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Vol. 26, Issue 8, 755-763, August 1998
Department of Pharmacokinetics and Drug Metabolism, Parke-Davis
Pharmaceutical Research Company
Atorvastatin,
[(R-(R,R)]-2-(4-fluorophenyl)-
,
-dihydroxy-5-(1-methylethyl)-3-phenyl-4-[(phenyl-amino)carbonyl]-1H-pyrrole-1-heptanoic acid calcium salt (CI-981, AT), is a second generation
3-hydroxy-3-methylglutaryl-CoA reductase inhibitor approved for
clinical use as a cholesterol lowering agent. The disposition and
metabolism of AT, including potential CYP450 induction, was
investigated in mice administered an oral dose of
[14C]AT (free acid) on study days 1 and 14. Peak plasma radioactivity concentrations occurred 1 hr postdose after
both single- and multiple-dose administration and declined rapidly
thereafter. Total plasma radioactivity levels in mice receiving the
multiple dose were approximately 50% of levels observed after
single-dose administration. Plasma metabolic profiles, which provided
evidence of extensive metabolism, remained similar. Feces was the major
route of AT-derived radioactivity elimination. Fecal profiles showed
extensive metabolism with qualitatively similar profiles after single-
and multiple-dose administration; however, quantitative differences
were apparent. Metabolites identified in plasma and feces include
hydroxylated,
-oxidized, and unsaturated derivatives of AT. Most
metabolites had undergone
-oxidation. In mice receiving multiple 1 mg/kg doses of AT, no effect on spectral P450 concentration was found,
and only a minor increase was observed at the 200 mg/kg dose level.
Catalytic activities of CYP4501A, -2B, and -3A were not significantly
affected; CYP4A activity decreased in a dose-dependent manner.
Administration of multiple doses resulted in lower systemic plasma
levels of total AT-derived radioactivity not readily explained by these
studies. In mice, the majority of metabolites are formed primarily
through the
-oxidation pathway.
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