A Sensitive and Robust Ultra Hplc Assay with Tandem Mass Spectrometric Detection for the Quantitation of the Parp Inhibitor Olaparib (azd2281) in Human Plasma for Pharmacokinetic Application

Olaparib (AZD2281) is an orally active PARP-1 inhibitor, primarily effective against cancers with BRCA1/2 mutations. It is currently in Phase III development and has previously been investigated in numerous clinical trials, both as a single agent and in combination with chemotherapy. Despite this widespread testing, there is only one published method that provides assay details and stability studies for olaparib alone. A more sensitive uHPLC-MS/MS method for the quantification of olaparib in human plasma was developed, increasing the range of quantification at both ends (0.5–50,000 ng/mL) compared to previously published methods (10–5,000 ng/mL). The wider range encompasses C MAX levels produced by typical olaparib doses and permits better pharmacokinetic modeling of olaparib elimination. This assay also utilizes a shorter analytical runtime, allowing for more rapid quantification and reduced use of reagents. A liquid-liquid extraction was followed by chromatographic separation on a Waters UPLC ® BEH C18 column (2.1 × 50 mm, 1.7 µm) and mass spectrometric detection. The mass transitions m/z 435.4→281.1 and m/z 443.2→281.1 were used for olaparib and the internal standard [ 2 H 8 ]-olaparib, respectively. 83 The assay proved to be accurate (<9% deviation) and precise (CV < 11%). Stability studies showed that olaparib is stable at room temperature for 24 h. in whole blood, at 4 °C for 24 h post-extraction, at −80 °C in plasma for at least 19 months, and through three freeze-thaw cycles. This method proved to be robust for measuring olaparib levels in clinical samples from a Phase I trial.


Introduction
Olaparib (4-[[3-[4-(cyclopropanecarbonyl)piperazine-1-carbonyl]-4-fluorophenyl]methyl]-2H-phthalazin-1-one; AZD2281) is an orally active inhibitor of poly(ADP-ribose) polymerases (PARP), of which PARP-1 is the most common.This enzyme assists with base-excision repair, fixing single-strand DNA breaks [1] that, if not repaired, become double-strand breaks when encountered by the replication fork.Double-strand breaks are often repaired via homologous recombination (HR), where BRCA1 and BRCA2 play an important role [2].Deleterious mutations in BRCA1 or BRCA2 predispose carriers to breast and other cancers.When PARP is inhibited, BRCA1/2-deficient cells can no longer efficiently repair double-strand DNA breaks, leading to accumulation of DNA lesions, chromatid breaks, and eventual apoptosis.Thus, tumor cells with BRCA1/2 mutations are potentially sensitized to PARP inhibitors.Murai et al. reported that, in addition to inhibiting base-excision repair, PARP inhibitors exhibit further cytotoxic activity by trapping PARP at single-strand DNA breaks [3].The mechanism of PARP inhibitors offer the possibility of selectively killing cancer cells while avoiding the toxicities associated with most chemotherapy.
Several clinical trials have quantitatively measured olaparib in plasma for pharmacokinetic analyses, either as single-agent therapy [4,5,15] or in combination with such drugs as dacarbazine [16], topotecan [17], bevacizumab [18], or cisplatin and gemcitabine [19].However, the method details of those assays and stability studies were not published.The only published analytical assay that contains useful extraction, stability, and methodology details for single-agent olaparib was calibrated over the range of 10-5,000 ng/mL [20].A common olaparib dose is 300 mg (tablet) or 400 mg (capsule) twice daily, which is well absorbed and tends to produce C MAX levels around or above the upper calibration limit of 5,000 ng/mL.Thus, an upper limit of quantification (ULOQ) greater than 5,000 ng/mL in the calibration curve, or a validated dilution to within the calibration range that allows for analysis of plasma concentrations above the ULOQ, is needed to properly and accurately quantitate olaparib at commonly encountered high plasma levels during pharmacokinetic studies.A previous study seemed to indicate that diluting samples with olaparib concentrations above the ULOQ was feasible, but did not fully validate this technique [20].
In order to most accurately determine olaparib plasma concentrations around the highest concentrations (~0.5-3 h post dose), wide ranging steady-state peak and trough concentrations (during repeated dosing every 12 h), and the lowest concentrations (during elimination after the final dose), an analytical assay must have a wide calibration range with excellent sensitivity and the capability of diluting very high concentrations above the calibration range.There is a need for a robust analytical assay for olaparib alone that is accurate and precise over a wide range for use in pharmacokinetic analyses on clinical studies.Patients taking olaparib commonly experience peak concentrations shortly after dosing, wide ranging steady-state concentrations, and low concentrations during the terminal elimination phase.Measuring low levels of olaparib following the last dose allows for proper pharmacokinetic determination of half-life and clearance values.Described here is a simple and reliable ultra HPLC assay with tandem mass spectrometric (uHPLC-MS/MS) detection for olaparib in human plasma from concentrations encompassing 0.5-50,000 ng/mL.

