Preclinical pharmacology and pharmacokinetics of AZD3783, a selective 5-hydroxytryptamine 1B receptor antagonist

M Zhang, D Zhou, Y Wang, DL Maier… - … of Pharmacology and …, 2011 - ASPET
M Zhang, D Zhou, Y Wang, DL Maier, DV Widzowski, CD Sobotka-Briner, BJ Brockel…
Journal of Pharmacology and Experimental Therapeutics, 2011ASPET
The preclinical pharmacology and pharmacokinetic properties of (2 R)-6-methoxy-8-(4-
methylpiperazin-1-yl)-N-(4-morpholin-4-ylphenyl) chromane-2-carboxamide (AZD3783), a
potent 5-hydroxytryptamine 1B (5-HT1B) receptor antagonist, were characterized as part of
translational pharmacokinetic/pharmacodynamic hypothesis testing in human clinical trials.
The affinity of AZD3783 to the 5-HT1B receptor was measured in vitro by using membrane
preparations containing recombinant human or guinea pig 5-HT1B receptors and in native …
The preclinical pharmacology and pharmacokinetic properties of (2R)-6-methoxy-8-(4-methylpiperazin-1-yl)-N-(4-morpholin-4-ylphenyl)chromane-2-carboxamide (AZD3783), a potent 5-hydroxytryptamine 1B (5-HT1B) receptor antagonist, were characterized as part of translational pharmacokinetic/pharmacodynamic hypothesis testing in human clinical trials. The affinity of AZD3783 to the 5-HT1B receptor was measured in vitro by using membrane preparations containing recombinant human or guinea pig 5-HT1B receptors and in native guinea pig brain tissue. In vivo antagonist potency of AZD3783 for the 5HT1B receptor was investigated by measuring the blockade of 5-HT1B agonist-induced guinea pig hypothermia. The anxiolytic-like potency was assessed using the suppression of separation-induced vocalization in guinea pig pups. The affinity of AZD3783 for human and guinea pig 5-HT1B receptor (Ki, 12.5 and 11.1 nM, respectively) was similar to unbound plasma EC50 values for guinea pig receptor occupancy (11 nM) and reduction of agonist-induced hypothermia (18 nM) in guinea pig. Active doses of AZD3783 in the hypothermia assay were similar to doses that reduced separation-induced vocalization in guinea pig pups. AZD3783 demonstrated favorable pharmacokinetic properties. The predicted pharmacokinetic parameters (total plasma clearance, 6.5 ml/min/kg; steady-state volume of distribution, 6.4 l/kg) were within 2-fold of the values observed in healthy male volunteers after a single 20-mg oral dose. This investigation presents a direct link between AZD3783 in vitro affinity and in vivo receptor occupancy to preclinical disease model efficacy. Together with predicted human pharmacokinetic properties, we have provided a model for the quantitative translational pharmacology of AZD3783 that increases confidence in the optimal human receptor occupancy required for antidepressant and anxiolytic effects in patients.
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