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Received for publication March 27, 2007.
Revised July 23, 2007.
Accepted for publication July 23, 2007.
Converting Enzyme in Rodents, Dogs, Chimpanzees and Humans
DPC 333 is a potent and selective inhibitor of tumor necrosis factor TNF-
converting enzyme (TACE). It significantly inhibits lipopolysaccharide (LPS) induced soluble TNF-
production in blood from rodents, chimpanzee and human, with IC50 values ranging from 17 to 100 nM. In rodent models of endotoxemia, DPC 333 dose-dependently inhibited the production of TNF-
, with an oral ED50 ranging from 1.1 to 6.1 mg/kg. Oral dosing of DPC 333 at 5.5 mg/kg daily for 2 weeks in a rat collagen antibody-induced arthritis (CIA) model suppressed the maximal response by approximately 50%. DPC 333 was distributed widely to tissues including the synovium, the site of action for anti-arthritic drugs. Pharmacokinetic and pharmacodynamic studies in chimpanzee revealed a systemic clearance of 0.4L/h/kg, a Vss of 0.6L/kg, an oral bioavailability of 17% and an ex vivo IC50 for the suppression of TNF-
production of 55 nM (n=1). In a Phase I clinical trial with male volunteers following single escalating doses of oral DPC 333, the terminal half-life was between 3-6 h and the ex vivo IC50 for suppressing TNF-
production was 113 nM. Measurement of the suppression of TNF-
production ex vivo may serve as a good biomarker in evaluating the therapeutic efficacy of TACE inhibitors. Overall, the pharmacological profiles of DPC 333 support the notion that suppression of TNF-
with TACE inhibitors like DPC 333 may provide a novel approach in the treatment of various inflammatory diseases including RA, via control of excessive TNF-
production.
Key words:
anti-inflammatory drugs, bioavailability, clinical pharmacology, cytokines, drug development, drug disposition, drug distribution, oral absorption, pharmacokinetic/pharmacodynamic modeling, plasma protein binding
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