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Biotransformation Department, Abbott Laboratories
Seratrodast (ABT-001, AA-2414) undergoes cytochrome P450
(CYP)-dependent metabolism to a major (5-methylhydroxy seratrodast; 5-HOS) and a minor 4
-hydroxy seratrodast metabolite in human liver
microsomes. The mean apparent Km and
Vmax for the formation of 5-HOS were 15.5 µM
and 589.0 pmol 5-HOS formed/mg protein/min, respectively. Chemical
inhibition using isoform-selective CYP inhibitors, correlation of 5-HOS
formation with several isoform-specific CYP activities in a panel of
liver microsomes, metabolism by microsomes derived from CYP
cDNA-expressed B-lymphoblastoid cells, and immunoinhibition by
isoform-specific anti-CYP antibodies indicated that 5-HOS formation is
catalyzed by CYP3A and CYP2C9/10, with a minor contribution from CYP2C8
and CYP2C19. At clinically relevant concentrations, seratrodast was
found to inhibit tolbutamide methylhydroxylation (IC50 = 60 µM), (S)-mephenytoin 4
-hydroxylation (IC50 = 50 µM), and coumarin 7-hydroxylation (IC50 = 95 µM),
indicating the potential for significant clinical interactions. The
inducers of CYP3A and/or CYP2C9 (e.g. rifampicin and
phenytoin) are likely to alter the disposition of seratrodast.
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