Table 3.
Published LC–MS/MS assays for quantification of immunosuppressive drugs in fingerprick samples.
| Drug/reference | Subjects | Blood sample volume | Extraction method | Chromatographic conditions | Precursor ion (m/z) > product ion (m/z) | Ref. |
|---|---|---|---|---|---|---|
| CsA | HTRs and LgTRs (n = 65); RTRs (n = 33) | 10 μl | Pretreatment with 0.1 mmol zinc sulfate solution and LLE with CAN | Gradient: H2O (A), MeOH (B), both contain 2 mmol ammonium acetate/0.1 FA | [M + NH4]+ | [11–13] |
| IV: 5 μl | Online SFE: SecurityGuard C18 cartridge (Phenomenex) | CsA 1220 > 1203 | ||||
| Run time: 2.5 min | IS: ASC/CsD | |||||
| LLOQ: 10 μg/l | ||||||
|
| ||||||
| TAC | RTRs (n = 33); RTRs & pancreas (n = 2); and RTRs & HTRs (n = 1) children | 10 μl | Pretreatment with 0.1 mmol zinc sulfate solution and LLE with CAN | Gradient: H2O (A), MeOH (B), both containing 2 mmol ammonium acetate/0.1 FA | [M + NH4]+ | [14] |
| IV: 10 μl | Online SFE: SecurityGuard C18 cartridge (Phenomenex) | TAC: 821 > 768 | ||||
| Run time: NR | IS: ASC | |||||
| LLOQ: 0.5 μg/l | ||||||
ACN: Acetonitrile; Ammonium adduct: [M+NH4]+; ASC: Ascomycin; CsA: Cyclosporine A; CsD: Cyclosporine D; FA: Formic acid; HTR: Heart transplant recipient; IV: Injection volume; LgTR: Lung transplant recipient; MeOH: Methanol; R: Recovery; RTR: Renal transplant recipient; TAC: Tacrolimus.