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Clinical Solutions

Human metabolite profiles in early-stage drug development

Ultra-sensitive quantification of radiolabeled parent drug and its metabolites via combined UPLC+AMS technology. High quality metabolite profiles can be generated using only 1 mBq of radioactivity, allowing individual metabolites to be quantified to levels as low as 10 µBq. Due to the low level of radioactivity, microtracer 14C-studies are considered ethical from Phase 1. The early-stage insights in human metabolites help you to make the right decisions for later-stage development.

Enrichment of your early-stage total radioactivity data with metabolite profiling using AMS

Metabolite profiling quantifies the abundance of the parent drug and its metabolites via UPLC in combination with AMS. Parent drug and drug derived metabolites may have potential toxicological implications. Early insights enable timely risk mitigation strategies for unexpected human metabolites. Furthermore, early-stage human metabolite profiling via AMS eliminates the need for conducting radioactive animal mass balance and metabolite profiling studies, saving animals, time and money.

Our team of scientists will support you in decisions on the optimal position of the radiolabel(s) and dosing level for mass balance and metabolite profiling studies. For complex small molecules, multiple radiolabels may be required to map all relevant human metabolites. Our team will provide recommendations based on scientific insights and practical experience.

Situations where early-stage metabolite profiling adds value to your drug development program

Human metabolite profiling is an essential part of any drug approval submission. Regulatory authorities encourage studying metabolite profiles as early as possible in clinical development.

Check the regulatory guidance

Metabolic toxicity is a concern

The expected metabolism routes of your early-stage clinical asset may lead to unwanted toxicities

Biotransformation is complex

The complexity of your small molecule or peptide warrants extensive investigation of biotransformation 

Drug interactions are suspected

Your small molecule compound is entering Phase 1 and you suspect that metabolites may cause drug-drug interactions

Human metabolites are expected

Your preclinical data indicates the formation of  relevant human metabolites after administration

A prodrug is being developed

You are developing a pro-drug that is metabolized into its active form after administration

Practical study information for absolute bioavailability

ParameterPeregrion ApproachClient Benefit
Typical cohort size6-8 participantslimited number of participants
Sample matriceswhole blood, plasma, urine, feces, exhaled air, bile and vomitfull quantitative picture of metabolite abundances per matrix
Sensitivity rangeUPLC + AMS enables accurate quantification of metabolites with abundances as low as 1%complete picture of all human metabolites, including the minor with potential pharmacological effects
AccuracyAMS LLOQ is around 10 µBq/fraction, which is 100x lower dose and 500x better sensitivity than LSCapplicable for low dosage drugs, drugs with long half-life, long living metabolites, drugs with slow excretion
Radiation dose≤ 1 µCi; 100-1,000 lower than conventional studiesstudies are approved as early as Phase 1, as the radiological exposure falls in ICRP Class I due to the low radiological exposure
Match of spectraa single injection for metabolite quantification and identification by coupled UPLC-hrMS/MS + AMS system100% match between AMS and hrMS data; no issues with shifts in retention time
Study designrecommendations on position of radiolabel(s) and microtracer dosingscientist to scientist interactions resulting in optimal study design for evaluating drug metabolism and excretion

Combined analysis of total radioactivity and metabolites can be done from a single sample

Add metabolite profiling and identification to your mass balance studies using the same sample. Integrated results are generated from a single injection by coupling UPLC-hrMS + AMS systems.

Benefits of combining studies

  • Eliminate the need for animals, time and money on animal metabolism studies
  • Full mass balance and metabolite data package from a single sample
  • 100% match between metabolite identification and quantification
  • Decreased interindividual variability
  • Excretion results can be directly coupled to the metabolite profile

Regulatory Acceptance

Regulatory authorities require that drug metabolites that are observed at concentrations of > 10% of the total drug related material, and those that are significantly higher in humans than in animals or even unique to humans, should be characterized.

Why Peregrion for human metabolite profiling services

Radiolabeling Strategy Expertise

Our scientists provide recommendations on optimal positioning of radiolabel(s) for AMS studies.

We have expertise in a wide variety of drug candidates. Working as an extended team member, we will provide recommendations on the best position(s) of radiolabel(s) for optimal metabolite profiling studies.

Optimized Study 
Design

We support you with the choice of dosing regimens for human mass balance and metabolite profiling studies.

The design of the drug candidate and its metabolic fate determine the required level of radioactivity for mass balance studies and metabolite profiling, either microtracer or conventional. Based on preclinical PK data, we provide recommendations on the dosing of your drug candidate for the human AME studies.

Seamless Method 
Transfer

Metabolite profiling after method qualification for each drug candidate.

Your method will be transferred to and implemented at Peregrion. In addition, a sample processing method for the pooled plasma sample will be implemented.

Guided by Scientific Experts

Esther van Duijn

Senior Director/Principal Scientist

Esther has a background in analytical chemistry and holds a PhD in (native) mass spectrometry. She has more than 10 years of experience as a scientist in AMS. She drives technological advancements for existing and new applications and focusses on scientific growth, quality and teamwork.

Jelle Reinen

Senior Scientist

Jelle has a background in pharmaceutical sciences and holds a PhD in molecular toxicology. He has worked as a Study Director in the pharmaceutical industry since 2015. He has 3 years’ experience in the AMS field with his main focus on metabolite profiling and identification and absolute bioavailability studies.

