A FORENSIC TOXICOLOGY METHOD FOR THE DETERMINATION OF DESOMORPHINE, HEROIN, METHADONE, BUPRENORPHINE AND METABOLITES IN URINE USING LC/MS QQQ

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FORENSICS MARKET A FORENSIC TOXICOLOGY METHOD FOR THE DETERMINATION OF DESOMORPHINE, HEROIN, METHADONE, BUPRENORPHINE AND METABOLITES IN URINE USING LC/MS QQQ Desomorphine, also known by its street name Krokodil, is an emerging synthetic opioid, used as a heroin substitute and produced by back street illicit laboratories. Author Peter JW Stone Agilent Technologies Inc., 5301 Stevens Creek Blvd, Santa Clara, CA, 95051, USA.

ABSTRACT The analytical measurement of opioid panels commonly include a number of compounds such as heroin, methadone and buprenorphine. Research methods with sufficient flexibility are of value to respond to the need to measure new compounds resulting from clandestine production. INTRODUCTION Desomorphine, also known by its street name Krokodil, is an emerging synthetic opioid, used as a heroin substitute and produced by back street illicit laboratories. Little or no literature exists presently describing an analytical approach to determining desomorphine in samples. This application brief describes the development of an LC/MS QQQ research method that aims to rapidly screen for to and measure desomorphine together with heroin, buprenorphine, methadone and their metabolites 6-acetylmorphine, norbuprenorphine and EDDP. A three minute analytical research method has been developed with results obtained for five batches of spiked urine samples over the linear concentration range of 1-5000ng/ml. Precision data obtained, LLOQ, calibration linearity and accuracies will be reported for each analyte. SAMPLE PREPARATION Spiked Urine Sample Preparation (Dilute & Shoot): 1. Internal Standard Diluent Preparation (per individual batch): a) Take 36ml of deionized water; b) Add 10uL of each internal standard (100ug/ ml) or 1uL (1mg/ml) to the water; c) Vortex the ~ 25ng/ml ISTD solution. 2. Negative Urine Pre-treatment: a) Split 5ml of neat negative urine between 10x nanosep 3K centrifuge filters; b) Centrifuge @ 12000 for 20 min; c) Pool filtered urine into single tube or vessel; d) Draw 4ml of the filtered urine and add to the 36ml ISTD solution (1); e) This solution was used as calibrator diluent containing 25ng/ml of each ISTD. 6-Monoacetylmorphine-D6 Buprenorphine-D4 Desomorphine-D3 EDDP-D3 Table 1 Internal Standards Utilized Heroin-D9 Methadone-D9 Norbuprenorphine-D3 HPLC Method Parameters (Agilent 1290 system): Column: Agilent Poroshell 120 EC C18, 2.1 x 50mm (2.7μm) Column temperature: 55 C Injection volume: 1 ul Autosampler temp: 4 C Needle wash: flushport (100% methanol), 5 sec A = 5mM NH4formate/0.01% Mobile phase: formic acid in water B = 0.01% formic acid in methanol Gradient flow rate: 0.5 ml/min Table 2 - HPLC Method Parameters Time (min) % A %B 0.00 90 10 1.10 75 25 1.60 5 95 2.00 5 95 2.01 90 10 3.00 90 10 Table 3 HPLC Gradient Profile Mass Spectrometer Conditions & Configuration: Configuration: Agilent 6460 QqQ MS Ion Source Conditions Ion Mode: ESI/ Positive Capillary Voltage: 2500 V Nozzle Voltage: 0 V Drying gas (nitrogen): 9 L/min Drying gas temperature: 250 ºC Nebulizer gas (nitrogen): 35 psi Sheath Gas temperature: 380 ºC Sheath Gas flow: 11 L/min Table 4 - Mass Spectrometer Source Conditions 2

Cpd Name Prec Ion Prod Ion Dwell Frag (V) CE (V) Cell Acc (V) 6-monoacetyl morphine 328.2 165.1 20 158 41 3 6-monoacetyl morphine 328.2 43.1 20 158 60 3 6-monoacetyl morphine-d6 334.2 211 20 168 25 3 Buprenorphine 468.3 83.7 35 210 53 3 Buprenorphine 468.3 55.1 35 210 65 3 Buprenorphine-D4 472.3 88.1 35 220 49 3 Buprenorphine-D4 472.3 59.1 35 220 61 3 Desomorphine 272.2 165.2 20 161 65 3 Desomorphine 272.2 152.2 20 161 65 3 Desomorphine-D3 275.2 165.2 20 156 65 3 Desomorphine-D3 275.2 152.2 20 156 65 3 EDDP 278.2 234.1 20 158 33 7 EDDP 278.2 219.1 20 158 45 7 EDDP-D3 281.2 234.1 20 168 29 7 Heroin 370.2 268.1 20 149 37 7 Heroin 370.2 165 20 149 61 7 Heroin-D9 379.2 61.2 20 168 29 7 Methadone 310.2 265.1 20 112 9 7 Methadone 310.2 105 20 112 29 7 Methadone-D9 319.3 268.1 20 89 13 7 Norbuprenorphine 414.3 83.1 35 178 57 3 Norbuprenorphine 414.3 55.2 35 178 65 3 Norbuprenorphine-D3 417.3 101.1 35 198 45 3 Norbuprenorphine-D3 417.3 83.1 35 198 57 3 Table 5 - MRM acquisition Parameters 3

DESOMORPHINE RESULTS Figure 1 - Chromatography (1ng/ml) and Linear Dynamic Range (1-5000ng/ml.) Concentration (ng/ml) % RSD Concentration (ng/ml) %RSD 1 6.75 50 0.68 5 2.14 100 0.91 10 1.64 250 0.60 25 1.46 500 0.46 Table 6 Precision Data for Desomorphine calibrator levels over N=5 Batches. RESULTS OF OTHER OPIATE ANALYTES Figure 2-6-monoacetylmorphine (1ng/ml) and Dynamic Range (1-5000ng/ml.) Figure 3 - Buprenorphine (1ng/ml) and Dynamic Range (1-5000ng/ml.) 4

Figure 4 - EDDP (1ng/ml) and Linear Dynamic Range (1-5000ng/ml.) Figure 5 - Heroin (1ng/ml) and Linear Dynamic Range (1-5000ng/ml.) Figure 6 - Methadone (1ng/ml) and Linear Dynamic Range (1-5000ng/ml.) SUMMARY OF OPIATE ANALYTICAL METHOD RESULTS: i. LOQ values for all opiates in this study were typically <1ng/ml (except Buprenorphine which was 5ng/ml.) ii. Over five separately spiked batches of samples, %RSD values for desomorphine were <6.75% across the Linear range. iii. This rapid three minute method illustrates the feasibility of distinguishing between the illicit street opiates inclusive of desomorphine. 5

CONCLUSIONS The analytical method developed herein has demonstrated the feasibility of: Analyzing illicit opiate/opioids & metabolites directly and individually in a rapid three minute chromatographic method; Demonstrated the ability to detect desomorphine from a LOQ < 1ng/ml across a wide linear dynamic through at least 5000ng/ml; Illustrated that low limits of quantitation can be achieved for opiates and their metabolites with minimal sample preparation; Wide linear dynamic ranges of up to 4 orders can be achieved for the analytes in this study. Methods & Applications Team www.solutions-to-win.com FOR FORENSIC USE - This information is subject to change without notice. Agilent Technologies, Inc. 2017 Printed in EU, 2017-08-03 5991-8307EN