1. Target-Mediated Population Pharmacokinetic Modeling of Endothelin Receptor Antagonists
- Author
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Jasper Dingemanse, Anke-Katrin Volz, Andreas Krause, and Thorsten Lehr
- Subjects
Endothelin Receptor Antagonists ,Male ,Pyridines ,Receptor expression ,media_common.quotation_subject ,Population ,Pharmacokinetic modeling ,Pharmaceutical Science ,Tetrazoles ,pharmacokinetic modeling ,target-mediated drug disposition ,02 engineering and technology ,Pharmacology ,030226 pharmacology & pharmacy ,Models, Biological ,Dioxanes ,03 medical and health sciences ,0302 clinical medicine ,tezosentan ,Pharmacokinetics ,Tezosentan ,Tandem Mass Spectrometry ,medicine ,Humans ,Pharmacology (medical) ,education ,Internalization ,Infusions, Intravenous ,clazosentan ,media_common ,education.field_of_study ,Sulfonamides ,Dose-Response Relationship, Drug ,bosentan ,Chemistry ,Receptors, Endothelin ,Organic Chemistry ,021001 nanoscience & nanotechnology ,Bosentan ,Pyrimidines ,Nonlinear Dynamics ,Molecular Medicine ,0210 nano-technology ,Endothelin receptor ,Biotechnology ,medicine.drug - Abstract
Bosentan, clazosentan, and tezosentan are three small-molecule endothelin receptor antagonists (ERAs), displacing endothelin-1 (ET-1) from its binding site. A target-mediated drug disposition (TMDD) pharmacokinetic (PK) model described the non-linearity in the PK of bosentan caused by its high receptor binding affinity with time-dependent varying receptor expression or reappearance. The aim of this analysis was to investigate the presence of TMDD for clazosentan and tezosentan and to corroborate the hypothesis of a diurnal receptor synthesis. PK data from healthy subjects after intravenous (i.v.) administration of single ascending doses of bosentan, clazosentan, and tezosentan were analyzed. Frequent blood samples for PK measurements were collected. Population analyses, simulations, and evaluations were performed using a non-linear mixed-effects modeling approach. Two-compartment TMDD models were successfully developed describing the PK of all three ERAs with different receptor-complex internalization properties. The observed multiple peaks in the concentration-time profiles were captured with cosine functions on the receptor synthesis rate mimicking a diurnal receptor expression or reappearance. The results strongly suggest that TMDD is a class effect of ERAs. The developed TMDD PK models are a next step towards understanding the complex PK of ERAs and further support the hypothesis that TMDD is a class effect of ERAs.
- Published
- 2023
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