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1.
Sci Rep ; 12(1): 1643, 2022 01 31.
Article in English | MEDLINE | ID: mdl-35102224

ABSTRACT

The aim of the study was to compare 3 blood sampling methods, including capillary blood sampling, for determining Tamoxifen (TAM), Z-endoxifen (END), and 4-hydroxytamoxifen (4HT) concentrations. High performance liquid chromatography-mass spectrometry was used to quantify concentrations of TAM, END, and 4HT in plasma, venous blood, and capillary blood samples of 16 participants on TAM therapy for breast cancer. The rhelise kit was used for capillary sampling. Calibration curves using 13C-labeled analogs of TAM, END, and 4HT as internal standards were used for quantifications. A capillary sampling kit was used successfully for all participants. Mean TAM concentrations did not differ significantly in the 3 types of samples. Mean END and 4HT concentrations did differ significantly between capillary and venous blood samples, possibly related to photodegradation in the internal standards prior to use or degradation products with chromatographic retention times similar to the metabolites. TAM, END, and 4HT concentrations were relatively stable when stored for 14 days at 8 °C and 20 °C. Therapeutic drug monitoring of TAM using an innovative kit and capillary blood sampling is feasible. Preliminary data from this study will aid in developing a multicenter, randomized clinical trial of personalized TAM dose monitoring and adjustments, with the goal of enhancing the quality-of-life and outcomes of patients with breast cancer.Clinical Trial Identification: EudraCT No 2017-000641-44.


Subject(s)
Breast Neoplasms/blood , Drug Monitoring/instrumentation , Estrogen Antagonists/blood , Reagent Kits, Diagnostic , Tamoxifen/analogs & derivatives , Adult , Aged , Aged, 80 and over , Breast Neoplasms/drug therapy , Capillaries , Chromatography, High Pressure Liquid , Estrogen Antagonists/therapeutic use , Feasibility Studies , Female , Humans , Mass Spectrometry , Middle Aged , Pilot Projects , Predictive Value of Tests , Reproducibility of Results , Sweden , Tamoxifen/blood , Tamoxifen/therapeutic use
2.
Nat Commun ; 8: 14585, 2017 03 01.
Article in English | MEDLINE | ID: mdl-28248286

ABSTRACT

Bisphenol A (BPA) is used in the production of plastic but has oestrogenic activity. Therefore, BPA substitutes, such as fluorene-9-bisphenol (BHPF), have been introduced for the production of so-called 'BPA-free' plastics. Here we show that BHPF is released from commercial 'BPA-free' plastic bottles into drinking water and has anti-oestrogenic effects in mice. We demonstrate that BHPF has anti-oestrogenic activity in vitro and, in an uterotrophic assay in mice, induces low uterine weight, atrophic endometria and causes adverse pregnancy outcomes, even at doses lower than those of BPA for which no observed adverse effect have been reported. Female mice given water containing BHPF released from plastic bottles, have detectable levels of BHPF in serum, low uterine weights and show decreased expressions of oestrogen-responsive genes. We also detect BHPF in the plasma of 7/100 individuals, who regularly drink water from plastic bottles. Our data suggest that BPA substitutes should be tested for anti-oestrogenic activity and call for further study of the toxicological effects of BHPF on human health.


Subject(s)
Benzhydryl Compounds/toxicity , Estrogen Antagonists/toxicity , Fluorenes/toxicity , Phenols/toxicity , Pregnancy Outcome , Animals , Benzhydryl Compounds/blood , Benzhydryl Compounds/chemistry , Carbon-13 Magnetic Resonance Spectroscopy , Catalytic Domain , Environmental Exposure/analysis , Estradiol/pharmacology , Estrogen Antagonists/blood , Estrogen Antagonists/chemistry , Estrogen Receptor alpha/metabolism , Female , Fluorenes/blood , Fluorenes/chemistry , Gene Expression Profiling , Gene Expression Regulation/drug effects , Healthy Volunteers , Humans , MCF-7 Cells , Mice , Molecular Docking Simulation , Phenols/blood , Phenols/chemistry , Plastics , Pregnancy , Proton Magnetic Resonance Spectroscopy , Reproduction/drug effects , Students , Toxicity Tests, Chronic
3.
Article in English | MEDLINE | ID: mdl-27336702

ABSTRACT

Tamoxifen (TAM) is a non-steroidal estrogen receptor antagonist that enhances erlotinib (ERL)-induced cytotoxicity in the treatment of NSCLC. ERL and TAM are metabolized by CYP3A4 enzymes. In addition, both drugs have the potential of altering the enzymatic activity through either inhibition (ERL) or induction (TAM). Thus it was expected that pharmacokinetics (PK) drug-drug interactions (DDIs) could be encountered following their co-administration. In this respect, a bioanalytical UPLC-MS/MS method has been developed and validated for the simultaneous determination of ERL and TAM in rat plasma samples, using ondansetron (OND) as an internal standard (IS). Plasma samples were prepared using mixed mode cationic solid phase extraction (SPE) STRATA™ -X-C 33µm cartridges with good extraction recovery of both drugs from rat plasma (Er% from -13.92 to -3.32). The drugs were separated on a Waters BEH™ C18 column with an isocratic elution using a mobile phase composed of a mixture of acetonitrile and water, each with 0.15% formic acid, in the ratio of 80: 20, v/v. Quantitation was carried out using the positive ionization mode with multiple reaction monitoring (MRM) at m/z 394.20>278.04 (ERL), m/z 372.25>72.01 (TAM), and m/z 294.18>170.16 (OND). The method was fully validated as per the FDA guidelines over the concentration range of 0.2-50ng/mL with very low lower limit of quantification (LLOQ) of 0.2ng/mL for both ERL and TAM. The intra- and inter-day assay precision (in terms of relative standard deviation, RSD) and accuracy (in terms of percentage relative error, % Er) were evaluated for both drugs and the calculated values evaluated at four different concentration levels were within the acceptable limits (<15%) for concentrations other than LLOQ and 20% for LLOQ. The method was successfully applied to the study of possible PK-DDI following the oral administration of ERL and TAM in a combination, compared to their single administration.


