Metabolism and Disposition of Dasatinib after Oral Administration to Humans

Authors:
  • DCDonghui Cui
    Donghui Cui
  • CWChiyuan Wu
    Chiyuan Wu
  • RLRoger Luo
    Roger Luo
  • JMJames A. Manning
    James A. Manning
  • SBSamuel J. Bonacorsi
    Samuel J. Bonacorsi
  • MLMichael Lago
    Michael Lago
  • AAAlban Allentoff
    Alban Allentoff
  • FLFrancis Y. F. Lee
    Francis Y. F. Lee
  • BMBetty McCann
    Betty McCann
  • SGSusan Galbraith
    Susan Galbraith
  • DRDonald P. Reitberg
    Donald P. Reitberg

Abstract
SPRYCEL (dasatinib, BMS-354825; Bristol-Myers Squibb, Princeton, NJ), a multiple kinase inhibitor, is currently approved to treat chronic myelogenous leukemia and Philadelphia chromosome-positive acute lymphoblastic leukemia tumors in patients who are resistant or intolerant to imatinib mesylate (Gleevec; Novartis, Basel, Switzerland). After a 100-mg single p.o. dose of [14C]dasatinib to healthy volunteers, the radioactivity was rapidly absorbed (Tmax ∼0.5 h). Both dasatinib and total radioactivity (TRA) plasma concentrations decreased rapidly with elimination half-life values of N-dealkylated metabolite (M4), an N-oxide (M5), an acid metabolite (M6), glucuronide conjugates (M8a,b), and products of further metabolism of these primary metabolites. Most of the administered radioactivity was eliminated in the feces (85%). Urine recovery accounted for 50 for Src and Bcr-Abl kinase inhibition, suggested that these metabolites were not expected to contribute significantly toward in vivo activity.

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