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Division of Pharmaceutics, College of Pharmacy, The Ohio State University, Columbus, Ohio (D.W., Z.W., J.Y., J.T.D.); and Department of Pharmaceutical Sciences, College of Pharmacy, University of Tennessee, Memphis, Tennessee (V.A.N., D.D.M.)
(Received July 21, 2005; accepted December 27, 2005)
| Abstract |
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-dihydrotestosterone are the two main endogenous steroidal androgens involved in reproductive and nonreproductive tissue. Synthesized steroidal androgens have been used as therapeutic agents to treat a broad spectrum of disorders due to androgen deficiency. However, androgen preparations available in the market exhibit severe limitations. Testosterone shows low oral bioavailability, whereas testosterone esters are normally administered via intramuscular injection in oily vehicles, resulting in variable testosterone levels (Handelsman et al., 1990
-alkylated testosterones are orally available, they exhibit a high incidence of hepatotoxicity and less efficacy (Ishak and Zimmerman, 1987
Nonsteroidal selective androgen receptor modulators (SARMs) possess several advantages over synthesized steroidal androgens, including better receptor selectivity and greater flexibility in structural modification (Zhi and Martinborough, 2001
; Yin et al., 2003b
,c
; Brown, 2004
). Our laboratory recently reported the discovery of a series of novel SARMs, with propanamide as a template structure, having potent and tissue-selective in vivo pharmacologic activity (Dalton et al., 1998
; Yin et al., 2003a
,b
,c
; Gao et al., 2004
; Marhefka et al., 2004
; Chen et al., 2005
). Among the SARMs discovered in our laboratory, 3-(4-fluorophenoxy)-2-hydroxy-2-methyl-N-[4-nitro-3-(trifluoromethyl)phenyl]-propanamide (denoted hereafter as S-1; Fig. 1) demonstrated tissue-selective pharmacologic activity in both castrated and intact male rats (Yin et al., 2003a
; Gao et al., 2004
).
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In vivo pharmacologic studies in castrated rats showed that S-1 maintained the weights of the prostate, seminal vesicles, and levator ani muscle at 14.9, 13.4, and 74.3%, respectively, of those observed in intact animals via subcutaneous osmotic pumps (Yin et al., 2003a
). Compound S-1 and testosterone propionate showed a similar degree of anabolic activity, but S-1 demonstrated lesser androgenic activity in a rat model (Yin et al., 2003a
). S-1 behaves as a partial agonist in androgenic tissues (i.e., prostate and seminal vesicle) and as a full agonist in anabolic tissues (i.e., levator ani muscle) in both castrated and intact male rats (Yin et al., 2003a
; Gao et al., 2004
). In intact male rats, S-1 selectively decreased prostate weight without affecting the levator ani muscle or increasing plasma levels of testosterone, luteinizing hormone, or follicle-stimulating hormone at doses of 5, 10, and 25 mg/kg (Gao et al., 2004
). As such, S-1 may have clinical potential as a single agent or combination therapy for benign prostate hyperplasia (Gao et al., 2004
). Based on its tissue-specific pharmacologic activities, S-1 was selected as one of several lead compounds for potential development as an orally active SARM.
We previously showed that hepatic metabolism plays a major role in the in vivo pharmacologic activity of a structurally related class of nonsteroidal androgens (Yin et al., 2003b
). Oxidation, hydrolysis, and sulfate conjugation contributed to high plasma clearance and lack of in vivo androgenic activity of a thio-ether-linked analog (i.e., acetothiolutamide). The ideal pharmacokinetic properties of an anabolic SARM would be high oral bioavailability, reasonably long half-life, linear kinetics, and low potential for drug-drug interactions. In the current study, we examined the pharmacokinetics, oral bioavailability, and in vivo metabolism of S-1 in rats and compare its pharmacokinetic properties with those of the structural analogs, androgen receptor antagonists (bicalutamide, flutamide, and nilutamide) and agonists [S-4 (i.e., 3-[4-(acetylamino)phenoxy]-2-hydroxy-2-methyl-N-[4-nitro-3-(trifluoromethyl)phenyl]-propanamide) and C-6 (i.e., 3-(4-chloro-3-fluorophenoxy)-2-hydroxy-2-methyl-N-[4-nitro-3-(trifluoromethyl)phenyl]-propanamide)] (Fig. 2), to better understand how its physicochemical properties and metabolic profile relate to its pharmacologic activity and the behavior of other SARMs. These are the first studies of the metabolism of this class of ether-linked SARMs and provide new knowledge regarding pharmacokinetic optimization of this new generation of propanamide derivatives, using S-1 as a model compound.
