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Received: 9 December 2019 Revised: 20 March 2020 Accepted: 2 April 2020

DOI: 10.1002/bmc.4843

RESEARCH ARTICLE

Pre-column derivatization method for determining


phenylephrine in human plasma and its application in a
pharmacokinetic study

Li Li1,2 | Yong Wang3 | Guanglei Chen3 | Kelly Dong2 | Haifeng Song1

1
Institute of Lifeomics, Academy of Military
Medical Science, Military Academy of Abstract
Sciences, Beijing, China In the present study, a rapid derivatization liquid chromatography–tandem mass
2
Beijing United-Power Pharma Tech Co.Ltd,
spectrometry (LC–MS/MS) method was developed and validated to evaluate phenyl-
Beijing, China
3
China Resources Sanjiu Medical and ephrine in human plasma. The plasma samples were processed to precipitate the pro-
Pharmaceutical Co.Ltd, Shenzhen, China teins, followed by derivatization of the phenylephrine in the plasma with dansyl-
Correspondence chloride solution and extraction with methyl tert-butyl ether–n-hexane (2:1, v/v). The
Haifeng Song, Institute of Lifeomics, Academy treated samples were analyzed on a Gemini C18 column with 3 min gradient elution,
of Military Medical Science, Military Academy
of Sciences, Beijing 100850, China. and sensitive detection was achieved with a Waters TQ-s. The method gave linear
Email: songhf6811@163.com results over a concentration range from 0.020 to 10.0 ng/ml. The lower limit of quan-
Funding information tification was 0.020 ng/ml. Intra- and inter-day precision was <15%, and accuracy
National Program on Key Research Project of was 95.0–105.3%. The validated LC–MS/MS method was successfully applied in the
New Drug Innovation, Grant/Award Number:
No. 2015ZX09501008 pharmacokinetic analysis of phenylephrine in Chinese subjects with common cold
after a single-dose administration of 5, 10 or 20 mg phenylephrine. This pre-column
derivatization method may also be applied for the analysis of endogenous hormones
such as norepinephrine and adrenaline in a biological matrix.

KEYWORDS

derivatization, liquid chromatography–tandem mass spectrometry, pharmacokinetics,


phenylephrine

1 | I N T RO D UC TI O N plasma or serum (Feng, Zhao, Jiang, & Hu, 2013; Gumbhir &
Mason, 1996; Ptácek, Klíma, & Macek, 2007). Feng et al. reported an
Phenylephrine is a selective α1-adrenergic receptor agonist in the ultra-performance liquid chromatography–tandem quadrupole mass
phenethylamine class used primarily to induce decongestion and pupil spectrometry (UPLC–MS/MS) method coupled with a hydrophilic
dilation and increase blood pressure. Phenylephrine has been interaction chromatography column and achieved a lower limit of
marketed as an alternative to the decongestant pseudoephedrine as quantitation (LLOQ) of 10 pg/ml using a 250 μl plasma sample. How-
an over-the-counter medicine for over 10 years (Horak et al., 2009; ever, the separation was performed on a hydrophilic interaction chro-
Gelotte, 2018). matography column, even though solid-phase extraction pretreatment
Phenylephrine {(R)-3-hydroxy-α-[(methylamino)methyl]-benz- was performed to clean the sample. A strong ion suppression was
enemethanol} is a structural analog of adrenaline but exhibits different observed using this method (absolute matrix effect ranged from 46.5
pharmacological activity. Phenylephrine is a small molecule with high to 60.4%), which may lead to high variability in assay performance.
polarity. It shows very limited retention on reverse-phase columns, Compound derivatization can improve chromatographic behavior and
although it can be retained on an amino column; however, the sensi- enhance instrument sensitivity. As a pre-column derivatization
tivity is not sufficient for clinical sample analysis. Few methods have reagent for liquid chromatography, dansyl-chloride(DNS-Cl) is advan-
been reported for the determination of phenylephrine in human tageous because of its simple reaction setup, stable reaction product,

