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·药物与临床·

        人血浆中安罗替尼质量浓度测定方法的建立及其应用                                                            Δ


        周利娟 ,武正华 ,汪硕闻 ,缪文清 ,包婺平 ,包爱华 ,范国荣 (1.上海交通大学附属第一人民医院临床药学
                                 1
                                         1
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                        1
                                                                 1 #
               1*
        科,上海 200080;2.上海交通大学附属第一人民医院呼吸科,上海 200080)
        中图分类号 R969          文献标志码 A           文章编号 1001-0408(2021)11-1356-06
        DOI   10.6039/j.issn.1001-0408.2021.11.13
        摘   要   目的:建立测定人血浆中安罗替尼质量浓度的方法并应用于临床。方法:以醋酸铵为盐析助剂,以乙腈为溶剂,采用盐析
        辅助液液萃取对血浆样品进行前处理;以伏立康唑为内标,采用液相色谱-串联质谱法(LC-MS/MS)测定。色谱柱为 Waters X
        Bridge C18,流动相为0.2%甲酸水溶液-乙腈(梯度洗脱),流速为1 mL/min,柱温为40 ℃,进样量为10 μL,分流比为3 ∶ 7;离子源为
        电喷雾离子源,以多反应监测模式进行正离子扫描,用于定量分析的离子对分别为m/z 408.3→339.3(安罗替尼)、m/z 350.2→281.3
        (内标)。结果:安罗替尼检测质量浓度的线性范围为0.2~200 ng/mL(R =0.996 7);定量下限为0.2 ng/mL;日内、日间精密度试验
                                                               2
        的 RSD 均小于 12%(n=6 或 n=3);准确度为 90.92%~108.00%(n=6 或 n=3);平均提取回收率为 87.51%~100.00%(RSD<
        8%,n=6);平均基质效应为96.66%~99.93%(RSD<5%,n=6)。3例使用安罗替尼治疗的非小细胞肺癌患者体内的血药浓度
        为8.74~65.60 ng/mL。结论:该方法操作简单、准确度高、专属性强,可用于非小细胞癌患者体内安罗替尼的血药浓度监测。
        关键词     安罗替尼;液相色谱-串联质谱技术;盐析辅助液液萃取;治疗药物监测

        Establishment and Application of Method for Concentration Determination of Anlotinib in Human Plasma
        ZHOU Lijuan ,WU Zhenghua ,WANG Shuowen ,MIAO Wenqing ,BAO Wuping ,BAO Aihua ,FAN Guorong           1
                                                    1
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                                   1
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        (1. Dept. of Clinical Pharmacy,the First Affiliated People’s Hospital of Shanghai Jiaotong University,Shanghai
        200080,China;2. Dept. of Respiratory,the First Affiliated People’s Hospital of Shanghai Jiaotong University,
        Shanghai 200080,China)
        


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            Δ 基金项目:上海市卫生健康委临床重点专科项目(No.shslczdzk-
                                                            [27]  肿瘤资讯.以人为本!帕博利珠单抗(K药)全新“疗效渐
        06501)
                                                                 进式”援助方案开启长生存之旅[EB/OL].[2021-01-27].
            *硕士研究生。研究方向:体内药物代谢。E-mail:zz124071zhou
                                                                 http://liangyihui.net/doc/69783.
        @foxmail.com
            # 通信作者:教授,博士生导师,博士。研究方向:临床药学。电                                (收稿日期:2020-12-23  修回日期:2021-05-19)
        话:021-63240090-4202。E-mail:guorfan@163.com                                               (编辑:胡晓霖)


        ·1356 ·  China Pharmacy 2021 Vol. 32 No. 11                                 中国药房    2021年第32卷第11期
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