RT Journal Article SR Electronic T1 Identification of Metabolites of a Substance P (Neurokinin 1 Receptor) Antagonist in Rat Hepatocytes and Rat Plasma JF Drug Metabolism and Disposition JO Drug Metab Dispos FD American Society for Pharmacology and Experimental Therapeutics SP 937 OP 943 DO 10.1124/dmd.30.8.937 VO 30 IS 8 A1 Cornelis E. C. A. Hop A1 Yanfeng Wang A1 Sanjeev Kumar A1 Maria Victoria Silva Elipe A1 Conrad E. Raab A1 Dennis C. Dean A1 Grace K. Poon A1 Carol-Ann Keohane A1 John Strauss A1 Shuet-Hing L. Chiu A1 Neil Curtis A1 Jason Elliott A1 Ute Gerhard A1 Karen Locker A1 Denise Morrison A1 Russell Mortishire-Smith A1 Steven Thomas A1 Alan P. Watt A1 David C. Evans YR 2002 UL http://dmd.aspetjournals.org/content/30/8/937.abstract AB [3R,5R,6S]-3-(2-cyclopropyloxy-5-trifluoromethoxyphenyl)- 6-phenyl- 1-oxa-7-azaspiro[4.5]decane is a substance P (Neurokinin 1 receptor) antagonist. Substance P antagonists are proven in concept to have excellent potential for the treatment of major depression, and they allow superior and sustained protection from acute and delayed chemotherapy-induced emesis. The metabolism of this compound was investigated in rat hepatocytes, and circulating rat plasma metabolites were identified following oral and intravenous dosing. The turnover in rat hepatocytes within 4 h was about 30%, and the major metabolites were identified as two nitrones and a lactam associated with the piperidine ring. Although these metabolites were also observed in rat plasma, the major circulating metabolite was a keto acid following oxidative de-amination of the piperidine ring. Liquid chromatography/tandem mass spectrometry and nuclear magnetic resonance were used to confirm the structure of the latter metabolite. A mechanism leading to the formation of the keto acid metabolite has been suggested, and most intermediates were observed in rat plasma. The American Society for Pharmacology and Experimental Therapeutics