Pharmacokinetics of endoxifen and tamoxifen in female mice: implications for comparative in vivo activity studies

Background Reduced CYP2D6 metabolism and low Z-endoxifen (ENDX) concentrations may increase the risk of breast cancer recurrence in tamoxifen (TAM)-treated women. Little is known regarding the differences between TAM and ENDX murine pharmacokinetics or the effect of administration route on plasma co...

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Veröffentlicht in:Cancer chemotherapy and pharmacology 2014-12, Vol.74 (6), p.1271-1278
Hauptverfasser: Reid, Joel M., Goetz, Matthew P., Buhrow, Sarah A., Walden, Chad, Safgren, Stephanie L., Kuffel, Mary J., Reinicke, Kathryn E., Suman, Vera, Haluska, Paul, Hou, Xiaonan, Ames, Matthew M.
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container_end_page 1278
container_issue 6
container_start_page 1271
container_title Cancer chemotherapy and pharmacology
container_volume 74
creator Reid, Joel M.
Goetz, Matthew P.
Buhrow, Sarah A.
Walden, Chad
Safgren, Stephanie L.
Kuffel, Mary J.
Reinicke, Kathryn E.
Suman, Vera
Haluska, Paul
Hou, Xiaonan
Ames, Matthew M.
description Background Reduced CYP2D6 metabolism and low Z-endoxifen (ENDX) concentrations may increase the risk of breast cancer recurrence in tamoxifen (TAM)-treated women. Little is known regarding the differences between TAM and ENDX murine pharmacokinetics or the effect of administration route on plasma concentrations of each drug. Methods The pharmacokinetics of TAM and ENDX were characterized in female mice. Results For subcutaneous [s.c.] and oral TAM (4, 10 and 20 mg/kg), TAM AUC increased in a linear manner, but concentrations of the active metabolites [ENDX and 4-hydroxytamoxifen (4HT)] remained low. For oral TAM (20 mg), 4HT concentrations were tenfold greater (>25 ng/ml) than achievable in TAM-treated humans. Both oral (10–200 mg/kg) and s.c. (2.5–25 mg/kg) ENDX·HCl resulted in a greater than dose-proportional increase in AUC, with eightfold greater ENDX concentrations than an equivalent TAM dose. ENDX accumulated in plasma after 5-day dosing of 25 or 100 mg/kg ENDX·HCl and exceeded target concentrations of 0.1 and 1.0 μM, respectively, by twofold to fourfold. Conclusions In murine models, oral ENDX yields substantially higher ENDX concentrations, compared to TAM. The low 4HT and ENDX concentrations observed in mice receiving s.c. TAM mirror the TAM pharmacokinetics in humans with impaired CYP2D6 metabolism. These data support the ongoing development of ENDX as a novel agent for the endocrine treatment of ER-positive breast cancer.
doi_str_mv 10.1007/s00280-014-2605-7
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Little is known regarding the differences between TAM and ENDX murine pharmacokinetics or the effect of administration route on plasma concentrations of each drug. Methods The pharmacokinetics of TAM and ENDX were characterized in female mice. Results For subcutaneous [s.c.] and oral TAM (4, 10 and 20 mg/kg), TAM AUC increased in a linear manner, but concentrations of the active metabolites [ENDX and 4-hydroxytamoxifen (4HT)] remained low. For oral TAM (20 mg), 4HT concentrations were tenfold greater (&gt;25 ng/ml) than achievable in TAM-treated humans. Both oral (10–200 mg/kg) and s.c. (2.5–25 mg/kg) ENDX·HCl resulted in a greater than dose-proportional increase in AUC, with eightfold greater ENDX concentrations than an equivalent TAM dose. ENDX accumulated in plasma after 5-day dosing of 25 or 100 mg/kg ENDX·HCl and exceeded target concentrations of 0.1 and 1.0 μM, respectively, by twofold to fourfold. Conclusions In murine models, oral ENDX yields substantially higher ENDX concentrations, compared to TAM. The low 4HT and ENDX concentrations observed in mice receiving s.c. TAM mirror the TAM pharmacokinetics in humans with impaired CYP2D6 metabolism. These data support the ongoing development of ENDX as a novel agent for the endocrine treatment of ER-positive breast cancer.