Biomedical Chromatography. 2020;e4843. wileyonlinelibrary.com/journal/bmc © 2020 John Wiley & Sons, Ltd. 1 of 7
https://doi.org/10.1002/bmc.4843
2 of 7 LI ET AL.

quantitative dansylation, strong UV absorption and fluorescence with temperature, desolvation temperature and desolvation gas flow rate
diminished interference. It is often used to quantitatively analyze were set to 3.0 kV, 150 C, 500 C and 650 L/h, respectively. All data
amino acids (Huo et al., 2014; Timperio, Fagioni, Grandinetti, & were acquired using UNIFI software (Waters Corp.) and quantification
Zolla, 2007; Tuberoso, Congiu, Serreli, & Mameli, 2015; Zhang was performed with Watson LIMS (Thermo Fisher Scientific) using lin-
et al., 2012) and amines (Jing, Li, & Jiang, 2016; Salomonsson, Hans- ear regression.
son, & Bondesson, 2013; Yang, Mu, Zhang, & Zhu, 2014). In this
study, we established and validated an LC–MS/MS method for the
quantitative analysis of phenylephrine in human plasma following 2.3 | Preparation of stock and working solutions,
pre-column derivatization with DNS-Cl. This novel robust method calibration standards and quality control samples
requires only 100 μl of plasma sample for analysis, and no matrix
effect was observed. This method was successfully applied to the Stock solutions of phenylephrine (1 mg/ml) and phenylephrine-d3(IS,
pharmacokinetic evaluation of phenylephrine in a cohort of 1 mg/ml mg/ml) were prepared in dimethyl sulfoxide. All stock solu-
Chinese patients with common cold after oral administration of an tions were stored at −60 to −90 C. IS stock solution was serially
over-the-counter drug. diluted with acetonitrile–water (1:1, v/v, 0.1% formic acid) to achieve
IS working solution at 20 ng/ml. The IS working solution was stored at
room temperature.
2 | EXPERIMENTAL Calibration standards were freshly prepared each day by serial
dilution with blank pooled plasma to final concentration levels at
2.1 | Materials and reagents 0.0200, 0.0400, 0.100, 0.500, 1.00, 2.00, 5.00 and 10.0
ng/ml. Similarly, quality control (QC) samples were prepared using
Phenylephrine hydrochloride was obtained from USP (100% purity, the blank pooled plasma at concentrations of 0.0600 (low concen-
Rockville, MD, USA). (R)-(−)Phenylephrine-2,4,6-d3 HCl (99% purity, tration quality control, LQC), 0.600 (middle concentration quality
internal standard, IS) was purchased from C/D/N Isotopes Inc. control, MQC) and 8.00 (high concentration quality control, HQC)
(Pointe-Claire, Quebec, Canada). HPLC-gradeDNS-Cl was purchased ng/ml.
from Sigma-Aldrich(St Louis, MO, USA). Acetonitrile, formic acid,
2-propanol, methyl tert-butyl ether and methanol of HPLC-grade
were purchased from Thermo Fisher Scientific (Waltham, MA, 2.4 | Plasma sample preparation