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| Materials and Methods |
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Animals and Procedures. Male Sprague-Dawley rats from Harlan Bioscience (Indianapolis, IN), weighing approximately 250 g, were maintained in accordance with the animal protocol approved by the Institutional Laboratory Animal Care and Use Committee of The Ohio State University. Animals were kept on a 12-h light/dark cycle with food and water available ad libitum. Twenty hours before dosing, a catheter was implanted in the right external jugular vein of each rat, and food (Harlan Teklad 22/5 rodent diet) was removed. The rats were supplied with water ad libitum and weighed immediately before dose administration. Food was returned 12 h after dosing.
Forty male Sprague-Dawley rats were randomly assigned to treatment groups and received either an i.v. or a p.o. dose of S-1 at a dose level of 0.1, 1, 10, or 30 mg/kg. Dosing solutions were prepared in 5% DMSO in PEG-300 (v/v) 12 h before dosing and stored at 20°C. The jugular vein catheter was flushed with an aqueous solution of heparinized saline (100 U/ml, equal volume with the dosing solution) immediately after administration of the i.v. dose. Serial blood samples were collected at 5, 10, 20, 30, 60, 120, 240, 480, 720, and 1440 min after administration via the i.v. route, whereas blood samples were obtained at 30, 60, 90, 180, 240, 360, 480, 720, 1440, 1800, and 2160 min after dosing by oral gavage. Plasma was separated immediately by centrifugation (800g for 10 min at 4°C), and samples were stored at 20°C until analysis. Dosing solution, comprising 5% DMSO in PEG-300 (v/v) and 5 or 10% ethanol in PEG-300, was used at the dose level of 10 mg/kg via i.v. and p.o. routes to examine the effect of solubility or vehicle on oral absorption or clearance of S-1.
For metabolic profiling, an i.v. dose of S-1 (50 mg/kg) was administered to male Sprague-Dawley rats (n = 2). Urine and fecal specimens were collected in 6- to 12-h intervals for up to 72 h, using metabolic cages, and combined before analyses to provide sufficient volumes of urine and metabolite concentrations for analysis and to protect against degradation at room temperature. All the urinary and fecal specimens were stored at 80°C until analysis.
Extraction Procedure of S-1 for HPLC Method. Aliquots of rat plasma (100 µl) were spiked with internal standard (30 µl of a solution containing the 4-bromo analog of S-1 at a concentration of 15 µg/ml) and mixed with 1 ml of acetonitrile. Samples were centrifuged at 16,100g for 10 min. The supernatant was removed and evaporated to dryness under nitrogen in a clean centrifuge tube. The residue was reconstituted with 150 µl of the HPLC mobile phase, centrifuged at 16,100g for 5 min, and an aliquot of 100 µl was injected to the HPLC.
HPLC-UV Measurement of S-1 in Plasma. Plasma concentrations for the 10 and 30 mg/kg i.v. and p.o. dose groups were determined using a validated HPLC method. HPLC analysis was performed using a model 515 HPLC pump (Waters, Milford, MA), a model 717 plus autosampler (Waters), and a model 486 absorbance detector (Waters). HPLC separation was conducted using a mobile phase of acetonitrile/H2O (54:46 v/v) on a Waters Nova-pak C18 column (150 x 3.9 mm, 4 µ) at a flow rate of 1 ml/min, with detection wavelength set at 297 nm. Analytical data were acquired by Millennium software (Waters). The limit of quantitation of the HPLC assay was 0.05 µg/ml. Calibration standard curves were constructed over 0.05 to 100 µg/ml. Within- and between-day precision was within 1.8 to 18.2% coefficient of variation, and the accuracy was 90.0 to 92.4% of the nominal concentrations. The relative recoveries of S-1 in rat plasma ranged from 90.5 to 97.5%.
