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Vol. 31, Issue 2, 224-232, February 2003

Absorption, Metabolism, and Excretion of Etoricoxib, a Potent and Selective Cyclooxygenase-2 Inhibitor, in Healthy Male Volunteers

A. David Rodrigues, Rita A. Halpin, Leslie A. Geer, Donghui Cui, Eric J. Woolf, Catherine Z. Matthews, Keith M. Gottesdiener, Patrick J. Larson, Kenneth C. Lasseter, and Nancy G. B. Agrawal

Departments of Drug Metabolism (A.D.R., R.A.H., L.A.G., D.C., E.J.W., C.Z.M., N.G.B.A.), Clinical Pharmacology (K.M.G.), and BARDS (P.J.L.), Merck Research Laboratories, West Point, Pennsylvania and Rahway, New Jersey; and Clinical Pharmacology Associates, Miami, Florida (K.C.L.)

[14C]Etoricoxib (100 µCi/dose) was administered to six healthy male subjects (i.v., 25 mg; p.o., 100 mg). Following the i.v. dose, the plasma clearance was 57 ml/min, and the harmonic mean half-life was 24.8 h. Etoricoxib accounted for the majority of the radioactivity (~75%) present in plasma following both i.v. and p.o. doses. The oral dose, administered as a solution in polyethylene glycol-400, was well absorbed (absolute bioavailability of ~83%). Total recovery of radioactivity in the excreta was 90% (i.v.) and 80% (p.o.), with 70% (i.v.) and 60% (p.o.) excreted in urine and 20% in feces after either route of administration. Radiochromatographic analysis of the excreta revealed that etoricoxib was metabolized extensively, and only a minor fraction of the dose (<1%) was excreted unchanged. Radiochromatograms of urine and feces showed that the 6'-carboxylic acid derivative of etoricoxib was the major metabolite observed (>= 65% of the total radioactivity). 6'-Hydroxymethyl-etoricoxib and etoricoxib-1'-N-oxide, as well as the O-beta -D-glucuronide conjugate and the 1'-N-oxide derivative of 6'-hydroxymethyl-etoricoxib, were present in the excreta also (individually, <= 10% of the total radioactivity). In healthy male subjects, therefore, etoricoxib is well absorbed, is metabolized extensively via oxidation (6'-methyl oxidation >1'-N-oxidation), and the metabolites are excreted largely in the urine.


Copyright © 2003 by The American Society for Pharmacology and Experimental Therapeutics



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