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Wang L, Tong W, Antonucci V, Helmy R, Truong V. Highly sensitive LC-MS method for stereochemical quality control of a pharmaceutical drug substance intermediate. Chirality 2022; 34:856-863. [PMID: 35297107 DOI: 10.1002/chir.23435] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/18/2021] [Revised: 02/13/2022] [Accepted: 02/22/2022] [Indexed: 11/11/2022]
Abstract
Stereochemical quality control for pharmaceutical drug substance intermediates is a daunting task, especially considering the need to separate multiple stereoisomers simultaneously with low ppm level sensitivity. To address these challenges, we have successfully implemented chiral column screening, and developed an ultrasensitive liquid chromatography-mass spectrometry (LC-MS) method to separate four stereoisomers including the API intermediate, its enantiomer, and two other diastereomers. Parameters such as mobile phase additives, MS fragmentor, and column temperature were optimized to achieve the desired selectivity and sensitivity. The method enabled stereoisomer detection with high sensitivity (2 ppm LOD and 5 ppm LOQ), good linearity, and desired spike recovery, and it has been successfully applied for stereoisomer quantitation in multiple large-scale batches and demonstrated chiral quality control of the drug substance intermediate.
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Affiliation(s)
- Lin Wang
- Small Molecule Analytical Research and Development, Merck & Co., Inc, Rahway, New Jersey, USA
| | - Weidong Tong
- Small Molecule Analytical Research and Development, Merck & Co., Inc, Rahway, New Jersey, USA
| | - Vincent Antonucci
- Small Molecule Analytical Research and Development, Merck & Co., Inc, Rahway, New Jersey, USA
| | - Roy Helmy
- Small Molecule Analytical Research and Development, Merck & Co., Inc, Rahway, New Jersey, USA
| | - Van Truong
- Small Molecule Analytical Research and Development, Merck & Co., Inc, Rahway, New Jersey, USA
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Liang D, Shen J, Jia Y, Dai M, Li X, Zhou L, Wang W, Yang B, Shao J, Jiang Y, Xie H, Sun H. Pharmacokinetic Properties of S-oxiracetam After Single and Multiple Intravenous Infusions in Healthy Volunteers. Eur J Drug Metab Pharmacokinet 2021; 46:793-805. [PMID: 34549388 DOI: 10.1007/s13318-021-00718-9] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/22/2021] [Indexed: 11/29/2022]
Abstract
BACKGROUND AND OBJECTIVES As a chiral drug, oxiracetam (ORT) can exist in two different isomeric forms: S-oxiracetam (S-ORT) and R-oxiracetam (R-ORT). S-ORT has emerged as a promising nootropic drug with the potential to treat brain injury and the resulting loss of neural function, memory and mental impairment as assessed by studies in various animal models. However, limited data are available on the pharmacokinetics of S-ORT in humans, so the present study was designed to evaluate the safety and pharmacokinetic profile of S-ORT in healthy volunteers. METHODS In part 1, subjects were intravenously administered single ascending dose (2.0, 4.0 and 8.0 g) S-ORT. In part 2, subjects were treated at a single intravenous infusion dose of 3.0 g S-ORT or 6.0 g racemic ORT using a two-sequence, two-period crossover design. In part 3, subjects were intravenously injected with 4.0 g S-ORT once a day for 7 days. Blood and urine samples were collected to evaluate the pharmacokinetic parameters and urine excretion rate. The safety profile of the drug was also evaluated throughout the study. RESULTS Fifty-two subjects (30 in part 1, 12 in part 2, 10 in part 3) completed the study; only one subject displayed a mild adverse event, which possibly was treatment related, and no serious adverse event occurred. In part 1 for a single dose of 2.0, 4.0 and 8.0 g, the maximum concentration (Cmax) values were 111.28 ± 18.99, 230.76 ± 29.16 and 352.67 ± 42.94 μg/ml, respectively; the values of area under the plasma concentration-time curve (AUC) from time zero to the time of last quantifiable concentration (AUC0-t) were 267.09 ± 59.66, 524.50 ± 72.87 and 822.68 ± 95.21 μg·h/ml, respectively; the AUC from 0 h to infinity (AUC0-∞) values were 274.72 ± 61.65, 536.06 ± 78.13 and 832.07 ± 96.91 μg·h/ml, respectively. The urine excretion rate of the unchanged drug was approximately 60%. After consecutive administration of S-ORT for 7 days, the accumulation index was 1.05 ± 0.08. The plasma drug concentration-time curves for both S-ORT and R-oxiracetam (R-ORT) were almost identical. CONCLUSIONS S-ORT was well tolerated, and no serious adverse events occurred in 2.0, 4.0 and 8.0 g in single- and 4.0 g in multiple-dose studies. S-ORT showed dose linearity with increasing doses and no drug accumulation after 7 days of continuous administration was observed.