Extraction Procedure of S-1 for LC-MS Assay. Aliquots of rat plasma (100 µl) were spiked with internal standard (30 µl of a solution containing the 4-chloro analog of S-1 at a concentration of 0.01 µg/ml) and mixed with 1 ml of acetonitrile. Samples were centrifuged at 16,100g for 10 min. The supernatant was removed and mixed with 1 ml of water before extraction with ethyl acetate (7.5 ml) in a 13-ml extraction tube. Samples were shaken at room temperature for 10 min and then centrifuged at 1540g for 10 min. The organic supernatant was removed and evaporated to dryness under nitrogen in a clean test tube. The residue was reconstituted with 150 µl of the initial mobile phase, centrifuged at 16,100g for 5 min, and an aliquot of 100 µl was injected into the LC-mass spectrometer.
LC-MS Measurement of S-1 in Plasma. Plasma concentrations for the 0.1 and 1.0 mg/kg i.v. and p.o. dose groups were determined using a validated LC-MS method. LC-MS (Agilent 1100 series; Agilent, Palo Alto, CA) analyses were performed using an electrospray ionization source and the following conditions: dry gas flow 12 l/min, nebulizer pressure 45 psi, dry gas temperature 350°C, capillary voltage 1500 V, and fragmentor voltage 180 V. All other LC-MS parameters were set at default. Single ion monitoring at m/z 401.10 and 417.10 in the negative ion mode was used for detection of S-1 and the internal standard, respectively. Individual samples were injected onto a monolithic column (SpeedRod RP 18e, 50 x 4.6 mm; Merck KGaA, Darmstadt, Germany) maintained at 30°C during analysis. Compounds of interest were separated from interference using a gradient mobile phase composed of acetonitrile (A) and 0.1% acetic acid/water (B) at a flow rate of 1 ml/min. The mobile phase was composed of a 50:50 mixture of components A and B for the first 5 min of each chromatographic run, increased to 100% B in a linear gradient from 5.1 to 7.5 min, and then returned to 50% B at 7.6 min. The equilibration time for the column with the initial mobile phase was 1.5 min. Analytical data were acquired by ChemStation software (Agilent). The limit of quantitation of the LC-MS assay was 0.3 ng/ml. Calibration standard curves were constructed over a concentration range of 0.3 to 300 ng/ml. Within- and between-day precision was within 0.4 to 12.4% coefficient of variation and the accuracy was 87.1 to 104.8% of the nominal concentrations. The relative recoveries of S-1 in rat plasma ranged from 99.4 to 105.7%.
Pharmacokinetic Data Analysis. Plasma concentration-time data were analyzed by noncompartmental analysis using WinNonlin 4.0 (Pharsight Corporation, Mountain View, CA). The area under the plasma concentration-time curve from time 0 to infinity (AUC0-
) was calculated by the trapezoidal rule with extrapolation to time infinity. The terminal half-life (t1/2) was calculated as 0.693/
z, where
z is the terminal phase elimination constant. The plasma clearance (CL) was calculated as CL = dosei.v./AUCi.v., 0-
, where dosei.v. and AUCi.v., 0-
are the i.v. dose and corresponding area under the curve from time 0 to infinity, respectively. The maximum plasma concentration (Cmax) and the time when it occurred (Tmax) in p.o. dose groups were obtained by visual inspection of the plasma concentration-time curves. The apparent volume of distribution at equilibrium (Vdss) was calculated as Vdss = CL · MRT, where MRT is the mean residence time after the i.v. bolus dose. MRT was calculated as MRT = (AUMCi.v., 0-
)/(AUCi.v., 0-
), where AUMCi.v., 0-
is the area under the first moment of the plasma concentration-time curve extrapolated to infinity. Oral bioavailability (F) for each dose was calculated using F = (AUCp.o.x dosei.v.)/(AUCi.v.x dosep.o.), where dosep.o., dosei.v., AUCi.v., and AUCp.o. are the mean oral dose, mean i.v. dose, and the corresponding mean areas under the curve from time 0 to infinity, respectively, at each dose.
