figure 1. mometasone furoate and hydrazone reaction - celerion

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INTRODUCTION • Mometasone furoate is a potent synthetic corticosteroid with minimal bioavailability when administered topically (dermatitis) or via inhalation (allergy, asthma) • Maximum plasma concentrations near 50 pg/mL are expected following inhalation of 100 - 400 µg, and a sensitive method is required to measure an adequate number of data points for calculating pharmacokinetic parameters • A post-extraction derivatization procedure coupled with a dual- column LC-MS/MS set-up provided sufficient sensitivity to validate an LLOQ of 0.250 pg/mL Figure 1. Mometasone furoate and hydrazone reaction products The target LLOQ of 0.25 pg/mL was challenging to achieve as the neutral steroid tends to form adducts in positive ESI and the signal is diluted by the presence of 2 chlorine atoms. Derivatization with several hydrazine compounds or dansyl chloride was investigated to increase and stabilize the response. Two isomeric products were often observed with reversed phase chromatography. Figure 2. Reversed phase chromatography of derivatised mometasone furoate. The reaction products presented themselves as a single peak using cation exchange chromatography with moderate retention. A Sub-Picogram LC-MS/MS Method for the Analysis of Mometasone Furoate in Human Plasma. Lapko, V; Dzerk, A; Linderholm, K; Coe, R; Retke, B; Merrill, M; Sheldon, C Celerion, Lincoln, NE, USA Figure 3. Mometasone furoate derivative SCX chromatography SAMPLE PREPARATION Several solvents were tested across the pH range and n-butyl chloride at alkaline pH was chosen to provide the cleanest baseline and adequate recovery from 1.0 mL of EDTA plasma prior to derivatization. 1mL Sample /IS + 1mL 2% NH4OH + 4.5 mL ButylChloride Mix/Separate & evaporate organic Derivatize/Evaporate/reconstitute Severe matrix suppression was observed for all derivatives including several highly retained species that nearly eliminated the signal from subsequent injections. Figure 4. Post column infusion experiment, mometasone furoate retention time ca. 1.6 minutes under typical (not final) SCX conditions. INSTRUMENTATION A dual-column back-flush method was adopted. In this approach, 2 columns are used under isocratic conditions with one being rinsed offline in the reverse direction while the analysis column is eluting to the mass spec. Alternating columns via a valve switch eliminates downfield elution of suppressive compounds. • Mobile Phase: Acetonitrile:Methanol:15 mM ammonium formate, pH 2.5; Analytical Flow Rate 0.9 mL/min, Back-flush Flow Rate 1.0 mL/min • Column: SCX 3x50 mm 5µm, 50°C • Detection: Electrospray ionization (ESI) data was acquired by multiple reaction-monitoring (MRM) in positive mode on an AB SCIEX 5500 Q-TRAP® mass spectrometer. Acquisition time 2.0 minutes Figure 5. Dual column backflush LC-MS/MS design. Mometasone chromatography under the final conditions, LLOQ, Blank and Post Column Infusion. Figure 6. Final conditions for mometasone furoate derivative O CH 3 HO Cl H H CH 3 O Cl O O O CH 3 N N CH 3 Cl H H CH 3 HO O Cl O O O R H CH 3 N NH 2 H R N CH 3 Cl H H CH 3 HO O Cl O O O CH 3 N R H H+ Mometasone d 3 - 37 Cl-Mometasone Autosampler Position 1 Position 2 Waste Mass Spec Pump A Position 1 Position 2 PC Column A PC Column A Autosampler Pump A Column B PC PC Column B Pump B Waste Pump B Mass Spec RESULTS • The validated analytical range was 0.25 to 25.0 pg/mL of mometasone furoate using 1.0 mL of human EDTA plasma • The inter-batch precision (% C.V.) and accuracy (% Bias) of quality control samples is shown in Table 1 • The extraction recovery of mometasone furoate was 87 – 93% • Selectivity and matrix effect data were acceptable for healthy and hemolyzed human EDTA plasma • Mometasone furoate was stable in human EDTA plasma through 6 freeze/thaw cycles, inclusive of 53 hours at ambient temperature under white lighting and for up to 57 days when stored at -20°C • Derivatized mometasone furoate integrity was maintained up to 78 hrs post extraction Table 1. Validation Interday Reproducibility A bioequivalence study of a 200 ug mometasone nasal spray generated over 3000 samples for analysis. Reanalysis of 262 samples confirmed 97% of the original results using established industry-wide criteria for incurred sample reproducibility. The average difference between all reassay results was 4.1%. CONCLUSIONS A robust method for analysis of mometasone furoate in human plasma has been developed and validated. Despite sub-picogram sensitivity requirements, the relatively simple method overcomes extreme matrix effects to accurately and reproducibly quantify mometasone furoate for pharmacokinetic characterization of very low dosage intranasal and topical formulations. ACKNOWLEDGMENT The authors thank Alyssa Perry, Chris Kafonek, Marzuki Mohamed, and Joseph Silva for their contributions. a. Lower Limit of Quantitation 0.25 pg/mL b. Blank Control Plasma c. Post Column Infusion Quality Control Samples Precision (% CV) Accuracy (% Bias) Inter-Batch LLOQ 0.25 pg/mL Low 0.75 pg/mL Medium 5.0 pg/mL High 20.0 pg/mL 16.9 7.6 2.3 2.3 4.4 2.8 5.8 1.5

