abu therapeutic drug monitoring by hplc · by hplc (reversed phase) improved online application now...
TRANSCRIPT
T H E R A P E U T I C D R U G M O N I T O R I N G / T O X I C O L O G Y
Therapeutic Drug Monitoring System by HPLC
For further information, please contact the Bio-Rad office nearest you or visit our website at www.bio-rad.com/diagnostics
© 2010 Bio-Rad Laboratories, Inc. Printed in Germany 8/10 EU-TDM-08/10E
Clinical Diagnostics Group
Website www.bio-rad.com/diagnostics U.S. 1-800-2BIO-RAD Australia 61-2-9914-2800 Austria 43-1-877-8901 Belgium 32-9-385-5511 Brazil 5521-3237-9400 Canada 1-514-334-4372 China 86-21-64260808 Czech Republic 420-241-430-532 Denmark +45-4452-1000 Finland 358-9-804-22-00 France 33-1-47-95-60-00 Germany +49-(0)89-318-840 Greece 30-210-7774396 Hong Kong 852-2789-3300 Hungary +36-1-459-6100 India 1-800-180-1224 Israel 972-3-9636050 Italy +39- 02-216091 Japan 81-3-6361-7070 Korea 82-2-3473-4460 Mexico +52 (55) 5488-7670 The Netherlands +31-318-540666 New Zealand 64-9-415-2280 Norway 47-23-38-41-30 Poland 48-22-3319999 Portugal 351-21-472-7700 Russia 7-495-721-14-04 Singapore 65-6415-3170 South Africa 27-11-442-85-08 Spain 34-91-590-5200 Sweden 46-8-555-127-00 Switzerland 41-61-717-95-55 Thailand 662-651-8311 United Kingdom +44-(0)20-8328-2000
Bio-Rad Laboratories T H E R A P E U T I C D R U G M O N I T O R I N G / T O X I C O L O G Y
Online Sample Preparation & AnalysisBio-Rad now offers the online column switching method with all three therapeutic drug monitoring kits, allowing for time-saving and convenient measurements of over 50 prescribed drugs and/or active metabolites.
Bio-Rad has developed a column switching method
that allows for direct online sample preparation and
analysis of serum and plasma samples. This involves:
• Enrichmentoftheanalytesonthereversedphase
extraction cartridge
• Eliminationofremainingmatrixand/orhydrophilic
components
• Transferoftheanalytestothereversedphase
analytical column
• Separationanddetectionoftheanalytes
Sample Clean Up
Sample Elution and Analysis
Test Procedure Diagram
Direct online sample preparation and analysis of serum and plasma samples by column switching.
HPLC Specifications
BZO/TCA RAPsyD Anti-Epileptic
2 Pumps 0.6mL/min or 1.1mL/min
low-pulsation flow rate. Pressure
rating up to 250kg/cm2
0.8mL/min low-pulsation flow
rate. Pressure rating up to
250kg/cm2
0.8mL/min low-pulsation flow
rate. Pressure rating up to
250kg/cm2
Pulse dampener Able to produce noise-free
baseline with a UV detector
sensitivity of 0.005 Extinction
units
Able to produce noise-free
baseline with a UV detector
sensitivity of 0.005 Extinction
units
Able to produce noise-free
baseline with a UV detector
sensitivity of 0.02 Extinction
units
Degasser Recommended Recommended Recommended
Injector Precise injection of 100ul
(Automatic sample injector)
Precise injection of 100ul
(Automatic sample injector)
Precise injection of 50ul
(Automatic sample injector)
Column heater Ability to maintain a constant
temperature of 45°C or 55°C
+/- 1°C
Ability to maintain a constant
temperature of 45°C +/- 1°C
Ability to maintain a constant
temperature of 35°C +/- 1°C
6-Way column switch valve Required Required Required
UV detector 233nm & 250nm; Sensitivity of
0.005 Extinction units (AUFS)
254nm & 278nm; Sensitivity of
0.005 Extinction units (AUFS)
210nm; Sensitivity of 0.02
Extinction units (AUFS)
Integrator Capable of recording &
analyzing output signal of UV
detector
Capable of recording &
analyzing output signal of UV
detector
Capable of recording &
analyzing output signal of UV
detector
pump pump
2autosampler
waste
switching valveposition 1
extraction cartridgeanalytical column
detector waste
1
pump pump
2autosampler
waste
switching valveposition 2
analytical columndetector wasteextraction cartridge
1
Antiepileptics by HPLC (Reversed Phase)
Manual Method and Automated Online Method Available
This assay is suitable for reliable, fast and easy quantitative determination of a
broad range of first and second generation antiepileptic drugs in plasma and
serum.Thepanelconsistsof11antiepilepticsand/ortheiractivemetabolites.
