Abstract
Delavirdine mesylate (U-90152T) is a highly specific nonnucleoside HIV-1 reverse transcriptase inhibitor currently under development for the treatment of AIDS. The excretion, disposition, brain penetration, and metabolism of delavirdine were investigated in CD-1 mice after oral administration of [14C]delavirdine mesylate at single doses of 10 and/or 250 mg/kg and multiple doses of 200 mg/kg/day. Studies were conducted with14C-carboxamide and 2-14C-pyridine labels, as well as13C3-labeled drug to facilitate metabolite identification. Excretion was dose dependent with 57–70% of the radioactivity eliminated in feces and 25–36% in urine. Pharmacokinetic analyses of delavirdine and itsN-desisopropyl metabolite (desalkyl delavirdine) in plasma showed that delavirdine was absorbed and metabolized rapidly, that it constituted a minor component in circulation, that its pharmacokinetics were nonlinear, and that its metabolism to desalkyl delavirdine was capacity limited or inhibitable. Delavirdine did not significantly cross the blood-brain barrier; however, itsN-isopropylpyridinepiperazine metabolite—arising from amide bond cleavage—was present in brain at levels 2- to 3-fold higher than in plasma. The metabolism of delavirdine in the mouse was extensive and involved amide bond cleavage,N-desalkylation, hydroxylation at the C-6′ position of the pyridine ring, and pyridine ring-cleavage as determined by MS and/or1H and 13C NMR spectroscopies. N-desalkylation and amide bond cleavage were the primary metabolic pathways at low drug doses and, as the biotransformation of delavirdine to desalkyl delavirdine reached saturation or inhibition, amide bond cleavage became the predominant pathway at higher doses and after multiple doses.
Footnotes
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Send reprint requests to: Dr. Mayland Chang, Drug Metabolism Research, Pharmacia & Upjohn, Inc., Kalamazoo, MI 49007.
- Abbreviations used are::
- HIV-1
- human immunodeficiency virus type 1
- IC50 median inhibitory concentration
- LSC, liquid scintillation counting
- DMSO
- dimethylsulfoxide
- PB
- particle beam
- CI
- chemical ionization
- LC
- liquid chromatography
- MS
- mass spectrometry
- PCI
- positive chemical ionization
- EI
- electron ionization
- 2D
- two-dimensional
- DEPT
- distortionless enhancement by polarization transfer
- COSY
- correlation spectroscopy
- HMQC
- heteronuclear multiple-quantum correlation
- GARP
- globally optimized alternating-phase rectangular pulses
- HMBC
- heteronuclear multiple-bond correlation
- Received December 2, 1996.
- Accepted March 17, 1997.
- The American Society for Pharmacology and Experimental Therapeutics
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