Subject(s)
Antineoplastic Agents/blood , Chromatography, High Pressure Liquid/methods , Erlotinib Hydrochloride/blood , Estrogen Antagonists/blood , Tamoxifen/blood , Tandem Mass Spectrometry/methods , Animals , Drug Monitoring/methods , Limit of Detection , Male , Rats , Rats, Wistar , Solid Phase Extraction/methods
4.
Article in English | MEDLINE | ID: mdl-26845583

ABSTRACT

In this study, for the first time, a coupled 1-mL microsyringe system was utilized to perform a miniaturized ionic liquid dispersive liquid-liquid microextraction (IL-DLLME) method. Danazol was extracted and determined via the developed method followed by micro-volume ultraviolet spectroscopy (UV). The extraction process was carried out by the injection of extraction solvent ionic liquid 1-octyl-3-methylimidazolium hexafluorophosphate [C8mimPF6] into sample solution (syringe A), and then rapid shoot the solution into syringe B. After that the shooting was repeated several times at a rate of 1 cycle/s. The extraction procedure was induced by the formation of cloudy solution, which was composed of fine drops of [C8mimPF6] dispersed entirely into sample solution with the help of shooting without any dispersive solvent, ultrasonication or high temperature. Several important parameters affecting the extraction efficiency were studied and optimized. Under the optimized conditions, the limit of detection (LOD) was 0.055 µg/mL (capsule) or 0.054 µg/mL (serum) at a signal-to-noise ratio of 3. The calibration curve was linear over the range of 0.62-25 µg/mL. The proposed method was successfully applied to danazol capsule and the real mice serum samples and good spiked recoveries in the range of 90.5-103.4% were obtained. The obtained results of this work were in good agreement with the results of HPLC.


Subject(s)
Danazol/blood , Estrogen Antagonists/blood , Ionic Liquids/chemistry , Liquid Phase Microextraction/instrumentation , Spectrophotometry, Ultraviolet/instrumentation , Animals , Capsules , Danazol/analysis , Equipment Design , Estrogen Antagonists/analysis , Limit of Detection , Mice , Syringes
5.
Article in English | MEDLINE | ID: mdl-26404755

ABSTRACT

17α-Ethynylestradiol (EE2), which is used in oral contraceptives and hormone replacement therapy, is a well documented estrogenic endocrine disruptor and an aquatic contaminant. In the present study, adult male specimens of the marine hermaphrodite teleost gilthead (Sparus aurata L.) were fed a diet containing tamoxifen (Tmx), an estrogen receptor ligand used in cancer therapy, alone or combined with EE2, for 25 days and then fed a commercial diet for a further 25 days (recovery period). The effects of short (5days) and long (25 days) treatments on several reproductive and gonad immune parameters and the reversibility of the disruptive effects after the recovery period were examined. Our data showed that Tmx acted as an estrogenic endocrine disruptor as revealed by the increase in the hepatic transcription of the vitellogenin gene in males, the serum levels of 17ß-estradiol and the gonad expression levels of the estrogen receptor α and G protein-coupled estrogen receptor genes, and the recruitment of leukocytes into the gonad, a well known estrogenic-dependent process in gilthead seabream males. On the other hand, Tmx also increased sperm concentration and motility as well as the serum levels of androgens and the expression levels of genes that codify for androgenic enzymes, while decreasing the expression levels of the gene that code for gonadal aromatase. When applied simultaneously, Tmx and EE2 could act in synergy or counteract, each other, depending on the parameter measured. The disruptive effect of EE2 and/or Tmx was not reversible after a 25 day recovery period.


Subject(s)
Endocrine Disruptors/toxicity , Estrogen Antagonists/toxicity , Ethinyl Estradiol/toxicity , Reproduction/drug effects , Spermatogenesis/drug effects , Tamoxifen/toxicity , Animals , Endocrine Disruptors/blood , Estrogen Antagonists/blood , Ethinyl Estradiol/blood , Male , Reproduction/physiology , Sea Bream , Spermatogenesis/physiology , Tamoxifen/blood , Testis/drug effects , Testis/physiology , Testis/ultrastructure
6.
Gynecol Endocrinol ; 31(9): 747-9, 2015.
Article in English | MEDLINE | ID: mdl-26190536

ABSTRACT

Oral hormone replacement therapy (HRT) based on estradiol-17ß (E2) greatly increases circulating estrone (E1) levels. E1 is an estrogen receptor agonist but may also be a partial E2 antagonist. We investigated the effects of circulating E1 on the association between circulating E2 and the increase in mammographic density (∂MD) in 46 healthy post-menopausal women treated with E2 2 mg and norethisterone acetate 1 mg daily. MD and serum E1 and E2 were measured before and after 6 months of treatment. At high E1 levels, ∂MD showed significant positive correlations leading to increase (∂-values) in both E1 and E2. Lowering the upper serum E1 limit strengthened the correlations to ∂E2 while the significant correlations to ∂E1 disappeared. E1 at high concentrations may act as a partial E2 antagonist also in the normal breast in vivo and disturb relationships between circulating E2 and biological estrogen effects. When investigating the relations between circulating steroids and their effects, structurally related compounds, which may act as partial antagonists, have to be considered, at least when they are present in higher concentrations.


