We use cookies to improve your experience. By continuing to browse this site, you accept our cookie policy.×
Preliminary Communication

Development of an LC–MS/MS-based method for quantitation of osimertinib in human plasma and cerebrospinal fluid

    Kei Irie

    *Author for correspondence: Tel.: +81 78 302 4321; Fax: +81 78 302 5534;

    E-mail Address: kei_irie@kcho.jp

    Department of Pharmacy, Kobe City Hospital Organization, Kobe City Medical Center General Hospital, 2-1-1 Minatojima-minami-machi, Chuo-ku, Kobe 650-0047, Japan

    Division of Pharmacy, Institute of Biomedical Research & Innovation Hospital, 2-2-1 Minatojima-minami-machi, Chuo-ku, Kobe 650-0047, Japan

    Division of Integrated Oncology, Institute of Biomedical Research & Innovation Hospital, 2-2-1 Minatojima-minami-machi, Chuo-ku, Kobe 650-0047, Japan

    ,
    Shigeki Nanjo

    Division of Integrated Oncology, Institute of Biomedical Research & Innovation Hospital, 2-2-1 Minatojima-minami-machi, Chuo-ku, Kobe 650-0047, Japan

    ,
    Akito Hata

    Division of Integrated Oncology, Institute of Biomedical Research & Innovation Hospital, 2-2-1 Minatojima-minami-machi, Chuo-ku, Kobe 650-0047, Japan

    ,
    Yuta Yamasaki

    Department of Pharmaceutics, Faculty of Pharmaceutical Science, Kobe Gakuin University, 1-1-3 Minatojima, Chuo-ku, Kobe 650-8586, Japan

    ,
    Yutaka Okada

    Division of Integrated Oncology, Institute of Biomedical Research & Innovation Hospital, 2-2-1 Minatojima-minami-machi, Chuo-ku, Kobe 650-0047, Japan

    ,
    Nobuyuki Katakami

    Division of Integrated Oncology, Institute of Biomedical Research & Innovation Hospital, 2-2-1 Minatojima-minami-machi, Chuo-ku, Kobe 650-0047, Japan

    &
    Shoji Fukushima

    Department of Pharmaceutics, Faculty of Pharmaceutical Science, Kobe Gakuin University, 1-1-3 Minatojima, Chuo-ku, Kobe 650-8586, Japan

    Published Online:https://doi.org/10.4155/bio-2018-0292

    Aim: The transitivity of osimertinib to cerebrospinal fluid (CSF) is of clinical concern. A quantitative LC–MS/MS method for the determination of osimertinib in human plasma and CSF was developed to evaluate its transitivity. Results: The calibration range was 40–1000 nM in plasma and 0.8–100 nM in CSF. Accuracy and precision were within 15%. Osimertinib in the CSF but not in plasma strongly adsorbed onto the storage container. The mean adsorbed loss of osimertinib was 45.5% in CSF. Nonspecific binding in CSF was decreased by protein addition (mean loss = 5.8%). Conclusion: A robust validated method was developed for the quantification of osimertinib in human plasma and CSF.

    Papers of special note have been highlighted as: • of interest; •• of considerable interest

    References

    • 1. Goss G, Tsai C-M, Shepherd FA et al. Osimertinib for pretreated EGFR Thr790Met-positive advanced non-small-cell lung cancer (AURA2): a multicentre, open-label, single-arm, Phase 2 study. Lancet Oncol. 17(12), 1643–1652 (2016).
    • 2. Mok TS, Wu Y-L, Ahn M-J et al. Osimertinib or platinum-pemetrexed in EGFR T790M-positive lung cancer. N. Engl. J. Med. 376(7), 629–640 (2017).
    • 3. Soria J-C, Ohe Y, Vansteenkiste J et al. Osimertinib in untreated EGFR-mutated advanced non-small-cell lung cancer. N. Engl. J. Med. 378(2), 113–125 (2018). • Efficacy of osimertinib in untreated EGFR-mutated advanced non-small-cell lung cancer.
    • 4. Ballard P, Yates JWT, Yang Z et al. Preclinical comparison of osimertinib with other EGFR-TKIs in EGFR-mutant NSCLC brain metastases models, and early evidence of clinical brain metastases activity. Clin. Cancer Res. 22(20), 5130–5140 (2016). •• Efficacy of osimertinib in mouse brain metastases model.
    • 5. Nanjo S, Ebi H, Arai S et al. High efficacy of third generation EGFR inhibitor AZD9291 in a leptomeningeal carcinomatosis model with EGFR-mutant lung cancer cells. Oncotarget 7(4), 3847–3856 (2016). •• Efficacy of osimertinib in mouse leptomeningeal carcinomatosis model.
    • 6. Lee SJ, Lee J-I, Nam D-H et al. Leptomeningeal carcinomatosis in non-small-cell lung cancer patients: impact on survival and correlated prognostic factors. J. Thorac. Oncol. 8(2), 185–191 (2013).
    • 7. National Institute of Health Sciences. Guideline on bioanalytical method validation in pharmaceutical development (2013). www.nihs.go.jp/drug/BMV/250913_BMV-GL_E.pdf
    • 8. Rood JJM, van Bussel MTJ, Schellens JHM, Beijnen JH, Sparidans RW. Liquid chromatography-tandem mass spectrometric assay for the T790M mutant EGFR inhibitor osimertinib (AZD9291) in human plasma. J. Chromatogr. B Analyt. Technol. Biomed. Life Sci. 1031, 80–85 (2016). • Quantification method for osimertinib in plasma using LC–MS/MS.
    • 9. Guetens G, Prenen H, De Boeck G et al. Sensitive and specific quantification of the anticancer agent ZD1839 (gefitinib) in plasma by on-column focusing capillary liquid chromatography-tandem mass spectrometry. J. Chromatogr. A 1082(1), 2–5 (2005).
    • 10. Jänne PA, Yang JC-H, Kim D-W et al. AZD9291 in EGFR Inhibitor-resistant non-small-cell lung cancer. N. Engl. J. Med. 372(18), 1689–1699 (2015).
    • 11. Nanjo S, Hata A, Okuda C et al. Standard-dose osimertinib for refractory leptomeningeal metastases in T790M-positive EGFR-mutant non-small cell lung cancer. Br. J. Cancer 118(1), 32–37 (2018).
    • 12. JDong ST, Li Y, Yang HT, Wu Y, Li YJ, Ding CY, Meng L, Dong ZJ, Zhang Y. An accurate and effective method for measuring osimertinib by UPLC-TOF-MS and its pharmacokinetic study in rats. Molecules 23(11), 2894 (2018).
    • 13. Ji AJ, Jiang Z, Livson Y, Davis JA, Chu JX, Weng N. Challenges in urine bioanalytical assays: overcoming nonspecific binding. Bioanalysis 2(9), 1573–1586 (2010).
    • 14. Wagdy AM, Kim JC, Kim GE, Wu H, El-Shourbagy T. Effect of sample collection tubing type used in a clinical study on quantitation of pharmaceutical compounds in CSF by LC–MS/MS. Bioanalysis 3(2), 167–179 (2011).
    • 15. Dickinson PA, Cantarini MV, Collier J et al. Metabolic disposition of osimertinib in rats, dogs, and humans: insights into a drug designed to bind covalently to a cysteine residue of epidermal growth factor receptor. Drug Metab. Dispos. 44(8), 1201–1212 (2016).
    • 16. Togashi Y, Masago K, Masuda S et al. Cerebrospinal fluid concentration of gefitinib and erlotinib in patients with non-small cell lung cancer. Cancer Chemother. Pharmacol. 70(3), 399–405 (2012).