“…Protein precipitation with methanol, acetonitrile, or acetone [13][14][15]18,19,21,22,[25][26][27]31,32,34,35]; liquid-liquid extraction with ethyl acetate or a mixture of chloroform and methanol [11,16,17,20,29,33]; and solid-phase extraction [23,24,28,30,36] methods have been used as sample clean-up procedures for a variety of biological samples. These methods resulted in lower limit of quantification (LLOQ) levels of 0.2-50 ng/mL for doxorubicin ; 0.5-1.25 ng/mL for doxorubicinol [11,23,25,27,28,30,33]; and 1-5 ng/mL for doxorubicinone, doxorubicinolone, 7-deoxydoxorubicinone, and 7-deoxydoxorubicinolone [11,12] using large volumes of blood, plasma, or serum (50-1000 µL). To date, no studies have used an LC-MS/MS method for the simultaneous determination of doxorubicin and its major four metabolites in plasma samples, but some have used HPLC with fluorescence detection [11,12].…”