• Principle:IsocraticHPLCmethod(ReversedPhase)
• Durationofthechromatography:16.5min
• Samplevolume:100mLserumorplasma(manual),
40mLserumorplasma(onlinemethod)
• Flowrate:0.8mL/min.
• UVDetection:210nm
Test characteristics:
0.0
2.5
5.0
7.5
10.0
12.5
15.0
-0.0
130.
000
0.01
30.
025
0.03
80.
050
0.06
30.
075
0.08
70.
100
Time (min.)
AB
U
Sul
tiam
e
Zon
isam
ide
10-O
H-C
arb
azep
ine
Des
met
hylm
eths
uxim
ide
Lam
otrig
ine
Inte
rnal
Sta
ndar
d
0.0
2.5
5.0
7.5
10.0
12.5
15.0
-0.0
130.
000
0.01
30.
025
0.03
80.
050
Time (min.)
AB
U
Eth
osux
imid
e P
rimid
one
Car
bam
azep
ine-
Ep
oxid
e
Inte
rnal
Sta
ndar
d
Phe
nyto
in
Car
bam
azep
ine
Phe
nob
arb
ital
0.06
30.
075
0.08
70.
100
Chromatogram of the Antiepileptics Calibrator A• 10-OH-Carbazepine • Desmethylmethsuximide • Lamotrigine • Sultiame• Zonisamide
Chromatogram of the Antiepileptics Calibrator B• Carbamazepine • Carbamazepine-Epoxide • Ethosuximide • Phenobarbital • Phenytoin • Primidone
Therapeutic Drug Monitoring by HPLC• Benzodiazepines and Tricyclic Antidepressants • Psychoactive Drugs • Antiepileptic Drugs
Bio-Rad Laboratories T H E R A P E U T I C D R U G M O N I T O R I N G / T O X I C O L O G Y
Fast• Onlineapplicationavailableforhighspecimen
throughput
• Abilitytomeasuremultipledrugsand/ortheir
active metabolites with one kit
Easy• Reducedhands-ontimewithonlinesample
preparation
• Flexibleworkflowwithovernightprocessing
option
Reliable• Precisedatafortherapycontrol
• Efficienttherapeuticdrugmonitoring
TherapeuticDrugMonitoring KitsTherapeuticdrugmonitoring(TDM)isanacceptedtoolfor
optimizing treatment with medication such as antidepressants,
antipsychotics and antiepileptics.
Bio-RadLaboratoriesofferstheconvenienceofready-to-use
kits for therapeutic drug monitoring. These high performance
liquidchromatography(HPLC)kitscoupleconveniencewith
specificity, sensitivity and reliability for routine operation in the
clinical laboratory.
