Improved isocratic liquid-chromatographic simultaneous measurement of phenytoin, phenobarbital, primidone, carbamazepine, ethosuximide, and N-desmethylmethsuximide in serum.

Abstract:

:We describe an improved "high-pressure" liquid-chromatographic assay for simultaneous determination in serum of the five major antiepileptic drugs (ethosuximide, primidone, phenobarbital, phenytoin, and carbamazepine) and N-desmethylmethsuximide (the compound that must be quantitated for therapeutic drug monitoring of the antiepileptic drug methsuximide). Serum protein is precipitated with an acetone solution containing 5-ethyl-5-(p-methylphenyl)barbituric acid as the internal standard. The centrifuged supernate is injected onto the chromatographic column. Drugs and internal standard are eluted at 30 degrees C with mobile phase containing acetonitrile/methanol/phosphate buffer (17/28/55 by vol) at a flow rate of 0.7 mL/min, monitored at 195 nm. Analysis time is about 20 min. Quantitation is by measurement of peak areas. Analytical and absolute recoveries varied from 95 to 104%. Within-day coefficients of variation ranged from 1.6 to 5.4%, between-day CVs from 0.0 to 3.4% in subtherapeutic, therapeutic, and toxic samples. Resolution of therapeutic concentrations of all six drugs was complete. As yet, we have found no drug or drug metabolite that interferes.

journal_name

Clin Chem

journal_title

Clinical chemistry

authors

Szabo GK,Browne TR

subject

Has Abstract

pub_date

1982-01-01 00:00:00

pages

100-4

issue

1

eissn

0009-9147

issn

1530-8561

journal_volume

28

pub_type

杂志文章
  • Urinary protein as measured with a pyrogallol red-molybdate complex, manually and in a Hitachi 726 automated analyzer.

    abstract::In this new method for determining urinary protein, the reaction is complete within 10 min at 37 degrees C. This method is applicable to automated as well as manual measurements. Protein concentration and absorbance at 600 nm are linearly related throughout a wide range of concentrations, 10 to 16 000 mg/L. However, t...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Watanabe N,Kamei S,Ohkubo A,Yamanaka M,Ohsawa S,Makino K,Tokuda K

    更新日期:1986-08-01 00:00:00

  • Prognostic Utility of Galectin-3 for Recurrent Cardiovascular Events During Long-term Follow-up in Patients with Stable Coronary Heart Disease: Results of the KAROLA Study.

    abstract:BACKGROUND:Galectin-3 has emerged as a potential useful novel biomarker for heart failure and cardiovascular disease (CVD). However, it remains unclear whether galectin-3 is associated with recurrent cardiovascular events during long-term follow-up of patients with stable coronary heart disease (CHD) after adjustment f...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2016.257550

    authors: Jansen H,Koenig W,Jaensch A,Mons U,Breitling LP,Scharnagl H,Stojakovic T,Schunkert H,Brenner H,Rothenbacher D

    更新日期:2016-10-01 00:00:00

  • New enzymatic assay for glycohemoglobin.

    abstract:BACKGROUND:Previous methods to measure glycohemoglobin (GHb) have been time-consuming or imprecise; we therefore developed a new enzymatic assay for GHb. METHODS:Blood cells were first hemolyzed, and hemoglobin was digested with protease to yield fructosyl amino acid. Fructosyl amino acid oxidase acts on the fructosyl...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/49.2.269

    authors: Sakurabayashi I,Watano T,Yonehara S,Ishimaru K,Hirai K,Komori T,Yagi M

    更新日期:2003-02-01 00:00:00

  • Fully enzymatic method for determining 1,5-anhydro-D-glucitol in serum.

    abstract::We have developed a fully enzymatic method to measure 1,5 anhydro-D-glucitol (1,5-AG) in serum through use of pyranose oxidase (PROD: EC 1.1.3.10), glucokinase (EC 2.7.1.2), and an ATP-regenerating system. In a previous report (Clin Chem 1989;35:2039-43) the glucose interfering with the measurement of 1,5-AG was remov...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Fukumura Y,Tajima S,Oshitani S,Ushijima Y,Kobayashi I,Hara F,Yamamoto S,Yabuuchi M

    更新日期:1994-11-01 00:00:00

  • A new assay for diaphorase activity in reagent formulations, based on the reduction of thiazolyl blue.

    abstract::This new assay procedure for diaphorase eliminates problems of high blank rates and nonlinear kinetics associated with other methods. The dye thiazolyl blue tetrazolium bromide is reduced in the presence of NADH and diaphorase to yield a colored formazan, which as maximum absorbance at 560 nm. ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Boethling RS,Weaver TL

