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Preclinical Pharmacokinetics and Properties of GS-441524, a Potential Oral Drug Candidate for COVID-19 Treatment

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Journal Front Pharmacol
Date 2022 Sep 2
PMID 36052127
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Abstract

Preclinical pharmacokinetics (PK) and ADME properties of GS-441524, a potential oral agent for the treatment of Covid-19, were studied. GS-441524 was stable in liver microsomes, cytosols, and hepatocytes of mice, rats, monkeys, dogs, and humans. The plasma free fractions of GS-441524 were 62-78% across all studied species. The transporter study results showed that GS-441524 was a substrate of MDR1, BCRP, CNT3, ENT1, and ENT2; but not a substrate of CNT1, CNT2, and ENT4. GS-441524 had a low to moderate plasma clearance (CL), ranging from 4.1 mL/min/kg in dogs to 26 mL/min/kg in mice; the steady state volume distribution (Vd) ranged from 0.9 L/kg in dogs to 2.4 L/kg in mice after IV administration. Urinary excretion appeared to be the major elimination process for GS-441524. Following oral administration, the oral bioavailability was 8.3% in monkeys, 33% in rats, 39% in mice, and 85% in dogs. The PK and ADME properties of GS-441524 support its further development as an oral drug candidate.

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References
1.
Mai Y, Dou L, Yao Z, Madla C, Gavins F, Taherali F . Quantification of P-Glycoprotein in the Gastrointestinal Tract of Humans and Rodents: Methodology, Gut Region, Sex, and Species Matter. Mol Pharm. 2021; 18(5):1895-1904. PMC: 8289313. DOI: 10.1021/acs.molpharmaceut.0c00574. View

2.
Uhlen M, Fagerberg L, Hallstrom B, Lindskog C, Oksvold P, Mardinoglu A . Proteomics. Tissue-based map of the human proteome. Science. 2015; 347(6220):1260419. DOI: 10.1126/science.1260419. View

3.
Xia C, Xiao G, Liu N, Pimprale S, Fox L, Patten C . Comparison of species differences of P-glycoproteins in beagle dog, rhesus monkey, and human using Atpase activity assays. Mol Pharm. 2006; 3(1):78-86. DOI: 10.1021/mp050034j. View

4.
Takahashi K, Yoshisue K, Chiba M, Nakanishi T, Tamai I . Contribution of equilibrative nucleoside transporter(s) to intestinal basolateral and apical transports of anticancer trifluridine. Biopharm Drug Dispos. 2017; 39(1):38-46. DOI: 10.1002/bdd.2110. View

5.
Morote-Garcia J, Rosenberger P, Nivillac N, Coe I, Eltzschig H . Hypoxia-inducible factor-dependent repression of equilibrative nucleoside transporter 2 attenuates mucosal inflammation during intestinal hypoxia. Gastroenterology. 2008; 136(2):607-18. DOI: 10.1053/j.gastro.2008.10.037. View