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Research ArticleArticle

Metabolism and Disposition of Verinurad, a Uric Acid Reabsorption Inhibitor, in Humans

Caroline A. Lee, Chun Yang, Vishal Shah, Zancong Shen, David M. Wilson, Traci M. Ostertag, Jean-Luc Girardet, Jesse Hall and Michael Gillen
Drug Metabolism and Disposition May 2018, 46 (5) 532-541; DOI: https://doi.org/10.1124/dmd.117.078220
Caroline A. Lee
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Chun Yang
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Vishal Shah
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Zancong Shen
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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David M. Wilson
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Traci M. Ostertag
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Jean-Luc Girardet
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Jesse Hall
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Michael Gillen
Preclinical and Clinical DMPK (C.A.L., C.Y.,V.S., Z.S.), Bioanalytical (D.M.W.), Biology (T.M.O.), Chemistry (J.-L.G.), and Clinical Development (J.H.) Ardea Biosciences, Inc., San Diego, California; and Early Clinical Development, IMED Biotech Unit, Quantitative Clinical Pharmacology (M.G.) AstraZeneca LP, Gaithersburg, Maryland
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Figures

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  • Fig. 1.
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    Fig. 1.

    Chemical structure of [14C]verinurad.

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    Fig. 2.

    Cumulative percent of radioactive dose recovered in urine and feces at specified intervals after administration of a single 10-mg (500 μCi) oral dose of [14C]verinurad.

  • Fig. 3.
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    Fig. 3.

    Mean (S.E.) concentration-time profiles of verinurad in plasma and total radioactivity in blood and plasma following a single oral dose of 10 mg oral solution with 500 μCi of [14C]verinurad (0–144 hours postdose). Only n = 2 and n = 1 samples were available, respectively, at 96 and 144 hours for total radioactivity in the plasma and blood.

  • Fig. 4.
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    Fig. 4.

    Verinurad and metabolites in pooled plasma, pooled urine, and pooled feces.

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    Fig. 5.

    The proposed metabolic pathway of verinurad in humans.

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    Fig. 6.

    Formation of M4 (A) and M8 (B) by recombinant P450s, FMO, and HLM.

  • Fig. 7.
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    Fig. 7.

    Inhibition of M4 formation in HLM by specific chemical inhibitors of CYP3A4 (ketoconazole) and CYP2C9 (sulfaphenazole).

  • Fig. 8.
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    Fig. 8.

    Formation of M1 (A) and M8 (B) metabolites by recombinant glucuronyl transferases. Data are mean (±S.D.) of triplicate samples.

Tables

  • Figures
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    • View popup
    TABLE 1 

    Transition-phase parameters for HPLC to support in vitro assays

    AnalytesMS/MS Transition (m/z, amu)
    Verinurad349 → 263
    [D6]Verinurad355 → 263
    M4365 → 279
    [D6]Verinurad M4371 → 279
    M1525 → 263
    [D6]Verinurad glucuronide M1531 → 263
    M8541 → 279
    [D6]Verinurad glucuronide M8547 → 279
    • amu, Atomic mass unit.

    • View popup
    TABLE 2 

    Summary of pharmacokinetic parameters (geometric mean, confidence interval 95%) of verinurad in blood and plasma following a single oral dose of [14C]verinurad (10 mg, 500 μCi) given to healthy male subjects

    AnalyteMatrixTmaxaCmaxAUC∞CL/FVss/Ft1/2CLr0–96 h
    hng/mlng·h/mll/hlhml/min
    Verinurad 
(N = 8)Plasma0.50
(0.50–0.75)160
(117–219)193
(152–246)51.8
(40.7–65.9)504
(368–690)14.8
(11.9–18.4)—
    Urine——————11.5
(7.64–17.3)
    Total radioactivityb (N = 8)Plasma0.50
(0.50–0.75)344
(255–465)906
(742–1110)——34.7
(26.9–44.7)—
    Blood0.50
(0.25–0.75)190
(144–250)556
(428–723)——37.5
(19.9–70.6)—
    Blood-to-plasma ratio—0.551
(0.527–0.576)0.614
(0.535–0.703)————
    Plasma verinurad-to-total radioactivity—0.464
(0.433–0.496)0.213
(0.194–0.234)————
    • CL/F, oral clearance corrected by bioavailability F; t1/2, half-life; Vss/F, volume of distribution at equilibrium corrected by bioavailability F.