    更新日期:1979-12-01 00:00:00

  • Radioimmunoassay of beta-endorphin in ventricular and lumbar cerebrospinal fluid.

    abstract::We describe a sensitive beta-endorphin (beta-EP) radioimmunoassay specific for beta-EP 1-31 applied to human ventricular and lumbar cerebrospinal fluid (CSF). Specificity was documented by reversed-phase HPLC of CSF pools. Simultaneous ventricular and lumbar CSF samples from 13 patients suspected of having normal-pres...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Bach FW,Schmidt JF,Faber T

    更新日期:1992-06-01 00:00:00

  • Enzymatic determination of serum urea on the surface of silicone-rubber pads.

    abstract::An enzymatic, fluorometric method is described for determination of serum urea on silicone-rubber pads. In this method, the reagents are lyophilized on the surface of the pads, NADH on one side and a mixture of urease, glutamate dehydrogenase, and alpha-ketoglutarate on the other. The rate of disappearance of NADH flu...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Kuan JC,Lau KY,Guilbault GG

    更新日期:1975-01-01 00:00:00

  • Measurement of urinary oxalate and citrate by capillary electrophoresis and indirect ultraviolet absorbance.

    abstract::We describe a method for measuring urinary oxalate and citrate with capillary electrophoresis (CE) and indirect ultraviolet absorbance detection. Sample preparation is minimal, requiring an acidification, brief centrifugation, and dilution. The method is rapid, with oxalate and citrate having mean migration times of 4...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Holmes RP

    更新日期:1995-09-01 00:00:00

  • Monomeric calgranulins measured by SELDI-TOF mass spectrometry and calprotectin measured by ELISA as biomarkers in arthritis.

    abstract:BACKGROUND:SELDI-TOF mass spectrometry (MS) is a high-throughput proteomic approach with potential for identifying novel forms of serum biomarkers of arthritis. METHODS:We used SELDI-TOF MS to analyze serum samples from patients with various forms of inflammatory arthritis. Several protein profiles were collected on d...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2007.099549

    authors: de Seny D,Fillet M,Ribbens C,Marée R,Meuwis MA,Lutteri L,Chapelle JP,Wehenkel L,Louis E,Merville MP,Malaise M

    更新日期:2008-06-01 00:00:00

  • Mass concentration and activity concentration of creatine kinase isoenzyme MB compared in serum after acute myocardial infarction.

    abstract::We compared three current methods (immunoinhibition, "Isomune-CK" immunoprecipitation, and the Tandem-E CKMB II immunoenzymometric assay) for determination of creatine kinase (CK; EC 2.7.3.2) isoenzyme MB in serum. Although results inter-correlated well, the immunoinhibition assay gave higher activity values. Atypical...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Delanghe JR,De Mol AM,De Buyzere ML,De Scheerder IK,Wieme RJ

    更新日期:1990-01-01 00:00:00

  • Comparison of enzyme immunoassay and gas chromatography for determination of carbamazepine and ethosuximide in human serum.

    abstract::Patients' sera were analyzed for carbamazepine and ethosuximide by enzyme immunoassay (x) and gas chromatography (y), and the results were compared. The correlation coefficients were: for carbamazepine, x vs. y 0.94 (n = 93); for ethosuximide, x vs. y 0.99 (n = 30). These results suggest that the two methods could be ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Sun L,Szafir I

    更新日期:1977-09-01 00:00:00

  • Differential patterns of bone turnover in relation to bone pain and disease extent in bone in cancer patients with skeletal metastases.

    abstract:BACKGROUND:The alteration of the bone microenvironment as a consequence of skeletal metastases is poorly understood. The aim of this study was to search for patterns of bone markers in relation to primary tumor type, bone pain, and number of sites involved in patients with bone metastases. METHODS:We studied 323 patie...

    journal_title:Clinical chemistry

    pub_type: 临床试验,杂志文章

    doi:

    authors: Berruti A,Dogliotti L,Gorzegno G,Torta M,Tampellini M,Tucci M,Cerutti S,Frezet MM,Stivanello M,Sacchetto G,Angeli A

    更新日期:1999-08-01 00:00:00

  • Bioassay of thyroid-stimulating immunoglobulin in cryopreserved human thyroid cells: optimization and clinical evaluation.

    abstract::We have explored the method of Rapoport et al. (J Clin Endocrinol Metab 1984;58:332-8) for the bioassay of thyroid-stimulating immunoglobulin (TSI) in cultured human thyroid cells, to optimize the assay and to evaluate its utility in clinical diagnosis and management of patients with autoimmune thyroid disease. Here w...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Kraiem Z,Glaser B,Pauker J,Sadeh O,Sheinfeld M

