Clinical LC-MS/MS Method Validation

Method Validation Workflow #

  1. pre-validation testing
    It could also be called method development

  2. Validation
    determine accuracy, imprecision, sensitivity, linearity, interferences (specificity), matrix effects, and carryover

Order of Experiments #

  1.  linearity, within-run imprecision, blank matrix, LLOQ
  2.  matrix effect, recovery, interferences
  3.  accuracy: certified reference materials, human samples, proficiency testing samples
  4.  stability studies
  5.  every run should include between-run imprecision samples
  6.  carryover, dilutions

Accuracy #

evaluation of agreement between LC-MS/MS test results and true value.

Guidelines: FDA guidelines, CLSI EP9, CLSI EP15, CLSI C62

Imprecision #

evaluation of agreement between repeated analysis of same sample.
within-run imprecision
between-run imprecision

Sensitivity #

  1.  depicted by lower limit of quantitation (LLOQ) of a method
  2.  lowest concentration that can be reproducibly measured
  3.  determined by the imprecision: < 20% between-run imprecision at LLOQ (at minimum use 20 matrix-based replicates over 20 days)
  4.  determined by signal-to-noise ratio: >20:1 at LLOQ is recommended; 10:1 minimum
  5.  ion ratios still have to pass

Linearity #

ability of LC-MS/MS method to provide counts per second values that are directly proportional to concentration of analyte

should carry out linearity experiment for every matrix that will be acceptable for a given method

do not use serial dilutions to create material for linearity experiments