Subject(s)
Breast Neoplasms/blood , Breast/drug effects , Contraceptives, Oral/pharmacology , Estradiol/blood , Estriol/pharmacology , Estrogen Antagonists/blood , Estrone/blood , Mammary Glands, Human/abnormalities , Norethindrone/analogs & derivatives , Aged , Breast Density , Breast Neoplasms/chemically induced , Breast Neoplasms/diagnostic imaging , Contraceptives, Oral/adverse effects , Drug Combinations , Estradiol/adverse effects , Estradiol/pharmacology , Estriol/adverse effects , Estrogen Replacement Therapy/adverse effects , Female , Humans , Mammography , Middle Aged , Norethindrone/adverse effects , Norethindrone/pharmacology
8.
Br J Nutr ; 98(1): 165-72, 2007 Jul.
Article in English | MEDLINE | ID: mdl-17367568

ABSTRACT

Some blood orange juice (BOJ) flavanones may have antioxidant, anti-inflammatory, anti-allergic, hypolipidaemic, vasoprotective and anticarcinogenic properties. The aim of the present study was to evaluate the pharmacokinetics of hesperetin and naringenin in human subjects after BOJ intake. In a cross-over study, seven healthy female volunteers consumed 150 and 300 ml BOJ corresponding to about 51-102 mg hesperetin and to 6-12 mg naringenin, respectively. Plasma samples were collected before, each hour for 8 h and 24 h after BOJ administration and analysed for their content of hesperetin and naringenin by liquid chromatography-MS/MS. The plasma concentrations of these compounds were dose dependent and the peak concentration (Cmax) was reached in 5.1 (sd 0.6) h after BOJ intake. The Cmax of hesperetin was 43.4 (sd 32.4) and 79.8 (sd 60.1) ng/ml after 150 and 300 ml intake, respectively. For naringenin the plasma peak was 16.4 (sd 11.9) and 34.0 (sd 20.6) ng/ml. Moreover, the conjugated forms of these flavanones represent more than 95 % of the plasma concentration. The results indicate that both hesperetin and naringenin are bioavailable after BOJ intake; naringenin seemingly more so than hesperetin.


Subject(s)
Beverages/analysis , Citrus sinensis/chemistry , Flavanones/pharmacokinetics , Adult , Antioxidants/analysis , Antioxidants/pharmacokinetics , Chromatography, High Pressure Liquid/methods , Cross-Over Studies , Disaccharides/analysis , Estrogen Antagonists/blood , Estrogen Antagonists/pharmacokinetics , Female , Flavanones/analysis , Flavanones/blood , Hesperidin/blood , Hesperidin/pharmacokinetics , Humans , Intestinal Absorption/physiology , Tandem Mass Spectrometry/methods
9.
Pharm Res ; 24(4): 748-57, 2007 Apr.
Article in English | MEDLINE | ID: mdl-17372700

ABSTRACT

PURPOSE: To investigate the impact of a change in the proportions of lipid, surfactant and co-solvent on the solubilisation capacity of self-emulsifying formulations of danazol during in vitro dispersion and digestion studies and correlation with in vivo bioavailability in beagle dogs. METHODS: Formulations from within the phase diagram of the pseudo-ternary system composed of soybean oil:maisine 35-1 (1:1 w/w), Cremophor EL and ethanol were assessed in vitro on dispersion and digestion. The relative bioavailability of danazol after administration of a series of these formulations was also determined. RESULTS: All formulations formed microemulsions in the presence of water and no drug precipitation was observed on dispersion. In contrast, drug solubilisation was markedly affected by lipase-mediated digestion and a reduction in lipid (and increase in surfactant) content resulted in increased drug precipitation. Consistent with these data, the bioavailability of danazol decreased significantly when the lipid content in the formulations was reduced. CONCLUSION: A rank-order correlation was observed between the patterns of solubilisation obtained during in vitro digestion and the in vivo performance of self-emulsifying formulations of danazol. In general a decrease in the lipid content and an increase in the proportions of surfactant and co-solvent resulted in reduced danazol bioavailability.