    更新日期:1988-02-01 00:00:00

  • Precision of sensitivity estimations in diagnostic test evaluations. Power functions for comparisons of sensitivities of two tests.

    abstract::The precision of estimates of the sensitivity of diagnostic tests is evaluated. "Sensitivity" is defined as the fraction of diseased subjects with test values exceeding the 0.975-fractile of the distribution of control values. An estimate of the sensitivity is subject to sample variation because of variation of both c...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Linnet K

    更新日期:1985-04-01 00:00:00

  • Screening for primary aldosteronism in essential hypertension: diagnostic accuracy of the ratio of plasma aldosterone concentration to plasma renin activity.

    abstract:BACKGROUND:The ratio of plasma aldosterone concentration to plasma renin activity (PRA) is considered the screening test of choice for primary aldosteronism. Uncertainty exists, however, regarding its diagnostic accuracy and the effects of antihypertensive drugs and dietary sodium balance on test characteristics. METH...

    journal_title:Clinical chemistry

    pub_type: 临床试验,杂志文章

    doi:10.1373/clinchem.2004.041780

    authors: Schwartz GL,Turner ST

    更新日期:2005-02-01 00:00:00

  • Limitations of Accelerated Stability Model Based on the Arrhenius Equation for Shelf Life Estimation of In Vitro Diagnostic Products.

    abstract:BACKGROUND:An accelerated stability model based on the Arrhenius Equation can be used to estimate stability of diagnostic reagents. Here we review 3 examples in which the model does not accurately predict the stability of diagnostic reagents. METHODS:We prepared several pilot lots of quality controls materials contain...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1093/clinchem/hvaa282

    authors: Ebrahim A,DeVore K,Fischer T

    更新日期:2020-12-04 00:00:00

  • Assay for erythrocyte uroporphyrinogen I synthase activity, with porphobilinogen as substrate.

    abstract::We describe a convenient, economical procedure for measuring uroporphyrinogen I synthase (EC 4.3 1.8) activity in erythrocytes, the results of which can be used to diagnose acute intermittent porphyria, in either its latent or acute stage. By limiting the test reaction sequence to the conversion of porphobilinogen to ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Ford RE,Ou CN,Ellefson RD

    更新日期:1980-07-01 00:00:00

  • Sandwich ELISA Using a Mouse/Human Chimeric CSLEX-1 Antibody.

    abstract:BACKGROUND:An assay using a mouse antisialyl Lewis X (sLeX) antibody (CSLEX-1) is used clinically for screening and monitoring patients with breast cancer in Japan. However, the IgM isoform of CSLEX-1 is not preferred for the assay because the bulkiness of IgM generally causes poor accessibility to the antigen. To solv...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2016.260968

    authors: Yamashita J,Kobayashi I,Tatematsu K,Sezutsu H,Noda K,Ishihara H

    更新日期:2016-11-01 00:00:00

  • Personalized medicine in diabetes.

    abstract:BACKGROUND:Multiple genes that are associated with the risk of developing diabetes or the risk of diabetes complications have been identified by candidate gene analysis and genomewide scanning. These molecular markers, together with clinical data and findings from proteomics, metabolomics, pharmacogenetics, and other m...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:10.1373/clinchem.2010.156901

    authors: Malandrino N,Smith RJ

    更新日期:2011-02-01 00:00:00

  • Real-time quantitative PCR for the measurement of MYCN amplification in human neuroblastoma with the TaqMan detection system.

    abstract:BACKGROUND:Neuroblastoma is the most common extracranial malignant solid tumor in children under 5 years and is characterized by a wide clinical and biological heterogeneity, from spontaneously regressive forms to cancers with a rapid and fatal progression. MYCN oncogene amplification is considered the most important p...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Raggi CC,Bagnoni ML,Tonini GP,Maggi M,Vona G,Pinzani P,Mazzocco K,De Bernardi B,Pazzagli M,Orlando C

    更新日期:1999-11-01 00:00:00

  • High-throughput mitochondrial genome screening method for nonmelanoma skin cancer using multiplexed temperature gradient capillary electrophoresis.

    abstract:BACKGROUND:We explored the utility of multiplexed temperature gradient capillary electrophoresis (TGCE) as a screening tool for identifying genetic changes in the human mitochondrial genome. We examined changes in mitochondrial DNA (mtDNA) in nonmelanoma skin cancers (NMSCs), using TGCE to resolve genetic differences c...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:10.1373/clinchem.2004.040311

    authors: Girald-Rosa W,Vleugels RA,Musiek AC,Sligh JE

    更新日期:2005-02-01 00:00:00

  • Kinetic studies of a quantitative single-tube enzyme-linked immunosorbent assay.

