DEVELOPMENT AND VALIDATION OF AN LC-MS/MS METHOD FOR SIMULTANEOUS DETERMINATION OF METFORMIN AND SEMAGLUTIDE IN HUMAN PLASMA
DOI:
https://doi.org/10.22159/ajpcr.2025v18i9.55110Keywords:
Metformin, semaglutide, Electro spray ionization, Method validation, mass spectrometerAbstract
Objective: To develop a method capable of simultaneous quantification of metformin and semaglutide studied as a potential combination therapy for treating diabetes.
Methods: A refined protein precipitation extraction technique was used with warfarin as an internal standard for metformin and semaglutide. The two compounds were separated on a Kinetex Polar C18 (50 mm × 2.1 mm, 5 μ particle size) column, with a positive polarity electro spray ionization on a Liquid chromatography with Tandem Mass Spectrometry instrument. The estimation was done through a multiple reaction monitoring method and a gradient program utilizing acetonitrile and 0.1% formic acid in water as mobile phases to achieve a separation in 2.2 min.
Results: The established method performed linearly over a working range of 10.0–10,000 ng/mL for metformin (r2>0.98) and 1.00–1000 ng/mL for semaglutide (r2>0.98) in human plasma. The specificity, selectivity, precision, accuracy, recovery, matrix effects, and stability were within acceptable limits as necessitated by the guideline on bioanalytical method validation, as mentioned in the International Council for Harmonisation of Technical Requirements of Pharmaceuticals for Human Use M10.
Conclusion: This highly selective and sensitive method, in which 10.0 ng/mL was employed for metformin and 1.00 ng/mL was employed for semaglutide as the Lower Limit of Quantification (LLOQ), can be utilized for estimation in human plasma and will facilitate further application to bioequivalence and population pharmacokinetics studies. This method has the advantage of a lower LLOQ over other existing methods.
Downloads
References
1. Valsamakis G, Kumar S. Insulin action enhancers for the management of type 2 diabetes mellitus. Expert Opin Pharmacother. 2000;1(7):1413- 21. doi: 10.1517/14656566.1.7.1413, PMID: 11249474
2. Bell DS. Type 2 diabetes mellitus: What is the optimal treatment regimen? Am J Med. 2004;116(5 Suppl 5A):23S-9. doi: 10.1016/j. amjmed.2003.10.017, PMID: 15019860
3. Riddle M. Combining sulfonylureas and other oral agents. Am J Med. 2000;108(6 Suppl 6a):15S-22. doi: 10.1016/s0002-9343(00)00338-7, PMID: 10764846
4. Julio R, Leonard C, Manuel G, Kate M, Jagriti C, George C, et al. Initial combination therapy with canagliflozin plus metformin versus each component as monotherapy for drug-naïve type 2 diabetes. Diabetes Care. 2016;39(3):353-62. doi: 10.2337/dc15-1736
5. Bassam MA, Shereen M, LC-MS/MS determination of empagliflozin and metformin. J Chromatogr Sci. 2017 Aug;55(7):742-7. doi: 10.1093/ chromsci/bmx030
6. Mohamed D, Elshahed MS, Nasr T, Aboutaleb N, Zakaria O. Novel LC-MS/MS method for analysis of metformin and canagliflozin in human plasma: Application to a pharmacokinetic study. BMC Chem. 2019;13(1):82. doi: 10.1186/s13065-019-0597-4, PMID: 31384829
7. Marso SP, Bain SC, Consoli A, Eliaschewitz FG, Jódar E, Leiter LA, et al. Semaglutide and cardiovascular outcomes in patients with type 2 diabetes. N Engl J Med. 2016;375(19):1834-44. doi: 10.1056/ NEJMoa1607141, PMID: 27633186
