title: Practical and efficient strategy for evaluating oral absolute bioavailability with an intravenous microdose of a stable isotopically-labeled drug using a selected reaction monitoring mass spectrometry assay.
abstract: A strategy of using selected reaction monitoring (SRM) mass spectrometry for evaluating oral absolute bioavailability with concurrent intravenous (i.v.) microdosing a stable isotopically labeled (SIL) drug was developed and validated. First, the isotopic contribution to SRM (ICSRM) of the proposed SIL drug and SIL internal standard (IS) was theoretically calculated to guide their chemical synthesis. Second, the lack of an isotope effect on drug exposure was evaluated in a monkey study by i.v. dosing a mixture of the SIL and the unlabeled drugs. Third, after the SIL drug (100 μg) was concurrently i.v. dosed to humans, at T(max) of an oral therapeutic dose of the unlabeled drug, both drugs in plasma specimens were simultaneously quantified by a sensitive and accurate SRM assay. This strategy significantly improves bioanalytical data quality and saves time, costs, and resources by avoiding a traditional absolute bioavailability study or the newer approach of microdoses of a radio-microtracer measured by accelerator mass spectrometry.
authors.affiliation: Bioanalytical Sciences/Analytical and Bioanalytical Sciences, Bristol-Myers Squibb, Princeton, New Jersey, United States. hao.jiang@bms.com
authors.forename: Hao
authors.initials: H
authors.lastname: Jiang
authors.forename: Jianing
authors.initials: J
authors.lastname: Zeng
authors.forename: Wenying
authors.initials: W
authors.lastname: Li
authors.forename: Marc
authors.initials: M
authors.lastname: Bifano
authors.forename: Huidong
authors.initials: H
authors.lastname: Gu
authors.forename: Craig
authors.initials: C
authors.lastname: Titsch
authors.forename: John
authors.initials: J
authors.lastname: Easter
authors.forename: Richard
authors.initials: R
authors.lastname: Burrell
authors.forename: Hamza
authors.initials: H
authors.lastname: Kandoussi
authors.forename: Anne-Françoise
authors.initials: AF
authors.lastname: Aubry
authors.forename: Mark E
authors.initials: ME
authors.lastname: Arnold
mesh_terms: D061605:Administration, Intravenous; D001682:Biological Availability; D002219:Carbamates; D015195:Drug Design; D006801:Humans; D007093:Imidazoles / Q000008:administration & dosage* / Q000493:pharmacokinetics*; D007553:Isotope Labeling; D013058:Mass Spectrometry / Q000379:methods*; D011759:Pyrrolidines; D015203:Reproducibility of Results; D014633:Valine / Q000031:analogs & derivatives
chemical_list: D002219:Carbamates; D007093:Imidazoles; D011759:Pyrrolidines; D014633:Valine; C549273:daclatasvir