The aim of this study was to set up a method for quantification of pla
sma mitomycin C (MMC) concentrations during intravesical chemotherapy
delivered in the presence of local bladder hyperthermia (HT). In compa
rison with existing methods, this assay, characterized by relative sim
plicity and efficiency, resulted in the facilitation of performance wi
th nondedicated instrumentation or nonspecialized staff. Purification
from plasma matrix was carried out by solid-phase extraction under vac
uum. The purified drug was then collected directly into the vials of t
he HPLC autosampler. Chromatographic analysis was performed on a rever
sed-phase C-18' column with water:acetonitrile (85:15 by vol) as the m
obile phase and the UV detector set at 365 nm. The use of porfiromycin
as internal standard provided a method with good within-day precision
(CV 6.0% at 5 mu g/L, n = 6), linearity (0.5-50 mu g/L), and specific
ity. The lower limit of detection (less than or equal to 0.5 mu g/L) p
roved to be suitable for plasma pharmacokinetics monitoring in two tes
ted patients treated with MMC+HT for superficial bladder cancer.