agilent Technologies, Waldbronn, Germany), Mass
spectrometry API 4000 triple quadrupole instrument (ABI-SCIEX, Toronto, Canada) using
MRM.
Detection
Turbo ionspray (API) positive mode with Unit Resolution, MRM was used for the detection
of Amisulpride and Amisulpride-d5. The [MH]+ was monitored at m/z: 370.1, for
Amisulpride and m/z: 375.2 for Amisulpride-d5. Fragments of m/z: 242.0 for Amisulpride
and m/z: 242.1 Amisulpride-d5 formed from the respective precursor ions. Mass
parameters were optimized as source temperature 500 °C, nebulizer source gas 30
(nitrogen) psi, heater gas 45 (nitrogen) psi, curtain gas 20 (nitrogen) psi, CAD gas 7
(nitrogen) psi, Ion Spray (IS) voltage 5500 volts, source flow rate 500 µL/min without split,
entrance potential 10 V, collision cell exit potential (CXP) 12 V, declustering potential (DP)
70 V, Collision energy 38 V for Amisulpride and Amisulpride-d5.
Chromatographic conditions
Zorbax Bonus-RP C18, 4.6 x 75 mm, 3.5 µm was selected as the analytical column at a
temperature of 30°C. The mobile phase composition was 0.2% formic acid: methanol
(35:65 v/v) at a flow rate of 0.5 mL/min. Amisulpride-d5 was found to be an appropriate
internal standard in terms of chromatography and extractability. The retention time of
Amisulpride, Amisulpride-d5 was found to be approximately 1.1 ± 0.2 min.
Sample preparation
Liquid-liquid extraction was used to isolate Amisulpride and Amisulpride-d5 from human
plasma. 100 µL of IS (200.0 ng/mL) and 100 µL of plasma sample (respective
concentration) were added respectively into ria-vials and vortexed briefly. Then, 2.5 mL of
extraction solvent (diethyl ether) was added and vortexed for approximately 20 min. This
was followed by centrifugation at 4000 rpm for 10 min at 20°C. Then samples were flash
frozen using dry-ice/acetone. The supernatant from each ria-vial was transferred into
another set of ria-vials. These samples were evaporated at 40°C under nitrogen up to
dryness. Finally, the dried residue samples were reconstituted with 500 µL of reconstitution
solution and vortexed briefly. These samples were transferred into auto sampler vials and
injected into LC-MS/MS.
Other parameters, such as the nebulizer and heater gases, DP, EP, CE, and CXP were
optimized to obtain a better spray shape, resulting in better ionization of the protonated
ionic Amisulpride and Amisulpride-d5. A CAD product ion spectrum of Amisulpride and
Amisulpride-d5 formed with the fragment ions at m/z 242.1 for Amisulpride and m/z 242.1
for Amisulpride-d5 (Fig. 2a–d).
.
Fig. 2b. Mass spectrum of Amsulpride product ion
Chromatographic optimization
Initially, we tried different extraction techniques such as SPE, Precipitation techniques.
Finally, LLE was selected as a suitable extraction technique for the drug and IS in terms of
recovery and reproducibility. Chromatographic conditions, especially the composition and
nature of the mobile phase as well as the column, were optimized through several trials to
achieve the best resolution to increase the signal of Amisulpride and Amisulpride-d5. A
good separation and elution were achieved with 0.2% Formic acid: Methanol (35:65v/v) as
the mobile phase, at a flow-rate of 0.5 mL/min and injection volume of 5 µL.
quadratic regression analysis. The ratio of Amisulpride peak area to Amisulpride-d5 peak
area was plotted against the ratio of Amisulpride concentration to Amisulpride-d5
concentration in ng/mL. Calibration curve standard samples were prepared in each set and
quality control samples were prepared in replicates (n=6) for analysis. The correlation
coefficient >0.9850 was obtained for Amisulpride. Precision and accuracy for the back
calculated concentrations of the calibration points, should be within ≤ 15 ± 15% of their
nominal values. However, for LLOQ the precision and accuracy should be within ≤ 20 ±
20%.
Recovery
The extraction recovery of Amisulpride and Amisulpride-d5 from human plasma was
determined by analyzing quality control samples. Recovery at three concentrations (6.0,
750.0 and 1750.0 ng/mL) was determined by comparing peak areas obtained from the
plasma sample and the standard solution spiked with the blank plasma residue. A
recovery of more than 50 % was considered adequate to obtain required sensitivity.
