Comprehensive Metabolic Profiling of Resigratinib, a Novel FGFR Inhibitor, Using Integrated LC-MS/MS and

Xiaoxia An1, Yanting Mao1, Ali Fan2

  • 1Department of Pharmacy, Children's Hospital Affiliated to Zhengzhou University, Zhengzhou, China.

Abstract

Insights

This study characterized the in vitro metabolism of resigratinib, a fibroblast growth factor receptor (FGFR) inhibitor, in liver microsomes. CYP3A4 was identified as the primary enzyme responsible for resigratinib metabolism, with ten metabolites identified.

Area of Science:

  • Pharmacology
  • Drug Metabolism
  • Biochemistry

Background:

  • Resigratinib is a potent fibroblast growth factor receptor (FGFR) inhibitor investigated for solid tumors like cholangiocarcinoma.
  • Limited data exists regarding the hepatic metabolism of resigratinib, necessitating further investigation for its clinical development.

Purpose of the Study:

  • To characterize the in vitro hepatic metabolism of resigratinib.
  • To identify major metabolites and the primary enzymes involved in resigratinib metabolism across different species.

Main Methods:

  • Validated a liquid chromatography-tandem mass spectrometry (LC-MS/MS) method for resigratinib quantification in liver microsomes.
  • Employed LC coupled with Orbitrap high-resolution mass spectrometry (LC-Orbitrap-HRMS) for metabolite identification and structural elucidation.
  • Utilized recombinant cytochrome P450 enzymes and chemical inhibition studies to determine the metabolic enzymes involved.

Main Results:

  • Resigratinib exhibited low clearance in dogs and high clearance in monkeys and humans.
  • Ten metabolites were identified, with M3 (bis-demethylation), M5 (O-demethylation), and M9 (N-demethylation) being the major ones.
  • Cytochrome P450 3A4 (CYP3A4) was identified as the predominant enzyme responsible for resigratinib metabolism.

Conclusions:

  • This study provides the first integrated analytical approach for the in vitro metabolic assessment of resigratinib.
  • The identified metabolic profiles and pathways are crucial for future toxicological and clinical studies of resigratinib.

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