Withoneinstrument,2analyticalcolumns,and3panelsof
calibratorsandcontrols,morethan50drugsand/oractive
metabolites can be analyzed. Bio-Rad offers the following
HPLCkits:
• BenzodiazepinesandTricyclicAntidepressants
• RAPsyD(RapidAnalysisofPsychoactiveDrugs)
• Antiepileptics
Benzodiazepines and Tricyclic Antidepressants by HPLC (Reversed Phase)Improved online application now easily compatible with Bio-Rad’s RAPsyD by HPLC assay due to use of the same
analytical column, extraction cartridge and mobile phases
The Benzodiazepines and Tricyclics Reagent Kit provides a
reliable,fastandeasy-to-usemethodfortheanalysisof22
antidepressants, benzodiazepines, selective serotonin re-uptake
inhibitors(SSRIs),andtheirpharmacologicallyactivemetabolites.
The analytes are both extracted and separated online through the
column switching method.
Test characteristics:• Principle:IsocraticHPLCmethod(ReversedPhase)
• Durationofthechromatography:35min.(AnalytepanelA)/25
min.(AnalytepanelB,C&D)
• Samplevolume:600mLserumorplasma
• Flowrate:0.6mL/min(AnalytepanelA)/1.1mL/min(Analyte
PanelB,C,&D)
• UVDetection:250nm(AnalytepanelA&C)/233nm(Analyte
panelB&D)
min5 10 15 20 25 30
mAU
-2
-1
0
1
2
3
4
5
6
7
Nor
doxe
pine
Des
ipra
min
eN
ortr
ipty
line
Nor
trim
ipra
min
eN
orcl
omip
ram
ine
Dox
epin
e
Imip
ram
ine
Am
itrip
tylin
e
Clo
mip
ram
ine
Trim
ipra
min
e
Inte
rnal
Sta
ndar
d 1
min5 10 15 20
mAU
0
1
2
3
4
5
Flun
itraz
epam
Inte
rnal
Sta
ndar
d 2
Clo
naze
pam
min5 10 15 20
mAU
-5
0
5
10
15
20
Bro
maz
epam
Lora
zep
am
Tem
azep
am
Inte
rnal
Sta
ndar
d 2
min5 10 15 20
mAU
-5
0
5
10
15
20
Inte
rnal
Sta
ndar
d 2
Oxa
zep
am
Chl
ord
iaze
pox
ide
Alp
razo
lam
Des
alky
lflur
azep
am Nor
dia
zep
am
Traz
odon
e
Dia
zep
am
Tricyclic Antidepressants (Analyte panel A)
Benzodiazepines (Analyte panel B)
Coming soon
Selective Serotonin Re-uptake Inhibitors (SSRIs) (Analyte panel B)
Benzodiazepines (Analyte panel C)
Benzodiazepines (Analyte panel D)
• amitriptyline
• clomipramine
• desipramine
• doxepin
• imipramine
• norclomipramine
• nordoxepin
• nortriptyline
• nortrimipramine
• trimipramine
• alprazolam
• chlordiazepoxide
• desalkylflurazepam
• diazepam
• nordiazepam
• oxazepam
• bupropion
• citalopram
• escitalopram
• duloxetine
• fluoxetine
• fluvoxamine
• mirtazapine
• norfluoxetine
• paroxetine
• sertraline
• venlafaxine
• Additional analytes
• trazodone
• clonazepam • flunitrazepam
• bromazepam
• lorazepam
• temazepam
Chromatogram of Tricyclic Antidepressants from Calibrator A
Chromatogram of Benzodiazepines from Calibrator C
Chromatogram of Benzodiazepines from Calibrator B
Chromatogram of Benzodiazepines from Calibrator D
RAPsyD by HPLC (Reversed Phase)Application now easily compatible with Bio-Rad’s Benzo/TCA by HPLC assay due to use of the same analytical column, extraction cartridge and mobile phases
Bio-Rad’sapplicationforRapidAnalysisofPsychoactive
Drugs(RAPsyD)issuitableforreliable,fastandeasy
simultaneous quantitative measurement of clozapine,
olanzapine, quetiapine, risperidone, and their
pharmacologically active metabolites. The antipsychotics
areextractedandseparatedwithanHPLCmethodbyonlinecolumnswitchingbetweenanextraction
cartridge and an analytical column.
