Distribution, Metabolism, and Excretion of Gedatolisib in Healthy Male Volunteers After a Single Intravenous Infusion

Clin Pharmacol Drug Dev. 2019 Jan;8(1):22-31. doi: 10.1002/cpdd.615. Epub 2018 Sep 26.

Abstract

In this open-label study (NCT02142920), we investigated the distribution, pharmacokinetics, and metabolism of the pan-class-I isoform phosphatidylinositol 3-kinase/mammalian target of rapamycin inhibitor gedatolisib (PF-05212384), following a single intravenous administration in healthy male subjects. A single, 89-mg, intravenous dose of gedatolisib was associated with a favorable safety profile in the 6 healthy subjects evaluated. Peak plasma concentrations for unchanged gedatolisib and total radioactivity were observed at the end of the 30-minute infusion. The only observed drug-related material in plasma was the parent drug, gedatolisib. Terminal half-life for plasma gedatolisib was ∼37 hours. Following the dose, 66%-73% of drug-related material was recovered in the feces. Metabolism of gedatolisib was trace; only 1 oxidative metabolite, M5, was identified in feces (<1% of total dose). Identification of gedatolisib in feces suggests that biliary and/or intestinal secretion of unchanged parent drug significantly contributes to gedatolisib clearance.

Keywords: PF-05212384; PI3K; gedatolisib; metabolism; pharmacokinetics.

Publication types

  • Clinical Trial, Phase I
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cells, Cultured
  • Fasting / metabolism
  • Feces / chemistry
  • Healthy Volunteers
  • Hepatocytes
  • Humans
  • Infusions, Intravenous
  • Male
  • Middle Aged
  • Morpholines / administration & dosage
  • Morpholines / blood
  • Morpholines / pharmacokinetics*
  • Morpholines / urine
  • Protein Kinase Inhibitors / administration & dosage
  • Protein Kinase Inhibitors / blood
  • Protein Kinase Inhibitors / pharmacokinetics*
  • Protein Kinase Inhibitors / urine
  • Triazines / administration & dosage
  • Triazines / blood
  • Triazines / pharmacokinetics*
  • Triazines / urine

Substances

  • Morpholines
  • Protein Kinase Inhibitors
  • Triazines
  • gedatolisib

Associated data

  • ClinicalTrials.gov/NCT02142920