Subject(s)
Danazol/pharmacokinetics , Drug Carriers , Emulsions , Estrogen Antagonists/pharmacokinetics , Glycerol/analogs & derivatives , Lipids/chemistry , Surface-Active Agents/chemistry , Administration, Oral , Animals , Biological Availability , Chemistry, Pharmaceutical , Cross-Over Studies , Danazol/administration & dosage , Danazol/blood , Danazol/chemistry , Dogs , Drug Compounding , Estrogen Antagonists/administration & dosage , Estrogen Antagonists/blood , Estrogen Antagonists/chemistry , Ethanol/chemistry , Glycerides/chemistry , Glycerol/chemistry , Intestinal Absorption , Lipase/metabolism , Lipolysis , Male , Particle Size , Reproducibility of Results , Solubility , Solvents/chemistry , Soybean Oil/chemistry , Water/chemistry
10.
Drug Metab Dispos ; 34(2): 331-8, 2006 Feb.
Article in English | MEDLINE | ID: mdl-16299166

ABSTRACT

(7Alpha)-21-[4-[(diethylamino)methyl]-2-methoxyphenoxy]-7-methyl-19-norpregna-1,3,5(10)-trien-3-ol 2-hydroxy-1,2,3-propanetricarboxylate (TAS-108) is a novel steroidal antiestrogen, modulating the differential recruitment of transcriptional cofactors by liganded estrogen receptors and representing a promising agent for the treatment of breast cancer. To understand better the relationships between the drug exposure and the efficacy or toxicity of TAS-108, we investigated the metabolism and distribution of TAS-108 after oral administration of [14C]TAS-108 to rats bearing a 7,12-dimethylbenz(alpha)anthracene-induced mammary carcinoma. The metabolites (7alpha)-21-[4-[(ethylamino)methyl]-2-methoxyphenoxy]-7-methyl-19-norpregna-1,3,5(10)-trien-3-ol (deEt-TAS-108), (7alpha)-21-[4-[(diethylamino)methyl]-2-methoxyphenoxy]-7-methyl-19-norpregna-1,3,5(10)-trien-3-ol-N-oxide (TAS-108-N-oxide), and 3-methoxy-4-[(7alpha)-7-methyl-19-norpregna-1,3,5(10)-trien-3-ol-21-yl]oxybenzoic acid (TAS-108-COOH) were identified as the major metabolites in the plasma, and in addition, (7alpha)-21-[4-[(ethylamino)methyl]-2-methoxyphenoxy]-3-methoxy-7-methyl-19-norpregna-1,3,5(10)-triene (O-Me-deEt-TAS-108) was identified as a novel metabolite in this study. The time-concentration profiles of TAS-108 and its metabolites in the plasma were compared with those in the tumor and uterus of the rats. Radioactivity was found at a high level in various organs including lung, liver, spleen, ovary, and many glands at 12 h and was relatively higher in tumor tissue than in plasma. On the other hand, the levels of radioactivity in the brain and eyeball were very low or not detectable. TAS-108, deEt-TAS-108, and O-Me-deEt-TAS-108 were extensively distributed in the rat tissues and the tumor, with corresponding tissue/plasma ratios for Cmax and area under the curve in the range of 7 to 100. In contrast, TAS-108-COOH and TAS-108-N-oxide were hardly distributed to the tissues and thus may not contribute to the efficacy or toxicity of TAS-108. Thus, TAS-108, deEt-TAS-108, and O-Me-deEt-TAS-108, being distributed highly in tumor tissue, may be more important for the efficacy and toxicity of TAS-108 in vivo than TAS-108-COOH and TAS-108-N-oxide.


Subject(s)
Estradiol/analogs & derivatives , Estrogen Antagonists/pharmacokinetics , 9,10-Dimethyl-1,2-benzanthracene , Administration, Oral , Animals , Autoradiography , Breast Neoplasms/chemically induced , Breast Neoplasms/metabolism , Carbon Radioisotopes , Carcinoma/chemically induced , Carcinoma/metabolism , Estradiol/blood , Estradiol/pharmacokinetics , Estrogen Antagonists/blood , Female , Liver/drug effects , Liver/metabolism , Neoplasms, Experimental/chemically induced , Neoplasms, Experimental/metabolism , Rats , Rats, Sprague-Dawley , Tissue Distribution , Uterus/metabolism
11.
Clin Pharmacokinet ; 43(8): 529-38, 2004.
Article in English | MEDLINE | ID: mdl-15170367

