Drug Res (Stuttg) 2020; 70(11): 528-540
DOI: 10.1055/a-1233-5575
Original Article

Pharmacokinetics and Tissue Distribution of Loratadine, Desloratadine and Their Active Metabolites in Rat based on a Newly Developed LC-MS/MS Analytical Method

Yuxin Zhang
1   Nanjing Drum Tower Hospital, the Affiliated Hospital of Nanjing University Medical School, Nanjing, P. R. China
,
Yihua Lu
2   Key Laboratory of Drug Quality Control and Pharmacovigilance (Ministry of Education), China Pharmaceutical University, Nanjing, P. R. China
,
Lijuan Wang
2   Key Laboratory of Drug Quality Control and Pharmacovigilance (Ministry of Education), China Pharmaceutical University, Nanjing, P. R. China
,
Yuan Tian
2   Key Laboratory of Drug Quality Control and Pharmacovigilance (Ministry of Education), China Pharmaceutical University, Nanjing, P. R. China
,
Zunjian Zhang
2   Key Laboratory of Drug Quality Control and Pharmacovigilance (Ministry of Education), China Pharmaceutical University, Nanjing, P. R. China
› Institutsangaben
Sources of Funding: This work was financially supported by the National Major Science and Technology Projects of China(2017ZX09101001) and the Double First-Class University Project (CPU2018GY33).

Abstract

Loratadine (LOR) and its major metabolite, desloratadine (DL) are new-generation antihistamines. The hydroxylated metabolites of them, 6-OH-DL, 5-OH-DL and 3-OH-DL are also active because of their ability to inhibit binding of pyrilamine to brain H1 receptors and a tendency for distributing to specific immune-regulatory tissues. In this study, a new validated LC-MS/MS method to simultaneously quantify LOR, DL, 6-OH-DL, 5-OH-DL and 3-OH-DL in plasma and tissues was established and applied to an investigation of their pharmacokinetics and target-tissue distribution tendency for the first time. Pharmacokinetics parameters in rat were measured and the results suggest that the body’s exposure to active metabolites were much higher than to the prodrug with LOR, but much lower with DL. The tissue distribution study shows that LOR, DL and their active metabolites were widely distributed in the liver, spleen, thymus, heart, adrenal glands and pituitary gland. For immune-regulatory tissues, the concentrations of LOR, DL and their active metabolites in the spleen were much higher than in the thymus, which is related to the spleen, one of the sites where immune responses occur. LOR and its metabolites might inhibit immune-mediated allergic inflammation through the hypothalamic-pituitary-adrenal (HPA) axis. It was also found that the concentration of LOR in the heart was highest after liver and adrenal glands while those of DL, 6-OH-DL and 5-OH-DL in the liver, adrenal glands and spleen were all higher than those in the heart, which suggests that LOR may have a greater tendency to distribute in the heart than its metabolites.



Publikationsverlauf

Eingereicht: 14. Mai 2020

Angenommen: 03. August 2020

Artikel online veröffentlicht:
02. September 2020

© 2020. Thieme. All rights reserved.

Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany

 
  • References

  • 1 Appeals U C O. Second-generation antihistamines have similar efficacy in allergic rhinitis, but their tolerability and metabolism differ. Drugs & Therapy Perspectives 2007; 23 (10) 17-19
  • 2 Ramanathan R, Alvarez N, Su AD. et al. Metabolism and excretion of loratadine in male and female mice, rats and monkeys. Xenobiotica 2005; 35 (02) 155-189
  • 3 Ramanathan R, Reyderman L, Kulmatycki K. et al. Disposition of loratadine in healthy volunteers. Xenobiotica 2007; 37 (07) 753
  • 4 FDA. Drug Approval Package [EB/OL]. (2001-11-20) [2018-06-10]. https://www.accessdata.fda.gov/drugsatfda_docs/nda/2001/21-165_Clarinex.cfm
  • 5 Yin OQ, Shi X, Chow MS. Reliable and specific high-performance liquid chromatographic method for simultaneous determination of loratadine and its metabolite in human plasma. Journal of Chromatography B 2003; 796 (01) 165-172
  • 6 Belal F, El-Razeq SA, El-Awady M. et al. Rapid micellar HPLC analysis of loratadine and its major metabolite desloratadine in nano-concentration range using monolithic column and fluorometric detection: Application to pharmaceuticals and biological fluids. Chemistry Central Journal 2016; 10 (01) 79
  • 7 Vlase L, Imre S, Muntean D. et al. Determination of loratadine and its active metabolite in human plasma by high-performance liquid chromatography with mass spectrometry detection. Journal of Pharmaceutical & Biomedical Analysis 2007; 44 (03) 652-657
  • 8 Srinubabu G, Patel RS, Shedbalkar VP. et al. Development and validation of high-throughput liquid chromatography-tandem mass spectrometric method for simultaneous quantification of loratadine and desloratadine in human plasma. Journal of Chromatography B 2007; 860 (02) 202-208
  • 9 Dridi D, Attia MB, Sani M. et al. Circadian Time-Effect of Orally Administered Loratadine on Plasma Pharmacokinetics in Mice. Chronobiology International 2008; 25 (04) 533-547
  • 10 Affrime M, Gupta S, Banfield C. et al. A pharmacokinetic profile of desloratadine in healthy adults, including elderly. Clinical Pharmacokinetics 2002; 41 (01) 13-19
  • 11 Sun C, Li Q, Pan L. et al. Development of a highly sensitive LC-MS/MS method for simultaneous determination of rupatadine and its two active metabolites in human plasma: Application to a clinical pharmacokinetic study. Journal of Pharmaceutical & Biomedical Analysis 2015; 111: 163-168
  • 12 Muppavarapu R, Guttikar S, Kamarajan K. LC-MS/MS method for the simultaneous determination of desloratadine and its metabolite 3-hydroxy desloratadine in human plasma. International Journal of Pharmacy and Biological Sciences 2014; 4 (02) 151-161
  • 13 Wang T, Zhang K, Li T. et al. Prevalence of Desloratadine Slow-metabolizer Phenotype and Food-dependent Pharmacokinetics of Desloratadine in Healthy Chinese Volunteers. Clinical Drug Investigation 2015; 35 (12) 807-813
  • 14 Xu HR, Li XN, Chen WL. et al. Simultaneous determination of desloratadine and its active metabolite 3-hydroxydesloratadine in human plasma by LC/MS/MS and its application to pharmacokinetics and bioequivalence. Journal of Pharmaceutical & Biomedical Analysis 2007; 45 (04) 659-666
  • 15 Yang L, Clement RP, Kantesaria B. et al. Validation of a sensitive and automated 96-well solid-phase extraction liquid chromatography-tandem mass spectrometry method for the determination of desloratadine and 3-hydroxydesloratadine in human plasma. Journal of Chromatography B 2003; 792 (02) 229-240
  • 16 EMA. Guideline on bioanalytical method validation www.ema.europa.eu/
  • 17 Crowe A, Wright C. The impact of P-glycoprotein mediated efflux on absorption of 11 sedating and less-sedating antihistamines using Caco-2 monolayers. Xenobiotica 2012; 42 (06) 538-549
  • 18 Chrousos GP. The hypothalamic-pituitary-adrenal axis and immune-mediated inflammation. N Engl J Med. 1995; 332 (20) 1351-1362
  • 19 Gonzáleznúñez V, Valero A, Mullol J. Safety evaluation of desloratadine in allergic rhinitis. Expert Opinion on Drug Safety 2013; 12 (03) 445
  • 20 Haria M, Fitton A, Peters DH. Loratadine. A reappraisal of its pharmacological properties and therapeutic use in allergic disorders. Drugs 1994; 48 (04) 617-637
  • 21 Poluzzi E, Raschi E, Godman B. et al. Pro-Arrhythmic Potential of Oral Antihistamines (H1): Combining Adverse Event Reports with Drug Utilization Data across Europe. Plos One 2015; 10 (03) e0119551