Multiple-Dose Pharmacokinetics, Pharmacodynamics, and Safety of the Urotensin-II Receptor Antagonist Palosuran in Healthy Male Subjects

• Published in: Pharmacology Vol. 102; no. 5-6; p. 339
• Main Authors: Sidharta, Patricia N, van Giersbergen, Paul L M, Dingemanse, Jasper
• Format: Journal Article
• Language: English
• Published: Switzerland 01.11.2018
• Subjects: Adult; Dose-Response Relationship, Drug; Double-Blind Method; Humans; Male; Middle Aged; Patient Safety; Potassium - urine; Quinolines - administration & dosage; Quinolines - adverse effects; Quinolines - blood; Quinolines - pharmacokinetics; Receptors, G-Protein-Coupled - antagonists & inhibitors; Sodium - urine; Urea - administration & dosage; Urea - adverse effects; Urea - analogs & derivatives; Urea - blood; Urea - pharmacokinetics; Urotensin-II; Palosuran; Pharmacodynamics; Urotensin-II receptor antagonist; Pharmacokinetics
• ISSN: 1423-0313
• DOI: 10.1159/000492936

To investigate the multiple-dose pharmacokinetics (PK), pharmacodynamics (PD), and tolerability of palosuran, a selective, potent antagonist of the human UT receptor. This was a double-blind, randomized, placebo-controlled study. Three dose levels were investigated for PKs, PDs, and safety in sequential groups of 8 subjects each. The plasma concentration-time profile is characterized by rapid absorption and 2 peaks after drug administration. The apparent terminal half-life was approximately 25 h. Steady-state concentrations were reached after 4-5 days of dosing. The accumulation factor was approximately 2.5. With increasing doses, a more than dose proportional increase in AUCτ and Cmax was observed. Urinary excretion of unchanged palosuran was below 3%. No consistent effect was found on any of the PD variables. Palosuran was well tolerated in multiple doses up to 500 mg b.i.d. Palosuran after multiple-dosing is a well-tolerated drug in healthy subjects, but this finding warrants further investigation in patients.