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Affiliation(s)
- Dahu Liang
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Jie Shen
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Yuanwei Jia
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Min Dai
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Xianghong Li
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Lixiang Zhou
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Weijia Wang
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Bin Yang
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China
| | - Jing Shao
- Nanjing Youke Biomedical Co. Ltd, Nanjing, 210046, Jiangsu Province, China
| | - Yan Jiang
- Nanjing Youke Biomedical Co. Ltd, Nanjing, 210046, Jiangsu Province, China
| | - Haitang Xie
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China.
| | - Hua Sun
- Anhui Provincial Center for Drug Clinical Evaluation, Yijishan Hospital of Wannan Medical College, Wuhu, 241001, Anhui Province, China.
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Recent advances in chiral analysis for biosamples in clinical research and forensic toxicology. Bioanalysis 2021; 13:493-511. [PMID: 33719527 DOI: 10.4155/bio-2020-0330] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023] Open
Abstract
This article covers current methods and applications in chiral analysis from 2010 to 2020 for biosamples in clinical research and forensic toxicology. Sample preparation for aqueous and solid biological samples prior to instrumental analysis were discussed in the article. GC, HPLC, capillary electrophoresis and sub/supercritical fluid chromatography provide the efficient tools for chiral drug analysis coupled to fluorescence, UV and MS detectors. The application of chiral analysis is discussed in the article, which involves differentiation between clinical use and drug abuse, pharmacokinetic studies, pharmacology/toxicology evaluations and chiral inversion. Typical chiral analytes, including amphetamines and their analogs, anesthetics, psychotropic drugs, β-blockers and some other chiral compounds, are also reviewed.
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Li R, Zhong K, Jiang J, Zhan Y, Chen X. Enantioselective determination of ketamine in dog plasma by chiral liquid chromatography–tandem mass spectrometry. Biomed Chromatogr 2019; 33:e4578. [DOI: 10.1002/bmc.4578] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/28/2019] [Revised: 04/28/2019] [Accepted: 05/04/2019] [Indexed: 11/10/2022]
Affiliation(s)
- Ranran Li
- Nano Science and Technology InstituteUniversity of Science and Technology of China Suzhou China
- Shanghai Institute of Materia MedicaChinese Academy of Sciences Shanghai China
| | - Kan Zhong
- Suzhou HQ Bioscience Co. Ltd Suzhou China
| | | | - Yuan Zhan
- Suzhou HQ Bioscience Co. Ltd Suzhou China
| | - Xiaoyan Chen
- Shanghai Institute of Materia MedicaChinese Academy of Sciences Shanghai China
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Jiao H, Li Y, Sun L, Zhang H, Yu L, Yu L, Yuan Z, Xie L, Chen J, Wang Y. A chiral LC-MS/MS method for the enantioselective determination of R
-(+)- and S
-(-)-pantoprazole in human plasma and its application to a pharmacokinetic study of S
-(-)-pantoprazole sodium injection. Biomed Chromatogr 2017; 31. [PMID: 28370240 DOI: 10.1002/bmc.3980] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/05/2017] [Revised: 03/16/2017] [Accepted: 03/26/2017] [Indexed: 12/12/2022]
Affiliation(s)
- Huiwen Jiao
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Yueqi Li
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Luning Sun
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Hongwen Zhang
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Liyuan Yu
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Lei Yu
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Ziqingyun Yuan
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Lijun Xie
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Juan Chen
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
| | - Yongqing Wang
- Research Division of Clinical Pharmacology, First Affiliated Hospital; Nanjing Medical University; Nanjing China
- Department of Pharmacy, Jiangsu Shengze Hospital; Nanjing Medical University; Suzhou China
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Holm KMD, Linnet K. Determination of the unbound fraction of R- and S-methadone in human brain. Int J Legal Med 2016; 130:1519-1526. [DOI: 10.1007/s00414-016-1365-9] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/01/2016] [Accepted: 03/29/2016] [Indexed: 10/22/2022]
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Zhang Q, Yang W, Yang Y, Xing H, Zhang Q, Li J, Lu Y, He J, Yang S, Zhao D, Chen X. Comparative pharmacokinetic studies of racemic oxiracetam and its pure enantiomers after oral administration in rats by a stereoselective HPLC method. J Pharm Biomed Anal 2015; 111:153-8. [PMID: 25886392 DOI: 10.1016/j.jpba.2015.03.039] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/20/2014] [Revised: 03/03/2015] [Accepted: 03/28/2015] [Indexed: 11/25/2022]
Abstract
Oxiracetam (ORC), a nootropic drug used for improving the cognition and memory, has an asymmetric carbon in its structure and exists as (S)- and (R)-ORC. The pharmacokinetic profiles of racemic oxiracetam and its pure enantiomers in rats were evaluated and compared by enantioselective high-performance liquid chromatography, which was performed on a Chiralpak ID column with a mobile phase of hexane-ethanol-trifluoroacetic acid (78:22:0.1, v/v/v). The method was validated with respect to selectivity, linearity, accuracy and precision, stability and the limit of quantification. The validation acceptance criteria were met in all cases. A saturating phenomenon of (S)-ORC was observed when the dosage ranged from 200 mg/kg to 800 mg/kg. The two enantiomers showed similar profiles in the absorb phase, and reached the maximum concentration at 2h after oral administration. However, compared with the racemate group, the AUC/dose and Cmax/dose ratios of (S)-ORC were higher and Cl/f was lower in enanpure (S)-ORC group. The Cmax of (S)-ORC decreased from 21.3 ± 5.0 μg/ml to 13.2 ± 4.2 when (R)-ORC was co-administrated at the dose of 200mg/kg. AUC0-t values of (S)-ORC were different after oral administration of 200 mg/kg (S)-ORC and 400 mg/kg racemic ORC (96.7 ± 15.5 and 50.1 ± 16.3 μg h/ml). The higher absorption and slower elimination suggest that enantiopure (S)-ORC could be a promising drug that efficiently reduces clinical dosage, improves therapeutic indices, decreases toxicology risks, and results in increased therapeutic ration.
