Short communicationSimultaneous bioanalysis of rasagiline and its major metabolites in human plasma by LC–MS/MS: Application to a clinical pharmacokinetic study
Graphical abstract
Introduction
Rasagiline (N-propargyl-1(R)-aminoindan) is a monoamine oxidase type-B (MAO-B) inhibitor that is usually used as a monotherapy in early Parkinson’s disease (PD) and as an adjunct medication in advanced PD to decrease off-time and improve the symptoms of PD in levodopa-treated patients with motor fluctuations [1], [2], [3], [4]. Rasagiline also provides neuroprotective effects in laboratory models of neurodegeneration [5], [6], [7], [8].
Rasagiline undergoes almost complete biotransformation in the liver, and two main pathways are involved in the metabolism of rasagiline, which include N-dealkylation and/or hydroxylation to yield 1-aminoindan (AI), 3-hydroxy-N-propargyl-1-aminoindan (3-OH-PAI) and 3-hydroxy-1-aminoindan (3-OH-AI) [9], [10], [11]. In vitro experiments indicate that both pathways are dependent on the cytochrome P450 (CYP) system, with CYP1A2 as the major isoenzyme involved in the rasagiline metabolism [9], [10], [11]. In addition, several studies have shown the potential neuroprotective effects of AI, suggesting that it might contribute to the overall neuroprotective and antiapoptotic effects of its parent compound rasagiline [12], [13], [14], [15], moreover, as derivatives of rasagiline and AI, 3-OH-PAI and 3-OH-AI might also have potential neuroprotective effects [16], [17]. Because metabolites may contribute to the pharmacology or toxicity of the parent drug [18], it is essential to establish a reliable method for the determination of rasagiline and its major metabolites in human plasma.
Several analytical methods have been developed to detect rasagiline in biological fluids or pharmaceutical preparations using HPLC [19], [20], [21], [22], LC–MS/MS [23], [24], [25], GC–MS [26] or crystallographic analysis [3]; however, few studies have sought to determine its metabolite AI [26], [27], [28]. Thébault et al. described a method for the simultaneous determination of rasagiline and AI by GC–MS, but the lower limits of quantitations (LLOQs) of 0.25 and 0.5 ng/ml for rasagiline and AI (>1/20 of respective Cmax), respectively, could not guarantee the pharmacokinetic valuation, and the sample preparation procedure involving derivatization is too time-consuming [26]. Furthermore, no studies to date have clarified the exposure of 3-OH-PAI and 3-OH-AI in humans. Considering the potential effects of these metabolites, a sensitive and simple assay to simultaneous determine the concentrations of rasagiline and its metabolites (AI, 3-OH-PAI and 3-OH-AI) would be highly useful and could provide support for the comprehensive evaluation of their pharmacokinetic profiles.
In this study, we developed and validated a simple and rapid LC–MS/MS method for the simultaneous determination of rasagiline and its major metabolites in human plasma. This method was successfully applied to a pharmacokinetic study following the oral administration of 1 mg rasagiline mesylate tablets to six healthy Chinese volunteers.
Section snippets
Chemicals and reagents
Rasagiline (99.68% purity), AI (98.2% purity), 3-OH-PAI (98.5% purity) and 3-OH-AI (98.1% purity) standards were provided by Sichuan Fangxiang Pharmaceutical Co., Ltd (Sichuan, China). Clopidogrel (internal standard, IS, 99.5% purity) was purchased from National Institute for the Control of Pharmaceutical and Biological Products (Beijing, China). HPLC grade methanol was obtained from Merck (Darmstadt, Germany), ethyl acetate from Tianjin Zhiyuan Chemical Reagent Co., Ltd. (Tianjin, China),
MS spectrometry
The structures of rasagiline, AI, 3-OH-PAI and 3-OH-AI could be ionized under the appropriate conditions to give the corresponding indane and hydroxyindan. These analytes were found to respond best to positive ionization with the protonated ions [M+H]+, which are presented as major peaks for all these compounds. Their product ion mass spectra are shown in Fig. 1. The transitions of m/z 172.4 → 116.8, 134.3 → 116.8, 188.4 → 132.3, 150.1 → 132.3 and 321.9 → 184.7 were therefore used to analyze samples
Conclusions
We have developed and validated a simple, highly sensitive and specific LC–MS/MS method for the simultaneous determination of rasagiline and its metabolites AI, 3-OH-PAI and 3-OH-AI in human plasma. This method was developed in accordance with the regulatory guidelines provided by the FDA and EMA, and this work represents the first systematic evaluation of a rasagiline assay.
Acknowledgements
The authors are grateful to the subjects who were involved in this study, the investigators, and the research staff. The authors further appreciate the collaboration and help from Dr. Yi He, Chengdu Blood Center (Chengdu, China).
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