Matrix effect
The matrix effect due to the plasma matrix was used to evaluate the ion
suppression/enhancement in a signal when comparing the absolute response of QC
samples after pretreatment (Liquid-liquid extraction) with the reconstitution samples
extracted from blank plasma sample spiking with analyte. Experiments were performed at
MQC levels in triplicate with six different plasma lots with the acceptable precision (%CV)
of ≤ 15%.
volunteer gave written informed consent before participating in this study. Ten healthy
volunteers were chosen as subjects and orally administered a 50 mg dose (one 50 mg
tablet) with 240 mL of drinking water. The reference product, Solian tablets (Sanofi-
Aventis) 50 mg, and the test product, AM tablets (test tablet) 50 mg were used. Study
protocol was approved by IEC (Institutional Ethical committee) as per ICMR (Indian
Council of Medical Research). Blood samples were collected as pre-dose (0) h, 5 min prior
to dosing followed by further samples at 0.25, 0.5, 0.75, 1.0, 1.333, 1.667, 2.0, 2.5, 3.0,
3.5, 4.0, 4.5, 5.0, 5.5, 6.0, 7.0, 9.0, 12.0, 16.0, 24.0, 36.0, 48.0 and 60 h. After dosing, 5
mL of blood was collected each time in vaccutainers containing K2EDTA. A total of 48 (24
time points for test and 24 time points for reference) time points were collected from each
volunteer. The samples were centrifuged at 3200 rpm, 10°C, 10 min, and stored at −30°C
until sample analysis. Test and reference tablets were administered to the same human
volunteers under fasting conditions separately with proper washing periods (42 days gap
between test and reference doses) as per protocol approved by IEC.
Amisulpride Amisulpride-d5
Fig. 3b. Chromatogram of LOQ
Tab. 2. Precision and accuracy (analysis with spiking plasma samples at four different
concentrations)
Spiked Within-run Between-run
a
plasma Concentration R.S.D. Accuracy Concentration R.S.D.a Accuracy
concen- measured (%) % measured (%) %
tration (n=6) (ng/mL) (n=30) (ng/mL)
(ng/mL) (mean ± S.D) (mean±S.D.)
2.00 1.99 ± 0.20 1.6 99.50 1.97 ± 0.18 1.5 98.42
6.00 5.90 ± 0.10 1.7 98.3 5.76 ± 0.15 2.6 96.0
750.00 761.14 ± 6.58 0.9 101.5 757.34 ± 11.57 1.5 101.0
1750.00 1746.15 ± 20.44 1.2 99.8 1763.73 ± 49.24 2.8 100.8
a Standard deviation
×100
Mean concentration measured
Recovery
The recovery following the sample preparation using liquid-liquid extraction method with
diethyl ether was calculated by comparing the peak areas of drug in plasma samples with
the peak area ratios of solvent samples and was estimated at control levels of drug. The
recovery of Amisulpride (at concentrations 6.0, 750.0 and 1750.0 ng/mL) was found to be
74.00, 73.97 and 75.93%. The overall average recovery of Amisulpride was found to be
74.63%. The overall average recovery of Amisulpride-d5 was found to be 65.07 %.
Matrix effect
The CV % of ion suppression/enhancement in the signal was found to be 1.2% at MQC
level for Amisulpride, indicating that the matrix effect on the ionization of the analyte is
within the acceptable range under these conditions.
Fig. 5. Mean plasma concentrations of test vs. reference after a 50 mg dose (one 50
mg tablet) in 10 healthy volunteers
Conclusion
The method described here is fast, rugged and reproducible, and sensitive. Each sample
requires less than 2.5 min of analysis time for determination of Amisulpride in human
plasma by LC-MS/MS. The deuterated compound Amisulpride-d5 was used as an internal
standard. We have developed and validated the method as per the FDA guidelines over a
concentration range of 2.0–2500.0 ng/mL for Amisulpride using a 100µL plasma sample
followed by a simple liquid-liquid extraction technique for extraction of the drug and internal
standard. This method could be useful for application in clinical pharmacokinetic studies.
Acknowledgment
The authors wish to thank the support received from IICT (Indian Institute of Chemical
Technology) Hyderabad, India, for providing literature survey, Jawaharlal Nehru
Technological University, Anantapur, India and APL Research Centre, Hyderabad, India.
Authors’ Statements
Competing Interests
The authors declare no conflict of interest.
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