A serotonin catabolite, serotonin O-sulphate (5-HT-SO 4 ), is hypothesised to accentuate the intensity of serotonin metabolism in the central nervous system (CNS). We hypothesised that serotonin O-sulphate could be quantiied in human plasma using modern liquid chromatography-mass spectrometry. To test our hypothesis, we performed a critical literature review and a three-stage trial. First, a suitable liquid chromatography-mass spectrometry (LC-MS/MS) method for detection of 5-HT-SO 4 in human plasma samples was developed. Second, a pilot phase involving four healthy volunteers was executed. Finally, nine healthy volunteers were selected for the main study, where a basal plasma level of 5-HT-SO 4 was measured before and after serotonergic stimulation of the central nervous system. One h after stimulation, six study subjects showed a decrease in 5-HT-SO 4 levels, while three subjects showed an increase. This was the irst study in which naturally occurring 5-HT-SO 4 was detected by liquid chromatography-mass spectrometry (LC-MS/MS) in the samples of human plasma obtained from healthy volunteers. The method developed was speciic to the measurement of 5-HT-SO 4 and opens up new possibilities to evaluate minor pathways or serotonin metabolism by minimally invasive methods.