Following a single oral or intravenous administration of the R,R(؉) and S,S(؊)14 C-pseudoracemate of (؎)-(1R*,3R*)-3-phenyl-1-
[(1,2,3,4-tetrahydro-5,6-methylene-dioxy-1-naphthalenyl) methyl] pyrrolidine methanesulfonate (ABT-200/I) to dogs, a total of six (R,R[؉]) and eight (S,S[؊]) metabolites were identified by highpressure liquid chromatography/mass spectral techniques. Greater than 99% of the dose was eliminated as metabolites indicating that the clearance of I was predominantly metabolic. The catechol was the major excreted metabolite (fecal), whereas the urine and bile predominantly contained metabolites resulting from secondary biotransformation of the catechol via O-methylation, glucuronidation, and sulfation. After a single 12 mg/kg oral dose of racemic I to dogs, the mean area under the plasma curve (AUC 0-24h ) averaged 4.55 g ⅐ h/ml, with an apparent plasma clearance value of 2.70 l/h ⅐ kg. After 14 daily doses, the apparent plasma clearance was 3.5-fold lower (0.78 l/h ⅐ kg) and the AUC 0-24h about 4-fold higher (18.58 g ⅐ h/ml). Isolation of liver microsomes from these animals indicated that a cytochrome P450 (P450)-metabolite complex (MI complex) was formed in the liver after both single and multiple dosing. The mean concentration of the MI complex 24 h after a single dose averaged 31 pmol/mg of microsomal protein, whereas the amount in the animals given multiple doses of I averaged 163 pmol/mg. There was a positive correlation (R 2 ؍ 0.993) between the plasma AUC for I and the amount of the MI complex found in the liver of each animal. Formation of the MI complex was demonstrated in vitro in control dog liver microsomes, was NADPH-dependent, and was dissociated from P450 with 2-methylbenzimidazole. In vitro preincubation studies indicated that I was a mechanism-based inhibitor and that formation of the complex inhibited catechol formation. These results demonstrate that the liver P450s that metabolize I form an inhibitory MI complex after in vivo administration in dogs. Formation of the complex increases during multiple dosing and inhibits the enzymes from further metabolism of I resulting in nonlinear pharmacokinetics.ABT-200 1 (I; Fig. 1
) is a novel pyrrolidine derivative that exists as a racemic mixture of the S,S(Ϫ)-and R,R(ϩ)-enantiomers.Preliminary studies demonstrated that the compound exhibited nonlinear pharmacokinetics during oral administration in the dog. Whereas initial studies with dog and human liver microsomes generated only the NADPH-dependent catechol metabolite of I, liver slices from these species formed extensive amounts of secondary metabolites resulting from further biotransformation of the catechol derivative via O-methylation, sulfation, and glucuronidation (Ferrero et al., 1997).These results suggested that oxidation of the methylenedioxy bridge carbon to form the catechol was a major initial metabolic step in the metabolism of I.Certain methylenedioxyphenyl compounds interact with the mixedfunction oxidases to form metabolite complexes with cytochrome P450...