Statistical Analysis. Statistical analyses were performed using single-factor analysis of variance. p < 0.05 was considered as a statistically significant difference.
Identification of Metabolites. Urinary specimens were thawed and extracted with ethyl acetate at a volume 5 times that of the urinary samples. The extraction procedure was repeated twice, and the combined organic and combined aqueous phases were evaporated separately on a rotary evaporator at 35°C. Fecal specimens of 0 to 24 h (5.996 g) and 24 to 72 h (14.673 g) were thawed and extracted with methanol at a ratio of 6 ml/g. Methanolic fractions were centrifuged at 1540g for 10 min, and supernatant was evaporated to dryness with nitrogen. The residues were dissolved with 3 ml of methanol/H2O (50:50) and extracted with 7.5 ml of ethyl acetate. The extraction procedure was repeated twice. The combined organic and combined aqueous phases were evaporated to dryness using nitrogen. The residues from the organic phase and the aqueous phase were dissolved using acetonitrile/H2O (50:50) and acetonitrile/H2O (10:90), respectively. Each solution was filtered through an Acrodisc syringe filter (0.2 µm, 13 mm; Pall Corporation, East Hills, NY). Twenty microliters of each fraction was injected directly on a Thermo Finnigan LCQDECA quadrupole ion trap mass spectrometer (Thermo Electron, Franklin, MA) coupled with a Surveyor HPLC (Thermo Electron) using the negative-ion electrospray ionization mode. HPLC separation was performed on a Waters XTerra C18 column (150 x 2.1 mm, 3.5 µ) with an XTerra guard column (10 x 2.1 mm, 3.5 µ) at a flow rate of 0.2 ml/min using a gradient mobile phase comprising acetonitrile (A) and water (B). The mobile phase comprised a 90:10 mixture of components A and B for the first 10 min of each chromatographic run, increased to 60% B in a linear gradient from 10 to 60 min, then further increased to 95% B from 60 to 65 min and maintained for 10 min, and finally returned to 10% B at 76 min. The column was equilibrated with the initial mobile phase for 10 min. A second mobile phase system that included 0.1% acetic acid in both A and B was used in some instances. The same gradient program was used in both mobile phase systems. The capillary heater was set to 180 or 225°C, and spray voltage was 3.6 kV. Full-scan analysis was programmed to scan from m/z 100 to 900 every second.
LC-MS Measurement of M-1 in Urine and Feces. Urinary and fecal concentrations of M-1 were determined using a validated LC-MS method. LC-MS (Agilent 1100 series) analyses were performed using an electrospray ionization source and the following conditions: dry gas flow 8 l/min, nebulizer pressure 30 psi, dry gas temperature 350°C, capillary voltage 2000 V, and fragmentor voltage of 130 V. All other LC-MS parameters were set at default. Single ion monitoring at m/z 213.10 and 417.10 in the negative ion mode was used for detection of M-1 and the internal standard, respectively. HPLC separation was performed using the same column and gradient program as listed above. Analytical data were acquired using ChemStation software (Agilent).
Fecal samples from each rat were collected in 50-ml plastic tubes. Five milliliters of distilled water (pH 3.0, by acetic acid) and 30 µl of internal standard (0.1 µg/ml) were added into each tube and samples were homogenized with a glass rod. Thirty milliliters of methanol were then added into each tube at a ratio of 6 ml/g. These tubes were shaken at room temperature for 60 min. After shaking, tubes were centrifuged for 5 min at 16,100g, the supernatant was transferred into a clean tube, and solvent was removed under a stream of nitrogen. The residue was dissolved in 3 ml of methanol/water (pH 3.0, by acetic acid) (1:1, v/v). An aliquot of 20 µl was injected into the LC-mass spectrometer. Urine samples were not extracted before analysis, but were simply diluted with internal standard immediately before analysis. One hundred microliters of each urinary sample was spiked with the internal standard, and an aliquot of 20 µl was injected directly into the LC-mass spectrometer.
