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BIOMEDICAL CHROMATOGRAPHY

Biomed. Chromatogr. 21: 1077–1082 (2007)


Published online for
GC-MS method 21 June 2007 in Wiley
determination InterScience
of prilocaine HCl in human plasma ORIGINAL
ORIGINAL RESEARCH
RESEARCH 1077
(www.interscience.wiley.com) DOI: 10.1002/bmc.857

Development and validation of gas chromatography–mass


spectroscopy method for determination of prilocaine HCl
in human plasma using internal standard methodology

Yucel Kadioglu* and Alptug Atila


Department of Analytical Chemistry, Faculty of Pharmacy, Ataturk University, 25240 Erzurum, Turkey

Received 20 February 2007; revised 22 March 2007; accepted 23 March 2007

ABSTRACT: The accurate determination of prilocaine HCl levels in plasma is important in both clinical and pharmacological/
toxicological studies. Prilocaine HCl is quickly hydrolyzed to o-toluidine, causing methemoglobinemia. For this, the present work
describes the methodology and validation of a GC-MS assay for determination of prilocaine HCl with lidocaine HCl as internal
standard in plasma. The validation parameters of linearity, precision, accuracy, recovery, specificity, limit of detection and limit of
quantification were studied. The range of quantification for the GC-MS was 20–250 ng/mL in plasma. Within-day and between-
day precision, expressed as the relative standard deviation (RSD) were less than 6.0%, and accuracy (relative error) was better
than 9.0% (n = 6). The analytical recovery of prilocaine HCl and IS from plasma has averaged 94.79 and 96.8%, respectively.
LOQ and LOD values for plasma were found to be 20 and 10 ng/mL, respectively. The GC-MS method can be used for determi-
nation from plasma of prilocaine HCl in routine measurement as well as in pharmacokinetic studies for clinical use. Copyright ©
2007 John Wiley & Sons, Ltd.

KEYWORDS: prilocaine HCl; GC-MS; method validation

INTRODUCTION

Local anesthetic drugs are mainly used to reversibly


block nerve function in various local or regional treat-
ments. Local anesthetics play an important role clinically
in dentistry and minor surgery for temporary relief
of pain (Cawson and Curson, 1983; Rishiraj et al.,
2005). Prilocaine, 2-propilamino-N-o-tolil-propiyonamit
Figure 1. Chemical structure of prilocaine HCl.
hydrochloride (Fig. 1), and lidocaine HCl (Fig. 2),
2-diethylamino-N-(2,6-dimethyl fenil)-etanamid hydro-
chloride, are local anesthetic substances of the amide type
(Siluvera and Stewart, 1997). Prilocaine, unlike other
amide anesthetics, is a secondary amino derivative of
toluidine. It produces less vasodilation and toxicity than
lidocaine and is considered relatively free from allergic
reactions (Jastak et al., 1995). Prilocaine is extensively
metabolized by the liver. Prilocaine’s primary limiting
factor clinically is the production of methemoglobine- Figure 2. Chemical structure of lidocaine HCl.
mia, a side effect caused by its metabolite o-toluidine
(Warren et al., 1974; Ariens, 1989; Rudolf et al., 1995). specific analytical methods are needed for determina-
Low plasma concentrations of local anesthetic drugs tion of local anesthetics in human plasma. Several
are present after local injections, thus, sensitive and analytical methods for analysis of prilocaine in biologi-
cal samples have been reported. A chiral pressure
*Correspondence to: Y. Kadioglu, Department of Analytical Chem- liquid chromatography method for measure of the
istry, Faculty of Pharmacy, Ataturk University, 25240 Erzurum,
Turkey. separate isomers of prilocaine in plasma after adminis-
E-mail: yucel@atauni.edu.tr tration of the racemate (Tucker et al., 1990) and for the
Abbreviations used: LOD, limit of detection; QC, quality control. quantitation of R(−) and S(+) prilocaine in human
Contract/grant sponsor: University of Ataturk. serum (Siluvera and Stewart, 1996) has been reported.

Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
1078 ORIGINAL RESEARCH Y. Kadioglu and A. Atila

