1. Preclinical pharmacology and pharmacokinetics of CERC‐301, a GluN2B‐selective N‐methyl‐D‐aspartate receptor antagonist
- Author
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Christine Fandozzi, James J. Vornov, Reza Mazhari, Scott D. Mosser, Shil Patel, Joseph J. Lynch, Nigel J. Liverton, Rachel M Garner, Rodney A. Bednar, Blake Paterson, John A. Mccauley, Shobha Gopalakrishnan, Stanley L. Gaul, Armando Lagrutta, Richard Briscoe, and Laszlo Kiss
- Subjects
major depressive disorder ,business.industry ,medicine.drug_class ,Depression ,Safety pharmacology ,Antagonist ,Reviews ,Review ,Pharmacology ,NMDA antagonist ,Receptor antagonist ,GluN2B ,Neurology ,Pharmacokinetics ,CERC-301 ,Pharmacodynamics ,Medicine ,NMDA receptor ,General Pharmacology, Toxicology and Pharmaceutics ,Receptor ,business - Abstract
The preclinical pharmacodynamic and pharmacokinetic properties of 4-methylbenzyl (3S, 4R)-3-fluoro-4-[(Pyrimidin-2-ylamino) methyl] piperidine-1-carboxylate (CERC-301), an orally bioavailable selective N-methyl-D-aspartate (NMDA) receptor subunit 2B (GluN2B) antagonist, were characterized to develop a translational approach based on receptor occupancy (RO) to guide CERC-301 dose selection in clinical trials of major depressive disorder. CERC-301 demonstrated high-binding affinity (K i, 8.1 nmol L(-1)) specific to GluN2B with an IC 50 of 3.6 nmol L(-1) and no off-target activity. CERC-301 efficacy was demonstrated in the forced swim test with an efficacy dose (ED 50) of 0.3-0.7 mg kg(-1) (RO, 30-50%); increase in locomotor activity was observed at ED 50 of 2 mg kg(-1), corresponding to an RO of 75%. The predicted 50% RO concentration (Occ50) in humans was 400 nmol L(-1), similar to that predicted for rat, dog, and monkey (300, 200, and 400 nmol L(-1), respectively). Safety pharmacology and neurotoxicity studies raised no specific safety concerns. A first-in-human study in healthy males demonstrated a dose-proportional pharmacokinetic profile, with T max of ~1 h and t 1/2 of 12-17 h. Based on the preclinical and pharmacodynamic data, doses of ≥8 mg in humans are hypothesized to have an acceptable safety profile and result in clinically relevant peak plasma exposure.
- Published
- 2015