USA). HPLC-graden-hexane and analytical-grade sodium bicarbonate
(NaHCO3) were produced by Sinopharm Chemical Reagent Co. Ltd Aliquots of 100 μl of human plasma samples and 15 μl of IS working
(Shanghai, China). Dimethyl sulfoxide (99.8% purity) was purchased solution (20.0 ng/ml) were added to 1.1 ml plastic tubes, followed by
from J&K Scientific Ltd (Beijing, China). Deionized water was col- the addition of 400 μl of methanol (containing 0.1% formic acid). The
lected from a Milli-Q water purification system (Millipore, Billerica, mixture was then vortexed for 2 min and centrifuged at 4816g for 15
MA, USA). Human plasma (K2EDTA) was purchased from min. The supernatant was transferred into a clean tube and evapo-
BioreclamationIVT (Westbury, NY, USA). rated to dryness under a gentle stream of nitrogen. The residue was
dissolved in 100 μl NaHCO3 (100 mM; pH adjusted to 10.5 using 1 M
NaOH) and then mixed with an equal volume of DNS-Cl solution (1
2.2 | Chromatography and mass spectrometry mg/ml in acetonitrile). The derivatization reaction shown in Figure 1
was conducted in a water bath at 60 C for 6 min. The reaction mix-
Chromatographic analysis was carried out on an Acquity UPLC I-Class ture was extracted with 600 μl of methyl tert-butylether–hexane (2:1,
system (Waters Corporation, Milford, MA, USA) equipped with a v/v). After mixing and centrifugation, the upper organic layer was
96-well autosampler. Chromatographic separation was performed transferred into a clean plastic tube and evaporated under nitrogen.
with a Phenomenex Gemini C18 column (2.0 × 50 mm, 5 μm; Torrance, Finally, the residue was dissolved in 100 μl acetonitrile–water (1:1,
CA, USA). The analytical column temperature was maintained at room v/v, containing 0.1% formic acid). The reconstituted sample (5 μl) was
temperature. The mobile phase consisted of 0.1% formic acid in water injected for LC–MS/MS for analysis.
(A) and 0.1% formic acid in acetonitrile (B); the total runtime gradient
was 3 min with a flow rate of 0.5 ml/min. The autosampler was
maintained at 4 C, and the injection volume was 5 μl. 2.5 | Method validation
Mass spectrometry detection was achieved with a Waters Xevo™
TQ-S mass spectrometer equipped with an electrospray ionization Our method was validated based on regulatory guidelines (Chinese
source in positive ion mode. Analytes were quantified in multiple- Pharmacopoeia 2015, appendix 9,012, part IV 2015; Guideline on
reaction monitoring mode with the transitions of m/z 634.05 ! bioanalytical method validation, EMA, 2011) for the following parame-
537.01 for dansylated phenylephrine and m/z 637.07 ! 540.07 for ters: selectivity, matrix effect, recovery, accuracy and precision, carry-
dansylated phenylephrine-d3(IS). The electrospray voltage, source over and stability.
LI ET AL. 3 of 7

