J. Pharm. Pharmacogn. Res., vol. 10, no. 5, pp. 888-895, September-October 2022.
DOI: https://doi.org/10.56499/jppres22.1423_10.5.888
Original Article
Validación de la cromatografía líquida de alto rendimiento acoplada a espectrometría de masas para determinar albendazol sulfóxido en plasma humano
[Validation of high performance liquid chromatography coupled to mass spectrometry to determine albendazole sulfoxide in human plasma]
Jaime Rosales-Rimache1*, Saúl Santiváñez2, Luis Moreno-Exebio3, Miguel Grande3, María Flores-Rodríguez3, María Eguiluz2, Hugo García4,5
1Facultad de Salud Pública y Administración. Universidad Peruana Cayetano Heredia, Lima, Perú.
2Facultad de Medicina, Universidad Nacional de Centro del Perú, Huancayo, Perú.
3Instituto Nacional de Salud, Centro Nacional de Control de Calidad, Lima, Perú.
4Centro de Salud Global, Universidad Peruana Cayetano Heredia, Lima, Perú.
5Unidad de Cisticercosis, Instituto Nacional de Ciencias Neurológicas, Perú.
*E-mail: jaime.rosales@upch.pe, jaime.rosales.rimache@gmail.com
Abstract
Context: Albendazole is used in the treatment of cysticercosis and hydatid disease, and its prolonged administration can generate adverse effects attributed to the active metabolite, albendazole sulfoxide (ABZSO), whose measurement requires validated methods that help monitor patients under treatment.
Aims: To validate a high-performance liquid chromatography method with mass detection (HPLC-MS) for the determination of ABZSO in human plasma.
Methods: HPLC-MS was performed on C18 columns (100 × 4.6 mm × 3.5 µm) and mobile phase composed of methanol, water and ammonia solution (25%) (800:200:0.1 v /v/v) at a flow rate of 0.5 mL/minute. The calibration curve was built with an albendazole standard, and detection in a triple quadrupole system.
Results: The method was linear (1-1500 ng/mL, R2 = 0.999) with a detection limit of 1 ng/mL. ABZSO concentrations at 1, 5, 50, 100, 200, 500, 1000, and 1500 ng/mL had relative standard deviations of 10.4, 8.4, 7.8, 2.9, 7.4, 3.2, 3.4 and 1.3%. It was highly precise with a mean coefficient of variation of 1.411%, and accurate with a bias of -14.7; 2.8 and -0.8% in ABZSO concentrations of 5, 500 and 1000 ng/mL. The average recovery was 89.2%, and the stability of ABZSO after refrigeration had an average coefficient of variation of 2.3%.
Conclusions: The HPLC-MS method is valid and reliable to determine ABZSO, and could be used in pharmacokinetic, bioequivalence, and other studies that evaluate the biological monitoring of patients receiving oral treatment with albendazole.
Keywords: albendazole; analytical validity; HPLC.

Resumen
Contexto: El albendazol es utilizado en el tratamiento de cisticercosis e hidatidosis, y su administración prolongada puede generar efectos adversos atribuidos al metabolito activo, albendazol sulfóxido (ABZSO), cuya medición requiere métodos validados que ayuden al monitoreo en pacientes en tratamiento.
Objetivos: Validar un método de cromatografía líquida de alto rendimiento con detección de masas (HPLC-MS) para la determinación de ABZSO en plasma humano.
Métodos: La HPLC-MS fue realizada en columnas C18 (100 × 4,6 mm × 3,5 µm) y fase móvil compuesta de metanol, agua y solución de amonio (25%) (800:200:0,1 v/v/v) a un flujo de 0,5 mL/minuto. La curva de calibración fue construida con un estándar de albendazol y la detección en un sistema de triple cuadrupolo.
Resultados: El método fue lineal (1-1500 ng/mL, R2 = 0,999) con límite de detección de 1 ng/mL. Las concentraciones de ABZSO a 1, 5, 50, 100, 200, 500, 1000 y 1500 ng/mL tuvieron desviaciones estándar relativas de 10,4; 8,4; 7,8; 2,9; 7,4; 3,2; 3,4 y 1,3%. Fue altamente preciso con coeficiente de variación promedio de 1,411%, y exacto con sesgo de -14,7; 2,8 y -0,8% en concentraciones de ABZSO de 5, 500 y 1000 ng/mL. La recuperación promedio fue de 89,2%, y la estabilidad del ABZSO tras la refrigeración tuvo un coeficiente de variación promedio de 2,3%.
Conclusiones: El método HPLC-MS es válido y confiable para determinar ABZSO, y podría ser empleado en estudios de farmacocinética, bioequivalencia, y otros que evalúen el monitoreo biológico de pacientes que reciben tratamiento oral con albendazol.
