DBS sampling in imatinib therapeutic drug monitoring: from method development to clinical application

被引:30
作者
Antunes, Marina Venzon [1 ]
Raymundo, Suziane [1 ]
Wagner, Sandrine Comparsi [1 ,2 ]
Mattevi, Vanessa Sune [2 ]
Vieira, Natalia [2 ]
Leite, Renata [2 ]
Reginato, Fabiola [2 ]
Capra, Marcelo Zanella [3 ]
Fogliatto, Laura [4 ]
Linden, Rafael [1 ]
机构
[1] Univ Feevale, Inst Ciencias Saude, Novo Hamburgo, RS, Brazil
[2] Univ Fed Ciencias Saude Porto Alegre, Porto Alegre, RS, Brazil
[3] Grp Hosp Conceicao, Porto Alegre, RS, Brazil
[4] Hosp Clin Porto Alegre, Porto Alegre, RS, Brazil
关键词
DRIED BLOOD SPOT; BIOANALYTICAL METHODS; VALIDATION; ACID;
D O I
10.4155/bio.15.101
中图分类号
Q5 [生物化学];
学科分类号
071010 ; 081704 ;
摘要
Background: Imatinib (IM) is widely used in treatment of chronic myeloid leukemia with target trough plasma concentrations above 1000 ng ml(-1). DBS can increase access to IM therapeutic drug monitoring. Results: IM was measured in the range 50-4000 ng ml(-1) by UHPLC-MS/MS using one 6 mm DBS in a fully validated method. IM was stable at DBS maintained at 40 degrees C for 36 days. Plasma and DBS concentrations were highly correlated (r > 0.96). The use of a IM concentration target of 765 ng ml(-1) in DBS identified 93% of patients with plasma concentration below 1000 ng ml(-1). Conclusion: IM can be measured in DBS using UHPLC-MS/MS with results comparable to those obtained in blood plasma.
引用
收藏
页码:2105 / 2117
页数:13
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