Simultaneous determination of selected tyrosine kinase inhibitors with corticosteroids and antiemetics in rat plasma by solid phase extraction and ultra-performance liquid chromatography–tandem mass spectrometry: Application to pharmacokinetic interaction

• The first method for combined determination of TKIs with supportive care medicine.
• Determination of gefitinib/erlotinib with dexamethasone/prednisolone and ondansetron.
• Analysis was performed in rat plasma using a SPE- UPLC–MS/MS method.
• The method offers great efficiency with low limits of quantitation.
• The method was applied to pharmacokinetic interaction studies.

A sensitive and selective ultra-performance liquid chromatography–tandem mass spectrometry method has been developed and validated for the simultaneous analysis of selected tyrosine kinase inhibitors (TKIs)(gefitinib GEF, erlotinib ERL), corticosteroids (dexamethasone DEX, prednisolone PRED), and the antiemetic ondansetron (OND) in rat plasma samples. After the addition of domperidone (DOM) as internal standard (IS), spiked plasma samples were prepared using the solid phase extraction (SPE) C 18 cartridges. Chromatographic separation was performed on a Waters BEH C18 column with an isocratic elution using a mobile phase composed of acetonitrile and water, each with 0.1% formic acid, (80: 20, v/v), at a flow rate of 0.2 mL/min. Quantitation of the analytes was performed using the multiple reaction monitoring (MRM) mode with the positive ionization mode at m/z 447.25 > 128.08 (GEF), m/z 394.20 > 278.04 (ERL), m/z 393.30 > 147.04 (DEX), m/z 361.29 > 147.02 (PRED), m/z 294.18 > 170.16 (OND), and m/z 426.26 > 175.07 (DOM). The method was validated over the concentration range of 0.025–100 (GEF, ERL, OND) and 0.05–100 ng/mL plasma (PRED, DEX) with very low lower limit of quantification of 0.025 (GEF, ERL, OND) and 0.05 ng/mL (DEX, PRED). The intra- and inter-day precision (RSD%) evaluated at four different concentration levels were within the acceptable limits (<15%). The method provided good extraction recovery of all analytes from rat plasma (Er% from −14.05 to −1.08). The validated method was successfully applied to the pharmacokinetic studies following the oral administration of selected combinations of the studied drugs. This study can be readily applied in therapeutic drug monitoring (TDM) in patients receiving these drug combinations as well as investigation of possible drug interactions between TKIs and DEX/PRED/OND.

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