An LC-MS-MS method for the simultaneous determi- 3 µL. The injector and detector temperatures were 280°C. The
nation of the local anesthetics bupivacine, mepivacine, oven temperature programs were: initial temperature 90°C,
prilocaine and ropivacine in human serum has been re- ramped at 10°C/min to a final temperature of 200°C and held
ported (Koehler et al., 2005). Also, a stability-indicating at this final temperature for 7 min. The MS detector para-
meters were: transfer line temperature 280°C; solvent delay
RP-HPLC method for determination of several procaine
3 min; electron energy 70 eV; the MS was run in electron
hydrochloride and prilocaine hydrochloride combina-
impact mode with selected ion monitoring (SIM) for quantita-
tions has been reported (Storms and Stewart, 2002). tive analysis [m/z 81 for both prilocaine HCl and internal
Watanabe et al. (1998) have analyzed five local anes- standard (lidocaine HCl)].
thetics (lidocaine, dibucaine, mepivacaine, prilocaine
and bupivacaine) in human blood with headspace solid- Preparations of stock and standard working solutions.
phase microextraction (HS-SPME) and gas chromato- Separate stock solution of prilocaine HCl and internal stand-
graphy–mass spectrometry–electron impact ionization ard were prepared at a concentration of 100 µg/mL in metha-
selected ion monitoring (GC-MS-EI-SIM) methods. nol and stored at −20°C when not in use. Prilocaine HCl
The determination of the binary mixture of prilocaine working solutions were daily prepared from stock solution up
and lidocaine in plasma, serum and pharmaceutical for- to final concentrations of 20, 50, 100, 150, 200 and 250 ng/mL.
mulations has been done with HPLC (Adams et al., Internal standard working solution was prepared at the final
concentration of 500 ng/mL.
1989; Klein et al., 1994; Taddio et al., 1997; Wieberg
and Jacobbssen, 2004; Wiberg et al., 2004) and a se- Preparation of plasma samples. The plasma samples were
quential injection chromatography method with a Franz stored at −20°C and allowed to thaw at room temperature
cell (Klimundova et al., 2006). Both drugs served as before processing. A suitable amount of working solution of
internal standards for each other. Several studies with prilocaine HCl to a final concentrations from 20 to 250 ng/mL
GC methods have been reported for determination of and 0.2 mL of working solutions of IS was spiked in 0.5 mL of
local anesthetics in biological samples (Keenaghan, blank plasma and then extracted with liquid–liquid extraction
1967; Cameron, 1974; Asada, 1979; Prat and Brugerolle, method. The concentrations of the plasma standards (prilo-
1986; Bjork et al., 1990). Prilocaine HCl has been caine HCl–IS mixtures) at respective points on the concentra-
generally analyzed by combinations of several of local tion graphs produced for plasma were 20, 50, 100, 150, 200
anesthetic substances in biological materials. Therefore, and 250 ng/mL prilocaine HCl together with 100 ng/mL IS at
each calibration level.
the purpose of this study was to develop and validate
a new GC-MS method for the determination of prilo- Quality control samples. Quality control (QC) samples
caine HCl with a simple sample preparation without were prepared by adding aliquots of standard working solu-
derivatization in human plasma. The GC-MS method tion of prilocaine HCl to a final concentrations of 40, 120 and
has the advantage of specificity, simplicity, reproducibil- 220 ng/mL, 0.2 mL of IS (100 ng/mL) and 0.5 mL of plasma
ity and a wide range of linearity. blank. The QC was prepared, spiked in plasma and extracted
following the procedure described below. These samples were
used in the analysis of plasma samples as quality controls for
EXPERIMENTAL the purpose of checking recovery of analyte in the daily
analyses of plasma samples.
Reagents and chemicals. Prilocaine HCl reference standard
and lidocaine HCl as internal standard (IS) was kindly sup- Sample extraction. Prilocaine HCl was extracted from
plied by Novagenix Company and by the Turkish Doping plasma by developed liquid–liquid extraction. In 10 mL six
Control Center. The purity of these substances was checked clean tubes were placed in 0.5 mL of plasma. Suitable
by standard methods (melting point, infrared and NMR spec- amounts of prilocaine HCl (20, 50, 100, 150, 200 and 250 ng/
tra) and no impurities were found. The high-purity grade mL) and 0.2 mL IS were then spiked into the plasma. The
methanol and all other reagents were purchased from Merck solutions were alkalinized by shaking on a vortex mixer,
(Germany) and were used without further purification. All followed by addition of 1 mL of 1 M NaOH. A 5 mL aliquot
gases were supplied by Havas (Ankara, Turkey). All solutions of diethylether solvent was added to the mixture, vortexed
were prepared daily. for 5 min and then centrifuged at 4000g for 8 min. The or-
ganic layer was transferred into another tube and evaporated
Equipment. The GC/MS system Agilent 6890 series II gas to dryness at room temperature under nitrogen gas. The resi-
chromatograph, with an Agilent 7673 Autosampler, electronic due was reconstituted with 100 µL methanol and vortexed for
pressure control, an Agilent 7673 Autosampler and an Agilent 30 s. A 3 µL aliquot was injected onto the GC-MS system.
5972 series mass selective detector with electronic impact was
used. GC operating conditions were as follows: 5% methyl Method validation. The validation of the method was carried
phenyl silicone ultra 2 capillary column (12.5 m long, 0.2 mm out by establishing specifity, linearity, recovery values, limits
internal diameter and 0.33 µm film thickness, Hewlett Packard, of detection (LOD), limit of quantification, within- and
Waldbronn, Germany); the split mode (10:1) was used with between-day precision and accuracy according to Interna-
helium carrier gas and the flow rate of carrier gas was kept tional Conference on Harmonization guidelines for validation
constant during runs at 1.6 mL/min. The injector volume was of analytical procedures (ICH, 1996).

Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
GC-MS method for determination of prilocaine HCl in human plasma ORIGINAL RESEARCH 1079

RESULTS Linearity of calibration curves. Six standard samples


at different concentration levels ranging from 20 to
250 ng/mL with constant concentration of IS (100 ng/
Specifity
mL) in spiked plasma samples were prepared and in-
The specificity of this method has been demonstrated jected onto the GC-MS system. The calibration (Fig. 5)
by checking the chromatograms obtained from the curve was established by plotting the ratio of the peak
plasma samples received from different hospitals. As areas of prilocaine HCl samples and the internal stand-
shown in Figs 3 and 4, good separation of prilocaine ard vs the concentration of prilocaine HCl obtained
HCl from internal standard was performed and no after extraction of the spiked plasma sample. The linear
further matrix interfering peaks at the retention times regression equation obtained using the least-squares
of prilocaine HCl (tR = 9.10) and internal standard (tR = method (n = 6) and correlation coefficient are pre-
9.50) in human plasma were observed. Different tem- sented in Table 1. The mean regression equation is
perature programs were investigated for exclusion of y = 0.0049x − 0.0241 (y is the ratio of peak areas
matrix interference. At the end of this investigation, of prilocaine HCl and IS, and x is the concentration
the best temperature program was selected for a good of prilocaine HCl). The calibration curve had excellent
resolution and thus all the experiments used the oven linearity with correlation coefficient r = 0.9994.
temperature program described above. When the ramp
rate was more or less than 10°C/min, good resolution of Precision and accuracy. Assay precision was determined
the peaks (analyte peak and matrix interfering peaks) by repeatability (within-day) and intermediate precision
was not obtained. (between-day). Within-day precision was evaluated by

Figure 3. MS spectrum of prilocaine HCl.

Figure 4. GC-MS chromatograms of prilocaine HCl with lidocaine HCl as internal standard in
extracted plasma samples.

Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
1080 ORIGINAL RESEARCH Y. Kadioglu and A. Atila

Table 1. Linearity of prilocaine HCl (n = 6)

Range LOD LOQ


Method (ng/mL) LR Sa Sb r (ng/mL) (ng/mL)
GC-MS 20–250 y = 0.0049x − 0.0241 0.0024 0.0105 0.9994 10 20

Based on six calibration curves. LR, linear regression equation; Sa, standard deviation of intercept of regression line; Sb, standard
deviation of slope of regression line; r, correlation coefficient.

be 20 ng/mL. Both accuracy and precision of this value


were well within the proposed criteria (RSD% < 20%).

Recovery. The analytical recovery of prilocaine HCl


from human plasma was assessed by comparing the
concentration of the extracted samples with the concen-
tration of standard prilocaine HCl samples. The con-
centrations of prilocaine HCl in spiked plasma were 20,
163, 50, 100, 150, 200 and 250 ng/mL in the calibration
graph. Prilocaine HCl was extracted from blood with
Figure 5. Curve of calibration of prilocaine HCl in human
5 mL diethylether solvent. This solvent gave an excel-
plasma.
lent recovery. Analytical recoveries of prilocaine HCl
from plasma were 92.55–98.79%, as shown Table 3.
assaying samples, six replicates set at the same concen- The recovery of IS from plasma in the same extracted
tration (40, 120 and 220 ng/mL), during the same day. method was found to be 96.8%. Figure 4 shows a
The between-day precision was studied by comparing chromatogram of solutions obtained from plasma
the same assays on different days (10 days). The accu- at concentrations of 20, 50, 100, 150, 200 and 250 ng/mL
racy of this analytic method was evaluated by checking of prilocaine HCl and 100 ng/mL of lidocaine HCl as
at three different concentrations (QC) of prilocaine internal standard. This chromatogram was free from
HCl and 100 ng/mL of IS. The relative standard interferences.
deviation (RSD) values for within-day and between-
day precision were <4.0 and <6%, respectively (n = 6). Interference study. In order to assess the possible
Precision studies of GC-MS method showed acceptable analytical applications of the proposed method, the
RSD values, and relative errors for both within-day and effect of common drugs used for patients was studied
between-day accuracy were <3.5 and <9.0%, respec- by analyzing spiked plasma samples. The absence of
tively. These results are given in Table 2. interfering compounds was verified by comparison
of chromatograms of plasma samples with those of
Limits of detection and quantification. The limit of calibration plasmas. To test of the effect of the drugs
detection (LOD), defined as signal/noise = 3, was found carbamazepine, gemcitabine, gentamisin, procaine HCl
by analyzing a series of standard solutions containing and sevoflurane, and vitamin E and a multivitamin
decreasing amounts of prilocaine HCl for plasma sam- tablet (Megadyn® film tablets containing 10,000 IU
ples (RSD > 20% for LOD) to be 10 ng/mL. The limit vitamin A, 20 mg vitamin B1, 5 mg vitamin B2, 11.6 mg
of quantification (LOQ), defined as signal/noise = 10 in calcium D-pantothenate, 10 mg vitamin B6, 0.005 mg
the lowest concentration of the prilocaine HCl for vitamin B12, 150 mg vitamin C, 500 IU vitamin D3,
plasma samples (RSD > 10% for LOQ), was found to 10 mg vitamin E, 0.25 mg Biotin, 50 mg nicotinamide,

