Clinical Pharmacology Research Center Phase I Unit, Peking Union Medical College Hospital, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100032, China; Beijing Key Laboratory of Clinical PK and PD Investigation for Innovative Drugs, Beijing 100032, China.
Institete of Materia Medica, Peking Union Medical College and Chinese Academy of Medical Sciences, Beijing 100050, China.
J Pharm Biomed Anal. 2018 Aug 5;157:189-200. doi: 10.1016/j.jpba.2018.05.029. Epub 2018 May 23.
Imigliptin has been reported as a novel dipeptidyl-peptidase-IV (DPP-4) inhibitor to treat type 2 Diabetes Mellitus (T2DM), and is currently being tested in clinical trials. In the first human clinical study, imigliptin was well tolerated and proved to be a potent DPP-4 inhibitor. Considering its potential therapeutic benefits and promising future, it is of great importance to study the metabolite profiles in the early stage of drug development. In the present study, a robust and reliable analytical method based on the ultra-high performance liquid chromatography/quadrupole time-of-flight mass spectrometry (UHPLC/Q-TOF MS) method combined with MassLynx software was established to investigate the characterization of metabolites of imigliptin in human and rat plasma, urine and feces after oral administration. As a result, a total of 9 metabolites were identified in humans, including 6, 9 and 8 metabolites in human plasma, urine, and feces, respectively. A total of 11 metabolites were identified in rats, including 7, 10 and 8 metabolites in rat plasma, urine, and feces, respectively. In addition, 6 of the metabolites detected in humans and rats were phase I metabolites, including demethylation, carboxylation, hydroxylation and dehydrogenation metabolites, and 5 of the metabolites were phase II metabolites, including acetylation and glucuronidation. There was no human metabolite detected compared to those in rats. The major metabolites detected in human plasma (M1 and M2) were products resulting from acetylation, and hydroxylation followed by dehydrogenation. M1 was the major metabolite in rat plasma. M2 and the parent drug were the major drug-related substances in human urine. The parent drug was the major drug-related substances in rat urine. M2, M5 (hydroxylation product) and M6 (2 × hydroxylation and acetylation product) were the predominant metabolites in human feces. M2 and M5 were the major metabolites in rat feces. In addition, renal clearance was the major route of excretion for imigliptin.
依格列净已被报道为一种新型二肽基肽酶-4(DPP-4)抑制剂,用于治疗 2 型糖尿病(T2DM),目前正在临床试验中进行测试。在首次人体临床研究中,依格列净具有良好的耐受性,并被证明是一种有效的 DPP-4 抑制剂。鉴于其潜在的治疗益处和广阔的前景,在药物开发的早期阶段研究其代谢产物谱非常重要。在本研究中,建立了一种基于超高效液相色谱/四极杆飞行时间质谱(UHPLC/Q-TOF MS)联用 MassLynx 软件的强大可靠的分析方法,用于研究口服依格列净后在人血浆、尿液和粪便中的代谢产物特征。结果,在人体内共鉴定出 9 种代谢物,分别为人血浆、尿液和粪便中的 6、9 和 8 种代谢物。在大鼠体内共鉴定出 11 种代谢物,分别为大鼠血浆、尿液和粪便中的 7、10 和 8 种代谢物。此外,在人和大鼠中检测到的 6 种代谢物为 I 相代谢物,包括去甲基化、羧化、羟化和脱氢代谢物,5 种代谢物为 II 相代谢物,包括乙酰化和葡萄糖醛酸化。与大鼠相比,未检测到人代谢物。人血浆中主要的代谢物(M1 和 M2)是乙酰化和羟化随后脱氢的产物。M1 是大鼠血浆中的主要代谢物。M2 和原药是人体尿液中主要的药物相关物质。原药是大鼠尿液中主要的药物相关物质。M2、M5(羟化产物)和 M6(2×羟化和乙酰化产物)是人体粪便中的主要代谢物。M2 和 M5 是大鼠粪便中的主要代谢物。此外,肾脏清除是依格列净的主要排泄途径。