F I G U R E 1 Derivatization reaction and the


chemical structures of phenylephrine and
phenylephrine-d3(IS)

The selectivity of the method was assessed by comparison of the the stability of whole blood at room temperature for 4 h was evalu-
chromatograms from six individual blank human plasma samples with ated. The benchtop stability was evaluated by incubating the QC sam-
mixed-gender samples to evaluate potential interference at the reten- ples at room temperature for 4 h, which is the routine preparation
tion times of the derivatized phenylephrine and IS. time of the samples. The freeze–thaw stability was measured after
The calibration curve of phenylephrine was constructed by plot- four freeze–thaw cycles. The autosampler stability for the derivatized
ting the peak area ratios of derivatized phenylephrine to IS against the product was tested for 48 h. Long-term stability was assessed by ana-
nominal concentration of calibration standards at eight levels in the lyzing QC samples stored at −20 C and −70 C for at least 1 month.
range from 0.0200 to 10.0 ng/ml with a weighting factor 1/x2. The All stability QC samples were evaluated with a freshly prepared cali-
plasma concentrations of the study samples were back-calculated by bration curve.
linear regression.
Intra- and inter-day precision and accuracy were determined by
assaying six QC replicates at the LLOQ and low, middle and high con- 2.6 | Plasma sample collection
centrations in three consecutive batches. The accuracy and precision
of the method were evaluated by calculating the relative error (RE, %) The purpose of the clinical study was to study the tolerance level and
and coefficient of variance (CV, %), respectively. the safety profile phenylephrine in Chinese patients with common
Matrix effects were assessed by comparing the peak area of the cold after single oral administration of different doses of phenyleph-
derivatized phenylephrine and IS in six pretreated blank plasma lots rine on an empty stomach. We also preliminarily evaluated the possi-
(from equal numbers of male and female subjects) with those of the ble pharmacokinetic and pharmacodynamic characteristics. This study
derivatized phenylephrine and IS in neat solution at equivalent concen- was approved by the ethics committee of the Beijing People’s Hospi-
trations. The matrix effect of derivatized phenylephrine was deter- tal. Blood samples were collected at 10, 15, 20, 25, 30, 40, 60, 90,
mined at two-level QC samples (0.0600 ng/ml for LQC and 8.00 ng/ml 120, 240, 360 and 480 min after drug administration and immediately
for HQC), and the matrix effect of the IS was assessed at 15 centrifuged to obtain the plasma samples. The plasma samples were
ng/ml. The absolute matrix effect was defined by the ratio of peak area transferred to new tubes and then stored in a −70 C freezer until
to the matrix/peak area in neat solution. Variation in the matrix effects, analysis. The plasma concentrations of phenylephrine in the patient
which was expressed as the RSD, was evaluated by direct comparison plasma were determined using a fully validated LC–MS/MS method.
of the peak area with the matrix between six different lots of plasma.
The inter-subject variability of the matrix effects at each concentration
should be <15%. In this study, the matrix effects of normal plasma, 3 | RESULTS AND DISCUSSION
hemolytic plasma and hyperlipidemia plasma were evaluated.
Recovery of the derivatized phenylephrine was evaluated using 3.1 | Optimization of derivation and extraction
three QC samples (0.0600 ng/ml for LQC, 0.600 ng/ml for MQC and conditions
8.00 ng/ml for HQC), whereas the IS was also evaluated at 15 ng/ml.
Carryover was evaluated by injecting a double blank sample As phenylephrine and IS have two derivatization sites on the second-
above the upper limit of quantification (ULOQ) at 10 ng/ml. The peak ary amine and phenolic hydroxyl groups, optimization of the pH in the
area of the double blank sample was compared with that of derivatization mixture yielded a stable double derivative product with
the LLOQ. higher mass spectrometric sensitivity. Different pH values of 9, 10,
The stability of phenylephrine in human plasma was evaluated by 10.5, and 11 were evaluated, and the results (Figure 2) showed the
analyzing the LQC and HQC samples (three replicates at each level) highest yield at pH 10.5, demonstrating the reproducibility of this
during the sample storage and processing procedures. In this study, reaction condition. Other reaction conditions, such as reaction time,
4 of 7 LI ET AL.

results revealed no endogenous interference at the corresponding


retention times of dansylated phenylephrine or dansylated
phenylephrine-d3.
The calibration curves calculated in the range from 0.0200 to
10.0 ng/ml were linear and were used to quantify dansylated phenyl-
ephrine in the extracted human plasma. The correlation coefficients (r)
(Gelotte, 2018) of the calibration curves were between 0.9962 and
0.9988. The representative linear equation of one calibration curve
was: y = 0.355x + 0.0019. The precision (CV) and accuracy (RE) of the
LLOQ (0.0200 ng/ml) of six standard curves were 5.0 and 0.0%,
respectively.
Intra- and inter-day precision values (CV) were 1.1–5.3% and the
accuracies (RE) were −5.0–5.3% (Table 1). The results indicated that
the accuracy and precision of the method were acceptable for deter-
F I G U R E 2 Mass spectrometry response at different pH values
mining the phenylephrine concentration in human plasma.
(mean ± SD, n = 3); the reaction was performed at 60 C for 6 min
The absolute matrix effect (ratio of peak area in the matrix to neat
solution, shown in Table 2) of the analyte in normal plasma (n = 6) at
temperature and amount of DNS-Cl, were optimized. In the presence the LQC and HQC were 99.3 and 98.8%, respectively. These values in

