ICOPMAP SPECIAL EDITION UHPLC-MS/MS method optimisation and validation for Artesunate analysis in urine matrices
DOI:
https://doi.org/10.46542/pe.2025.252.8288Keywords:
Artemisinin , Artesunate , Malaria , UHPLC-MS/MS, UrineAbstract
Background: Malaria is a significant health threat. Artesunate is an effective treatment for it, but because it binds strongly to haemoglobin, monitoring drug levels in urine is essential to determine its effective concentration.
Objective: This study aims to optimise and validate the chromatographic conditions and sample preparation for quantifying artesunate in urine using Ultra-High-Performance Liquid Chromatography Tandem Mass Spectrometry (UHPLC-MS/MS).
Method: Artesunate levels in urine were analysed via UHPLC-MS/MS, with artemisinin as the internal standard. Separation was achieved using a C18 column (Shim-pack XR-ODSIII, 50 mm × 2.0 mm, 1.6 μm) at a column temperature of 30°C. The optimal mobile phase consisted of methanol-0.3% formic acid in water (80:20, v/v), delivered at 0.3 mL/min under isocratic elution.
Result: Detection utilised a triple quadrupole mass spectrometer in positive electrospray ionisation (ESI+) mode, monitoring transitions at m/z 407.15 → 261.10 for artesunate and m/z 305.00 → 151.10 for artemisinin. Sample preparation involved protein precipitation with 300 µL of methanol, followed by vertexing (one minute) and centrifugation (10,000 rpm, 15 minutes, 4°C). The method achieved a lower limit of quantification (LLOQ) of 2 ng/mL and demonstrated linearity across the range of 2–400 ng/mL.
Conclusion: The method met 2022 EMA validation criteria, including selectivity, precision, linearity, recovery, accuracy, and stability.
References
Batty, K. T., Davis, T. M. E., Thu, L. T. A., Binh, T. Q., Anh, T. K., & Ilett, K. F. (1996). Selective high-performance liquid chromatographic determination of artesunate and α- and β-dihydroartemisinin in patients with falciparum malaria. Journal of Chromatography B: Biomedical Sciences and Applications, 677(2), 345–350. https://doi.org/10.1016/0378-4347(95)00428-9v
European Medicines Agency. (2022). Guideline on bioanalytical method validation. https://www.ema.europa.eu/en/bioanalytical-method-validation-scientific-guideline
Falade, C. O., Orimadegun, A. E., Olusola, F. I., Michael, O. S., Anjorin, O. E., Funwei, R. I., Adedapo, A. D., Olusanya, A. L., Orimadegun, B. E., & Mokuolu, O. A. (2023). Efficacy and safety of pyronaridine– artesunate versus artemether–lumefantrine in the treatment of acute uncomplicated malaria in children in South-West Nigeria: an open-labelled randomised controlled trial. Malaria Journal, 22(1), 154. https://doi.org/10.1186/s12936-023-04574-7
Julianto, T. S. (2017). Antimalarial compounds: Development through synthesis and natural product isolation. Univeritas Islam Indonesia.
Lindegardh, N., Hanpithakpong, W., Kamanikom, B., Pattayaso, J., Singhasivanon, P., White, N. J., & Day, N. P. J. (2011). Quantification of dihydroartemisinin, artesunate and artemisinin in human blood: Overcoming the technical challenge of protecting the peroxide bridge. Bioanalysis, 3(14), 1613–1624. https://doi.org/10.4155/bio.11.158
Lupo, S. (2018). LC–MS sensitivity: Practical strategies to boost your signal and lower your noise. LCGC North America, 36(9), 652–660. https://www.chromatographyonline.com/view/lc-ms-sensitivity-practical-strategies-boost-your-signal-and-lower-your-noise
Prathipati, P. K., Mandal, S., & Destache, C. J. (2019). Development and validation of LC-MS/MS method for quantification of bictegravir in human plasma and its application to an intracellular uptake study. Biomedical Chromatography: BMC, 33(2), e4379. https://doi.org/10.1002/bmc.4379
Seger, C., & Salzmann, L. (2020). After another decade: LC–MS/MS became routine in clinical diagnostics. Clinical Biochemistry, 82(January), 2–11. https://doi.org/10.1016/j.clinbiochem.2020.03.004
Shimadzu. (2024). Effects of sample solvents on peak shape. https://www.shimadzu.com/an/service-support/technical-support/liquide-chromatography/essential_knowledge/shape.html
Thuy, L. T. D., Hung, L. N., Danh, P. T., & Na-Bangchang, K. (2008). Development and validation of a liquid chromatography-mass spectrometry method for the simultaneous quantification of artesunate and dihydroartemisinin in human plasma. Southeast Asian Journal of Tropical Medicine and Public Health, 39(6), 963–977. https://pubmed.ncbi.nlm.nih.gov/19062683/
WHO. (2024). Malaria. https://www.who.int/news-room/fact-sheets/detail/malaria
WHO. (2021). World malaria report 2021. World Health Organisation. https://www.who.int/teams/global-malaria-programme/reports/world-malaria-report-2021