Journal of Pharmaceutical and Biomedical Analysis 59 (2012) 117–122
Contents lists available at SciVerse ScienceDirect
Journal of Pharmaceutical and Biomedical Analysis
jou rn al h om epage: www.elsevier.com/locate/jpba
Quantification of cabazitaxel in human plasma by liquid
chromatography/triple-quadrupole mass spectrometry: A practical solution for
non-specific binding
Peter de Bruijn
∗
, Anne-Joy M. de Graan, Annemieke Nieuweboer, Ron H.J. Mathijssen, Mei-Ho Lam,
Ronald de Wit, Erik A.C. Wiemer, Walter J. Loos
Department of Medical Oncology, Erasmus MC – Daniel den Hoed Cancer Center, University Medical Center, Rotterdam, The Netherlands
a r t i c l e i n f o
Article history:
Received 12 August 2011
Received in revised form 11 October 2011
Accepted 12 October 2011
Available online 24 October 2011
Keywords:
Cabazitaxel
LC–MS/MS
Human plasma
Non specific binding
Validated
a b s t r a c t
A rapid and sensitive liquid chromatography/tandem mass spectrometry (LC–MS/MS) method has been
developed and validated for the quantitative determination of cabazitaxel, a novel tubulin-binding tax-
ane, in 100 l aliquots of human lithium heparinized plasma with deuterated cabazitaxel as internal
standard. The sample extraction and cleaning-up involved a simple liquid–liquid extraction with 20 l
aliquots of 4% ammonium hydroxide, 100 l aliquots of acetonitrile and 1 ml aliquots of n-butylchloride.
Chromatographic separations were achieved on a reversed phase C
18
column eluted at a flow-rate of
0.20 ml/min on a gradient of acetonitrile. The overall cycle time of the method was 5 min, with cabaz-
itaxel eluting at 3.0 min. The multiple reaction monitoring transitions were set at 836 > 555 (m/z), and
842 > 561 (m/z) for cabazitaxel and the internal standard, respectively. The calibration curves were linear
over the range of 1.00–100 ng/ml with the lower limit of quantitation validated at 1.00 ng/ml. The within-
run and between-run precisions, also at the level of the LLQ, were within 8.75%, while the accuracy ranged
from 88.5 to 94.1%. As dilution of samples prior to extraction resulted in a loss of cabazitaxel of approxi-
mately 6.5% per dilution step, a second calibration curve ranging from 40.0 to 4000 ng/ml was validated
and was also linear. The within-run and between-run precisions in this range were within 4.99%, while
the accuracy ranged from 95.8 to 100.3%. The method was successfully applied to samples derived from
a clinical study.
© 2011 Elsevier B.V. All rights reserved.
1. Introduction
Acquired and intrinsic resistance to docetaxel and paclitaxel
(i.e., the two approved first generation taxanes) is still an impor-
tant concern in daily clinical practice. Therefore, the intravenously
available semi-synthetic taxanes, cabazitaxel (Jevtana
®
; XRP6258;
TXD258; RPR116258A) and larotaxel (RPR109881A) were selected
for clinical development as a result of their efficacy in a broad range
of cell-lines and tumor models of mouse and human origin. Also,
both compounds showed greater potency than docetaxel in cell
lines expressing the drug transporter p-glycoprotein (reviewed in
[1–3]).
While larotaxel is currently still under clinical evaluation,
cabazitaxel has been approved in the US by the Food and Drug
∗
Corresponding author at: Erasmus University Medical Center – Daniel den Hoed
Cancer Center, Department of Medical Oncology, Josephine Nefkens Building, Room
Be-462, ‘s Gravendijkwal 230, 3015 CE Rotterdam, The Netherlands.
Tel.: +31 10 7041252; fax: +31 10 7041053.
E-mail address: p.debruijn@erasmusmc.nl (P. de Bruijn).
Administration (FDA) in June 2010 [3] and in Europe by the Euro-
pean Medicines Agency (EMA) in January 2011 [4] in combination
with prednisone for the treatment of patients with castration-
resistant metastatic prostate cancer whose disease progresses after
docetaxel treatment, based on the results of the TROPIC trail inves-
tigating cabazitaxel plus prednisone versus mitoxantrone plus
prednisone following docetaxel failure [5]. Cabazitaxel is currently
being investigated in the setting of metastatic breast cancer pro-
gressing after taxane or anthracycline based chemotherapeutic
regimens [6,7].
A population pharmacokinetic model was developed using
pharmacokinetic data from five different studies [4], from which
two currently have been published as peer reviewed manuscripts
[7,8]. The pharmacokinetics of cabazitaxel are linear in the studied
dose-range of 10–30 mg/m
2
given as 1 h infusions and are consis-
tent with a three-compartment pharmacokinetic model with half
lives in the initial, intermediate and terminal phase of approxi-
mately 4.4 min, 1.6 h, and 95 h, respectively. The drug has a fast
plasma clearance estimated to be 48.5 l/h in the studied population
and has a large volume of distribution of 4870 l. The ex vivo protein
binding was 91.6%, mainly to albumin and lipoproteins, while the
0731-7085/$ – see front matter © 2011 Elsevier B.V. All rights reserved.
doi:10.1016/j.jpba.2011.10.010