The limits of quantitation of M-1 in feces and urine were 0.05 and 0.01 µg/ml, respectively. Calibration standard curves were constructed over 0.01 to 10 µg/ml. Within- and between-day precision was within 5.3 to 14.8% coefficient of variation, and the accuracy was 89.9 to 115.4% of the nominal concentrations. The relative recovery of M-1 in rat urine and feces ranged from 88.6 to 107.2%.
| Results |
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The Tmax of S-1 ranged from 4.6 to 8.5 h after oral administration, indicating that S-1 was slowly absorbed. The terminal half-lives of S-1 after oral administration were comparable to that observed after i.v. administration of S-1 at the corresponding dose level. Oral bioavailability of S-1 was approximately 60% and did not vary with dose. Comparison of the effect of dosing vehicle, using ethanol instead of DMSO with PEG-300, on pharmacokinetic parameters of S-1 was conducted at the dose level of 10 mg/kg. Plasma concentration versus time profiles are shown in Fig. 4. The pharmacokinetic data are listed in Table 2. Use of ethanol in the dosing solution did not affect the CL or Vss of S-1, but decreased Tmax from 4.8 to 1.77 h and increased the bioavailability from 54.9 to 95.9%, suggesting that solubility is an important factor governing the oral absorption of S-1.
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Identification and Quantitation of Metabolites of S-1 in Rat Urine and Feces. Metabolism studies were performed to identify the major metabolic pathways and metabolites of S-1, especially those of chemically reactive metabolites, and to further evaluate the clinical potential of S-1. In addition, a complete metabolic profile of S-1 will facilitate structure modification on the propanamide template to obtain more potent and metabolically stable propanamide compounds functioning as SARMs.
The mass spectra of S-1 fragmentation is shown in Fig. 5. The S-1 fragmentation pathway under conditions of collision-induced dissociation is proposed in Fig. 6. Identification of the metabolites of S-1 was based on the understanding of the fragmentation pathway of the parent compound. Metabolites of S-1 identified from rat urine and feces are listed in Tables 3 and 4, respectively. S-1 eluted at 58.39 min under both of the mobile phase systems used. S-1 was stable under acidic conditions used in extraction. A total of 40 phase I and phase II metabolites of S-1 were found in the urine and feces of male Sprague-Dawley rats that received 50 mg/kg S-1 via the i.v. route.
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The two major urinary metabolites of S-1 were a carboxylic acid (M1, m/z 213) and a sulfate-conjugate of 4-nitro-3-trifluoromethylphenylamine (M6, m/z 301) that arose from amide hydrolysis of S-1 or its metabolites. M1 was confirmed as 3-(4-fluorophenoxy)-2-hydroxy-2-methyl-propanoic acid by showing the same chromatographic (i.e., retention time) and mass (i.e., molecular mass and fragmentation pattern) behavior as those of the synthetic standard (Fig. 7). M-1 excreted in rat urine was estimated as 25.3, 15.7, and 6.2% of the dose administrated i.v. in rats at 0- to 12-, 12- to 24-, and 24- to 72-h time intervals, respectively. M-1 excreted in rat feces was also calculated as 1.5, 0.1, and 0.03% of the dose given i.v. in rats at 0- to 12-, 12- to 24-, and 24- to 72-h time intervals, respectively. M-1 accounted for 48.83% of the total dose given i.v. in rats during the first 72 h. There were more metabolites identified qualitatively in urine than in feces, indicating that biliary excretion of metabolites occurred.