Materials
Olaparib and [ 2 H 8 ]-olaparib were provided by AstraZeneca (Waltham, MA, USA).The chemical structures of olaparib and [ 2 H 8 ]-olaparib are shown in Figure 1.Optima-grade acetonitrile, methanol, and ethyl acetate were obtained from Fisher Scientific (Fairlawn, NJ, USA) and de-ionized water was generated with a Hydro-Reverse Osmosis system (Durham, NC, USA) connected to a Milli-Q UV Plus purifying system (Billerica, MA, USA).Drug-free human heparinized plasma was obtained from the NIH Clinical Center Blood Bank (Bethesda, MD, USA).

Preparation of Stock Solutions
Master stock solutions were prepared individually by dissolving olaparib and [ 2 H 8 ]-olaparib in methanol at free base concentrations of 1 mg/mL.After vortex mixing and brief sonication, each stock solution was stored in glass vials at −80 °C.Serial dilutions (working stocks) were prepared in acetonitrile from each individual master stock and stored in glass vials at −80 °C for the preparation of calibration and quality control (QC) samples.
For each analytical run, calibration standards in drug-free human heparinized plasma were freshly prepared in duplicate at final plasma concentrations of 0.5, 5, 25, 100, 500, 1,000, 2,000, and 5,000 ng/mL.Quality control (QC) samples were prepared in batch at concentrations of 1.0 (low-range; LQC), 900 (mid-range; MQC), 4,500 (high-range; HQC), and 50,000 ng/mL (10-fold dilution; DQC) by adding drug-free heparinized plasma to the required amount of working stock in a volumetric flask.QC samples were vortex-mixed, then subdivided into aliquots and stored at −80 °C.

Sample Preparation
Frozen standards and samples were thawed on wet ice before homogenization by vortex-mixing.A liquid-liquid extraction was performed by adding 1 mL of ethyl acetate containing 10 ng/mL [ 2 H 8 ]-olaparib (internal standard) to 100 μL of plasma calibrator aliquots, QC samples, and study samples.This mixture was briefly vortexed, then centrifuged for 10 min at 13,200 rpm (11,700× g) in a mini-centrifuge before the supernatant was dried down and reconstituted with 100 μL water/acetonitrile, 50/50.

Instrument Conditions
Ten microliters of each sample was injected onto a Waters ACQUITY UPLC ® system (Waters Corporation, Milford, MA, USA), which included a binary pump, refrigerated autosampler (4 °C) and a temperature-controlled column compartment (30 °C).Chromatographic separation was achieved on a Waters UPLC ® BEH C18, 2.1 × 50 mm, 1.7 μm preceded by a Waters UPLC ® BEH C18 guard column packed with 1.7-μm packing material.The mobile phase consisted of A: 0.1% formic acid in water, and B: 0.1% formic acid in acetonitrile with a flow rate of 0.25 mL/min and a total run time of 5 min.A gradient of mobile phase B was utilized by increasing the initial 20% linearly to 80% over 2 min, up to 100% by 2.1 min and held there until 3.1 min, before returning to 20% by 3.2 min.The column eluent was directed into a Waters Quattro Micro triple quadrupole mass spectrometer (Waters, Milford, MA, USA).The mass spectrometer was set to monitor olaparib (m/z 435.4→281.1)and the internal standard [ 2 H 8 ]-olaparib (m/z 443.2→281.1)using multiple reaction monitoring (MRM) in the positive ion mode.The fragmentation pattern of olaparib was previously described [21].Universal mass spectrometric settings included capillary voltage of 4.0 kV, cone voltage of 30 V, extractor voltage 3.0 V, RF Lens 1.5, source temperature of 110 °C, desolvation temperature 450 °C, cone gas flow 50 L/h, desolvation gas flow 700 L/h, collision energy of 20, and dwell times of 200 msec.MRM peak integrations and data analyses were performed using the QuanLynx program in MassLynx 4.1 (Waters Corp, Milford, MA, USA).

Linearity
Calibration curves for olaparib were constructed by least-squares linear regression analysis of an eight-point calibration curve (0.5-5,000 ng/mL) by plotting the ratio of the analyte peak area versus the internal standard peak area, using 1/x 2 as a weighting factor, where x is the ratio of the nominal analyte: IS concentration.Calibrator response functions and choice of regression analysis were investigated by calculating correlation coefficients (r 2 ) and the percent deviation (% DEV) for all calibrators.

