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DOI 10.1007/s00216-011-5048-6
ORIGINAL PAPER
Received: 22 December 2010 / Revised: 23 March 2011 / Accepted: 19 April 2011 / Published online: 11 May 2011
# Springer-Verlag 2011
Introduction
Attention-deficit hyperactive disorder (ADHD) is a neurobehavioural problem mostly encountered with school-aged
children at a high prevalence of 510% of the general
population [1, 2]. The cyclic amphetamine analogue
methylphenidate [dl-threo-methyl 2-phenyl-2-(piperidyl)
actetate] (MPH) is widely used for the management of
children having ADHD, with or without hyperactivity [3].
The psychostimulant drug displays a high intrinsic clearance
due to the rapid hydrolysis of the methyl ester function [4]
occurring in a stereoselective manner [5]. As a consequence,
the plasma concentrations after oral therapeutic doses
encountered are low, typically within cmax of 1020 ng/mL.
There is an individual variability in the response to MPH
concentrations that makes it necessary to adjust for optimal
medication and elimination of toxicological side effects. This
is of particular importance as children are the main target
group of this medication [6]. Quantification in the lower
picogram per millilitre range is hence desirable for reliable
pharmacokinetic studies with MPH. Besides the treatment of
ADHD, MPH improves attention, concentration, fine motor
coordination and balance, and due to these sport-related
benefits, the drug is considered as a doping agent [7, 8].
MPH is thus not permitted for use in competition by the
International Olympic Committee.
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Experimental
Chemicals and reagents
Pentafluorobenzyl alcohol was purchased from ABCR
(Karlsruhe, Germany). Phtalic anhydride was supplied by
Sigma-Aldrich (Vienna, Austria). Methylphenidate was
from Cerilliant (USA). All other substances, solvents and
reagents of analytical grade were from Merck (Darmstadt,
Germany). PBBCl reagent and isotope-labelled standard
GC-NICI-MS of methylphenidate
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2666
100
A
90
Relative Abundance
80
F
70
60
m/z 380
F
50
O
O
40
30
COOCH3
20
381
10
0
100
200
300
400
500
600
500
600
m/z
100
385
90
F
80
F
Relative Abundance
70
m/z 385
F
60
O
O
50
N 18
40
O
2
30
2
2
386
20
10
0
100
200
300
400
m/z
GC-NICI-MS of methylphenidate
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5,75
100
90
80
70
methylphenidate
60
m/z 380
50
40
Relative Abundance
30
20
10
0
5,74
100
90
80
70
60
[18O2H3]-methylphenidate IS
50
m/z 385
40
30
20
10
0
4,0
4,5
5,0
5,5
6,0
6,5
7,0
7,5
8,0
8,5
Time (min)
Table 1 Intra- and inter-day precision and accuracy for methylphenidate determination
Nominal concentration (ng/mL plasma)
Intra-day precision and accuracy
0.072
0.210
1.5
15
Inter-day precision and accuracy
0.072
0.210
1.5
15
Mean
SD
CV (%)
Accuracy (%)
0.071
0.007
9.52
0.99
0.198
1.486
15.282
0.008
0.067
0.206
3.87
4.49
1.35
5.80
0.94
1.88
0.068
0.191
1.453
15.238
0.003
0.006
0.042
0.220
4.00
3.00
2.90
1.44
5.42
8.95
3.11
1.58
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Mean
SD
0.210
15
0.210
15
0.210
0.202
15.310
0.196
13.939
0.212
0.008
0.268
0.015
0.825
0.019
2.69
8.95
4.80
15
0.210
15
14.034
0.201
13.561
0.237
0.011
0.158
8.33
0.33
11.42
Deviation (%)
No freezethaw cycle
12
10
8
6
4
2
0
0
10
15
20
Time [hours]
GC-NICI-MS of methylphenidate
2669
Conclusions
Due to the delicate targeting of the drug to children for the
treatment of ADHD, an assay with the highest achievable
sensitivity is desirable to minimize the sample size for
therapeutic drug monitoring, which is crucial for adequate
drug dosage because of the large intra-individual variability
and tolerance. The method described fulfils these criteria
exceptionally by reaching detection limits far below all
assays published so far. The ease of extractive acylation
keeps the sample preparation time to a minimum and allows
large sample batches to be analysed in a short time. The use
of a stable isotope-labelled internal standard adds an
additional dimension of specificity and selectivity to the
mass spectrometric detection, thereby also compensating
ideally for losses during the sample workup procedure and
derivatisation sequence. This is of particular interest for the
analysis of MPH from the plasma matrix as esterase
activities may lead to degradation which is time- and
matrix-dependent. The extraordinary sensitivity of the assay
must be attributed to the new derivatisation reagent,
PBBCl. We have successfully applied this method to the
bulk analysis of plasma samples for a preliminary pharmacokinetic study, demonstrating its ability for routine
measurements.
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