An optimized HPLC method enables nanogram-level detection of 4-demethoxydaunorubicin and its metabolites in biological fluids for pharmacological monitoring.
May enable nanogram-level monitoring in patients; leaves open prospective validation before routine use.
The aim of this work was to optimize a simple analytical method for a complete pharmacological and toxicological follow up of patients treated with a new orally active daunorubicin analog, the 4-demethoxydaunorubicin. For this reason the Chromatographic properties of the unchanged drug, its reduced metabolite 13-dihydro-4-demethoxydaunorubicin and its aglicone metabolite 4-demethoxydaunorubicinone have been investigated. Extraction of these compounds from biological fluids has been carried out using ethyl acetate and buthanol. Separation has been achieved in a C18 reverse phase column by iso-cratic eluition with a mobil phase consisting of acetonitrile:methanol :phosphate buffer 40:10:50, pH 4.7. Drug and metabolites can be quantitated at nanogram level by fluorescence detection. The appearance of a further compound, identified as the 13-dihydro-4-deme-thoxydaunorubicinone, was noted when whole blood instead of plasma was utilized while developing the assay. Aldo-cheto reductases of red blood cells could be responsible for the reduction of the 4-demethoxydaunorubicinone in its 13-dihydroderivative.
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Pizzorno et al. (1985) studied this question.
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