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Phase I metabolites arising from A-ring nitro reduction to an aromatic amine and B-ring hydroxylation were also identified in the urinary and fecal samples of rats. Furthermore, a variety of phase II metabolites arising from sulfation, glucuronidation, or methylation were also found. In addition to the hydrolysis metabolites mentioned above, nitro reduction on the A-ring as well as hydroxylation on the B-ring play an important role in the biotransformation of S-1, since the majority of the metabolites maintaining both phenyl rings incorporated nitro reduction, including hydroxylamine intermediates, and/or hydroxylation on the B-ring. In summary, S-1 was susceptible to three phase I metabolic routes: hydrolysis of the amide bond, nitro reduction on the A-ring, and hydroxylation on the B-ring, with hydrolysis as a major metabolic pathway in rats. Phase II metabolic routes of S-1 in rats included sulfation, glucuronidation, and methylation.
| Discussion |
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Effects of Dosing Vehicle on the Pharmacokinetic Profile. For the oral dose, the ethanol vehicle (for 10 mg/kg p.o.) apparently promoted the absorption of S-1, leading to faster absorption and higher bioavailability, as observed for the 10 mg/kg p.o. group. These observations suggest that the increased bioavailability of S-1 after administration in ethanol is due to enhanced gastrointestinal absorption, although other effects of ethanol on S-1 pharmacokinetics (e.g., increasing transcellular permeability or reducing intestinal first-pass metabolism) cannot be excluded.
Ethanol was reported to alter the pharmacokinetic profile of other drugs by increasing the gastrointestinal absorption of several drugs in the rat (Magnussen, 1968
), increasing transcellular permeability, changing plasma protein binding by different mechanisms (Seller and Holloway, 1978
), and inhibiting the mixed function oxidase enzyme in vitro and in vivo in laboratory animals (Lane et al., 1985
). DMSO acts as an excellent solvent for some organic compounds with properties being highly polar, hygroscopic, and completely miscible with water (Elzinga et al., 1989
; Ali, 2001
). Ethanol and DMSO might also have an effect on intestinal first-pass metabolism. Further study is needed to sort out possible mechanisms of the vehicle effect of ethanol and DMSO on S-1 pharmacokinetics.
Major Metabolic Pathways and Chemically Reactive Metabolites. Major metabolic pathways of S-1 are outlined in Fig. 8. There are three major metabolic pathways in the metabolism of S-1: nitro reduction, hydroxylation on the B-ring, and hydrolysis of the amide bond. Although slow, amide hydrolysis can occur by the action of nonspecific plasma esterases. More likely, the amide bond of S-1 can be hydrolyzed by liver amidase (Gordon Gibson and Skett, 1994
). However, amidase was found to be ubiquitously expressed in every tissue and physiological fluid (Atkinson et al., 2001
). Therefore, amidase in intestinal wall might have contributed to the formation of M-1 during intestinal first-pass metabolism when S-1 was administered orally. P450 could also be responsible for the reduction of the nitro group, but other enzymes (e.g., xanthine oxidase, microsomal NADPH-cytochrome c) might also be involved (Purohit and Basu, 2000
). In addition, reduction can be carried out by reductase enzymes in intestinal anaerobic bacteria for orally administered drugs, or accumulated drug or its metabolites, in intestine through biliary elimination when drugs are given intravenously (Atkinson et al., 2001
; Ueda, 2001
).
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Clinical studies with flutamide and nilutamide (Fig. 2), two structurally related androgen receptor ligands that include an A-ring nitro group, showed that most of the adverse effects (e.g., gynecomastia, breast pain, etc.) were associated with expected antiandrogenic effects of drugs (Mahler et al., 1998
). It is known that intermediate metabolites of aryl amines are susceptible to extensive redox cycling leading to methemoglobinemia and hemolytic anemia (Mahmud et al., 1997
). However, this is rarely a clinical problem for flutamide (Mahler et al., 1998
). Although hydroxylamines and aryl amines have been the primary metabolites of nilutamide observed in human, increases in hepatic transaminases and hepatitis were only reported in 8% and less than 1% of the treated patients, respectively (Mahler et al., 1998
).
Knowing the interspecies differences in metabolism of bicalutamide, flutamide, and nilutamide (Neri, 1989
; Creaven et al., 1991
; Boyle et al., 1993
; McKillop et al., 1993
), additional in vitro and in vivo studies of S-1 should be considered to evaluate the potential toxicity of S-1 and its metabolites in different species. Although in vitro and preclinical measurements cannot be interpreted directly into prediction of drug-induced toxicity, either in animals or in humans (Baillie et al., 2002
), choices can be made in selection of lead compounds in preclinical or clinical development.
