ABSTRACT:Compound A (3-{2-oxo-3-[3-(5,6,7,8-tetrahydro-[1,8]naphthyrindin-2-yl)propyl]-imidazolidin-1-yl}-3(S)-(6-methoxy-pyridin-3-yl)-propionic acid), a potent and selective antagonist of integrin ␣ v  3 receptor, is under development for treatment of osteoporosis. This study describes metabolism and excretion of A in vivo in rats, dogs, and monkeys, and metabolism of A in vitro in primary hepatocytes from rats, dogs, monkeys, and humans. In all three animal species studied, A was primarily excreted as unchanged drug and, to a lesser degree, as phase I and phase II metabolites. Major biotransformation pathways of A included glucuronidation/ glucosylation on the carboxylic group to form acyl-linked glucuronides/glucosides; and oxidation on the tetrahydronaphthyridine moiety to generate a carbinolamine and its further metabolized products. Minor pathways involved O-demethylation and hydroxylations on the alkyl chain. Only in rats, a glutathione adduct of A was also observed, and its formation is proposed to be via an iminium intermediate on the tetrahydronaphthyridine ring. Similar metabolic pathways were observed in the incubates of hepatocytes from the corresponding animals as well as from humans. CYP 3A and 2D subfamilies were capable of metabolizing A to its oxidative products. Overall, these in vitro and in vivo findings should provide useful insight on possible biotransformation pathways of A in humans.Integrin receptor ␣ v  3 is highly expressed in osteoclasts. It is responsible for adhesion of osteoclasts to the bone matrix and initiation of the bone resorptive processes (Wilder, 2002). Antibodies and antagonists of ␣ v  3 receptor have been shown to be effective in inhibitions of bone resorption in both in vitro and in vivo models Duggan, 2000, Rodan et al., 2002). Compound A, 3-{2-oxo-3-[3-(5,6,7,8-tetrahydro-[1,8]naphthyrindin-2-yl)propyl]-imidazolidin-1-yl}-3(S)-(6-methoxy-pyridin-3-yl)propionic acid (Fig. 1), a potent and selective antagonist of integrin ␣ v  3 receptor, is currently under evaluation as a possible treatment for osteoporosis (Hutchinson et al., 2003;Prueksaritanont et al., 2004).Metabolism studies of drug candidates have become an integral part of the drug discovery and development process (Lin et al., 2003;Roberts, 2003). Results generated from these studies have been commonly used in designing chemicals that are metabolically more stable and often with better pharmacokinetic properties. Studies on the in vivo metabolic pathways of drug candidates in animals, together with in vitro metabolism information generated using animal and human liver preparations, often provide valuable foresight on metabolic pathways in humans. Detailed biotransformation studies of drug candidates in laboratory animals also provide guidance for selection of animal species used in safety assessment studies, to ensure that the selected species are exposed to all major drug metabolites formed in humans (Baillie et al., 2002).Pharmacokinetics of A in rats, dogs, and monkeys have been previously reported ...