Table 2. Precision and accuracy of prilocaine HCl from six independent sets of spikes plasma samples

Within-day Between-day
Added Found ± SD Precision, Accuracy Found ± SD Precision, Accuracy
(ng/mL) (n = 6) %RSD (%) (n = 6) %RSD (%)
Plasma poolsa
40 38.7 ± 1.5 3.87 −3.25 36.4 ± 2.1 5.77 −9.00
120 115.9 ± 2.2 1.90 −3.42 113.5 ± 2.7 2.38 −5.42
220 214.7 ± 2.5 1.16 −2.41 210.5 ± 3.8 1.81 −4.32

SD, standard deviation of six replicate determinations; RSD, relative standard deviation.
a
Plasma volume, 0.5 mL.
Accuracy = %relative error = (found − added/added)100.

Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc
GC-MS method for determination of prilocaine HCl in human plasma ORIGINAL RESEARCH 1081

Table 3. Accuracy and recovery data of prilocaine HCl which were obtained from
assay for added concentrations (n = 6)

Added Measurement Accuracy Recovery


Method (ng/mL) (ng/mL) (%) (%)
GC-MS 20 18.51 −7.45 92.55
50 46.71 −6.58 93.42
100 94.90 −6.50 94.90
150 141.38 −5.75 94.25
200 189.68 −5.16 94.84
250 246.97 −3.21 98.79

25.8 mg phosphorus, 10 mg Fe, 50 mg Ca, 36.2 mg Mg, derivatization in human plasma. A liquid–liquid extrac-
0.5 mg Mn, 1 mg Cu, 0.5 mg Zn and 0.1 mg Mo), we tion method developed from drug-spiked plasma
spiked solutions of these drugs (100 ng/mL) together samples of prilocaine HCl was used. Under the used
with 100 ng/mL prilocaine HCl solution in plasma, conditions one single peak was present in the GC
mixed and then extracted them. The peak areas of the chromatogram identified on the basis of two character-
extracted sample solutions were measured. The toler- istic ions at m/z 86 (base ion) and 107, shown in the
ance was defined as the concentration of the added mass spectrum. This procedure was simple. Only a
substance causing a relative error less than 3%. In the small sample volume of 0.5 mL plasma was necessary
case of solutions of these drugs we did not notice any to achieve a limit of quantification of 20 ng/mL. The
interference. proposed method can be conveniently used for the rou-
tine measurements of prilocaine HCl in plasma samples
and quality control laboratories, where economy and
DISCUSSION time are essential.

Local anesthetics are widely used for various local or


regional treatments. These drugs cause occasional CONCLUSION
medical accidents. An accurate, simple and rapid
method for analysis of local anesthetics is required This assay method for determination in human plasma
in forensic practices (Watanabe et al., 1998). Total of prilocaine HCl from local anesthetic substances was
and free fraction plasma and serum levels of local completely validated using sensitivity, stability, specificity,
anesthetics must measure for each drug alone and a linearity, accuracy and precision parameters. The GC-
correlation between the drug concentrations. The MS method has high recovery and excellent reproduc-
cardiovascular system toxicity of these drugs has been ibility. For this reason, it can be used for determination
reported (Koehler et al., 2005). These reports have from plasma of prilocaine HCl in routine measurement
led to a renewed interest for determination of local as well as in pharmacokinetic studies for clinical use.
anesthetics. Although the local anesthetic prilocaine is
less cardio- and neurotoxic than lidocaine, it bears the
Acknowledgments
disadvantage of the formation of methemoglobin by the
metabolite o-toluidine (Warren et al., 1974; Tucker The authors are grateful to the Directorship of the Univer-
et al., 1990; Rudolf et al., 1995). Thus, sensitive and spe- sity of Ataturk for the financial support of this work.
cific analytical methods are needed for determination
of prilocaine in plasma after local injections. GC-MS is
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Copyright © 2007 John Wiley & Sons, Ltd. Biomed. Chromatogr. 21: 1077–1082 (2007)
DOI: 10.1002/bmc

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