Quantification of oxalate by novel LC-MS/MS: assay development, validation and application in lumasiran clinical trials

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Publication Details

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Bioanalysis

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May 2023

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Author(s)

Valerie A Clausen1, Karen H Cao1, John M Gansner1, Gabriel J Robbie1, Jing-Tao Wu1

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Affiliations

Affiliations

1Alnylam Pharmaceuticals, Cambridge, MA 02142, USA

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abstract

Abstract

Background:

Measurement of plasma oxalate (POx) is challenging, but critical, for management of patients with primary hyperoxaluria type 1. A novel LC–MS/MS assay was developed, validated and used to quantify POx in patients with primary hyperoxaluria type 1.

Methods:

Samples (100 μl of plasma in K2EDTA) were spiked with internal standard (13C2-labeled oxalic acid), acidified and cleaned by protein precipitation before analysis using anion HPLC–ESI–MS/MS. The assay was validated with a quantitation range of 0.500–50.0 μg/ml (5.55–555 μmol/l). All parameters successfully met acceptance criteria, including 15% (20% at lower limit of quantification) for accuracy and precision.

Conclusions:

This assay has advantages over previously published POx quantitation methods, was validated in accordance with regulatory guidelines and accurately determined POx levels in humans.

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abstract

PMID

37195004

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abstract

DOI

10.4155/bio-2022-0227

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