ABSTRACT

OBJECTIVE: To characterise the pharmacokinetics of a long-acting formulation of fulvestrant following intramuscular administration of single and multiple doses. STUDY DESIGN: Pharmacokinetic investigations of single and multiple doses of fulvestrant were conducted within two global phase III efficacy studies that compared intramuscular fulvestrant with oral anastrozole in postmenopausal women with hormone-sensitive advanced breast cancer (study 0020, conducted in Europe, Australia and South Africa, and study 0021, conducted in North America). METHODS: Patients received once-monthly intramuscular injections of fulvestrant 250 mg (1 x 5 mL for < or =21 months in study 0020; 2 x 2.5 mL for < or =30 months in study 0021). Serial blood samples were collected for the first 28 days after the initial dose and immediately prior to all subsequent monthly doses. Plasma fulvestrant concentrations were determined by high-performance liquid chromatography-tandem mass spectrometry. PATIENTS: Twenty-six (study 0020) and 193 (study 0021) postmenopausal women, comprising the pharmacokinetic subgroups of the phase III efficacy trials, were studied. Patients had shown disease progression or recurrence following previous hormonal therapy for advanced disease or had relapsed after adjuvant endocrine therapy with a nonsteroidal antiestrogen. OUTCOME MEASURES AND RESULTS: For single-dose fulvestrant 250 mg, area under the concentration-time curve from time zero to 28 days (AUC(28)), maximum observed plasma concentration (C(max)), minimum observed plasma concentration at 28 days (C(min)) and time to maximum plasma concentration (t(max)) were determined. For multiple-dose fulvestrant 250 mg once monthly, steady-state trough concentrations (C(trough)) were determined. Plasma fulvestrant concentrations reached a peak at a median of 7 days (range 2-8 days) postdose, and declined biexponentially with a slower phase commencing approximately 2-3 weeks postdose. Intersubject variability in C(max) and AUC(28) was approximately 6-fold and 4-fold, respectively. Mean parameters for single-dose fulvestrant were: AUC(28), 148 microg. day/L; C(max), 8.2 microg/L; C(min), 2.6 microg/L; t(max), 7.0 days. Geometric mean C(trough) increased from 2.57 to 6.15 microg/L (study 0020) and from 2.38 to 6.52 microg/L (study 0021) over the first 6 months, reaching steady-state concentrations of approximately 6-7 microg/L (study 0020) or 9 microg/L (study 0021). Preliminary pharmacokinetic analysis, using a naive pooled data approach, suggests that observed single- and multiple-dose plasma profiles can be adequately described with a two-compartment kinetic model. Model-generated steady-state AUC(28) values were approximately 300 microg. day/L. CONCLUSIONS: The intramuscular formulation of fulvestrant displays predictable kinetics and approximately 2-fold accumulation on administration once monthly. At the proposed therapeutic dosage (250 mg once monthly), plasma fulvestrant concentrations are maintained within a narrow range throughout the administration interval, thus ensuring stable systemic drug exposure during long-term treatment.


Subject(s)
Antineoplastic Agents, Hormonal/pharmacokinetics , Breast Neoplasms/drug therapy , Estradiol/analogs & derivatives , Estradiol/pharmacokinetics , Estrogen Antagonists/pharmacokinetics , Adult , Aged , Antineoplastic Agents, Hormonal/blood , Antineoplastic Agents, Hormonal/therapeutic use , Area Under Curve , Breast Neoplasms/metabolism , Breast Neoplasms/radiotherapy , Double-Blind Method , Estradiol/blood , Estradiol/therapeutic use , Estrogen Antagonists/blood , Estrogen Antagonists/therapeutic use , Female , Fulvestrant , Half-Life , Humans , Metabolic Clearance Rate , Middle Aged , Postmenopause
12.
J Chromatogr A ; 970(1-2): 155-65, 2002 Sep 13.
Article in English | MEDLINE | ID: mdl-12350090

ABSTRACT

This paper describes a comparison between atmospheric pressure chemical ionization (APCI) and the recently introduced atmospheric pressure photoionization (APPI) interface for the LC-MS determination of idoxifene and its major metabolite, SB245419 (SB19), in human plasma. The results indicate that analyte response in APPI is highly dependent on the solvent composition, especially to water in the mobile phase. Other parameters investigated are the mobile phase flow-rate, the chemical noise, and signal suppression by matrix interferences. APPI appears to be six to eight times more sensitive than APCI for idoxifene and its SB245419 metabolite; the response for the SB245420 metabolite is considerably better than for APCI conditions, but still not sufficient for trace level pharmacokinetic determinations in human plasma. The LOQ for the parent drug and its major metabolite were 10 and 25 ng/ml, respectively, in human plasma. From post-column infusion experiments we conclude that there is little difference in matrix suppression between APCI and APPI. From these studies we suggest APPI may be an additional tool in pharmaceutical LC-MS applications.


Subject(s)
Chromatography, Liquid/methods , Estrogen Antagonists/blood , Mass Spectrometry/methods , Tamoxifen/analogs & derivatives , Tamoxifen/blood , Atmospheric Pressure , Estrogen Antagonists/pharmacokinetics , Humans , Photochemistry , Sensitivity and Specificity , Tamoxifen/pharmacokinetics
13.
Pharm Res ; 18(7): 1024-8, 2001 Jul.
Article in English | MEDLINE | ID: mdl-11496940

ABSTRACT

PURPOSE: Evista (raloxifene HCl) is a nonsteroidal selective estrogen receptor modulator that displays estrogen agonist effects on bone and lipid metabolism but estrogen antagonist effects on the breast and endometrium. The potential for drug-drug interaction between raloxifene and warfarin was assessed in 15 healthy postmenopausal women. METHODS: Single doses of warfarin (20 mg) were administered prior to and during 2 weeks of dosing with raloxifene 120 mg/day. Each warfarin dose was followed by pharmacokinetic sampling and prothrombin time measurements. RESULTS: Raloxifene administration resulted in 7.1% and 14.1% decreases in the clearance (CLp/F) and 7.4% and 9.8% decreases in the volume of distribution (Vss/F) of R- and S-warfarin, respectively (all p < or = 0.05). In contrast to the slightly higher plasma concentrations of R- and S-warfarin, raloxifene reduced the maximum prothrombin time (PTmax) by 10% and the area under the PT versus time curve from 0-120 h (AUCPT) by 8% (p < 0.01). CONCLUSIONS: Raloxifene administration may result in a small increase in systemic warfarin exposure that is associated with a diminution, not augmentation, of the pharmacodynamic effect. Due to the small magnitude of this effect, concomitant administration of raloxifene and warfarin is not likely to result in clinically significant drug-drug interaction.


