Abstract
INTRODUCTION: The clopidogrel active metabolite (CAM) is unstable and challenging to quantitate. The objective was to validate a new method for stabilization and quantitation of CAM, clopidogrel, and the inactive metabolites clopidogrel carboxylic acid and 2-oxo-clopiodgrel in feline plasma.
ANIMALS: Two healthy cats administered clopidogrel to demonstrate assay in vivo utility.
MATERIALS AND METHODS: Stabilization of CAM was achieved by adding 2-bromo-3'methoxyacetophenone to blood tubes to form a derivatized CAM (CAM-D). Method validation included evaluation of calibration curve linearity, accuracy, and precision; within and between assay precision and accuracy; and compound stability using spiked blank feline plasma. Analytes were measured by high performance liquid chromatography with tandem mass spectrometry. In vivo utility was demonstrated by a pharmacokinetic study of cats given a single oral dose of 18.75mg clopidogrel.
RESULTS: The 2-oxo-clopidogrel metabolite was unstable. Clopidogrel, CAM-D, and clopidogrel carboxylic acid appear stable for 1 week at room temperature and 9 months at -80°C. Standard curves showed linearity for CAM-D, clopidogrel, and clopidogrel carboxylic acid (r > 0.99). Between assay accuracy and precision was ≤2.6% and ≤7.1% for CAM-D and ≤17.9% and ≤11.3% for clopidogrel and clopidogrel carboxylic acid. Within assay precision for all three compounds was ≤7%. All three compounds were detected in plasma from healthy cats receiving clopidogrel.
DISCUSSION: This methodology is accurate and precise for simultaneous quantitation of CAM-D, clopidogrel, and clopidogrel carboxylic acid in feline plasma but not 2-oxo-clopidogrel.
CONCLUSIONS: Validation of this assay is the first step to more fully understanding the use of clopidogrel in cats.
Original language | English |
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Journal | Journal of Veterinary Cardiology |
Volume | 19 |
Issue number | 4 |
Pages (from-to) | 384-395 |
Number of pages | 12 |
ISSN | 1760-2734 |
DOIs | |
Publication status | Published - Aug 2017 |
Externally published | Yes |
Keywords
- Animals
- Cats/blood
- Chromatography, High Pressure Liquid/methods
- Reproducibility of Results
- Sensitivity and Specificity
- Tandem Mass Spectrometry/methods
- Ticlopidine/administration & dosage