Test characteristics:• Principle:IsocraticHPLCmethod
• Durationofthechromatography:25min.
• Samplevolume:600mLserumorplasma
• Flowrate:0.8mL/min
• UVDetection:254nm(clozapine,olanzapine,quetiapine);278nm(risperidone)
min5 10 15 20 25
mAU
-1
0
1
2
3
4
5
6
7
Clo
zapi
ne
Inte
rnal
Sta
ndar
d 1
Que
tiapi
ne
Ola
nzap
ine
Nor
cloz
apin
e
min5 10 15 20 25
mAU
-1
0
1
2
3
4
5
6
7
Ris
perid
one
9-O
H-R
ispe
ridon
e
Zip
rasi
done
(inf
orm
atio
nal o
nly)
Inte
rnal
Sta
ndar
d 1
Chromatogram of Calibrator A, contains clozapine, norclozapine, olanzapine and quetiapine
Chromatogram of Calibrator C, contains risperidone and 9-OH risperidone
RAPsyD by HPLC
Benzodiazepines and Tricyclics by HPLC (Reversed Phase)
Reagent Kit
Catalog No. Description
195-6550 BenzodiazepinesandTricyclicsReagentKit ................................................................................................200tests
consisting of:
195-6686MobilePhase1Set .............................................................................................................................1 unit
195-6687MobilePhase2Set .............................................................................................................................1 unit
195-6556StandardExtractionSet ......................................................................................................................1 unit
Additionally Required Items
Catalog No. Description
195-6684 AnalyticalColumn(includesoneMicro-Guard™Cartridge). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .600injections
195-6685 ExtractionCartridge(incl.2prefilters) ....................................................................................................100injections
195-5030 Micro-Guard™CartridgeHolder ............................................................................................................................1 unit
195-6682 HolderforPrefilter .................................................................................................................................................1 unit
270-0613 HolderforExtractionCartridge ............................................................................................................................1 unit
Separately Available Items
Catalog No. Description
195-6552 CalibratorA(mono-level) ................................................................................................................................1x5mL
195-6553 CalibratorB(mono-level) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1x5mL
195-6554 CalibratorC(mono-level) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1x5mL
195-6555 CalibratorD(mono-level) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1x5mL
195-6559 ControlASet(bi-level) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2x2x5mL
195-6562 ControlBSet(bi-level). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2x2x5mL
195-6565 ControlCSet(bi-level) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2x2x5mL
195-6568 ControlDSet(bi-level) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2x2x5mL
195-6686 MobilePhase1Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1x4mL
195-6687 MobilePhase2Set . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 1x4mL
RAPsyD by HPLC (Reversed Phase)
Reagent Kit
Catalog No. Description
195-6600 RAPsyDbyHPLCReagentKit ......................................................................................................................200tests
consisting of:
195-6686MobilePhase1Set .............................................................................................................................1 unit
195-6687MobilePhase2Set .............................................................................................................................1 unit
195-6634StandardExtractionSet ......................................................................................................................1 unit
Additionally Required Items
Catalog No. Description
195-6684 AnalyticalColumn(includestwoMicro-Guard™Cartridges) ..................................................................600injections
195-6685 ExtractionCartridge(incl.2prefilters) ....................................................................................................100injections
195-5030 Micro-Guard™CartridgeHolder ............................................................................................................................1 unit
195-6682 HolderforPrefilter .................................................................................................................................................1 unit
270-0613 HolderforExtractionCartridge ............................................................................................................................1 unit
continued on the other side
Therapeutic Drug Monitoring Ordering InformationBio-Rad Laboratories T H E R A P E U T I C D R U G M O N I T O R I N G / T O X I C O L O G Y
For further information, please contact the Bio-Rad office nearest you or visit our website at www.bio-rad.com/diagnostics
© 2010 Bio-Rad Laboratories, Inc. Printed in Germany 08/10 EU-TDM-08/10E
Clinical Diagnostics Group
