Author(s): Koal T, Deters M, Resch K, Kaever V
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Abstract BACKGROUND: Ertapenem (Invanz) is a newly developed carbapenem beta-lactam antibiotic. LC-MS is the method of choice for therapeutic drug monitoring (TDM) of a variety of drugs including antibiotics. No validated LC-MS method for ertapenem quantification is described in the literature so far. METHODS: A rapid and robust LC-MS quantification method for ertapenem was developed and validated for clinical routine application in plasma samples. After immediate stabilisation with MES buffer (pH 6.5), samples were prepared for LC-MS analysis using simple protein precipitation. LC-MS coupling was realised by the use of a Phenomenex Synergi 4micro Polar-RP A80 Mercury LC column (10 x 2.0 mm) in combination with a Single-MS (Agilent 1100 LC-MSD SL) operating in negative selected ion monitoring (SIM) detection mode with ceftazidime as internal standard for adequate selective and sensitive analysis. RESULTS: LC-MS method validation by means of determination of limit of detection (LOD 0.1 microg mL-1), lower limit of quantification (LLOQ 1 microg mL-1), linearity (0.1-50 microg mL-1), recovery (> 90\%), intra- and inter-day precision (RSD < 10\%), accuracy (> 90\%), inter-subject variability (< 10\% at LLOQ), drug stability in plasma (> 3 months) and in post-extracted samples (> 99\% for 24 h), and matrix effects (process efficiency > 90\%) showed excellent performance parameters considering Guidance for Industry - Bioanalytical Method Validation. CONCLUSION: This method is perfectly appropriate for routine quantification of ertapenem and possibly other polar carbapenem beta-lactam antibiotics.
This article was published in Clin Chim Acta
and referenced in Pharmaceutica Analytica Acta