Accuracy and Precision
Accuracy and precision were evaluated by determining olaparib at four different concentrations of QC samples (low-range, mid-range, high-range, 10-fold dilution), in five replicates analyzed over four different days.The DQC was prepared by 10-fold dilution of a 50,000 ng/mL plasma solution with drug-free plasma to bring it within the limits of the calibration curve.The LLOQ was analyzed in five different lots of plasma.Each run consisted of blank plasma extracts, internal standard only extracts, calibration standards in duplicate, and QC samples in replicates of five, each of the four days (n = 20).Accuracy (% DEV) was defined as the percent difference between the mean observed concentration and the nominal concentration.The repeatability of the assay was determined by the within-run precision (WRP) and between-run (BRP), as calculated below.WRP = 100 × [(MS WIT )^°. 5 /GM] (1) GM represents the grand mean, MS wit represents within-group mean squared, MS bet represents between-group mean squared, and n represents the number of repetitions.FDA guidelines for bioanalytical validation were followed, with ±15% variability in accuracy and precision allowed, except for the LLOQ that is allowed ±20% [22].

Stability
Olaparib has been previously shown to demonstrate plasma stability for 24 h at room temperature and 4 °C [21], but stability in whole blood can sometimes be different.This has importance in clinical studies, as blood samples are not always immediately centrifuged to plasma following blood draw into tubes with anti-coagulant.The stability of olaparib in whole blood at room temperature was assessed over a 24-h period.Samples at two concentrations (3.75 and 3,750 ng/mL) were either extracted immediately (fresh) or let sit at room temperature in blood for 24 h before centrifugation to plasma and subsequent extraction, each in triplicate.The analyte concentration after 24 h was compared to the concentration of freshly prepared samples in the same analytical run.
Additional stability tests were performed to verify the absence of olaparib degradation in plasma during freeze/thaw cycles as previously demonstrated [21].Samples were assayed at three concentrations (6, 150, and 1,600 ng/mL) in triplicate.The samples were subjected to three freeze/thaw cycles at −80 °C, with each freeze cycle lasting at least 12 h.The analyte concentration after each storage period was compared to the concentration of freshly prepared samples in the same analytical run.
The post-preparative stability of olaparib and [ 2 H 8 ]-olaparib pending analysis in the 4 °C autosampler was assessed.Samples were re-injected and re-analyzed 24 h after the initial analysis and compared to the original values obtained from those same samples prepared 24 h prior.
Long-term stability of olaparib in plasma was tested by re-analyzing clinical samples drawn 19 months earlier.These samples had been stored at −80 °C since the initial analysis.

Extraction Recovery and Matrix Effects
The extraction efficiency of the liquid-liquid extraction was assessed by comparing analyte peak areas from both a low (5 ng/mL; n = 5) and high (2,000 ng/mL; n = 5) concentration, both before and after the addition of the liquid extraction solvent.For each set, both concentrations (low and high) were assayed in quintuplet by spiking analyte into five different lots of plasma to further demonstrate selectivity and matrix effects.
Matrix effects from the plasma on the mass spectrometric signals for olaparib and the internal standard [ 2 H 8 ]-olaparib were assessed through direct comparison of samples spiked in plasma to samples spiked in clean solution (reconstitution solution).Mass spectrometric peak areas for olaparib were first analyzed using a low (5 ng/mL; n = 3) and a high (2,000 ng/mL; n = 3) calibrator sample spiked into the reconstitution solution (ACN/H 2 O, 50/50).These values were used for comparison to the same concentrations by spiking drug into each of 5 plasma lots after extraction (to avoid discrepancies from extraction efficiency).

Clinical Application
To demonstrate the applicability of this method for measuring a wide range of plasma olaparib concentrations clinically, blood samples were drawn just prior to a 200 mg oral dose, as well as 0.5, 1, 2, 3, 4, 8, and 10 h post dose (NCT01237067).Blood was drawn into tubes containing sodium heparin and immediately placed on wet ice.The blood was then centrifuged to obtain plasma within 24 h of blood draw (typically 3 h post draw), which was then frozen until extraction and analysis by this assay.The Institutional Review Board of the National Cancer Institute approved this clinical protocol.

Selectivity
Figure 2 depicts LC-MS/MS chromatograms of a drug-free plasma extract (Figure 2a), the internal standard only (Figure 2b), the LLOQ at 0.5 ng/mL (Figure 2c), and a clinical pharmacokinetic sample taken 30 min following a single 200 mg oral dose (Figure 2d).The retention time of both olaparib and its deuterated analog, [ 2 H 8 ]-olaparib was approximately 1.37 min.The LLOQ had a signal to noise (S/N) ratio of 8.95, which is well above the commonly accepted S/N of 5 for LLOQ peaks.The use of ultra-high performance liquid chromatography (uHPLC) provided strong, sharp peaks that were well-resolved and separated from interfering matrix peaks that were eluted following an organic solvent gradient to cleanse the column.

