High-performance liquid chromatographic method for the simultaneous determination of the six HIV-protease inhibitors and two non-nucleoside reverse transcriptase inhibitors in human plasma

Ther Drug Monit. 2002 Jun;24(3):417-24. doi: 10.1097/00007691-200206000-00015.

Abstract

A selective and sensitive high-performance liquid chromatographic (HPLC) method has been developed for the determination of the six human immunodeficiency virus (HIV)-protease inhibitors (amprenavir, indinavir, lopinavir, nelfinavir, ritonavir, and saquinavir) and the non-nucleoside reverse transcriptase inhibitors (efavirenz and nevirapine) in a single run. After a liquid-liquid extraction with diethyl ether, the six protease inhibitors and the two non-nucleoside reverse transcriptase inhibitors are separated on a Stability RP18 column eluted with a gradient of acetonitrile and phosphate buffer 50 mmol/L pH 5.65. A sequential ultraviolet detection (5-minute sequence set at 240 nm for nevirapine acquisition, 22-minute sequence set at 215 nm for other antiretroviral drugs acquisition followed by a sequence set at 260 nm for internal standard acquisition) allowed for simultaneous quantitation of the six protease inhibitors, nevirapine, and efavirenz. Calibration curves were linear in the range 100 ng/mL to 10,000 ng/mL. The limit of quantitation was 50 ng/mL for all drugs except nevirapine (100 ng/mL). Average accuracy at four concentrations ranged from 88.2% to 110.9%. Both interday and intraday coefficients of variation were less than 11% for all drugs. The extraction recoveries were greater than 62%. This method is simple and shows a good specificity with respect to commonly co-prescribed drugs. This method allows accurate therapeutic monitoring of amprenavir, indinavir, lopinavir, nelfinavir, ritonavir, saquinavir, efavirenz, and nevirapine.

Publication types

  • Evaluation Study

MeSH terms

  • Alkynes
  • Benzoxazines
  • Carbamates
  • Chromatography, High Pressure Liquid
  • Cyclopropanes
  • Drug Monitoring / methods
  • Drug Monitoring / standards*
  • Furans
  • HIV Infections / drug therapy
  • Humans
  • Indinavir / blood
  • Lopinavir
  • Nelfinavir / blood
  • Nevirapine / blood
  • Oxazines / blood
  • Protease Inhibitors / blood*
  • Protease Inhibitors / therapeutic use
  • Pyrimidinones / blood
  • Reproducibility of Results
  • Reverse Transcriptase Inhibitors / blood*
  • Reverse Transcriptase Inhibitors / therapeutic use
  • Ritonavir / blood
  • Saquinavir / blood
  • Sulfonamides / blood

Substances

  • Alkynes
  • Benzoxazines
  • Carbamates
  • Cyclopropanes
  • Furans
  • Oxazines
  • Protease Inhibitors
  • Pyrimidinones
  • Reverse Transcriptase Inhibitors
  • Sulfonamides
  • Lopinavir
  • amprenavir
  • Indinavir
  • Nevirapine
  • Nelfinavir
  • efavirenz
  • Saquinavir
  • Ritonavir