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新型 smoothened 抑制剂 TPB15 治疗三阴性乳腺癌的大鼠药代动力学和生物利用度的高效液相色谱-质谱法研究。

Pharmacokinetics and Bioavailability Study of a Novel Smoothened Inhibitor TPB15 for Treatment of Triple-Negative Breast Cancer in Rats by High Performance Liquid Chromatography-Mass Spectrometry.

机构信息

School of Pharmaceutical Sciences, Southern Medical University, Guangzhou, 510515, China.

Key Specialty of Clinical Pharmacy, The First Affiliated Hospital of Guangdong Pharmaceutical University, Guangzhou, 510080, China.

出版信息

Eur J Drug Metab Pharmacokinet. 2024 Sep;49(5):645-655. doi: 10.1007/s13318-024-00911-6. Epub 2024 Aug 19.

DOI:10.1007/s13318-024-00911-6
PMID:39158678
Abstract

BACKGROUND AND OBJECTIVES

Smoothened (SMO), a key component of the hedgehog signaling pathway, represents a therapeutic target for triple negative breast cancer (TNBC), yet the chemotherapy response rate in TNBC patients is only 40-50%, underscoring the urgent need for the development of novel drugs to effectively treat this condition. The novel compound TPB15, an SMO inhibitor derived from [1,2,4] triazolo [4,3-α] pyridines, demonstrated superior anti-TNBC activity and lower toxicity compared to the first SMO inhibitor vismodegib in both in vitro and in vivo. However, the compound's pharmacokinetic properties remain unclear. The present work aims to develop a simple HPLC-MS/MS method to profile the pharmacokinetics and bioavailability of TPB15 in rats as a ground work for further clinical research.

METHODS

Separation was performed on an Agilent ZORBAX StableBond C18 column by gradient elution using acetonitrile and 0.1% formic acid as mobile phase at a flow rate of 0.3 mL/min. Multiple reaction monitoring(MRM) in positive mode with the transitions of m/z 454.2 → 100.0, 248.1 → 121.1 was employed to determine TPB15 and internal standard tinidazole, respectively. The specificity, intra- and inter- day precision and accuracy, extraction recovery, stability, matrix effect, dilution integrity and carryover of the method was validated. The pharmacokinetics and bioavailability  study of TPB15 were carried out on rats through intravenous injection at the dose of 5 mg/kg and oral gavage at the dose of 25 mg/kg, and the pharmacokinetics parameters were calculated by the non-compartment analysis using the pharmacokinetics software DAS 2.1.1.

RESULTS

The values of specificity, intra- and inter- day precision and accuracy, extraction recovery, stability, matrix effect, dilution integrity and carryover satisfied the acceptable limits. The lower limit of quantification of this method was 10 ng/mL with a linear range of 10-2000 ng/mL. The validated method was then applied to pharmacokinetics and bioavailability studies in rat by dosing with gavage (25 mg/kg) and intravenous injection(5 mg/kg), and the oral bioavailability of TBP15 in rat was calculated as 16.4 ± 3.5%. The pharmacokinetic parameters were calculated as following: maximum of plasma concentration (C) (PO: 2787.17 ± 279.45 µg/L), Time to maximum plasma concentration (T) (PO: 4.20 ± 0.90 h), the area under the concentration-time curve 0 to time (AUC) (PO: 17,373.03 ± 2585.18 ng/mL·h, IV: 21,129.79 ± 3360.84 ng/mL·h), the area under the concentration-time curve 0 to infinity (AUC) (PO: 17,443.85 ± 2597.63 ng/mL·h, IV: 17,443.85 ± 2597.63 ng/mL·h), terminal elimination half-life (t) (PO: 7.26 ± 2.16 h, IV: 4.78 ± 1.09 h).

