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Table 1.

Mass spectrometry parameters for rivaroxaban monitoring.

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Fig 1.

The matrix effect according to sample type.

The chromatograms shows in blue, pink, red and green the multiple reaction monitoring (MRM) for normal, lipemic, hemolytic and icteric samples, respectively. Figs A, B and C shows the MRM transitions for rivaroxaban (435.9 → 144.9 and 435. 9 → 233.1) and for IS (440.1 → 144.9) in drug-free samples and D, E and F in samples spiked with rivaroxaban (400 ng/mL) and rivaroxaban-d4 (67 ng/mL).

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Fig 1 Expand

Table 2.

Number of samples according to sample type.

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Table 2 Expand

Fig 2.

The matrix effect by infusion method.

The chromatogram shows in blue, red and green the multiple reaction monitoring (MRM) for quantitative and qualitative detection of rivaroxaban and Internal Standard (IS), respectively. The orange dashed line highlight the rivaroxaban retention time expected.

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Fig 2 Expand

Table 3.

Intra-day and inter-day precision and accuracy values of plasmatic rivaroxaban.

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Table 3 Expand

Table 4.

Stability data of rivaroxaban in human plasma.

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Table 4 Expand

Fig 3.

Method comparison HPLC-MS/MS assay and the anti-Xa assay (n = 96): (A) Spearman correlation of rivaroxaban results obtained by the HPLC-MS/MS assay and the anti-Xa assay used for rivaroxaban measurement from STAGO performed on the STA-R Evolution® analyzer; (B) Bland-Altman analyses.

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Fig 3 Expand

Fig 4.

Method comparison HPLC-MS/MS assay and the anti-Xa assay from external laboratory (n = 19): (A) Spearman correlation of rivaroxaban results obtained by the HPLC-MS/MS assay and the anti-Xa assay used for rivaroxaban measurement from external laboratory; (B) Bland-Altman analyses.

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Fig 4 Expand

Fig 5.

Interlaboratorial anti-Xa method comparison (n = 19).

(A) Interlaboratorial comparison of rivaroxaban results obtained by anti-Xa activity assays; (B) Bland-Altman analyses.

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Fig 5 Expand

Table 5.

Rivaroxaban HPLC-MS/MS method comparison.

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Table 5 Expand