RT Journal Article
SR Electronic
T1 Metabolism of the HIV-1 Reverse Transcriptase Inhibitor Delavirdine In Mice
JF Drug Metabolism and Disposition
JO Drug Metab Dispos
FD American Society for Pharmacology and Experimental Therapeutics
SP 828
OP 839
VO 25
IS 7
A1 Mayland Chang
A1 Virendra K. Sood
A1 Gracella J. Wilson
A1 David A. Kloosterman
A1 Phillip E. Sanders
A1 Michael J. Hauer
A1 Weirong Zhang
A1 Daniel G. Branstetter
YR 1997
UL http://dmd.aspetjournals.org/content/25/7/828.abstract
AB 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. The American Society for Pharmacology and Experimental Therapeutics