Palabras Clave: albendazol; HPLC; validez analítica.

Citation Format: Rosales-Rimache J, Santivañez S, Moreno-Exebio L, Grande M, Flores-Rodríguez M, Eguiluz M, Garcia H (2022) Validación de la cromatografía líquida de alto rendimiento acoplada a espectrometría de masas para determinar albendazol sulfóxido en plasma humano. [Validation of high performance liquid chromatography coupled to mass spectrometry to determine albendazole sulfoxide in human plasma]. J Pharm Pharmacogn Res 10(5): 888–895. https://doi.org/10.56499/jppres22.1423_10.5.888
References
Aguilera-Luiz MM, Vidal JLM, Romero-González R, Frenich AG (2008) Multi-residue determination of veterinary drugs in milk by ultra-high-pressure liquid chromatography–tandem mass spectrometry. J Chromatogr A 1205(1-2): 10–16.
Belaz KRA, Cass QB, Oliveira RV (2008) Determination of albendazole metabolites by direct injection of bovine plasma and multidimensional achiral-chiral high performance liquid chromatography. Talanta 76(1): 146–153.
Bonato PS, Lanchote VL, Takayanagui OM (2003) Simultaneous liquid chromatography-tandem mass spectrometric determination of albendazole sulfoxide and albendazole sulfone in plasma. J Chromatogr B Analyt Technol Biomed Life Sci 783 (1): 237–245.
Brunetti E, White AC (2012) Cestode infestations. Hydatid disease and cysticercosis infectious disease. Infect Dis Clin North Am 26(2): 421–435.
Dehkordi AB, Sanei B, Yousefi M, Sharafi SM, Safarnezhad F, Jafari R, Darani HY (2019) Albendazole and treatment of hydatid cyst: Review of the literature. Infect Disord Drug Targets 19(2): 101–104.
Franchi C, Di Vico B, Teggi A (1999) Long-term evaluation of patients with hydatidosis treated with benzimidazole carbamates. Clin Infect Dis 29(2): 304–309.
FDA (2018) Bioanalytical Method Validation: Guidance for Industry. USA: Fodd and Drug Administration.
García HH, Evans CA, Nash TE, Takayanagui OM, White AC Jr, Botero D, Rajshekhar V, Tsang VC, Schantz PM, Allan JC, Flisser A, Correa D, Sarti E, Friedland JS, Martinez SM, Gonzalez AE, Gilman RH, Del Brutto OH (2002) Current consensus guidelines for treatment of neurocysticercosis. Clin Microbiol Rev 15(4): 747–756.
Garcia HH, Lescano AG, Lanchote VL, Pretell EJ, Gonzales I, Bustos JA, Takayanagui OM, Bonato PS, Horton J, Saavedra H, Gonzalez AE, Gilman RH (2011) Pharmacokinetics of combined treatment with praziquantel and albendazole in neurocysticercosis: Combined albendazole and praziquantel in neurocysticercosis. Br J Clin Pharmacol 72(1): 77–84.
Garcia HH, Lescano AG, Gonzales I, Bustos JA, Pretell EJ, Horton J, Saavedra H, Gonzalez AE, Gilman RH (2016) Cysticidal efficacy of combined treatment with praziquantel and albendazole for parenchymal brain cysticercosis. Clin Infect Dis 62(11): 1375–1379.
González-Hernández I, Ruiz-Olmedo MI, Cárdenas G, Jung-Cook H (2012) A simple LC-MS/MS method to determine plasma and cerebrospinal fluid levels of albendazole metabolites (albendazole sulfoxide and albendazole sulfone) in patients with neurocysticercosis. Biomed Chromatogr 26(2): 267–272.
Horton J (2003) Albendazole for the treatment of echinococcosis. Fundam Clin Pharmacol 17(2): 205–212.
Jung H, Medina L, García L, Fuentes I, Moreno-Esparza R (2011) Absorption studies of albendazole and some physicochemical properties of the drug and its metabolite albendazole sulphoxide. J Pharm Pharmacol 50(1): 43–48.
Kataoka M, Fukahori M, Ikemura A, Kubota A, Higashino H, Sakuma S, Yamashita S (2016) Effects of gastric pH on oral drug absorption: In vitro assessment using a dissolution/permeation system reflecting the gastric dissolution process. Eur J Pharm Biopharm 101: 103–111.
Kitzman D, Cheng K-J, Fleckenstein L (2002) HPLC assay for albendazole and metabolites in human plasma for clinical pharmacokinetic studies. J Pharm Biomed Anal 30(3): 801–813.
