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(Reference retrieved automatically from Web of Science through information on FAPESP grant and its corresponding number as mentioned in the publication by the authors.)

Determination of misoprostol acid in plasma samples by UPLCMS/MS with application in a maternal-fetal pharmacokinetic study following a low misoprostol dose vaginally to induce labor

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Author(s):
de Oliveira Filgueira, Gabriela Campos [1] ; Pinto Rodrigues, Grazielle de Fatima [1] ; de Lima Benzi, Jhohann Richard [2] ; Balthazar Nardotto, Glauco Henrique [2] ; Marques, Maria Paula [2] ; Lanchote, Vera Lucia [2] ; Cavalli, Ricardo Carvalho [1]
Total Authors: 7
Affiliation:
[1] Univ Sao Paulo, Ribeirao Preto Med Sch, Dept Gynecol & Obstet, Ribeirao Preto, SP - Brazil
[2] Univ Sao Paulo, Sch Pharmaceut Sci Ribeirao Preto, Dept Clin Anal Food Sci & Toxicol, Ribeirao Preto, SP - Brazil
Total Affiliations: 2
Document type: Journal article
Source: Journal of Pharmaceutical and Biomedical Analysis; v. 202, AUG 5 2021.
Web of Science Citations: 0
Abstract

Misoprostol is a prostaglandin E1 synthetic analogous used for elective interruptions of early pregnancy, treatment of incomplete abortion, postpartum hemorrhage and induction of full-term labor. Its a lipophilic drug, passing by extensive and rapid pre-systemic metabolism into the active metabolite, misoprostol acid (MA). The objective of this study was to develop and validate a highly sensitive method for MA determination in plasma using UPLC-MSMS, with application in a study of maternal-fetal pharmacokinetics in healthy parturients women (n = 10) after administration of 25 mu g misoprostol vaginally. The method presented linearity of 2-10 pg/mL and acceptable precision, accuracy, plasma and solution stability. The parturients women presented median (interquartile range) values of AUC(0-6) of 68.0 (40.8-84.7) pg.h/mL, Cmax of 21.9 (11.9-30.1) pg/mL and Tmax of 2.25 (0.69-5.00) h. The placental transfer of MA was assessed from the umbilical vein/maternal blood ratios of 1.40 (0.91-2.13) and intervillous space/maternal blood ratios of 0.49 (0.15-3.41). In conclusion, this method presented high sensitivity, being able to quantify MA in plasma samples following a low 25 mu g misoprostol administered vaginally aimed to induce labor in parturients women. Additionally, this is the first description of the placental transfer of MA after a vaginal administration of misoprostol. (C) 2021 Published by Elsevier B.V. (AU)

FAPESP's process: 14/19822-3 - Effects of maternal obesity on the pharmacokinetics of vaginal misoprostol during induction of labor
Grantee:Ricardo de Carvalho Cavalli
Support Opportunities: Regular Research Grants