Um método rápido para a determinação de seis inibidores de protease (indinavir, amprenavir, saquinavir, atazanavir, lopinavir e ritonavir) e de dois inibidores não-nucleosídicos da transcriptase reversa (efavirenz e nevirapine), empregando cromatografia líquida de ultra-eficiência com detector de arranjo de diodos foi desenvolvido e validado. Após extração liquido-líquido de 0,5 mL de plasma com metil-tert-butil éter, os analitos foram separados em uma coluna ACQUITY UPLC BEH ® C18 (2,1 × 150 mm, d.p. 1,7 µm), eluída com um gradiente de tampão fosfato trietilamônio pH 3.0 e acetonitrila. O tempo total de análise cromatográfica foi de 9,5 min. As curvas de calibração foram lineares entre 0,1 a 10,0 µg mL -1. O limite inferior de quantificação foi 0,1 µg mL -1 para todos os fármacos. A exatidão esteve entre 94,9 e 103,5%. Os coeficientes de variação intra e inter-dias foram inferiores a 7,7% para todos os analitos. Os rendimentos de extração foram superiores a 88,2%.A fast ultra-performance liquid chromatographic with diode-array detection method has been developed and validated for the determination of six protease inhibitors (indinavir, amprenavir, saquinavir, atazanavir, lopinavir, and ritonavir) and two non-nucleoside reverse transcriptase inhibitors (efavirenz and nevirapine). After liquid-liquid extraction of 0.5 mL plasma with methyl-tert-butyl ether, the analytes were separated on a ACQUITY UPLC BEH ® C18 column (2.1 × 150 mm, p.d. 1.7 µm) column eluted with a gradient of acetonitrile and triethylammonium phosphate buffer 5 mmol L -1 pH 3.0. The total run time was 9.5 min. Calibration curves were linear in the range 0.1 to to 10.0 µg mL -1. The lower limit of quantitation was 0.1 µg mL -1 for all drugs. Accuracy ranged from 94.9 to 103.5%. Both interday and intraday coefficients of variation were less than 7.7% for all analytes. The extraction yields were greater than 88.2%.
Keywords: antiretroviral drugs, ultra-performance liquid chromatography, therapeutic drug monitoring, UPLC-DAD
IntroductionAntiretroviral therapy for human immunodeficiency virus (HIV) infections usually consists of combinations of nucleoside reverse transcriptase inhibitors (NRTIs), non-nucleoside reverse transcriptase inhibitors (NNRTIs), protease inhibitors (PIs) and, more recently, entry inhibitors and integrase inhibitors. 1 The currently approach to the therapy of HIV infection is the so-called "highly active antiretroviral therapy" (HAART), which is based on the combination of several drugs in the daily dosing regimen. The usual HAART scheme consists of one or more NRTIs, one or more PIs and one NNRTI.2 Several reports had demonstrated the relationship between plasma drug concentrations and clinical effects, either toxicity or efficacy, for compounds of the NNRTI and PI groups. [3][4][5][6][7][8] Therefore, these drugs are prone for therapeutic drug monitoring (TDM) programs and, considering the necessity of interlaboratory comparison of results for the use of consensual therapeutic target levels, reliable analytical methods mu...