SUPPORTING INFORMATION Automated high-capacity on-line extraction and bioanalysis of dried blood spot samples using liquid chromatography/high-resolution accurate mass spectrometry Regina V. Oliveira1†, Jack Henion1* and Enaksha R. Wickremsinhe2 1 Quintiles Bioanalytical and ADME Laboratories, 19 Brown Rd., Ithaca, NY 14850, USA Eli Lilly and Company, Lilly Research Laboratories, Lilly Corporate Center, Indianapolis, IN 2 46285, USA *Correspondence to: J. Henion, Quintiles Bioanalytical and ADME Laboratories, 19 Brown Rd., Ithaca, NY 14850, USA. E-mail: henionj@advion.com †Permanent address: Chemistry Department, Federal University of São Carlos, São Carlos, SP, 13565-905, Brazil. S-1 Figure S1. Relative MS response (analyte/SIL-IS) obtained from different mixtures of solvents tested for the on-line DBS extraction (n = 4) and respective relative standard deviation (RSD). S-2 Midazolam 15 ng/mL 5 ng/mL 18000 16000 MS Response 14000 12000 10000 8000 6000 4000 2000 0 1 2 3 Sequence of Extraction -Hydroxymidazolam 15 ng/mL 4 5 4 5 5 ng/mL 4500 4000 MS Response 3500 3000 2500 2000 1500 1000 500 0 1 2 3 Sequence of Extraction Figure S2. Representative MS response (n = 2; peak area/counts) showing five successive on-line extractions and bioanalysis taken from the same DBS sampling area. Human DBS samples of midazolam and α-hydroxymidazolam (15 and 5 ng/mL); extraction time of 24 s, using an extraction mixture consisting of methanol/acetonitrile (50:50 v/v) containing 0.1% ammonium hydroxide. S-3 Table S1. MS response (peak area/counts) of successive extractions taken from the same DBS sampling area using the on-line DBS extraction and LC/HRMS analysis Midazolam Extraction no. Average MS response (n =2) 1 2 3 4 5 5486 2460 2074 1563 428 5 ng/mL RSD (%) 12.1 7.4 4.3 4.7 20.2 Individual MS response compared to total MS response (%) 45.6 20.5 17.3 13.0 3.6 Average MS response (n =2) 16685 9967 5136 2123 1831 15 ng/mL RSD (%) 10.3 4.0 9.7 0.2 3.4 Individual MS response compared to total MS response (%) 46.7 27.9 14.4 5.9 5.1 Table S2. MS response (peak area/counts) of successive extractions taken from the same DBS sampling area using the on-line DBS extraction and LC/HRMS analysis α-Hydroxymidazolam Extraction no. Average MS response (n =2) 1 2 3 4 5 1593 1029 318 228 142 5 ng/mL RSD (%) 18.0 16.7 15.4 19.6 14.9 Individual MS response compared to total MS response (%) 48.1 31.1 9.6 6.9 4.3 S-4 Average MS response (n = 2) 4091 2887 1538 645 199 15 ng/mL RSD (%) 5.5 17.7 1.6 12.6 32.7 Individual MS response compared to total MS response (%) 43.7 30.8 16.4 6.9 2.1