Shy. Wong et al., TOTALLY AUTOMATED-ANALYSIS BY ROBOTIZED PREPSTATION AND LIQUID-CHROMATOGRAPHY - DIRECT-SAMPLE ANALYSIS OF FELBAMATE, Therapeutic drug monitoring, 18(5), 1996, pp. 573-580
A totally automated analysis of felbamate was developed by using a rob
otized PrepStation for extraction, followed by automated liquid chroma
tographic (LC) analysis and data reduction. This is one of the newer d
irect-sample analysis approaches by LC. Felbamate was a previously app
roved antiepileptic agent used to treat partial seizures with and with
out generalization and to treat Lennox-Gastaut syndrome in pediatric p
atients. However, due to the reported incidences of aplastic anemia, i
ts clinical application was recently restricted to the treatment of th
e latter syndrome. The automated assay using Bench Supervisor, PrepSta
tion, and LC, based on a previously developed manual method, used 200
mu l of serum standards, quality control, or patients' plasma. These w
ere mixed with 600 mu l of internal standard (IS) W509 dissolved in ac
etonitrile for protein precipitation. After axial centrifugation and s
tanding, aliquots of the clear supernatant were transferred and washed
with hexane. Aliquots of the supernatant were transferred and injecte
d into a high-performance liquid chromatograph (HPLC). HPLC parameters
included an mu Bondapak C-18 column, phosphate/acetonitrile (8:2) as
mobile phase, and detection at 214 nm. Retention times were 2.9 and 4.
2 min for felbamate and IS, respectively. Calibration was linear for c
oncentrations from 10 to 200 mg/L with r > 0.994. Precision studies sh
owed coefficients of variation ranging from 2.7% to 8.8%. Correlation
with the manual method showed that r = 0.934, slope = 1.048, intercept
= -2.642, and n = 21. Phenobarbital coeluted with the IS. This study
demonstrated the feasibility of using a robotized, automated method fo
r monitoring felbamate, readily extended to monitoring other antiepile
ptic drugs with minimal modification.