CONCLUSIONS

TPB15, a promising candidate for treating TNBC, has demonstrated outstanding efficacy and safety in vitro and in vivo. This study established a simple, sensitive, and rapid HPLC-MS/MS bioanalytical method, developed and validated in accordance with FDA and EMA guidelines, for conducting pharmacokinetic and bioavailability studies of TPB15. The results revealed a favorable pharmacokinetic profile owing to its long t. Nevertheless, the next phase of research should include formulation screening to enhance bioavailability, as well as clinical trials, metabolism pathway analysis, and assessment of potential drug-drug interactions.

摘要

背景与目的

smoothened(SMO)是 hedgehog 信号通路的关键组成部分,是治疗三阴性乳腺癌(TNBC)的一个有前途的治疗靶点,但 TNBC 患者的化疗反应率仅为 40-50%,这突显了迫切需要开发新的药物来有效治疗这种疾病。新型化合物 TPB15 是一种源自 [1,2,4] 三唑并[4,3-α]吡啶的 SMO 抑制剂,与第一代 SMO 抑制剂 vismodegib 相比,无论是在体外还是体内,都表现出更好的抗 TNBC 活性和更低的毒性。然而,该化合物的药代动力学特性尚不清楚。本工作旨在建立一种简单的 HPLC-MS/MS 方法,以研究 TPB15 在大鼠体内的药代动力学和生物利用度,为进一步的临床研究奠定基础。

方法

采用梯度洗脱法,以乙腈和 0.1%甲酸为流动相,在流速为 0.3 mL/min 的条件下,在 Agilent ZORBAX StableBond C18 柱上进行分离。采用正离子模式多反应监测(MRM),用 m/z 454.2 → 100.0、248.1 → 121.1 的转换分别测定 TPB15 和内标替硝唑。验证方法的特异性、日内和日间精密度和准确度、提取回收率、稳定性、基质效应、稀释完整性和携带污染。采用非房室分析,用药代动力学软件 DAS 2.1.1 计算药代动力学参数。通过静脉注射(5 mg/kg)和灌胃(25 mg/kg)给药,对大鼠进行 TPB15 的药代动力学和生物利用度研究,并采用非房室分析计算 TPB15 在大鼠体内的口服生物利用度。

结果

该方法的特异性、日内和日间精密度和准确度、提取回收率、稳定性、基质效应、稀释完整性和携带污染均符合可接受标准。该方法的定量下限为 10 ng/mL,线性范围为 10-2000 ng/mL。该方法经过验证后,用于大鼠的药代动力学和生物利用度研究,通过灌胃(25 mg/kg)和静脉注射(5 mg/kg)给药,计算 TBP15 在大鼠体内的口服生物利用度为 16.4 ± 3.5%。药代动力学参数计算如下:最大血浆浓度(C)(PO:2787.17 ± 279.45 µg/L)、最大血浆浓度时间(T)(PO:4.20 ± 0.90 h)、浓度-时间曲线下面积 0 到时间(AUC)(PO:17373.03 ± 2585.18 ng/mL·h,IV:21129.79 ± 3360.84 ng/mL·h)、浓度-时间曲线下面积 0 到无穷大(AUC)(PO:17443.85 ± 2597.63 ng/mL·h,IV:17443.85 ± 2597.63 ng/mL·h)、末端消除半衰期(t)(PO:7.26 ± 2.16 h,IV:4.78 ± 1.09 h)。

结论

TPB15 是治疗 TNBC 的一种很有前途的候选药物,在体外和体内均表现出良好的疗效和安全性。本研究建立了一种简单、灵敏、快速的 HPLC-MS/MS 生物分析方法,符合 FDA 和 EMA 指南的要求,可用于进行 TPB15 的药代动力学和生物利用度研究。结果表明,由于其半衰期较长,TPB15 具有良好的药代动力学特征。然而,下一阶段的研究应包括筛选新的制剂以提高生物利用度,以及进行临床试验、代谢途径分析和评估潜在的药物相互作用。

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Advances in systemic therapies for triple negative breast cancer.三阴性乳腺癌的系统治疗进展。
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