</description><identifier>ISSN: 0344-5704</identifier><identifier>EISSN: 1432-0843</identifier><identifier>DOI: 10.1007/s00280-014-2605-7</identifier><identifier>PMID: 25318936</identifier><identifier>CODEN: CCPHDZ</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Administration, Oral ; Animals ; Antineoplastic agents ; Antineoplastic Agents, Hormonal - administration &amp; dosage ; Antineoplastic Agents, Hormonal - pharmacokinetics ; Area Under Curve ; Biological and medical sciences ; Cancer Research ; Cytochrome P-450 CYP2D6 - metabolism ; Dose-Response Relationship, Drug ; Female ; Injections, Subcutaneous ; Medical sciences ; Medicine ; Medicine &amp; Public Health ; Mice ; Mice, Inbred BALB C ; Mice, Nude ; Oncology ; Original Article ; Pharmacology. 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Little is known regarding the differences between TAM and ENDX murine pharmacokinetics or the effect of administration route on plasma concentrations of each drug. Methods The pharmacokinetics of TAM and ENDX were characterized in female mice. Results For subcutaneous [s.c.] and oral TAM (4, 10 and 20 mg/kg), TAM AUC increased in a linear manner, but concentrations of the active metabolites [ENDX and 4-hydroxytamoxifen (4HT)] remained low. For oral TAM (20 mg), 4HT concentrations were tenfold greater (&gt;25 ng/ml) than achievable in TAM-treated humans. Both oral (10–200 mg/kg) and s.c. (2.5–25 mg/kg) ENDX·HCl resulted in a greater than dose-proportional increase in AUC, with eightfold greater ENDX concentrations than an equivalent TAM dose. ENDX accumulated in plasma after 5-day dosing of 25 or 100 mg/kg ENDX·HCl and exceeded target concentrations of 0.1 and 1.0 μM, respectively, by twofold to fourfold. Conclusions In murine models, oral ENDX yields substantially higher ENDX concentrations, compared to TAM. The low 4HT and ENDX concentrations observed in mice receiving s.c. TAM mirror the TAM pharmacokinetics in humans with impaired CYP2D6 metabolism. 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Little is known regarding the differences between TAM and ENDX murine pharmacokinetics or the effect of administration route on plasma concentrations of each drug. Methods The pharmacokinetics of TAM and ENDX were characterized in female mice. Results For subcutaneous [s.c.] and oral TAM (4, 10 and 20 mg/kg), TAM AUC increased in a linear manner, but concentrations of the active metabolites [ENDX and 4-hydroxytamoxifen (4HT)] remained low. For oral TAM (20 mg), 4HT concentrations were tenfold greater (&gt;25 ng/ml) than achievable in TAM-treated humans. Both oral (10–200 mg/kg) and s.c. (2.5–25 mg/kg) ENDX·HCl resulted in a greater than dose-proportional increase in AUC, with eightfold greater ENDX concentrations than an equivalent TAM dose. ENDX accumulated in plasma after 5-day dosing of 25 or 100 mg/kg ENDX·HCl and exceeded target concentrations of 0.1 and 1.0 μM, respectively, by twofold to fourfold. Conclusions In murine models, oral ENDX yields substantially higher ENDX concentrations, compared to TAM. The low 4HT and ENDX concentrations observed in mice receiving s.c. TAM mirror the TAM pharmacokinetics in humans with impaired CYP2D6 metabolism. These data support the ongoing development of ENDX as a novel agent for the endocrine treatment of ER-positive breast cancer.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>25318936</pmid><doi>10.1007/s00280-014-2605-7</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record>
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subjects Administration, Oral
Animals
Antineoplastic agents
Antineoplastic Agents, Hormonal - administration & dosage
Antineoplastic Agents, Hormonal - pharmacokinetics
Area Under Curve
Biological and medical sciences
Cancer Research
Cytochrome P-450 CYP2D6 - metabolism
Dose-Response Relationship, Drug
Female
Injections, Subcutaneous
Medical sciences
Medicine
Medicine & Public Health
Mice
Mice, Inbred BALB C
Mice, Nude
Oncology
Original Article
Pharmacology. Drug treatments
Pharmacology/Toxicology
Tamoxifen - administration & dosage
Tamoxifen - analogs & derivatives
Tamoxifen - pharmacokinetics
title Pharmacokinetics of endoxifen and tamoxifen in female mice: implications for comparative in vivo activity studies
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