Lanchote VL, Marques MP, Takayanagui OM, de Carvalho R, Paias FO, Bonato PS (1998) Simultaneous determination of albendazole sulfoxide enantiomers and albendazole sulfone in plasma. J Chromatogr B Biomed Sci Appl 709(2): 273–279.
Lange H, Eggers R, Bircher J (1988) Increased systemic availability of albendazole when taken with a fatty meal. Eur J Clin Pharmacol 34(3): 315–317.
Li L, Xing D-X, Li Q-R, Xiao Y, Ye M-Q, Yang Q (2014) Determination of albendazole and metabolites in silkworm Bombyx mori hemolymph by Ultrafast Liquid Chromatography Tandem Triple Quadrupole Mass Spectrometry. PLoS One 9(9): e105637.
Mirfazaelian A, Rouini MR, Dadashzadeh S (2002) Dose dependent pharmacokinetics of albendazole in human. Biopharm Drug Dispos 23(9): 379–383.
Moyano LM, O’Neal SE, Ayvar V, Gonzalvez G, Gamboa R, Vilchez P, Rodriguez S, Reistetter J, Tsang VCW, Gilman RH, Gonzalez AE, Garcia HH; Cysticercosis Working Group in Peru (2016) High prevalence of asymptomatic neurocysticercosis in an endemic rural community in Peru. PLoS Negl Trop Dis 10(12): e0005130.
Procházková A, Chouki M, Theurillat R, Thormann W (2000) Therapeutic drug monitoring of albendazole: determination of albendazole, albendazole sulfoxide, and albendazole sulfone in human plasma using nonaqueous capillary electrophoresis. Electrophoresis 21(4): 729–736.
Rathod DM, Patel KR, Mistri HN, Jangid AG, Shrivastav PS, Sanyal M (2016) Liquid chromatography–tandem mass spectrometry method for simultaneous determination of albendazole and albendazole sulfoxide in human plasma for bioequivalence studies. J Pharm Anal 6(4): 226–234.
Reyes MM, Taramona CP, Saire-Mendoza M, Gavidia CM, Barron E, Boufana B, Craig PS, Tello L, Garcia HH, Santivañez SJ (2012) Human and canine echinococcosis infection in informal, unlicensed abattoirs in Lima, Peru. PLoS Negl Trop Dis 6(4): e1462.
Rodriguez S, O’Neal SE, Garcia HH, Ayvar V, Gonzalez AE, Gilman RH, Moyano LM, Garvey BT; Cysticercosis Working Group in Peru (2018) Neurocysticercosis among people living near pigs heavily infected with cysticercosis in rural endemic Peru. Am J Trop Med Hyg 98(2): 558–564.
Salvagno GL, Danese E, Lippi G (2017) Preanalytical variables for liquid chromatography-mass spectrometry (LC-MS) analysis of human blood specimens. Clin Biochem 50(10-11): 582–586.
Santivañez SJ, Naquira C, Gavidia CM, Tello L, Hernandez E, Brunetti E, Kachani M, Gonzalez AE, Garcia HH (2010) Household factors associated with the presence of human hydatid disease in three rural communities of Junin, Peru [Spanish]. Rev Peru Med Exp Salud Publica 27(4): 498–505.
Saraner N, Özkan GY, Güney B, Alkan E, Burul-Bozkurt N, Sağlam O, Fikirdeşici E, Yıldırım M (2016) Determination of albendazole sulfoxide in human plasma by using liquid chromatography–tandem mass spectrometry. J Chromatogr B 1022: 1–5.
Shaw L-H, Lin L-C, Tsai T-H (2012) HPLC-MS/MS analysis of a traditional Chinese medical formulation of Bu-Yang-Huan-Wu-Tang and its pharmacokinetics after oral administration to rats. PLoS One 7(8): e43848.
Solana HD, Sallovitz JM, Lanusse CE, Rodriguez JA (2002) Enantioselective binding of albendazole sulphoxide to cytosolic proteins from helminth parasites. Methods Find Exp Clin Pharmacol 24(1): 7–13.
Swamy N, Basavaiah K (2014) Simple and rapid spectrophotometric assay of albendazole in pharmaceuticals using iodine and picric acid as CT complexing agents. Braz J Pharm Sci 50(4): 839–850.
Wojnicz A, Cabaleiro-Ocampo T, Román-Martínez M, Ochoa-Mazarro D, Abad-Santos F, Ruiz-Nuño A (2013) A simple assay for the simultaneous determination of human plasma albendazole and albendazole sulfoxide levels by high performance liquid chromatography in tandem mass spectrometry with solid-phase extraction. Clin Chim Acta 426: 58–63.
© 2022 Journal of Pharmacy & Pharmacognosy Research (JPPRes)