Pharmacokinetics, bioavailability, and plasma protein binding study of glytrexate, a novel multitarget antifolate

Jiahong Xiang1,2, Mengqi Wu1,2, Jianchao Wang1,2

  • 1Key Laboratory of Innovative Drug Research and Evaluation in Hebei Province, School of Pharmaceutical Sciences, Hebei Medical University, Shijiazhuang, China.

Frontiers in Pharmacology
|October 21, 2022
PubMed

Insights

Glytrexate, a novel anticancer agent, shows promise but has poor oral bioavailability. Its pharmacokinetic properties suggest potential for development as an intravenous injection, offering a new therapeutic option.

Area of Science:

  • Pharmacology
  • Drug Development
  • Analytical Chemistry

Background:

  • Glytrexate is a novel multitarget folate antagonist with demonstrated antitumor activity, particularly against KB tumor cells.
  • Its pharmacokinetic and plasma protein binding properties were previously unknown, hindering further drug development.
  • Understanding these properties is crucial for evaluating its therapeutic potential and formulation strategies.

Purpose of the Study:

  • To develop and validate a selective and sensitive liquid chromatography-tandem mass spectrometry (LC–MS/MS) method for glytrexate bioanalysis.
  • To evaluate the stability, plasma protein binding, and pharmacokinetic characteristics of glytrexate in preclinical models.
  • To compare the pharmacokinetic profile of glytrexate with that of pemetrexed and inform formulation development.

Main Methods:

  • Development and validation of a liquid chromatography-tandem mass spectrometry (LC–MS/MS) method.
  • Stability studies in human plasma and rat plasma, and human liver microsomes.
  • Plasma protein binding assays.
  • Pharmacokinetic studies in rats following single oral and intravenous administrations.
  • Noncompartmental analysis of pharmacokinetic data.

Main Results:

  • Glytrexate exhibited greater stability in human plasma than in rat plasma and human liver microsomes.
  • Plasma protein binding was less than 30% for both human and rat plasma.
  • Oral administration in rats showed linear pharmacokinetics within the tested dose range (12.5–50 mg/kg) but poor oral bioavailability (0.57–1.15%).
  • Intravenous administration revealed a longer half-life, higher AUC, and Cmax for glytrexate compared to pemetrexed.

Conclusions:

  • The developed LC–MS/MS method is suitable for glytrexate bioanalysis.
  • Glytrexate demonstrates favorable stability and low plasma protein binding, suggesting potential for tissue distribution.
  • Poor oral bioavailability indicates that glytrexate may be better suited for intravenous formulation, similar to pemetrexed, with promising clinical application prospects.

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