This article is available online at http://dmd.aspetjournals.org
ABSTRACT:Thrombin is a serine protease that plays a key role in the blood coagulation cascade. Compound I [2-[6-chloro-3-[(2,2-difluoro-2-pyridin-2-ylethyl)amino]-2-oxopyrazin-1(2H)-yl]-N-[(3-fluoropyridin-2-yl)methyl]acetamide] is a potent, selective, and orally bioavailable thrombin inhibitor that is being studied as a possible anticoagulant. Biotransformation studies in rats revealed that 84% of an i.v. dose of I was excreted in the form of two metabolites. Both metabolites were formed by metabolic activation of the pyrazinone ring in I and subsequent rearrangement leading to two novel dihydro-imidazole and imidazolidine derivatives. The structures of these metabolites and their mechanism of formation were elucidated by additional use of two 13 C single labels in the pyrazinone ring of I in combination with mass spectrometry and NMR techniques. The metabolite structures described here illustrate the rich metabolic chemistry of the amino-pyrazinone heterocycle.Thrombin is a serine protease that plays multifarious roles in the complex blood coagulation cascade (Goldsack et al., 1998;Mann et al., 2003). Existing anticoagulation therapy (Majerus and Tollefsen, 2001;Weitz and Hirsh, 2001) primarily consists of low-molecularweight heparin and warfarin. Both therapeutic agents suffer from significant limitations: low-molecular-weight heparin requires either continuous intravenous infusion or subcutaneous injection, and warfarin has a delayed onset of action, narrow therapeutic index, and a high potential for drug-drug interactions. Hence, a small-molecule thrombin inhibitor represents an alternative target in the search for orally administered anticoagulants that could offer a safer alternative to existing therapies for the treatment and prevention of thromboembolic disorders (Vacca, 2000;Burgey et al., 2003b).is a potent, selective and orally bioavailable thrombin inhibitor from the amino-pyrazinone acetamide series (Burgey et al., 2003a,b). In this study, we provide details of the in vivo biotransformation of I in rats. The structures and mechanisms leading to novel dihydro-imidazole and imidazolidine derivatives have been delineated by MS 1 and NMR analysis and the additional use of two singly labeled 13 C analogs of I.
Materials and Methods
Chemicals.Compound I-A and its 14 C analog, shown in Fig. 1, were synthesized at Merck Research Laboratories (West Point, PA) (Burgey et al., 2003). The 14 C label was incorporated on the carbon 17 (see Fig. 1 for nomenclature) having a specific activity of 47.7 Ci/mg and a radiochemical purity of Ͼ98% as determined by HPLC. Compounds I-B and I-C are structurally identical to compound I-A except for a mono 13 C label at carbon labeled 13 or 12 (Fig. 1), respectively, of the pyrazinone ring. Both I-B and I-C were prepared at Merck Research Laboratories (Labeled Compound Synthesis group, Rahway, NJ) and were determined to have a purity of Ͼ99% by NMR. (Burgey et al., 2003b) of 5 mg/kg (10 mg/ml in DMSO) to bile...