Linearity, Accuracy and Precision
The calibration standards, ranging from 0.5-5000 ng/mL, were run in duplicate on each of four days (n = 8).The eight calibration standards proved accurate and precise (Table 1), with a mean (±SD) linear calibration curve correlation (r 2 ) of 0.9958 ± 0.0019 (n = 4).Quality control (QC) samples, at low (1 ng/mL), mid (900 ng/mL), high (4,500 ng/mL), and 10-fold diluted (50,000 ng/mL) concentrations were run in quintuplet daily over four days (n = 20).All QC levels proved accurate and precise, within the required ±15% (Table 2).Abbreviations: GM, grand mean; SD, standard deviation; DEV (%) relative deviation from nominal value; WRP, within-run precision; n, number of replicate observations within each validation run; BRP, between-run precision (A hyphen indicates MS wit > MS bet , thus BRP cannot be calculated and it was concluded that no additional variation was observed as a result of performing the assay in different runs).

Stability
Olaparib demonstrated excellent bench-top stability in blood at room temperature through 24 h, with <1.50% difference in measured concentrations from freshly extracted samples at either a low or high concentration.Freeze/thaw stability was demonstrated through three cycles in human plasma, where changes in measured values at each of the three concentrations after each freeze/thaw cycle were below 10%, indicating no significant degradation (Table 3), which is consistent with a previous report [21].The 24-h post-preparative stability measurements following a liquid-liquid extraction were consistent with the initial run at each of the three concentrations tested (<1.00% change), allowing samples extracted from human plasma to be reanalyzed on the following day when necessary without significant degradation.Olaparib was shown to be stable in plasma at −80 °C for at least 19 months (8 months longer than previously reported, when stored at −20 °C) [20].

Extraction Recovery and Matrix Effects
The mean extraction efficiencies for olaparib, estimated by comparing the mass spectrometric signal response of the analyte spiked into 5 different lots of human plasma before extraction versus analyte spiked after extraction at both a low (5 ng/mL; n = 5) and a high (2,000 ng/mL; n = 5) concentration, were 70.97% and 87.35%, respectively (previous method did not report percent recovery).Comparison of analyte peak areas between post-extraction plasma and clean solvent resulted in a −40.21% and −34.95% change in signal from plasma matrix effects for the low and high concentrations, respectively, but this did not affect linearity of the calibration.

Clinical Application
The mean olaparib plasma concentration vs. time curve for subjects (n = 8) receiving a 200 mg tablet oral dose of olaparib was plotted (Figure 3).The maximum observed plasma concentration (C MAX ) was approximately 10,000 ng/mL and occurred around 1 h post oral dose, suggesting rapid and extensive absorption and high bioavailability.In addition to the C MAX , the sampling times just before and after were also above the ULOQ of 5000 ng/mL, justifying the need for a validated dilution.Although plasma concentrations 10 h post-dose were still around 1,000 ng/mL, the lower limit of quantification of 0.5 ng/mL is useful to best characterize elimination through the ability to accurately measure plasma concentrations up to 90 h post dose, based on a half-life of approximately 8 h [15].

Conclusions
This paper describes a rapid, more sensitive analytical assay to singularly detect and accurately measure olaparib, a PARP-1 inhibitor, currently undergoing Phase III clinical testing in numerous trials.Previous literature assays for olaparib included other compounds or failed to encompass all clinically-relevant plasma concentrations.This method demonstrated selectivity, accuracy, precision, and efficiency at recovering drug (87%) from plasma.Olaparib was found to be stable in plasma through three freeze/thaw cycles, at −80 °C for at least 19 months, at room temperature for 24 h in whole blood, and demonstrated 24 h post-preparative stability at 4 °C.The method's shorter runtime (5 min) permits quicker analysis and conserves reagents.Sensitivity was improved over existing published methods by at least 20-fold (LLOQ 0.5 ng/mL), which allows for better characterization of pharmacokinetic profiles to allow proper determination of half-life and clearance.The validated 10-fold dilution, capable of measuring plasma levels up to 50,000 ng/mL, allows for accurate and reliable measurements of peak concentrations above the ULOQ during high dose olaparib combined with other agents that may increase olaparib exposure, either through increased absorption or decreased clearance.

Figure 2 .
Figure 2. Chromatograms of (a) a blank plasma extract; (b) internal standard only extract; (c) the lower limit of quantification (LLOQ); and (d) a clinical pharmacokinetic sample drawn 30 min following a 200 mg oral dose.In each pane, olaparib is on the bottom, the IS on top.

Table 1 .
Calibration Linearity.Abbreviations: GM, grand mean; SD, standard deviation; DEV (%), relative deviation from nominal value; CV (%), coefficient of variation; n, number of replicate observations within each validation run, i.e., two samples at each concentration were run on four separate occasions, for a total (n) of eight samples at each concentration.

Table 2 .
Accuracy and Precision.