Subject(s)
Anticoagulants/pharmacology , Anticoagulants/pharmacokinetics , Estrogen Antagonists/pharmacology , Estrogen Antagonists/pharmacokinetics , Raloxifene Hydrochloride/pharmacology , Raloxifene Hydrochloride/pharmacokinetics , Warfarin/pharmacology , Warfarin/pharmacokinetics , Administration, Oral , Aged , Anticoagulants/blood , Area Under Curve , Confidence Intervals , Drug Interactions , Estrogen Antagonists/blood , Female , Humans , Middle Aged , Postmenopause/blood , Prothrombin/metabolism , Prothrombin Time , Raloxifene Hydrochloride/blood , Stereoisomerism , Warfarin/blood
14.
J Chromatogr B Biomed Sci Appl ; 757(1): 151-9, 2001 Jun 05.
Article in English | MEDLINE | ID: mdl-11419740

ABSTRACT

This study compares HPLC electrospray time-of-flight mass spectrometry and selected reaction monitoring (SRM) LC-MS for high throughput quantitative determination of a small molecule drug in biological samples. A high throughput LC-MS method was developed for quantitatative determination of idoxifene in human plasma and the evaluation was accomplished with the cross-validation of the developed LC-MS method between the time-of-flight mass spectrometer, and a triple quadrupole mass spectrometer operated in the SRM mode. A simple one-step semi-automated 96-well liquid-liquid extraction procedure was used to prepare 96 samples in approximately 30 min and a rapid gradient was used to shorten the LC run time. Time-of-flight mass spectrometry provides acquisition of full-scan mass spectra and extracted ion current chromatograms, which may be extracted from the total ion current chromatogram for peak area determination. The limit of quantitation for idoxifene in human plasma obtained with the time-of-flight mass spectrometer was 5 ng/ml based on 100-microl aliquots of human plasma, and the linear dynamic range was from 5 ng/ml to 2000 ng/ml. The quantitative LC-MS results from the time-of-flight mass spectrometer demonstrated that precision did not exceed 7.1% and accuracy did not exceed 1.7% with reference to quality control samples at three concentration levels in replicates of six. In contrast, the limit of quantitation for idoxifene in human plasma using a tandem triple quadrupole mass spectrometer was 0.5 ng/ml with a linear dynamic range to 1000 ng/ml. The results from the triple quadrupole instrument show that the precision did not exceed 2.2% and accuracy did not exceed 2.9%. The overall results suggest time-of-flight mass spectrometry may be a viable technique for high throughput bioanalytical work for the quantitative determination of a representative small molecule drug in the low ng/ml range in human plasma.


Subject(s)
Chromatography, High Pressure Liquid/methods , Estrogen Antagonists/blood , Mass Spectrometry/methods , Tamoxifen/analogs & derivatives , Tamoxifen/blood , Calibration , Humans , Reproducibility of Results , Sensitivity and Specificity
15.
Anal Chem ; 73(1): 119-25, 2001 Jan 01.
Article in English | MEDLINE | ID: mdl-11195494

ABSTRACT

The generation of large numbers of samples during early drug discovery has increased the demand for rapid and selective methods of analysis. Liquid chromatography-tandem mass spectrometry (LC-MS-MS), because of its sensitivity, selectivity, and robustness, has emerged as a powerful tool in the pharmaceutical industry for many analytical needs. This work presents a high-throughput selected reaction monitoring LC-MS bioanalytical method for the determination of idoxifene, a selective estrogen receptor modulator, and its pyrrolidinone metabolite in clinical human plasma samples. The described method uses short, small-bore columns, high flow rates, and elevated HPLC column temperatures to perform LC separations of idoxifene and its metabolite within 10 s/sample. Sequential injections were accomplished with a 215/889 multiple probe liquid handler (Gilson, Inc.), which aspirates eight samples simultaneously and performs its rinse cycle parallel to sample injection, resulting in minimum lag time between injections. This high-throughput method was applied to the determination of idoxifene and its metabolite in clinical human plasma samples. Sample preparation employed liquid/liquid extraction in the 96-well format. Method validation included determination of intra- and interassay accuracy and precision values, recovery studies, autosampler stability, and freeze-thaw stability. The LOQ obtained was 10 ng/mL for idoxifene and 30 ng/mL for the metabolite. Using idoxifene-d5 as an internal standard, idoxifene showed acceptable accuracy and precision values at QC level 1 (QC1, 15 ng/mL), level 2 (QC2, 100 ng/mL), and level 3 (QC3, 180 ng/mL) (85.0% accuracy +/- 12.0% precision, 95.1 +/- 4.9%, and 90.3 +/- 4.7%, respectively). The pyrrolidinone metabolite also showed acceptable accuracy and precision values (using no internal standard for quantitation) at QC1 (60 ng/mL), QC2 (100 ng/mL), and QC3 (180 ng/mL) (104.9 +/- 14.4%, 91.1 +/- 13.0%, and 90.8 +/- 12.2%, respectively). The validated method was applied to the analysis of 613 human clinical plasma samples. An average run time of 23 s/sample (approximately 37 min/ 96-well plate or over 3,700 sample/day) was achieved. The successful validation presented indicates that rapid methods of analysis can efficiently and reliably contribute to the fast sample turnaround required for high sample number generating processes.


