High-Performance Liquid Chromatographic Assay of the Aldose Reductase Inhibitor Spiro-(2-fluoro-9h-fluorene-9,4′-imidazolidine)-2′,5′-dione (AL01567) in Plasma and Urine and Its Pharmacokinetics in Humans
“…In vivo studies have also demonstrated that AL01567 can retard the development of cataracts and neuropathy in streptozotocin-induced diabetic rats and in galactosaemic rats, presumably by preventing sorbitol and galactitol (dulcitol) accumulation in tissue (Chandler et al, 1982;Griffin et al, 1984Griffin et al, , 1987. The pharmacokinetics of AL01567 have been studied in various species including man (Brazzell et al, 1990;Park et al, 1988).…”
1 The metabolism of the aldose reductase inhibitor, AL01567, was studied in man. The major biotransformation pathway was aromatic hydroxylation followed by glucuronide conjugation. 2 Hydroxylation occurred at several positions on the fluorene ring. The major metabolite was identified as the 7-hydroxy analogue of AL01567 and three minor metabolites were characterized as positional isomers of the 7-hydroxy metabolite. 3 Oxidative defluorination and metabolism on the hydantoin ring were also indicated as minor pathways. 4 The capacity of normal subjects to oxidize AL01567 was indicated by the urinary ratio of the parent drug to the 7-hydroxy metabolite after daily oral administration of 100 mg and 200 mg of AL01567. Most subjects having higher AL01567 plasma concentrations showed higher ratios.
“…In vivo studies have also demonstrated that AL01567 can retard the development of cataracts and neuropathy in streptozotocin-induced diabetic rats and in galactosaemic rats, presumably by preventing sorbitol and galactitol (dulcitol) accumulation in tissue (Chandler et al, 1982;Griffin et al, 1984Griffin et al, , 1987. The pharmacokinetics of AL01567 have been studied in various species including man (Brazzell et al, 1990;Park et al, 1988).…”
1 The metabolism of the aldose reductase inhibitor, AL01567, was studied in man. The major biotransformation pathway was aromatic hydroxylation followed by glucuronide conjugation. 2 Hydroxylation occurred at several positions on the fluorene ring. The major metabolite was identified as the 7-hydroxy analogue of AL01567 and three minor metabolites were characterized as positional isomers of the 7-hydroxy metabolite. 3 Oxidative defluorination and metabolism on the hydantoin ring were also indicated as minor pathways. 4 The capacity of normal subjects to oxidize AL01567 was indicated by the urinary ratio of the parent drug to the 7-hydroxy metabolite after daily oral administration of 100 mg and 200 mg of AL01567. Most subjects having higher AL01567 plasma concentrations showed higher ratios.
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