Fully Automated Online Sample Preparation and LC-MS/MS Analysis of Drugs of Abuse in Oral Fluids

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PO-CON1753E Fully Automated Online Sample Preparation and LC-MS/MS Analysis of Drugs of Abuse in Oral Fluids ASMS 2017 TP-442 Joshua F. Emory 1, Nathan DeFreitas 2, Michael Roberts 1, Manoj Tyagi 2, M. Nazim Boutaghou 1, Brian J. Feild 1 1 Shimadzu Scientific Instruments, Columbia, MD, 2 Captiva Laboratory, Charlotte, NC

Novel Aspect Fully automated sample preparation module that is seamlessly integrated online with LC/MS separation and analysis system Introduction Despite recent advances in LC and MS technologies which enable faster and more robust analytical methods, advances in sample preparation for small molecule analysis have been slower to develop. Although there are robotic devices for offline sample preparation, there are no other fully automated/integrated online LC/MS sample preparation modules. The CLAM-2000 sample preparation module seamlessly integrates sample preparation, LC separation and MS detection of small molecules in an online platform. We have developed a fully automated method for sample preparation, LC separation and MS quantification of seventy-seven DRUGS in oral fluid. This system offers reproducibility of 5 RSD along with parallel processing for up to four samples to maximize mass spectrometer up time. Methods Methanol, Formic Acid (Sigma-Aldrich, St. Louis, MO) and distilled water (in-house) Mobile Phase A (0.1 Formic in Water), Mobile Phase B (100 Methanol) Gradient: 10 to 60 Methanol over 4.5 minutes Matrix for Oral Fluid: Intercept i2he oral fluid diluent (Orasure Technologies, Bethlehem, PA) which was used for all samples, calibrators and quality controls LC/MS system: Shimadzu Nexera LC system and a Shimadzu 8050 triple quadrupole CLAM-2000 Sample Preparation and Workflow Pipette 15µL Methanol Pipette 40µL Sample Pipette 25µL ISTD Shake 30 seconds Filter 90 Seconds Pipette 240µL MPA CLAM-2000 can parallel process four samples at once 2

Results and Discussion CLAM-2000 LC/MS System Pipetting Shaking Vacuum Filtration Heating Q 285.20>154.20 1.35e4 ISTD 289.20>154.20 1.41e4 10 a 10 b 3.8 3.9 4.0 4.1 4.2 4.3 3.8 3.9 4.0 4.1 4.2 4.3 c R 2 = 0.996, Linear, Weighting 1/C 2 Figure 1. a) Diazepam, b) Diazepam d5, c) Calibration curve Diazepam 3

Table 1. Drugs of abuse monitored with the CLAM-2000 LC/MS method delta 9-THC COOH-THC JWH 200 Noroxycodone 11-nor-9-carboxy-delta 9-THC CP 47, 497 JWH 250 Norpropoxyphene maleate 2-Hydroxyethylflurazepam CP 47, 497 C8 JWH 73 Nortriptyline 6-Acetylmorphine Cyclobenziprine Ketamine Oxazepam 7-Aminoflunitrazepam Desipramine Lorazepam Oxycodone Alpha-Hydroxyalprazolam Dextromethorphan MDA Oxymorphone Alpha-Hydroxymidazolam Dextrorphan MDEA Paroxetine maleate Alpha-Hydroxytriazolam Diazepam MDMA Pentobarbital Alprazolam Doxepin Meperidine Phencyclidine AM 2201 Duloxetine Meprobamate Phenobarbital Amitriptyline EDDP Perchlorate Metaxalone Phentermine Amphetamine Fentanyl Methadone Pregabalin Benzoylecgonine Fluoxetine oxalate Methamphetamine PVP Buprenorphine Gabapentin Methylphenidate Quetiapine Bupropion Gabapentin d10 Mitragynine Secobarbital Butalbital HU 211 Morphine Temazepam Carisoprodol Hydrocodone Nordiazepam Tramadol Citalopram Hydromorphone Norfentanyl oxalate Clonazepam Imipramine maleate Norhydrocodone Codeine JWH 18 Normeperidine 4

Q 286.20>152.30 1.85e4 Q 337.25>105.20 1.74e4 10 a Morphine 286.2 152.3 10 d Fentanyl 337.2 105.2 0.5 0.6 0.7 0.8 0.9 2.6 2.7 2.8 2.9 3.0 3.1 ISTD 289.20>152.30 5.64e5 ISTD 342.15>105.20 8.08e5 10 b Morphine d3 289.2 152.3 10 e Fentanyl d5 342.2 105.2 0.5 0.6 0.7 0.8 0.9 2.6 2.7 2.8 2.9 3.0 3.1 c R 2 = 0.996, Linear, f R 2 = 0.995, Linear, Weighting 1/C 2 Weighting 1/C 2 Figure 2: a) Morphine, b) Morphine d3, c) Calibration curve Morphine, d) Fentanyl, e) Fentanyl d5, f) Calibration curve Fentanyl 5

Acquisition of seventy-seven compounds in five minutes 6000000 5500000 5000000 4500000 4000000 3500000 3000000 2500000 2000000 1500000 1000000 500000 0 0.5 1.0 1.5 2.0 2.5 3.0 3.5 4.0 4.5 min Summary Fully automated sample preparation, LC separation, and MS analysis of seventy-seven drugs of abuse were performed using the CLAM-2000 LC/MS system. Real samples were loaded onto the CLAM-2000 instrument using Orasure oral fluid collection devices to avoid sample transfer steps. Total analysis time from sample preparation to MS analysis was eleven minutes, which corresponds to four minutes of sample preparation time and seven minutes of LC/MS analysis Calibration curves for the seventy-seven drugs of abuse exhibited R 2 values of 0.99 or greater with detection limits of 0.75 ng/ml for Fentanyl and 10 ng/ml for Morphine. Relative standard deviations of 5 or less were routinely observed. Considerable time savings for laboratory personnel were achieved via the use of the CLAM-2000 LC/MS system and elimination of errors associated with human sample preparation were avoided 6

Future Directions Development of additional sample preparation procedures for drugs of abuse in various matrices as well development of analysis methods for other small molecule and peptide analytes by CLAM-2000 LC/MS system. First Edition: June, 2017 Shimadzu Corporation, 2017