RT Journal Article SR Electronic T1 IN VITRO METABOLISM OF FERROQUINE (SSR97193) IN ANIMAL AND HUMAN HEPATIC MODELS AND ANTIMALARIAL ACTIVITY OF MAJOR METABOLITES ON PLASMODIUM FALCIPARUM JF Drug Metabolism and Disposition JO Drug Metab Dispos FD American Society for Pharmacology and Experimental Therapeutics SP 667 OP 682 DO 10.1124/dmd.104.003202 VO 34 IS 4 A1 Wassim Daher A1 Lydie Pelinski A1 Sylvie Klieber A1 Freddy Sadoun A1 Viviane Meunier A1 Martine Bourrié A1 Christophe Biot A1 François Guillou A1 Gérard Fabre A1 Jacques Brocard A1 Laurent Fraisse A1 Jean-Pierre Maffrand A1 Jamal Khalife A1 Daniel Dive YR 2006 UL http://dmd.aspetjournals.org/content/34/4/667.abstract AB Ferroquine (SSR97193) has been shown to be a promising antimalarial, both on laboratory clones and on field isolates. So far, no resistance was documented in Plasmodium falciparum. In the present work, the metabolic pathway of ferroquine, based on experiments using animal and human hepatic models, is proposed. Ferroquine is metabolized mainly via an oxidative pathway into the major metabolite mono-N-demethyl ferroquine and then into di-N,N-demethyl ferroquine. Some other minor metabolic pathways were also identified. Cytochrome P450 isoforms 2C9, 2C19, and 3A4 and, possibly in some patients, isoform 2D6, are mainly involved in ferroquine oxidation. The metabolites were synthesized and tested against the 3D7 (chloroquine-sensitive) and W2 (chloroquine-resistant) P. falciparum strains. According to the results, the activity of the two main metabolites decreased compared with that of ferroquine; however, the activity of the mono-N-demethyl derivative is significantly higher than that of chloroquine on both strains, and the di-N-demethyl derivative remains more active than chloroquine on the chloroquine-resistant strain. These results further support the potential use of ferroquine against human malaria. The American Society for Pharmacology and Experimental Therapeutics