Evidence map›Paper›PMID 41069993›Full record

ArticleJournal of mass spectrometry and advances in the clinical lab2025

A simple, rapid and cost-effective UHPLC-MS/MS method for simultaneous quantitation of seven antiepileptic drugs/metabolites in human serum.

Xiaowei Fu, Xiangtang Li, Hui He

Abstract read
In one paragraph

Article in Journal of mass spectrometry and advances in the clinical lab, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

0numbers the graph read from it
0cells of the map it votes in
2citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

2 citing papers in PubMed.

  1. Article
  2. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors.

Xiaowei FuDepartment of Pathology and Laboratory Medicine, University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, TN 38103, United States.
Xiangtang LiDepartment of Pathology and Laboratory Medicine, University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, TN 38103, United States.
Hui HeDepartment of Pathology and Laboratory Medicine, University of Tennessee Health Science Center, Le Bonheur Children's Hospital, Memphis, TN 38103, United States.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Background: Epilepsy affects approximately 50 million people worldwide. Antiepileptic drugs (AEDs) are the mainstream treatment. Therapeutic drug monitoring (TDM) of AEDs is necessary to maximize efficacy and minimize toxicity. We report a simple, rapid, and cost-effective ultra-performance liquid chromatography-mass spectrometry method that can simultaneously measure seven AEDs/metabolites, including levetiracetam (LEV), lacosamide (LCM), zonisamide (ZON), lamotrigine (LMT), 10-hydroxycarbazepine (OXC-M1), clobazam (CLO), and N-desmethyl clobazam (N-CLB) in serum. Method: Only 20 µl of serum was used with simple protein precipitation and dilution. Analysis was performed on a SCIEX 6500 UHPLC-MS/MS in positive ion mode. Separation was performed on a C18 reversed-phase column using a gradient. The seven AEDs/metabolites were eluted in 4.5 min. Results: The assay was linear over the concentration ranges 0.4-100 µg/mL for LEV, 0.12-30 µg/mL for LMT, 0.12-30 µg/mL for LCM, 0.32-80 µg/mL for ZON, 0.28-70 µg/mL for OXC-M1, and 7.82-2000 ng/mL for CLO, 78.2-20000 ng/mL for N-CLB, respectively, with correlation coefficient greater than 0.99. Recovery was from 88 to 108 %. Intra and inter assay precision for three levels of quality controls were from 2.1 to 6.8 % and 4.2 to 10.9 %, respectively. The accuracy was evaluated by comparing with the College of American Pathologists survey results, and a correlation coefficient greater than 0.96 was observed. The absence of matrix effects was also confirmed. Conclusion: We have developed and validated a simple, rapid, and cost-effective UHPLC-MS/MS method for the simultaneous quantitation of seven AEDs/metabolites in serum within a 4.5-min analysis time. It has been implemented in our children's hospital with same-day turnaround time.

Indexed as

Antiepileptic drugs (AEDs)Therapeutic drug monitoring (TDM)Ultra-high performance liquid chromatography–tandem mass spectrometry (UHPLC–MS/MS)

Identifiers

PMID41069993
PMCPMC12506573

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.