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HPLC-MS method for simultaneous quantification of the antiretroviral agents rilpivirine and cabotegravir in rat plasma and tissues

Inken K. Ramöller, Marco Abbate, Lalitkumar K. Vora, Aaron R. J. Hutton, Ke Peng, Fabiana Volpe‐Zanutto, Ismaiel A. Tekko, Kurtis Moffatt, Alejandro J. Paredes, Helen O. McCarthy, Ryan F. Donnelly

2022Journal of Pharmaceutical and Biomedical Analysis25 citationsDOIOpen Access PDF

Abstract

The antiretroviral agents rilpivirine (RPV) and cabotegravir (CAB) are approved as a combined treatment regimen against human immunodeficiency virus (HIV). To fully understand the biodistribution of these agents and determine their concentration levels in various parts of the body, a simple, selective and sensitive bioanalytical method is essential. In the present study, a high performance liquid chromatography method with mass spectrometry detection (HPLC-MS) was developed for simultaneous detection and quantification of RPV and CAB in various biological matrices. These included plasma, skin, lymph nodes, vaginal tissue, liver, kidneys and spleen, harvested from female Sprague Dawley rats. The suitability of the developed method for each matrix was validated based on the guidelines of the International Council for Harmonisation of Technical Requirements for Registration of Pharmaceuticals for Human Use (ICH) on bioanalytical method validation. Analytes were extracted from biological samples employing a simple one-step protein precipitation method using acetonitrile. Samples were analysed using an Apex Scientific Inertsil ODS-3 column (4.6 mm × 250 mm, 5 µm particle size), maintained at 40 °C, on a HPLC system coupled with a single quadrupole MS detector. RPV was detected at a mass-to-charge ratio (m/z) of 367.4 and CAB at 406.3. Separation was achieved using isocratic elution at 0.3 mL/min with a mixture of acetonitrile and 0.1% (v/v) trifluoroacetic acid in water (81:19, v/v) as the mobile phase. The run time was set at 13 min. The presented method was selective, sensitive, accurate and precise for detection and quantification of RPV and CAB in all matrices. The developed and validated bioanalytical method was successfully employed for in vivo samples with both drugs simultaneously.

Topics & Concepts

ChemistryRilpivirineChromatographyBioanalysisProtein precipitationBiodistributionHigh-performance liquid chromatographyElutionEmtricitabineTandem mass spectrometryTherapeutic drug monitoringMass spectrometryPharmacokineticsHuman immunodeficiency virus (HIV)PharmacologyAntiretroviral therapyFamily medicineMedicineIn vitroViral loadBiochemistryHIV/AIDS drug development and treatmentHIV Research and TreatmentHIV-related health complications and treatments
HPLC-MS method for simultaneous quantification of the antiretroviral agents rilpivirine and cabotegravir in rat plasma and tissues | Litcius