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Page 1: Figure 1. Mometasone furoate and hydrazone reaction - Celerion

INTRODUCTION•Mometasonefuroateisapotentsyntheticcorticosteroidwithminimalbioavailabilitywhenadministeredtopically(dermatitis)orviainhalation(allergy,asthma)

•Maximumplasmaconcentrationsnear50pg/mLareexpectedfollowinginhalationof100-400µg,andasensitivemethodisrequiredtomeasureanadequatenumberofdatapointsforcalculatingpharmacokineticparameters

• Apost-extractionderivatizationprocedurecoupledwithadual-columnLC-MS/MSset-upprovidedsufficientsensitivitytovalidateanLLOQof0.250pg/mL

Figure 1. Mometasone furoate and hydrazone reaction products

ThetargetLLOQof0.25pg/mLwaschallengingtoachieveastheneutralsteroidtendstoformadductsinpositiveESIandthesignalisdilutedbythepresenceof2chlorineatoms.Derivatizationwithseveralhydrazinecompoundsordansylchloridewasinvestigatedtoincreaseandstabilizetheresponse.Twoisomericproductswereoftenobservedwithreversedphasechromatography.

Figure 2. Reversed phase chromatography of derivatised mometasone furoate.

Thereactionproductspresentedthemselvesasasinglepeakusingcationexchangechromatographywithmoderateretention.

A Sub-Picogram LC-MS/MS Method for the Analysis of Mometasone Furoate in Human Plasma.Lapko, V; Dzerk, A; Linderholm, K; Coe, R; Retke, B; Merrill, M; Sheldon, CCelerion, Lincoln, NE, USA

Figure 3. Mometasone furoate derivative SCX chromatography

SAMpLE pREpARATIONSeveralsolventsweretestedacrossthepHrangeandn-butylchlorideat alkaline pHwas chosen to provide the cleanest baseline andadequaterecoveryfrom1.0mLofEDTAplasmapriortoderivatization.

1mL Sample /IS + 1mL 2% NH4OH + 4.5 mL ButylChloride

Mix/Separate & evaporate organic

Derivatize/Evaporate/reconstitute

Severematrixsuppressionwasobservedforallderivativesincludingseveralhighlyretainedspeciesthatnearlyeliminatedthesignalfromsubsequentinjections.

Figure 4. Post column infusion experiment, mometasone furoate retention time ca. 1.6 minutes under typical (not final) SCX conditions.