Website www.bio-rad.com/diagnostics U.S. 1-800-2BIO-RAD Australia 61-2-9914-2800 Austria 43-1-877-8901 Belgium 32-9-385-5511 Brazil 5521-3237-9400 Canada 1-514-334-4372 China 86-21-64260808 Czech Republic 420-241-430-532 Denmark +45-4452-1000 Finland 358-9-804-22-00 France 33-1-47-95-60-00 Germany +49-(0)89-318-840 Greece 30-210-7774396 Hong Kong 852-2789-3300 Hungary +36-1-459-6100 India 1-800-180-1224 Israel 972-3-9636050 Italy +39- 02-216091 Japan 81-3-6361-7070 Korea 82-2-3473-4460 Mexico +52 (55) 5488-7670 The Netherlands +31-318-540666 New Zealand 64-9-415-2280 Norway 47-23-38-41-30 Poland 48-22-3319999 Portugal 351-21-472-7700 Russia 7-495-721-14-04 Singapore 65-6415-3170 South Africa 27-11-442-85-08 Spain 34-91-590-5200 Sweden 46-8-555-127-00 Switzerland 41-61-717-95-55 Thailand 662-651-8311 United Kingdom +44-(0)20-8328-2000
T H E R A P E U T I C D R U G M O N I T O R I N G / T O X I C O L O G Y
Antiepileptics by HPLC
Reagent Kit
Catalog No. Description
195-6210 AntiepilepticsbyHPLCReagentKit,ManualMethod ..................................................................................100tests
consisting of:
195-6210RReagentSet ......................................................................................................................................1 unit
195-6205CalibratorASet ...................................................................................................................................1 unit
195-6220 AntiepilepticsbyHPLCReagentKit,OnlineMethod ...................................................................................200tests
consisting of:
195-6220RReagentSet ......................................................................................................................................1 unit
195-6205CalibratorASet ...................................................................................................................................1 unit
195-6209MobilePhase2 ....................................................................................................................................1 unit
Additionally Required Items
Catalog No. Description
195-6206 AnalyticalColumn(includesoneMicro-Guard™Cartridge) ....................................................................500injections
195-6219 ExtractionCartridge,OnlineMethod ....................................................................................................................1 unit
270-0613 ExtractionCartridgeHolder ..................................................................................................................................1 unit
195-5030 Micro-Guard™CartridgeHolder ............................................................................................................................1 unit
195-6682 PrefilterHolder ......................................................................................................................................................1 unit
Separately Available Items
Catalog No. Description
195-5898 TestMix ...........................................................................................................................................................1x2mL
195-6205 CalibratorSetA(mono-level) ..........................................................................................................................2x1mL
195-5896 CalibratorSetB(mono-level) .........................................................................................................................2x1mL
195-6208 CalibratorSetC(mono-level) .........................................................................................................................2x1mL
195-6215 ControlASet(bi-level) ....................................................................................................................................2x1mL
195-6500 ControlBSet(bi-level) ....................................................................................................................................2x1mL
195-6218 ControlCSet(bi-level) ....................................................................................................................................2x1mL
195-6203G MobilePhase1 ...........................................................................................................................................1x800mL
195-6209 MobilePhase2 ...........................................................................................................................................1x800mL
195-6003 Micro-Guard™Cartridge(250injectionseach) ......................................................................................2perpackage
195-6636 HPLCPrefilter ........................................................................................................................................2perpackage
RAPsyD by HPLC (Reversed Phase) continued
Separately Available Items
Catalog No. Description
195-6686 MobilePhase1Set ................................... 1x4mL
195-6687 MobilePhase2Set ................................... 1x4mL
195-6685 ExtractionCartridge(w/2prefilters) .........100inj
195-6607 CalibratorA(mono-level) ...........................1x5mL
195-6606 CalibratorC(mono-level) ................... 1x5mL
195-6677 ControlASet(bi-level) ....................... 2x5mL
195-6678 ControlCSet(bi-level) ...................... 2x5mL