The invention discloses a method for determining the concentrations of two anti-tumor drugs, metabolites and endogenous substances related to the activity of a metabolic
enzyme in
human plasma, whichcomprises the following steps: preprocessing, respectively taking
voriconazole and bromouracil as internal standards, separating
drug components in supernate by using
high performance liquid chromatography in a preprocessed sample, performing
drug targeting detection by using a high-resolution
mass spectrum multi-reaction monitoring mode, and quantifying to realize the analysis and determination of the concentrations of the two anti-tumor drugs, the metabolites and the endogenous substances related to the activity of the metabolic
enzyme in the
plasma. The method has the advantages of rapidness, extremely high targeting property,
high flux, high sensitivity, strong specificity, good precision and accuracy, good stability, high extraction
recovery rate, no obvious matrix effect and dilutioneffect and the like. The method for determining the concentrations of two anti-tumor drugs, metabolites and endogenous substances related to the activity of the metabolic
enzyme in the
human plasma can be used for monitoring the
blood concentration of
irinotecan and metabolites thereof and the
blood concentration of
fluorouracil and endogenous substances related to the activity of the metabolic enzyme thereof clinically.