Structure-Pharmacokinetics and Metabolism Relationship. The physicochemical properties of small-molecule drugs play an important role in determining their absorption, distribution, metabolism, excretion, and toxicity. Comparison of physicochemical properties, metabolism profiles, pharmacokinetics of S-1, and structurally related SARMs shed light on structural modification of this new class of propanamides for better pharmacokinetic characteristics.
S-1 displayed linear pharmacokinetics over the 0.1 to 30 mg/kg i.v. dose range with 55 to 60% oral bioavailability over the oral dose range from 0.1 to 30 mg/kg in rats. S-4, a lead compound investigated as a SARM, is a structural analog of S-1 having the same chemical moieties and backbone as S-1, with the only exception being the incorporation of an acetamido group instead of a fluoro at the para position of the B-ring (Fig. 2). S-4 showed decreased p.o. bioavailability at higher doses in rats, with 120, 100, and 57% at a dose level of 1, 10, and 30 mg/kg, respectively (Kearbey et al., 2004
). Bicalutamide, a nonsteroidal antiandrogen, has a structure similar to that of S-1, with a cyano group instead of the nitro group on the A-ring and a sulfonyl linkage instead of an ether linkage to the B-ring (Fig. 2.). Bicalutamide demonstrated linear pharmacokinetics over the i.v. range of 0.5 to 2 mg/kg in rats (Cockshott et al., 1991
). Oral bioavailability of bicalutamide decreased with dose in rats, with 72, 71.5, and 35.7% at a dose level of 1, 10, and 30 mg/kg, respectively (Cockshott et al., 1991
). The nonlinear pharmacokinetics of bicalutamide could be to due to a solubility issue at the high dose level. Linear pharmacokinetics of S-1 may help determine the clinical dose regimen.
Bicalutamide exhibited two major metabolic pathways: hydrolysis of the amide bond and hydroxylation of the B-ring in rats (Boyle et al., 1993
). During pharmacokinetics studies of bicalutamide in rats, the half-life, CL, and V of racemic bicalutamide were 17.7 h, 0.80 ml/min/kg, and 1.23 l/kg, respectively, at a dose level of 0.5 mg/kg (Cockshott et al., 1991
). S-1 had a V similar to that of bicalutamide, but an approximately 6 times higher CL with a 5 times shorter half-life. This phenomenon could be explained by the different metabolism of the two compounds. A large number of nitro-reduced metabolites of S-1 were observed in rats, suggesting that this pathway may contribute greatly to the rapid CL of the compound. Furthermore, the presence of the nitro substituent in the A-ring may affect the rate of amide hydrolysis and further contribute to the more rapid metabolism of S-1. In comparison, the sulfonyl linkage present in bicalutamide is a strong electron-withdrawing group which probably deactivates the B-ring and makes it less susceptible to oxidation, whereas the cyano-substituent in the A-ring of bicalutamide is less susceptible to reduction. Thus, bicalutamide exhibits a much longer half-life than S-1, with a volume of distribution value similar to that of S-1. As such, nitro reduction and hydroxylation of the B-ring probably play more important roles, in addition to hydrolysis, during in vivo metabolism of S-1.
Nilutamide showed less clearance (2.5 ml/min/kg) and a longer half-life (7 h) than S-1 when it was given to rats by oral administration of 10 mg/kg, where bioavailability of nilutamide was complete (Creaven et al., 1991
). Flutamide was rapidly converted to 2-hydroxyflutamide, an active and major metabolite of flutamide in rats (Neri, 1989
). Hydroxyflutamide showed a clearance of 3 ml/min/kg in rats receiving 25 mg/kg via the i.v. route (Xu and Li, 1999
). Compared with S-1, both nilutamide and 2-hydroxyflutamide have lower log P because of the fact that they only contain one phenyl group in both of their structures. In vitro microsomal studies showed that lipophilicity of compounds correlates well with their Km values, indicating that lipophilicity directly influences the affinity of compounds to the active sites of enzymes (Martin and Hansch, 1971
). Log P can be used as an indicator of lipophilicity since Log P is well correlated with lipophilicity. Reduction of lipophilicity normally accompanies a reduced rate of metabolic clearance. As such, reduced metabolic clearance of nilutamide and 2-hydroxyflutamide may explain the lower clearance and longer half-life of both drugs when compared with S-1.