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Affiliation(s)
- Qiuyang Zhang
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Wei Yang
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Yue Yang
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Han Xing
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Qing Zhang
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Junxiu Li
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Yang Lu
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Jiake He
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Shuoye Yang
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Di Zhao
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China
| | - Xijing Chen
- Center of Drug Metabolism and Pharmacokinetics, China Pharmaceutical University, Jiangsu, China.
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The versatility in LC selectivity attainable with the silica base and associated bonded phases. Bioanalysis 2015; 7:637-42. [DOI: 10.4155/bio.14.293] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Bioanalysis of chiral compounds during drug development using a tiered approach. Bioanalysis 2015; 6:629-39. [PMID: 24620805 DOI: 10.4155/bio.14.2] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023] Open
Abstract
Significant differences in the pharmacodynamic activity and pharmacokinetic properties could exist for a pair of enantiomeric drugs. In order to evaluate the activity, toxicity, absorption, distribution, metabolism, and excretion properties of the individual enantiomers, and any potential for chiral inversion caused by the biotransformation process, chiral bioanalytical assays are necessary for individual enantiomers and/or their metabolites for in vivo samples. However, development and validation of chiral quantitative assays are highly challenging in comparison to typical nonchiral assays. Therefore, a tiered approach should be used to address specific needs arising in different scenarios of chiral drug development, including development of racemate or fixed-ratio (nonracemic) enantiomers, development of a single enantiomer, racemic switches, and quantitation of enantiomeric metabolites. The choice of a nonchiral quantitative assay, a chiral qualitative assay, or a chiral quantitative assay should be based on the development strategy and on the molecular properties of the drug candidate.
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Qian Z, Xu Y, Zheng L, Zhang J, Hong Z, Shen X. Enantiospecific determination of arotinolol in rat plasma by LC–MS/MS: Application to a stereoselective pharmacokinetic study. J Pharm Biomed Anal 2015; 102:299-304. [DOI: 10.1016/j.jpba.2014.09.034] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/29/2014] [Revised: 09/23/2014] [Accepted: 09/25/2014] [Indexed: 11/16/2022]
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Abstract
The last 10 years have witnessed robust debate within the bioanalytical community and regulatory authorities on the topic of metabolite monitoring and safety assessment. Of particular interest to regulated bioanalytical laboratories was the acceptance by the US FDA and other major regulatory bodies of a tiered approach to bioanalytical assay validation. The tiered approach defines a sliding scale of regulatory rigor for the evaluation of significant human metabolites that encompasses a range of assessments from semi-quantitative assays to fully validated assays, all of which can be used in support of regulatory submissions. This article describes the utilization of a tiered approach at Bristol-Myers Squibb and the decision trees guiding the selection of the appropriate level of assay qualification. Case studies illustrate how decisions are made, how different scientific situations influence the assay choice, and what criteria may be set to continue or discontinue metabolite monitoring in later drug development.