Ioana Barbu

Senior Scientist

Ioana has a background in analytical chemistry and physics and holds a PhD in mass spectrometry. She has 5 years experience as a scientist in AMS with her focus on metabolite profiling/identification, mass balance and absolute bioavailability studies

Related Services

Information on absolute bioavailability can help interpret mass balance data and understand the overall drug elimination pathways. For instance, if a large fraction of the drug is found unchanged in feces, bioavailability data supports understanding of the role of biliary and/or gut wall secretion to drug elimination.

Information on absolute bioavailability can help interpret mass balance data and understand the overall drug elimination pathways. For instance, if a large fraction of the drug is found unchanged in feces, bioavailability data supports understanding of the role of biliary and/or gut wall secretion to drug elimination.

Information on absolute bioavailability can help interpret mass balance data and understand the overall drug elimination pathways. For instance, if a large fraction of the drug is found unchanged in feces, bioavailability data supports understanding of the role of biliary and/or gut wall secretion to drug elimination.

Information on absolute bioavailability can help interpret mass balance data and understand the overall drug elimination pathways. For instance, if a large fraction of the drug is found unchanged in feces, bioavailability data supports understanding of the role of biliary and/or gut wall secretion to drug elimination.

Resources & Publications

August 2026

New publication on a long-duration microtracer ADME study of osivelotor

A newly published Phase 1 study shows how microtracer dosing and AMS enabled the characterisation of osivelotor’s mass balance and…

Read more
August 2026

New publication on xevinapant absolute bioavailability and human ADME

A Phase 1 study on the absolute bioavailability, pharmacokinetics, metabolism and excretion of xevinapant has been published open access in…

Read more
August 2026

New publication on the human ADME and metabolite profile of camizestrant

A newly published Phase 1 study shows how AMS enabled total-radioactivity analysis from 5 µL samples and detailed metabolite profiling…

Read more

Support

FAQs

That’s easy. Contact us via the Contact Page on the website or reach out to your existing contact person at Peregrion. After initial exploratory conversations, we can arrange a CDA to freely talk about the project and your needs, and suggested steps forward. Our scientists will be involved at an early stage to develop optimal study designs. After submission and approval of our proposal we will agree on a Study Agreement or Master Services Agreement. Your dedicated Project Manager will then guide you through the practicalities of getting started. When there is clarity on the dosing date(s) we will reserve time slots in our facility. You can contact us any time, we are happy to help.

Total radioactivity measurements are done with human plasma, urine, whole blood, feces, exhaled air, bile and vomit. Very low sample volumes are required, i.e. 5 uL of plasma for a total radioactivity analysis and 50 uL of plasma for the generation of PK data or metabolite profling data. Samples are introduced via an automated sample combustion device that generates CO2, which is directed to the AMS via an interface. A single sample is completed in less than 10 minutes. The speed of the analysis supports discharge studies from a clinical site. You will receive the study results within 48 hours after sample receipt.

  • Absolute bioavailability data
  • PK profile (for parent drug and known metabolites)
  • Metabolite profile including metabolite identification
  • Mass balance data
  • Routes of excretion
  • Information on the first pass effect
  • Fraction absorbed
  • Volume of distribution

A microdosing study includes a very low dose of the drug product (e.g. 100 µg) with a 14C microtracer. Due to the low dose (considered as an impurity) there is no toxicological concern and only a limited pre-clinical package is required to conduct such a study. This comes with the advantage that fewer lab animals are needed. Multiple drugs can be administered in the same study in parallel groups to aid in PK based candidate selection. A typical microdosing study consists of approximately 6 volunteers per drug. The microdose can be administered via any route, e.g. oral or intravenous.

The answer is ‘Yes’. We deliver data to our clients to support their regulatory submissions with regulatory-required or requested data such as human metabolism, routes of excretion, absolute bioavailability, and fraction absorbed. The FDA guideline on Safety Testing of Drug Metabolites Guidance for Industry (CDER) March 2020 Pharmacology/Toxicology recommends performing human in vivo metabolic evaluation as early as possible. The level of radioactivity in a microtracer study is only 0.1-1µCi. Conventional studies generally apply 100µCi. Due to the 100-fold lower radioactivity levels, ethical committees approve the use of 14C microtracers in early stage clinical development.

Incorporating radioactivity in the drug molecule is needed to ascertain that all metabolites will be found in the systemic circulation. Since virtually all drugs contain carbon, the highest scientific standard practice is to synthesize the drug with incorporation of radioactive carbon-14, and to dose this radioactive material to a small number of healthy participants or patients in a hADME study. Samples from excreta and blood or plasma can be analyzed to trace the drug and its metabolites. Analysis via AMS is up to 10,000-fold more sensitive than classical methods, for instance Liquid Scintillation Counting (LSC) and therefore very small amounts of radioactivity are sufficient.

Overall, the microtracer-based mass balance, metabolite profiling and absolute bioavailability studies in early clinical developments give an enormous enrichment of the data package available at early stage without the need for separate studies to determine human ADME data. The data richness allows better study designs for follow up clinical studies, it allows earlier assessment and risk mitigation strategies for unexpected human unique metabolites, and it eliminates the need to conduct radioactive animal mass balance/metabolite profiling studies, where many animals, and much time and money are being spent on non-relevant animal metabolites.

Ready to generate human mass balance and metabolite data for your phase 1 investigational drug?

You can enhance the informed design of your clinical strategy using human AME insights instead of extrapolations from animal data. Microtracer studies via AMS provide these human insights as early as Phase 1, both for studies with healthy participants and cancer patients.