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Vol. 25, Issue 11, 1272-1281, 1997
Isis Pharmaceuticals (R.S.G., J.M.L., J.F., T.B., L.T., A.A.L.), Chrysalis (C.S.), and SRI International (M.C.)
The plasma and tissue disposition of CGP 69846A (ISIS 5132) was
characterized in male CD-1 mice following iv bolus injections administered every other day for 28 days (total of 15 doses). The doses
ranged from 0.8 mg/kg to 100 mg/kg. Urinary excretion of
oligonucleotide was also monitored over a 24-hr period following single
dose administration over the same dose range. Pharmacokinetic plasma
profiles were determined following single dose administration (dose 1)
and after multiple doses (dose 15) at doses of 4 and 20 mg/kg.
Concentrations in kidney, liver, spleen, heart, lung, and lymph nodes
were characterized following doses 1, 8, and 15 for all doses.
Capillary gel electrophoresis was used to quantitate intact
(full-length) oligonucleotide and its metabolites (down to
N
11 base deletions) in both plasma and tissue at
all time points. The plasma and tissue disposition of CGP 69846A was
characterized by a rapid distribution into all tissues analyzed. Rapid
plasma clearance of the parent oligonucleotide (9.3-14.3 ml/min/kg)
was predominantly the result of distribution to tissue and, to a lesser extent, metabolism. Appearance and pattern of chain-shortened metabolites seen in plasma and tissue were consistent with
predominantly exonuclease-mediated base deletion. No measurable
accumulation of oligonucleotide was observed in plasma following
multiple-dose administration, but both the liver and the kidney
exhibited 2-3-fold accumulations. In general, the tissues exhibited
half-lives for the elimination of parent oligonucleotide of 16-60 hr
compared with plasma half-lives of 30-45 min. After repeated
administrations, significant decreases in plasma clearance and volume
of distribution at steady state (Vss)
were observed following dose 15 at the dose of 20 mg/kg but not at the
dose of 4 mg/kg. Changes in tissue accumulation and evidence for
saturation of tissue distribution at the high doses may explain the
plasma disposition changes observed in the absence of alteration of
metabolism or plasma accumulation. Urinary excretion was a minor
pathway for elimination of oligonucleotide over the 24-hr period
immediately following iv administration. However, the amount of
oligonucleotide excreted in the urine increased as a function of dose
from less than 1% to approximately 13% of the administered dose over
a dose range of 0.8 mg/kg to 100 mg/kg.
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