8. Goldenberg RM, Steen O. Semaglutide: Review and place in therapy for adults with type 2 diabetes. Can J Diabetes. 2019 Jun 5;43(2):136- 45. doi: 10.1016/j.jcjd.2018.05.008, PMID: 30195966
9. Li Y, Hansotia T, Yusta B, Ris F, Halban PA, Drucker DJ. Glucagon-like peptide-1 receptor signaling modulates beta cell apoptosis. J Biol Chem. 2003 Oct 29;278(1):471-8. doi: 10.1074/jbc.M209423200, PMID: 12409292
10. Meier JJ. Efficacy of semaglutide in a subcutaneous and an oral formulation. Front Endocrinol (Lausanne). 2021;12:645617. doi: 10.3389/fendo.2021.645617, PMID: 34248838, PMCID PMC8269445
11. Jensen L, Helleberg H, Roffel A, van Lier JJ, Bjørnsdottir I, Pedersen PJ, et al. Absorption, metabolism and excretion of the GLP-1 analogue semaglutide in humans and nonclinical species. Eur J Pharm Sci. 2017;104:31-41. doi: 10.1016/j.ejps.2017.03.020, PMID: 28323117
12. Marbury TC, Flint A, Jacobsen JB, Derving Karsbøl J, Lasseter K. Pharmacokinetics and tolerability of a single dose of semaglutide, a human glucagon-like Peptide-1 analog, in subjects with and without renal impairment. Clin Pharmacokinet. 2017;56(11):1381-90. doi: 10.1007/s40262-017-0528-2, PMID: 28349386, PMCID: PMC5648736
13. Overgaard RV, Navarria A, Ingwersen SH, Bækdal TA, Kildemoes RJ. Clinical pharmacokinetics of oral semaglutide: Analyses of data from clinical pharmacology trials. Clin Pharmacokinet. 2021;60(10):1335- 48. doi: 10.1007/s40262-021-01025-x, PMID: 33969456, PMCID: PMC850536714. Jensen L, Kupcova V, Arold G, Pettersson J, Hjerpsted JB. Pharmacokinetics and tolerability of semaglutide in people with hepatic impairment. Diabetes Obes Metab. 2018;20(4):998-1005. doi: 10.1111/ dom.13186, PMID: 29205786, PMCID: PMC5873441
15. Baekdal TA, Thomsen M, Kupčová V, Hansen CW, Anderson TW. Pharmacokinetics, safety, and tolerability of oral semaglutide in subjects with hepatic impairment. J Clin Pharmacol. 2018;58(10):1314-23. doi: 10.1002/jcph.1131, PMID: 29693715, PMCID: PMC6175428
16. Kute SA, Chothave MS, Rote PB, Kapadnis AA, Kale VV. Exploring the unintended consequences of misuse of Wegovy and Ozempic in weight management: A comprehensive review. Int J Pharm Pharm Sci. 2024;16(6):10-3. doi: 10.22159/ijpps.2024v16i6.50611
17. Lee TS, Park EJ, Choi M, Oh HS, An Y, Kim T, et al. Novel LC-MS/ MS analysis of the GLP-1 analog semaglutide with its application to pharmacokinetics and brain distribution studies in rats. J Chromatogr B Analyt Technol Biomed Life Sci. 2023 Apr 15;1221:123688. doi: 10.1016/j.jchromb.2023.123688, PMID: 36989942
18. Kapitza C, Nosek L, Jensen L, Hartvig H, Jensen CB, Flint A. Semaglutide, a once-weekly human GLP-1 analog, does not reduce the bioavailability of the combined oral contraceptive, ethinylestradiol/ levonorgestrel. J Clin Pharmacol. 2015 Jan 14;55(5):497-504. doi: 10.1002/jcph.443, PMID: 25475122; PMCID: PMC4418331
19. US Food and Drug Administration. Bioanalytical Method Validation: Guidance for Industry. Silver Spring, MD: US Food and Drug Administration; 2018.
20. ICH guideline M10 on Bioanalytical method validation and study sample analysis 2023.
Published
How to Cite
Issue
Section
Copyright (c) 2025 Jagapathi Raju Vatsavayi, R Baby Nalanda

This work is licensed under a Creative Commons Attribution 4.0 International License.
The publication is licensed under CC By and is open access. Copyright is with author and allowed to retain publishing rights without restrictions.