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Du J, Ma Z, Zhang Y, Wang T, Chen X, Zhong D. Enantioselective determination of ornidazole in human plasma by liquid chromatography–tandem mass spectrometry on a Chiral-AGP column. J Pharm Biomed Anal 2013; 86:182-8. [DOI: 10.1016/j.jpba.2013.07.048] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/28/2013] [Revised: 07/25/2013] [Accepted: 07/26/2013] [Indexed: 11/25/2022]
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Development of a sensitive and rapid method for quantitation of ( S)-(-)- and ( R)-(+)-metoprolol in human plasma by chiral LC-ESI-MS/MS. J Pharm Anal 2013; 4:63-79. [PMID: 29403869 PMCID: PMC5761053 DOI: 10.1016/j.jpha.2013.02.008] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/01/2012] [Accepted: 02/18/2013] [Indexed: 12/02/2022] Open
Abstract
A selective, sensitive and high throughput liquid chromatography-tandem mass spectrometry (LC–ESI–MS/MS) method has been developed for separation and quantification of metoprolol enantiomers on a chiral Lux Amylose-2 (250 mm×4.6 mm, 5 μm) column. Solid phase extraction of (S)-(−)- and (R)-(+)-metoprolol and rac-metoprolol-d6 as an internal standard (IS) was achieved on Lichrosep DVB HL cartridges employing 200 μL human plasma. Both the analytes were chromatographically separated with a resolution factor of 2.24 using 15 mM ammonium acetate in water, pH 5.0 and 0.1% (v/v) diethyl amine in acetonitrile (50:50, v/v) as the mobile phase within 7.0 min. The precursor→product ion transitions for the enantiomers and IS were monitored in the multiple reaction monitoring and positive ionization mode. The method was validated over the concentration range of 0.500–500 ng/mL for both the enantiomers. Matrix effect was assessed by post-column analyte infusion experiment and the mean extraction recovery was greater than 94.0% for both the enantiomers at all quality control levels. The stability of analytes was evaluated in plasma and whole blood under different storage conditions. The method was successfully applied to a clinical study in 14 healthy volunteers after oral administration of 200 mg metoprolol tablet under fasting conditions. The assay reproducibility is shown by reanalysis of 68 incurred samples. The suitability of the developed method was assessed in comparison with different chromatographic methods developed for stereoselective analysis of metoprolol in biological matrices.
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Nie Y, Liu X, Yang X, Zhao Z. Review: Recent Application of Chiral Liquid Chromatography-Tandem Mass Spectrometric Methods for Enantiomeric Pharmaceutical and Biomedical Determinations. J Chromatogr Sci 2013; 51:753-63. [DOI: 10.1093/chromsci/bms209] [Citation(s) in RCA: 30] [Impact Index Per Article: 2.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
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Chen M, Xia Y, Ma Z, Li L, Zhong D, Chen X. Validation of a chiral liquid chromatography–tandem mass spectrometry method for the determination of pantoprazole in dog plasma. J Chromatogr B Analyt Technol Biomed Life Sci 2012; 906:85-90. [DOI: 10.1016/j.jchromb.2012.08.019] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/12/2012] [Revised: 08/08/2012] [Accepted: 08/12/2012] [Indexed: 10/28/2022]
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Abstract
AbstractEnantiomers (stereoisomers) can exhibit substantially different properties if present in chiral environments. Since chirality is a basic property of nature, the different behaviors of the individual enantiomers must be carefully studied and properly treated. Therefore, enantioselective separations are a very important part of separation science. To achieve the separation of enantiomers, an enantioselective environment must be created by the addition of a chiral selector to the separation system. Many chiral selectors have been designed and used in various fields, such as the analyses of drugs, food constituents and agrochemicals. The most popular have become the chiral selectors and/or chiral stationary phases that are of general use, i.e., are applicable in various separation systems and allow for chiral separation of structurally different compounds. This review covers the most important chiral selectors / chiral stationary phases described and applied in high performance liquid chromatography and capillary electrophoresis during the period of the last three years (2008–2011).
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Ding C, Ge Q, Wang Y, Zhou Z, Zhi X, Liu X, Li Z. Normal-phase liquid chromatography coupled with electrospray ionization mass spectrometry for chiral separation and quantification of clevudine and its enantiomer in human plasma. J Chromatogr B Analyt Technol Biomed Life Sci 2012; 885-886:97-102. [DOI: 10.1016/j.jchromb.2011.12.020] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/19/2011] [Revised: 12/05/2011] [Accepted: 12/20/2011] [Indexed: 10/14/2022]
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Liu K, Zhong D, Chen X. Enantioselective determination of doxazosin in human plasma by liquid chromatography–tandem mass spectrometry using ovomucoid chiral stationary phase. J Chromatogr B Analyt Technol Biomed Life Sci 2010; 878:2415-20. [DOI: 10.1016/j.jchromb.2010.07.027] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/02/2010] [Revised: 07/27/2010] [Accepted: 07/30/2010] [Indexed: 11/28/2022]
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Affiliation(s)
- Timothy J. Ward
- Millsaps College, 1701 N. State Street, Box 150306, Jackson, Mississippi 39210
| | - Karen D. Ward
- Millsaps College, 1701 N. State Street, Box 150306, Jackson, Mississippi 39210
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