Servei de Farmacologia Clínica, Hospital Universitari Germans Trias i Pujol (HUGTiP, IGTP), Universitat Autònoma de Barcelona, 08916 Badalona, Spain.
Department of Excellence-Biomedical Sciences and Public Health, Università Politecnica delle Marche, 60121 Ancona, Italy.
Int J Mol Sci. 2022 Nov 23;23(23):14636. doi: 10.3390/ijms232314636.
The aim of this study is to define, for the first time, human methylone and HMMC plasma pharmacokinetics following controlled administration of 50-200 mg methylone to 12 male volunteers. A new LC-MS/MS method was validated to quantify methylone, MDMA, and their metabolites in plasma. The study was a randomized, cross-over, double-blinded and placebo-controlled study, with a total of 468 plasma samples collected. First, 10 µL of MDMA-d, MDA-d and methylone-d internal standards were added to 100 µL of plasma. Two mL of chloroform and ethyl acetate 9:1 (/) were then added, mixed well and centrifuged. The supernatant was fortified with 0.1 mL acidified methanol and evaporated under nitrogen. Samples were reconstituted with a mobile phase and injected into the LC-MS/MS instrument. The method was fully validated according to OSAC guidelines (USA). Methylone plasma concentrations increased in a dose-proportional manner, as demonstrated by the increasing maximum concentration (Cmax) and area under the curve of concentrations (AUC). Methylone Cmax values were reported as 153, 304, 355 and 604 ng/mL, AUC0-24 values were reported as 1042.8, 2441.2, 3524.4 and 5067.9 h·ng/mL and T values as 5.8, 6.4, 6.9 and 6.4 h following the 50, 100, 150 and 200 mg doses, respectively. Methylone exhibited rapid kinetics with a Tmax of 1.5 h for the 50 mg dose and 2 h approximately after all the other doses. HMMC exhibited faster kinetics compared to methylone, with a Cmax value that was 10-14-fold lower and an AUC0-24 value that was 21-29-fold lower. Methylone pharmacokinetics was linear across 50-200 mg oral doses in humans, unlike the previously described non-linear oral MDMA pharmacokinetics. An LC-MS/MS method for the quantification of methylone, MDMA and their metabolites in human plasma was achieved. Methylone exhibited linear pharmacokinetics in humans with oral doses of 50-200 mg.
本研究旨在首次定义 12 名男性志愿者口服 50-200mg 甲酮后,人体中甲酮和 HMMC 的药代动力学。建立了一种新的 LC-MS/MS 方法来定量检测血浆中甲酮、MDMA 及其代谢物。该研究为随机、交叉、双盲、安慰剂对照研究,共采集 468 份血浆样本。首先,向 100µL 血浆中加入 10µL 的 MDMA-d、MDA-d 和甲酮-d 内标。然后加入 2mL 氯仿和乙酸乙酯 9:1(/),混合均匀,离心。上清液用 0.1mL 酸化甲醇强化,氮气下蒸发。用流动相重新配制样品,注入 LC-MS/MS 仪器。该方法完全按照 OSAC 指南(美国)进行验证。甲酮的血浆浓度呈剂量依赖性增加,这表现为最大浓度(Cmax)和浓度下的面积(AUC)增加。报告了甲酮的 Cmax 值为 153、304、355 和 604ng/mL,AUC0-24 值为 1042.8、2441.2、3524.4 和 5067.9 h·ng/mL,T 值分别为 5.8、6.4、6.9 和 6.4 h,分别为 50、100、150 和 200mg 剂量后。甲酮显示出快速的动力学特性,50mg 剂量的 Tmax 为 1.5h,大约所有其他剂量后 2h。HMMC 表现出比甲酮更快的动力学特性,其 Cmax 值低 10-14 倍,AUC0-24 值低 21-29 倍。与以前描述的非线性口服 MDMA 药代动力学不同,在人体中,甲酮的药代动力学在 50-200mg 口服剂量范围内呈线性。建立了一种用于定量检测人血浆中甲酮、MDMA 及其代谢物的 LC-MS/MS 方法。甲酮在人体中呈线性药代动力学,口服剂量为 50-200mg。