    • ↵a Tmax is expressed as median (range).

    • ↵b Cmax and AUC values expressed as nanogram equivalents/ml and nanogram equivalents · h/ml, respectively.

    • View popup
    TABLE 3 

    Recovery of verinurad and metabolites in excreta as a percentage of verinurad dose

    PathwayTime Period (h)% of Dose
    M1M4M8OthersaVerinuradTotal
    Urineb0–4829.20.3332.50.361.1763.6c
    Fecesb0–120NDNDND0.6729.930.6
    Total excretad0–12029.20.3332.51.0331.194.2
    • ND, Not detectable.

    • ↵a Others: including unidentified minor metabolites.

    • ↵b Urine collection up to 48 hours; and feces collection up to 120 hours.

    • ↵c Urine collection from 0 to 120 hours recovered 64.5% of dose.

    • ↵d The recovery of total radioactivity from 0 to 144 hours interval was 97.1%.

    • View popup
    TABLE 4 

    Summary of pharmacokinetic parameters (geometric mean, confidence interval 95%) for M1 and M8

    AnalyteTmaxaCmaxAUClastAUC∞t1/2CLr0–96 h
    hng/mlng·h/mlng·h/mlhml/min
    M1 (N = 8)0.5
(0.50–0.75)189
(112–320)287
(182–452)290
(185–455)12.9
(10.2–16.4)224
(182–276)
    M1-to-verinurad ratio—0.786
(0.606–1.02)1.01
(0.769–1.34)0.997
(0.761–1.31)——
    M1-to-total radioactivity ratio—0.550
(0.428–0.705)0.340
(0.252–0.459)0.321
(0.238–0.432)——
    M8 (N = 8)0.75
(0.50–0.75)120
(102–142)273
(227–329)283
(235–342)18.1
(12.4–26.5)338
(286–399)
    M8-to-verinurad ratio—0.485
(0.381–0.617)0.936
(0.769–1.14)0.943
(0.777–1.14)——
    M8-to-total radioactivity ratio—0.350 
(0.282–0.433)0.324 
(0.290–0.361)0.313
(0.279–0.351)——
    • AUC∞, area under the plasma concentration-time curve from zero to infinity; (t1/2, half-life;

    • ↵a Tmax is expressed as median (range).

Additional Files

  • Figures
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  • Data Supplement

    • Supplemental Data -

      Supplemental Material

      Supplemental Table 1 - Chemical Names and Structures of Verinurad and its Metabolites Observed in Healthy Adult Male Subjects

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Drug Metabolism and Disposition: 46 (5)
Drug Metabolism and Disposition
Vol. 46, Issue 5
1 May 2018
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Research ArticleArticle

Verinurad Human Metabolism

Caroline A. Lee, Chun Yang, Vishal Shah, Zancong Shen, David M. Wilson, Traci M. Ostertag, Jean-Luc Girardet, Jesse Hall and Michael Gillen
Drug Metabolism and Disposition May 1, 2018, 46 (5) 532-541; DOI: https://doi.org/10.1124/dmd.117.078220

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Verinurad Human Metabolism

Caroline A. Lee, Chun Yang, Vishal Shah, Zancong Shen, David M. Wilson, Traci M. Ostertag, Jean-Luc Girardet, Jesse Hall and Michael Gillen
Drug Metabolism and Disposition May 1, 2018, 46 (5) 532-541; DOI: https://doi.org/10.1124/dmd.117.078220
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