INSTRUMENTATIONAdual-columnback-flushmethodwasadopted.Inthisapproach,2columnsareusedunderisocraticconditionswithonebeingrinsedofflineinthereversedirectionwhiletheanalysiscolumniselutingtothemassspec.Alternatingcolumnsviaavalveswitcheliminatesdownfieldelutionofsuppressivecompounds.•MobilePhase:Acetonitrile:Methanol:15mMammoniumformate,pH2.5;AnalyticalFlowRate0.9mL/min,Back-flushFlowRate1.0mL/min

• Column:SCX3x50mm5µm,50°C• Detection:Electrosprayionization(ESI)datawasacquiredbymultiplereaction-monitoring(MRM)inpositivemodeonanABSCIEX5500Q-TRAP®massspectrometer.Acquisitiontime2.0minutes

Figure 5. Dual column backflush LC-MS/MS design.

Mometasonechromatographyunderthefinalconditions,LLOQ,BlankandPostColumnInfusion. Figure 6. Final conditions for mometasone furoate derivative

O

CH3

HO

Cl

H

H

CH3

OCl

O

O

O

CH3

NN

CH3

Cl

H

H

CH3HO

OCl

O

O

O

R

H

CH3

N NH2

H

R

N

CH3

Cl

H

H

CH3HO

OCl

O

O

O

CH3

N

R

H

H+

Mometasone d3-37Cl-Mometasone

MS

Autosampler

Position 1

MS

Position 2

PC COLUMN

COLUMNPC

Waste

PC COLUMN

PUMP B

WASTE

MassSpec

Pump A

Position 1

Position 2

PC Column A

PC COLUMNPC Column A

Autosampler

Pump A

Column BPC

PC Column B

Pump B

Waste

Pump B

MassSpec

RESULTS• Thevalidatedanalyticalrangewas0.25to25.0pg/mLofmometasonefuroateusing1.0mLofhumanEDTAplasma

• Theinter-batchprecision(%C.V.)andaccuracy(%Bias)ofqualitycontrolsamplesisshowninTable1

• Theextractionrecoveryofmometasonefuroatewas87–93%• SelectivityandmatrixeffectdatawereacceptableforhealthyandhemolyzedhumanEDTAplasma

•MometasonefuroatewasstableinhumanEDTAplasmathrough6freeze/thawcycles,inclusiveof53hoursatambienttemperatureunderwhitelightingandforupto57dayswhenstoredat-20°C

•Derivatizedmometasonefuroateintegritywasmaintainedupto78hrspostextraction

Table 1. Validation Interday Reproducibility

Abioequivalencestudyofa200ugmometasonenasalspraygeneratedover3000samplesforanalysis.Reanalysisof262samplesconfirmed97%oftheoriginalresultsusingestablishedindustry-widecriteriaforincurredsamplereproducibility.Theaveragedifferencebetweenallreassayresultswas4.1%.

CONCLUSIONSArobustmethodforanalysisofmometasonefuroateinhumanplasmahasbeendevelopedandvalidated.Despitesub-picogramsensitivityrequirements,therelativelysimplemethodovercomesextremematrixeffectstoaccuratelyandreproduciblyquantifymometasonefuroateforpharmacokineticcharacterizationofverylowdosageintranasalandtopicalformulations.

ACKNOwLEDgMENTTheauthorsthankAlyssaPerry,ChrisKafonek,MarzukiMohamed,andJosephSilvafortheircontributions.

a. Lower Limit of Quantitation 0.25 pg/mL

b. Blank Control Plasma

c. Post Column Infusion

Quality Control Samples Precision (% CV) Accuracy (% Bias) Inter-Batch LLOQ 0.25 pg/mL

Low 0.75 pg/mL Medium 5.0 pg/mL High 20.0 pg/mL

16.9 7.6 2.3 2.3

4.4 2.8 5.8 1.5