PMID- 10388483 OWN - NLM STAT- MEDLINE DCOM- 19990716 LR - 20190722 IS - 0009-9147 (Print) IS - 0009-9147 (Linking) VI - 45 IP - 7 DP - 1999 Jul TI - Stereospecific analysis and enantiomeric disposition of 3, 4-methylenedioxymethamphetamine (Ecstasy) in humans. PG - 1058-69 AB - BACKGROUND: Little is known concerning the enantioselective disposition of 3,4-methylenedioxymethamphetamine (MDMA; ecstasy) in humans. In addition, the potential of utilizing the stereochemical composition of an analyte in biological media for forensic purposes requires investigation. METHODS: The enantiomers of MDMA and its demethylated metabolite, 3,4-methylenedioxyamphetamine (MDA), present in plasma and urine extracts were derivatized with (-)-(R)-alpha-methoxy-alpha-trifluoromethylphenylacetyl chloride and analyzed by gas chromatography-mass spectrometry and gas chromatography, respectively. The enantioselective disposition of MDMA and MDA was determined following oral administration of racemic MDMA (40 mg) to eight male volunteers. RESULTS: The plasma concentrations of (R)-MDMA exceeded those of the S-enantiomer [ratio R:S of the area under the curve (AUC), 2.4 +/- 0.3], and the plasma half-life of (R)-MDMA (5.8 +/- 2.2 h) was significantly longer than that of the S-enantiomer (3.6 +/- 0.9 h). The majority of the recovered material in urine was excreted within 24 h after dosing, with the recovery of (R)-MDMA (21.4% +/- 11.6%) being significantly greater than that of (S)-MDMA (9.3% +/- 4.9%), and with (S)- and (R)-MDA accounting for 1.4% +/- 0.5% and 1.0% +/- 0.3% of the dose, respectively. Mathematical modeling of plasma enantiomeric composition vs sampling time demonstrated the applicability of using stereochemical data for the prediction of time elapsed after drug administration. CONCLUSIONS: Analytical methods for determining the enantiomeric composition of MDMA and MDA in plasma and urine were developed. The disposition of MDMA in humans is stereoselective, with the more active S-enantiomer having a reduced AUC and shorter half-life than (R)-MDMA. The determination of stereochemical composition may be applicable for forensic purposes. FAU - Fallon, J K AU - Fallon JK AD - Drug Control Centre and Department of Pharmacy, King's College London, Manresa Road, London SW3 6LX, UK. FAU - Kicman, A T AU - Kicman AT FAU - Henry, J A AU - Henry JA FAU - Milligan, P J AU - Milligan PJ FAU - Cowan, D A AU - Cowan DA FAU - Hutt, A J AU - Hutt AJ LA - eng PT - Clinical Trial PT - Journal Article PL - England TA - Clin Chem JT - Clinical chemistry JID - 9421549 RN - 0 (Hallucinogens) RN - KE1SEN21RM (N-Methyl-3,4-methylenedioxyamphetamine) SB - IM EIN - Clin Chem 1999 Sep;45(9):1585 MH - Administration, Oral MH - Adult MH - Gas Chromatography-Mass Spectrometry MH - Hallucinogens/blood/*pharmacokinetics/urine MH - Humans MH - Male MH - N-Methyl-3,4-methylenedioxyamphetamine/blood/*pharmacokinetics/urine MH - Regression Analysis MH - Reproducibility of Results MH - Stereoisomerism EDAT- 1999/07/01 00:00 MHDA- 1999/07/01 00:01 CRDT- 1999/07/01 00:00 PHST- 1999/07/01 00:00 [pubmed] PHST- 1999/07/01 00:01 [medline] PHST- 1999/07/01 00:00 [entrez] PST - ppublish SO - Clin Chem. 1999 Jul;45(7):1058-69.