of excessive DNS-Cl, the reaction was completed in 6 min at 60 C. hyperlipidemia plasma (n = 6) at the LQC and HQC were 101.5 and
Derivatized products were further extracted, and different 100%, respectively. No differences among different types of matrices
organic solvents such as methyl tert-butyl ether, ethyl acetate, n- were observed.
hexane and organic solvents at different ratios were examined. The extraction recovery of phenylephrine (dansylated phenyleph-
Methyl tert-butylether–n-hexane (2:1, v/v) was used as the extraction rine) and the IS (dansylated phenylephrine-d3) in human plasma was
solvent to obtain the highest recovery rate. In this study, the derivati- 66.0–69.0%, with an overall CV of <1.3% (Table 2).
zation processes and extraction were carried out in 96-well plates to The carryovers from 12 validation runs, assessed by determining
maximize the throughput. the peak area from the double blank immediately after injection of
the ULOQ at 10 ng/ml, were all <20% of the LLOQ response, meet-
ing the validation acceptance criteria of recent guidelines from the
3.2 | LC–MS/MS condition optimization US Food and Drug Administration and European Medicines Agency
for bioanalytical method validation.Using the validated method, we
After double site derivatization, the molecular mass was increased by investigated the stability of phenylephrine under various conditions.
233 Da for each dansyl part added, resulting in [M + H]+ values of The stability data (Table 3) indicated that phenylephrine in human
634 and 637 for phenylephrine and IS, respectively (Figure 3). The blood samples was stable at room temperature for 4 h (RE: −2.1%
highest response daughter ion was 170, but the noise was too high; a for LQC and −0.1% for HQC), at room temperature for 4 h (RE:
value of 537 was chosen as the daughter ion to obtain the best signal- 1.7% for LQC and −1.9% for HQC), for four freeze–thaw cycles (RE:
to-noise ratio. After derivatization, the signal-to-noise ratio of the 0.0% for LQC and −4.7% for HQC). Phenylephrine in human plasma
analyte at 20 pg/ml in human plasma was >50, showing a significantly samples was stable at −20 C for 1 month (RE: 1.7% for LQC and
increased response. Owing to the increased sensitivity, the sample −6.0% for HQC) and at −70 C for 1 month (RE: 0.0% for LQC and
volume could be reduced to as low as 100 μl. −6.4% for HQC). The processed samples were stable in the auto-
A range of analytical columns was tested, including the Thermo sampler for 48 h (RE: 3.3% for LQC and −6.0% for HQC). No carry-
Betabasic-18 and Biobasic-18, Phenomenex Luna C18, Gemini and over was observed in the blank sample injected after injecting
Waters CSH C18, to achieve the best peak shape and resolution from the ULOQ.
the noise. Compared with the methanol, water and formic acid sys- The incurred sample reanalysis results showed a repeatability of
tem, the acetonitrile, water and formic acid system produced lower 97.9% (47 of the 48 samples met the acceptance criteria).
noise. The LC gradient was optimized to obtain the best signal-to-
noise ratio and minimum matrix effect compared with the method
reported by Feng et al. 3.4 | Pharmacokinetic study

The LC–MS/MS method described above was successfully applied to


3.3 | Method validation evaluate the pharmacokinetic profiles of phenylephrine in human
plasma after a single-dose oral administration. The obtained mean
The selectivity of the method was investigated by comparing the plasma concentration–time profiles of phenylephrine are shown in
chromatograms of blank plasma and spiked plasma (n = 6). The Figure 4. The plasma level reached their maximum (Tmax) 35.0 ± 21.9
LI ET AL. 5 of 7

F I G U R E 3 Representative chromatograms of phenylephrine (dansylated phenylephrine) and IS (dansylated phenylephrine-d3) in human


plasma by LC–MS/MS. (a) Blank human plasma; (b) blank human plasma spiked with 0.020 ng/ml phenylephrine at LLOQ level (dansylated
phenylephrine) and IS (dansylated phenylephrine-d3); and (c) human plasma sample collected at 90 min after drug administration

min after oral administration of phenylephrine and thereafter the and the areas under concentration–time curve (AUC) were 30.1 ± 6.5,
plasma level declined with an elimination half-time of 94.2 ± 86.6 min. 62.0 ± 15.6 and 164.2 ± 63.6 min ng/ml. The maximum plasma con-
In the low-, medium- and high-dose groups, the maximum plasma con- centration of phenylephrine and drug exposure increased with
centrations (Cmax) were 0.44 ± 0.18, 1.35 ± 0.83 and 3.21 ± 2.60 ng/ml increasing dosage ratios.