Subject(s)
Estrogen Antagonists/blood , Tamoxifen/analogs & derivatives , Tamoxifen/blood , Chromatography, Liquid , Humans , Mass Spectrometry , Pyrrolidinones/blood , Quality Control , Robotics , Spectrophotometry, Ultraviolet
16.
In Vitro Cell Dev Biol Anim ; 36(7): 428-46, 2000.
Article in English | MEDLINE | ID: mdl-11039494

ABSTRACT

In an accompanying report (Moreno-Cuevas, J. E.; Sirbasku, D. A., In Vitro Cell. Dev. Biol.; 2000), we demonstrated 80-fold estrogen mitogenic effects with MTW9/PL2 rat mammary tumor cells in cultures supplemented with charcoal-dextran-treated serum. All sera tested contained an estrogen reversible inhibitor(s). The purpose of this report is to extend those observations to additional sex steroid-responsive human and rodent cell lines. Every line tested showed a biphasic response to hormone-depleted serum. Concentrations of < or = 10% (v/v) promoted substantive growth. At higher concentrations, serum was progressively inhibitory. With estrogen receptor-positive (ER+) human breast cancer cells, rat pituitary tumor cells, and Syrian hamster kidney tumor cells, 50% (v/v) serum caused significant inhibition, which was reversed by very low physiologic concentrations of estrogens. This same pattern was observed with the steroid hormone-responsive LNCaP human prostatic carcinoma cells. Because steroid hormone mitogenic effects are now easily demonstrable using our new methods, the identification of positive results has nullified our original endocrine estromedin hypothesis. We also evaluated autocrine/paracrine growth factor models of estrogen-responsive growth. We asked if insulin-like growth factors I and II, insulin, transforming growth factor alpha, or epidermal growth factor substituted for the positive effects of estrogens. Growth factors did not reverse the serum-caused inhibition. We asked also if transforming growth factor beta (TGFP) substituted for the serum-borne inhibitor. TGFbeta did not substitute. Altogether, our results are most consistent with the concept of a unique serum-borne inhibitor as has been proposed in the estrocolyone model. However, the aspect of the estrocolyone model related to steroid hormone mechanism of action requires more evaluation. The effects of sex steroids at picomolar concentrations may reflect mediation via inhibitor "activated" intracellular signaling pathways.


Subject(s)
Cell Division/drug effects , Culture Media , Estradiol/pharmacology , Estrogen Antagonists/blood , Gonadal Steroid Hormones/pharmacology , Neoplasms/pathology , Animals , Breast Neoplasms/chemistry , Breast Neoplasms/pathology , Cricetinae , Epidermal Growth Factor/pharmacology , Female , Humans , Hydrocortisone/pharmacology , Insulin/pharmacology , Insulin-Like Growth Factor I/pharmacology , Insulin-Like Growth Factor II/pharmacology , Kidney Neoplasms/pathology , Male , Mammary Neoplasms, Experimental/pathology , Mesocricetus , Pituitary Neoplasms/pathology , Progesterone/pharmacology , Prostatic Neoplasms/pathology , Rats , Receptors, Estrogen/analysis , Testosterone/pharmacology , Transforming Growth Factor alpha/pharmacology , Tumor Cells, Cultured
17.
J Chromatogr B Biomed Sci Appl ; 724(1): 163-71, 1999 Mar 05.
Article in English | MEDLINE | ID: mdl-10202969

ABSTRACT

A highly sensitive and precise high-performance liquid chromatography (HPLC) assay was developed and validated for the quantitation of Z-2-[4-(4-chloro-1,2-diphenyl-but-1-enyl) phenoxy]ethanol (FC-1271a) in human plasma. Plasma samples (1.0 ml) containing FC-1271a and internal standard (toremifene citrate; Farestono) were extracted using a 2% 1-butanol, 98% hexane solution with an extraction efficiency of >97%. Samples were reconstituted in methanol, irradiated with high intensity ultraviolet light (254 nm) for 1 min, and injected onto a C18 reverse phase column. Samples were eluted isocratically at a flow-rate of 0.5 ml/min with a mobile phase consisting of 6.5% water and 0.5% triethylamine in methanol. The fluorescence of photochemically activated compounds was detected using a fluorometer set at an excitation wavelength of 266 nm and emission wavelength of 370 nm. Under these assay conditions, standard calibration curves were linear through a concentration range of 10-400 ng/ml. In summary, we have developed and validated an HPLC assay to quantitate FC-1271a in human plasma.


Subject(s)
Chromatography, High Pressure Liquid/methods , Estrogen Antagonists/blood , Tamoxifen/analogs & derivatives , Animals , Estrogen Antagonists/pharmacokinetics , Freezing , Humans , Macaca mulatta , Photochemistry , Reference Standards , Reproducibility of Results , Spectrometry, Fluorescence , Tamoxifen/blood , Tamoxifen/pharmacokinetics
18.
Neurotoxicol Teratol ; 21(1): 59-69, 1999.
Article in English | MEDLINE | ID: mdl-10023802