Pharmacokinetic studies of S-4 showed that it has a shorter half-life, smaller volume of distribution, and lower clearance than S-1 (Kearbey et al., 2004
). The higher log P value of S-1 and lesser plasma protein binding might explain its higher volume distribution compared with that of S-4. Lesser electronegativity of the acetamido substitute as compared with the fluoro group might lead to more rapid oxidation of the B-ring of S-4. However, deacetylation and acetylation of the acetamido substituent during biotransformation give rise to complexity in predicting the pharmacokinetics of S-4 using structural information.
Halogen groups are often used to block metabolism or potentially deactivate ring systems (Birnbaum, 1985
). C-6, another structural analog of S-1, has chloro and fluoro groups at para and meta sites, respectively, on the B-ring, and shares the same chemical backbone and other moieties as S-1 (Fig. 2). Pharmacokinetic studies of C-6 showed that it has a longer half-life, smaller volume of distribution, and lower clearance than S-1 (Chen et al., 2005
). The lower clearance of C-6 might be explained by the ability of its two halogen substituents to sterically and electronically prevent metabolism. Surprisingly, C-6, having a higher log P than S-1, showed a lower volume of distribution. This observation might be explained by higher plasma protein binding of C-6. The higher log P value of C-6 probably contributed to its better absorption and higher AUC after i.v. and p.o. administration. Different substitutions (i.e., number and position) of halogen atoms on the B-ring would be expected to further block oxidative metabolism to a larger degree if substituted propanamides are pharmacologically active.
S-1, having a high degree of efficacy and potency in animal models, acceptable pharmacokinetics in preclinical species, and appropriate physicochemical properties, is a promising drug candidate SARM for clinical development. However, more potent and metabolically stable SARMs can be further explored based on the molecular information obtained in the pharmacological, pharmacokinetics, and metabolism studies on several SARMs intensively investigated in our laboratory. Additional structural modification of SARMs to reduce or avoid amide hydrolysis and metabolism to an aromatic amine are warranted and the subject of ongoing studies in our laboratories.
| Acknowledgments |
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| Footnotes |
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Article, publication date, and citation information can be found at http://dmd.aspetjournals.org.
ABBREVIATIONS: SARM, selective androgen receptor modulator; S-1, 3-(4-fluorophenoxy)-2-hydroxy-2-methyl-N-[4-nitro-3-(trifluoromethyl)phenyl]-propanamide; S-4, 3-[4-(acetylamino)phenoxy]-2-hydroxy-2-methyl-N-[4-nitro-3-(trifluoromethyl)phenyl]-propanamide); C-6, 3-(4-chloro-3-fluorophenoxy)-2-hydroxy-2-methyl-N-[4-nitro-3-(trifluoromethyl)phenyl]-propanamide; M-1, 3-(4-fluorophenoxy)-2-hydroxy-2-methylpropanoic acid; PEG-300, polyethylene glycol-300; DMSO, dimethyl sulfoxide; AUC, area under the plasma concentration-time curve; AUMC, area under the first moment of the plasma concentration-time curve; Cmax, maximal drug plasma concentration; Tmax, time to reach the maximal drug concentration (at the Cmax); Vss, steady-state volume of distribution; CL, clearance; MRT, mean residence time; V, volume of distribution; HPLC, high-performance liquid chromatography; LC-MS, liquid chromatography-mass spectrometry.
Address correspondence to: Dr. James T. Dalton, Division of Pharmaceutics, College of Pharmacy, The Ohio State University, 500 West 12th Ave., Columbus, OH 43210. E-mail: dalton.1{at}osu.edu
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-reductase inhibitor finasteride and the antiandrogen hydroxyflutamide in intact rats: new approach for benign prostate hyperplasia. Endocrinology 145: 54205428.This article has been cited by other articles:
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