TABLE 1 Intra- and inter-day precision and accuracy of the analyte in human plasma (n = 6)

Intra-day Inter-day

Concentration spiked (ng/ml) Mean (ng/ml) RE (%) CV (%) Mean (ng/ml) RE (%) CV (%)
0.020 (LLOQ) 0.020 0.0 5.0 0.019 −5.0 5.3
0.060 (LQC) 0.061 1.7 1.6 0.060 0.0 3.3
0.600 (MQC) 0.632 5.3 1.3 0.623 3.8 1.4
8.000 (HQC) 7.614 −4.8 1.1 7.656 −4.3 1.3

LLOQ, Lower limit of quantitation; LQC, low quality control; MQC; middle quality control; HQC, high quality control.
6 of 7 LI ET AL.

TABLE 2 Extraction recovery of the analyte in human plasma (n = 6)

Concentration spiked Mean recovery Matrix effect (normal, n = 6, Matrix effect (hyperlipidemia n = 3,
Compounds (ng/ml) (%) CV, %) CV, %)
Dansylated 0.060 67.5 101.5, 1.7 101.5, 1.5
phenylephrine 0.600 66.0 — —
8.00 67.6 98.8, 0.9 98.8, 0.2
Dansylated 15.0 68.5 100.4, 2.0 100.7, 1.6
phenylephrine-d3

TABLE 3 Stability results of the analyte in human plasma (n = 3) 4 | C O N CL U S I O N


Nominal
concentration In summary, we developed a novel LC–MS/MS method for quantita-
(ng/ml) tively detecting phenylephrine in human plasma using a pre-column

LQC HQC
derivatization method. The method showed several advantages for
Storage conditions 0.060 8.00 improving chromatographic behavior and mass spectrometric sensitiv-

Three freeze–thaw Mean found 0.060 7.62 ity of the test article in a complex biological matrix. First, the introduc-
cycles concentration (ng/ml) tion of two naphthalene rings reduced the polarity of phenylephrine,
RE (%) 0.0 −4.7 enabling good retention on the reversed-phase column without matrix
CV (%) 1.7 0.4 effects. Second, the derivative containing two dimethylamino groups

Storage at −20 C Mean found 0.061 7.52 significantly improved the signal-to-noise ratio. Third, the derivatiza-
for 1 month concentration (ng/ml) tion method is robust and cost-effective and allows for high-
RE (%) 1.7 −6.0 throughput analysis.

CV (%) 3.3 0.1 This method was successfully applied to detect phenylephrine in
human plasma and characterize the single-dose pharmacokinetics of
Storage at −70 C Mean found 0.060 7.49
for 1 month concentration (ng/ml) 5, 10 and 20 mg phenylephrine in Chinese patients with
RE (%) 0.0 −6.4 common cold.

CV (%) 1.7 0.3


AC KNOWLEDG EME NT S
Room temperature Mean found 0.061 7.85
for 4 h concentration (ng/ml) This study was financially supported by China Resources Sanjiu Medi-

RE (%) 1.7 −1.9 cal and Pharmaceutical Co. Ltd. This work was also supported by a
grant from the National Program on Key Research Project of New
CV (%) 11.5 0.2
Drug Innovation (no. 2015ZX09501008).

CONFLIC T OF INTER E ST STATEMENT


There are no conflicts of interest in this research.

OR CID
Haifeng Song https://orcid.org/0000-0002-0002-5537

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