ABSTRACT

There is evidence that polychlorinated biphenyl (PCB) congeners have differential effects on endpoints of neurotoxicity depending on their chemical structure: specifically, that ortho-substituted congeners are neurotoxic whereas coplanar (dioxin-like) congeners are relatively inactive in producing neurotoxic effects. The effects of the coplanar congener 3,3',4,4',5-pentachlorobiphenyl (PCB 126) on developmental endpoints, hematology, serum biochemistry, and performance on a spatial delayed alternation task were assessed in Long-Evans rats. Dams were dosed with 0, 0.25, or 1.0 microg/kg/day Monday to Friday beginning 5 weeks before and continuing through gestation and lactation. The first 2-week breeding period produced 10, 8, and 13 litters in the three dose groups, respectively. Breeding females from the control and low-dose group that did not conceive were rebred after 76 days of dosing, producing 7 and 6 litters, respectively. Reduction in weight gain from birth to weaning at 21 days of age (DOA) was observed in both dose groups of Cohort 1 but not in Cohort 2. Males in Cohort 1 exhibited a slight decrease in anogenital distance normalized for weight. Changes in hematological and some serum biochemical parameters were observed in the pups at DOA 21 and/or 60. PCB 126 was detected in fat sampled at both DOA 21 and 60. PCB 126 was not detected in brain samples at 60 DOA in any group; analysis of Cohort 2 at DOA 21 revealed levels in the treated group about 1/100 of those in fat. On the spatial delayed alternation task, there was no convincing evidence for impairment as a result of PCB exposure, as assessed by overall accuracy of performance and measures of perseverative and other types of inappropriate responding. These data provide further evidence for the lack of neurotoxicity of dioxin-like PCB congeners. However, assessment of performance on additional behavioral indices is required before definitive conclusions may be drawn.


Subject(s)
Estrogen Antagonists/toxicity , Growth/drug effects , Lactation/physiology , Polychlorinated Biphenyls/toxicity , Prenatal Exposure Delayed Effects , Psychomotor Performance/drug effects , Space Perception/drug effects , Animals , Blood Cell Count/drug effects , Body Weight/drug effects , Estrogen Antagonists/blood , Female , Polychlorinated Biphenyls/blood , Pregnancy , Rats , Reproduction/drug effects
19.
Am J Obstet Gynecol ; 179(5): 1283-7, 1998 Nov.
Article in English | MEDLINE | ID: mdl-9822517

ABSTRACT

OBJECTIVE: Chronic exposure of oophorectomized guinea pigs to 17beta-estradiol causes leiomyoma formation. Our aims were to determine whether these leiomyomas can become estradiol independent after exposure to estradiol and if raloxifene inhibits leiomyoma growth when given concomitantly with estradiol. STUDY DESIGN: To induce leiomyoma development, 6 oophorectomized animals received two estradiol implants for 140 days. Next, the estradiol implants were replaced with empty implants in 3 animals, whereas the other 3 received 2 new estradiol implants and raloxifene given per os 10 mg/kg per day for 60 days. Tumor size was monitored biweekly by ultrasonography. RESULTS: On estradiol removal, abdominal wall leiomyomas regressed within 15 to 30 days; when estradiol implants were reintroduced, leiomyomas redeveloped. Within 30 days on raloxifene, all abdominal leiomyomas (n = 9) regressed as determined by ultrasonography and verified at laparotomy. Serum raloxifene and estradiol levels were 432 +/- 46 pg/mL and 78 +/- 13 pg/mL (mean +/- SEM, n = 3), respectively, after 60 days of treatment. CONCLUSIONS: Leiomyomas did not become estradiol independent, even after long exposure to estradiol; ultrasonography allowed frequent, noninvasive assessment of leiomyoma size, and raloxifene rapidly regressed leiomyomas in this animal model.


Subject(s)
Estrogen Antagonists/therapeutic use , Leiomyoma/drug therapy , Piperidines/therapeutic use , Uterine Neoplasms/drug therapy , Animals , Estradiol/blood , Estrogen Antagonists/blood , Female , Guinea Pigs , Leiomyoma/blood , Leiomyoma/chemically induced , Leiomyoma/diagnostic imaging , Ovariectomy , Piperidines/blood , Raloxifene Hydrochloride , Ultrasonography , Uterine Neoplasms/blood , Uterine Neoplasms/chemically induced , Uterine Neoplasms/diagnostic imaging
20.
J Pharm Biomed Anal ; 17(3): 533-8, 1998 Jul.
Article in English | MEDLINE | ID: mdl-9656166

ABSTRACT

A precise and sensitive high performance liquid chromatographic (HPLC) assay method was developed and validated for the quantitation of 2-[4-(2-piperidinoethoxy) phenyl]-3-phenyl-(2H)-1-benzo(b)pyran (compound CDRI-85/287) in rat serum. This method, applicable to 0.5 ml volumes of serum, was validated according to GLP guidelines. It involved double extraction of serum samples with a mixture of hexane and iso-propanol (98:2 v/v) at alkaline pH and the use of UV detection at 332 nm. Linearity, precision and accuracy were acceptable (5-200 ng ml-1. The absolute recovery was more than 75% and the lower limit of quantitation was 5 ng ml-1. Freeze-thaw stability studies up to four cycles showed no apparent differences in the calculated spiked concentrations. However, in-process stability evaluation showed the stability of the processed samples lasted up to 85 h.


Subject(s)
Benzopyrans/blood , Chromatography, High Pressure Liquid/methods , Contraceptives, Oral, Synthetic/blood , Piperidines/blood , Analysis of Variance , Animals , Benzopyrans/analysis , Benzopyrans/pharmacokinetics , Estrogen Antagonists/blood , Piperidines/analysis , Piperidines/pharmacokinetics , Rats
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