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引用本文:朱逢佳,沈琦,黄越,刘炜,王国付,李力.利伐沙班在老年非瓣膜性房颤患者中的药动学研究[J].中国现代应用药学,2016,33(8):978-981.
ZHU Fengjia,SHEN Qi,HUANG Yue,LIU Wei,WANG Guofu,LI Li.Pharmacokinetics Study of Rivaroxaban in Elderly Patients with Non-valvular Atrial Fibrillation[J].Chin J Mod Appl Pharm(中国现代应用药学),2016,33(8):978-981.
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利伐沙班在老年非瓣膜性房颤患者中的药动学研究
朱逢佳, 沈琦, 黄越, 刘炜, 王国付, 李力
浙江医院药剂科,浙江省老年医学重点实验室,杭州 310013
摘要:
目的 建立LC-MS/MS测定人血浆中利伐沙班的浓度并进行药动学研究。方法 人血浆样品用乙腈沉淀蛋白后,选用ZORBAX Eclipse XDB C18色谱柱(2.1 mm×100 mm,3.5 mm),以乙腈-10 mmol醋酸铵溶液(含0.1%甲酸)为流动相梯度洗脱,流速为0.30 mL·min-1,采用电喷雾离子化源,正离子方式,多反应监测扫描方式进行监测,用于定量分析的离子反应分别为m/z 436.2→m/z 145.2(利伐沙班)和m/z 256.1→m/z 165.2(内标苯海拉明)。结果 血浆中利伐沙班的线性范围为5.0~1 000 ng·mL-1(r=0.995 8),定量下限为5.0 ng·mL-1;方法回收率为94.1%~106.7%;日内、日间RSD均<15%;提取回收率为84.4%~91.3%,无明显基质效应。结论 该方法快速、灵敏、准确、专属性强、重复性好,适用于人血浆中利伐沙班的血药浓度检测和药动学研究。
关键词:  利伐沙班  液质联用法  血药浓度  药动学
DOI:
分类号:R917
基金项目:“重大新药创制”科技重大专项(2013ZX09303005);浙江省自然科学基金(LQ15H310003,LQ12H25001,LY15H050005)
Pharmacokinetics Study of Rivaroxaban in Elderly Patients with Non-valvular Atrial Fibrillation
ZHU Fengjia, SHEN Qi, HUANG Yue, LIU Wei, WANG Guofu, LI Li
Department of Pharmacy, Zhejiang Hospital, Zhejiang Provincial Key Laboratory of Geriatrics, Hangzhou 310013, China
Abstract:
OBJECTIVE To develop a LC-MS/MS method for the determination of rivaroxaban in human plasma and apply it to the pharmacokinetics study. METHODS The plasma samples were precipitated by acetonitrile. The ZORBAX Eclipse XDB C18 column(2.1 mm×100 mm, 3.5 μm) was adopted. The mobile phase was acetonitrile-10 mmol ammonium acetate (containing 0.1% formic acid) with the gradient elution at the flow rate of 0.30 mL·min-1. Detection of the analyte was achieved by using positive ion electrospray ionization (ESI) in the multiple reaction monitoring (MRM) mode. The MS/MS ion transitions monitored were m/z 436.2→m/z 145.2 and m/z 256.1→m/z 165.2 for rivaroxaban and internal standard, respectively. RESULTS The linear range of rivaroxaban was 5.0-1 000 ng·mL-1(r=0.995 8). The lower limit of quantitation was 5.0 ng·mL-1. The recovery rate was 94.1%-106.7%, and the intra-day and inter-day relative standard deviations were <15%. The absolute recovery was 84.4%-91.3%, and no significant matrix effect was found. CONCLUSION This method is rapid, sensitive, accurate, specific, reliable, and suitable for the determination of rivaroxaban in human plasma and pharmacokinetic study.
Key words:  rivaroxaban  LC-MS/MS  blood concentration  pharmacokinetics
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