Drug Res (Stuttg) 2013; 63(08): 388-395
DOI: 10.1055/s-0033-1341478
Original Article
© Georg Thieme Verlag KG Stuttgart · New York

Pharmacokinetics, Safety and Tolerability of Pirfenidone and its Major Metabolite after Single and Multiple Oral Doses in Healthy Chinese Subjects under Fed Conditions

N.-Y. Huang
1   Department of Pharmaceutical Analysis, China Pharmaceutical University, Nanjing, China
,
L. Ding
1   Department of Pharmaceutical Analysis, China Pharmaceutical University, Nanjing, China
,
J. Wang
1   Department of Pharmaceutical Analysis, China Pharmaceutical University, Nanjing, China
3   Department of Pharmacy, Shanxi Provincial People’s Hospital, Taiyuan, China
,
Q.-Y. Zhang
2   Department of Pharmacy, The Second Affiliated Hospital of Suzhou University, Suzhou, China
,
X. Liu
1   Department of Pharmaceutical Analysis, China Pharmaceutical University, Nanjing, China
,
H.-D. Lin
1   Department of Pharmaceutical Analysis, China Pharmaceutical University, Nanjing, China
,
W.-Y. Hua
2   Department of Pharmacy, The Second Affiliated Hospital of Suzhou University, Suzhou, China
› Institutsangaben
Weitere Informationen

Publikationsverlauf

received 25. November 2012

accepted 11. März 2013

Publikationsdatum:
11. April 2013 (online)

Preview

Abstract

Background and objective:

Pirfenidone is a promising antifibrotic agent with therapeutic potential for idiopathic pulmonary fibrosis. This study aimed to evaluate the pharmacokinetics and urinary excretion of pirfenidone and its major metabolite 5-carboxy-pirfenidone in healthy Chinese subjects under fed conditions.

Methods:

20 healthy subjects of either sex were recruited in this randomized, single-center, and open-label, single ascending doses (200, 400, and 600 mg) and multiple doses (400 mg, 3 times daily) study. Safety was assessed by adverse events, ECGs, vital signs, and clinical laboratory parameters. Blood and urine samples were analyzed with a validated LC/MS method.

Results and conclusion:

Pirfenidone was safe and well tolerated. After single-dose administration, pirfenidone was rapidly absorbed with a mean Tmax of 1.8–2.2 h and a mean t1/2 of 2.1–2.4 h. 5-carboxy-pirfenidone was rapidly formed with a mean Tmax of 1.5–2.2 h and a mean t1/2 of 2.1–2.6 h. Cmax and AUC for both parent and metabolite were dose proportional over the 200–600 mg dose range. No gender effect was found. In the steady state, the accumulation index (R) estimated for the 3 dosing intervals ranged from 1.1 to 1.5 for both pirfenidone and 5-carboxy-pirfenidone, indicating that the exposure of pirfenidone and 5-carboxy-pirfenidone increased slightly with repeated dosing, but t1/2 and CL/F remained unchanged. Metabolism is the primary mechanism of drug clearance of pirfenidone. About 87.76% of the administered pirfenidone was excreted in urine in the form of 5-carboxy-pirfenidone, while only 0.6159% of the administered pirfenidone was detected as the unchanged form in urine.