    abstract::We describe a single-cuvette enzyme-linked immunosorbent assay (ELISA) based on enzymic rate kinetics. This kinetic assay can yield linear quantitative data on immunoglobin concentrations. Optimum assay conditions, component concentrations, reaction intervals, and pH are described. Assay linearity and sensitivity are ...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Tsang VC,Wilson BC,Maddison SE

    更新日期:1980-08-01 00:00:00

  • Cholesterol and risk of coronary heart disease and mortality in men.

    abstract::Extensive data implicate cholesterol in the atherosclerotic process responsible for coronary disease. Of the atherosclerotic disease outcomes, serum cholesterol is most strongly related to coronary disease. A significant relationship of serum cholesterol to all clinical manifestations of coronary heart disease has bee...

    journal_title:Clinical chemistry

    pub_type: 杂志文章,评审

    doi:

    authors: Kannel WB

    更新日期:1988-01-01 00:00:00

  • Glucocorticoid receptors in normal leukocytes: effects of age, gender, season, and plasma cortisol concentrations.

    abstract::We measured glucocorticoid receptors (GR) in mononuclear leukocytes (MNL) isolated from peripheral blood of 145 apparently healthy volunteers (86 men and 59 women). An age-related decrease in the number of GR was suggested between subjects younger than 20 years and elderly subjects; there was no apparent seasonal vari...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Tanaka H,Akama H,Ichikawa Y,Homma M,Oshima H

    更新日期:1991-10-01 00:00:00

  • Making TDM work to optimize cancer chemotherapy: a multidisciplinary team approach.

    abstract::Several factors can limit the use of therapeutic drug monitoring (TDM) for cancer chemotherapeutic agents, including poorly defined concentration-effect relationships for many antineoplastic agents. This is further complicated by cancer being a highly heterogeneous group of diseases, each of which may have a unique co...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Hon YY,Evans WE

    更新日期:1998-02-01 00:00:00

  • Determination of 5-hydroxytryptophan in plasma by high-performance liquid chromatography and fluorometric detection after phthaldialdehyde reaction.

    abstract::We describe the sensitive and precise determination 5-hydroxytryptophan in plasma from patients treated with this compound. The method is based on solvent extraction of plasma, high-performance liquid chromatography and continuous fluorometric detection after reaction with phthaldialdehyde in strong acid. The combined...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Enbaek F,Magnussen I

    更新日期:1978-02-01 00:00:00

  • A new chromogenic amylase method compared with two established methods.

    abstract::We tested a new amylase reagent involving chromogenic substrates (Pantrak, Calbiochem-Behring) for precision, dynamic range, and susceptibility to potential interferences. Two p-nitrophenyl-alpha-maltaosides are used as substrates, which amylase cleaves to shorter-chain p-nitrophenyl maltaosides, the latter then yield...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Fenton J,Foery R,Piatt L,Geschwindt K

    更新日期:1982-04-01 00:00:00

  • Measurement of elastase and cysteine proteinases in synovial fluid of patients with rheumatoid arthritis, sero-negative spondylarthropathies, and osteoarthritis.

    abstract::Synovial fluid samples were collected from 45 patients with rheumatoid arthritis, spondylarthropathy, or osteoarthritis, to study their content of elastase (EC 3.4.21.37) and of cysteine proteinases (EC 3.4.22.1, 3.4.22.15). We measured both elastase complexed with alpha 1-proteinase inhibitor and elastase activity to...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Huet G,Flipo RM,Richet C,Thiebaut C,Demeyer D,Balduyck M,Duquesnoy B,Degand P

    更新日期:1992-09-01 00:00:00

  • Inadequate hemolysis of erythrocytes on reagent strips at low pH causes false-negative readings.

    abstract::Patients' urines gave an unexpectedly high percentage of false-negative results for erythrocytes on a reagent strip, even when the test field for ascorbic acid indicated that none of this substance was present to inhibit the test reaction. By adding known amounts of erythrocytes to normal urines, we found that this ph...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Levin K,Engström I

    更新日期:1984-11-01 00:00:00

  • Two-site immunoenzymometric assay for thyrotropin in dried blood samples on filter paper.

    abstract::We describe a sensitive, simple, and rapid two-site immunoenzymometric assay for thyrotropin in dried blood samples on filter paper, for use in screening for neonatal primary hypothyroidism. In this method, two dried-blood spots of 3 mm diameter (equivalent to about 5.4 microliter of blood) are incubated overnight wit...

    journal_title:Clinical chemistry

    pub_type: 杂志文章

    doi:

    authors: Miyai K,Ishibashi K,Kawashima M

    更新日期:1981-08-01 00:00:00