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First published on August 8, 2006; DOI: 10.1124/dmd.106.009894


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Received for publication February 22, 2006.
Revised August 2, 2006.
Accepted for publication August 2, 2006.

Disposition of [14C] Ruboxistaurin in Humans

Jennifer L. Burkey 1*, Kristina M Campanale 1, Robert Barbuch 1, Douglas O'bannon 1, James T Rash 1, Charles Benson 2, David Small 1

1 Eli Lilly and Company, Lilly Corporate Center 2 Eli Lilly and Company,Erl Wood ELCL, United Kingdom of Great Britain and Northern Ireland

* Address correspondence to: E-mail: burkey_jennifer_l{at}lilly.com

Abstract

Ruboxistaurin is a potent and specific inhibitor of the {beta} isoforms of Protein Kinase C (PKC) which is being developed for the treatment of diabetic microvascular complications. The disposition of [14C]ruboxistaurin was determined in six healthy male subjects who received a single oral dose of 64 mg [14C]ruboxistaurin in solution. There were no clinically significant adverse events during the study. Whole blood, urine, and feces were collected at frequent intervals after dosing. Metabolites were profiled by high performance liquid chromatography (HPLC) with radiometric detection. The total mean recovery of the radioactive dose was approximately 87%, with the majority of the radioactivity (82.6 ± 1.1%) recovered in the feces. Urine was a minor pathway of elimination (4.1 ± 0.3%). The major route of ruboxistaurin metabolism was to the N-desmethyl ruboxistaurin metabolite (LY338522), which has been shown to be active and equipotent to ruboxistaurin in the inhibition of PKC{beta}. In addition, multiple hydroxylated metabolites were identified by LC/MS in all matrices. Pharmacokinetics were conducted for both ruboxistaurin and LY338522 (N-desmethyl ruboxistaurin, 1). These moieties together accounted for approximately 52% of the radiocarbon measured in the plasma. The excreted radioactivity was profiled using radiochromatography and approximately 31% was structurally characterized as ruboxistaurin or N-desmethyl ruboxistaurin. These data demonstrate that ruboxistaurin is metabolized primarily to N-desmethyl ruboxistaurin (1) and multiple other oxidation products, and is excreted primarily in the feces.


Key words: drug disposition, excretion, human pharmacokinetics, metabolite identification


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