Tolerability, safety, and pharmacokinetics of the novel cathepsin A inhibitor SAR164653 in healthy subjects
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Tolerability, safety, and pharmacokinetics of the novel cathepsin A inhibitor SAR164653 in healthy subjects. / Tillner, Joachim; Lehmann, Anne; Paehler, Tobias; Lukacs, Zoltan; Ruf, Sven; Sadowski, Thorsten; Pinquier, Jean-Louis; Ruetten, Hartmut.
in: CLIN PHARM DRUG DEV, Jahrgang 5, Nr. 1, 01.2016, S. 57-68.Publikationen: SCORING: Beitrag in Fachzeitschrift/Zeitung › SCORING: Zeitschriftenaufsatz › Forschung › Begutachtung
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TY - JOUR
T1 - Tolerability, safety, and pharmacokinetics of the novel cathepsin A inhibitor SAR164653 in healthy subjects
AU - Tillner, Joachim
AU - Lehmann, Anne
AU - Paehler, Tobias
AU - Lukacs, Zoltan
AU - Ruf, Sven
AU - Sadowski, Thorsten
AU - Pinquier, Jean-Louis
AU - Ruetten, Hartmut
N1 - © 2015, The American College of Clinical Pharmacology.
PY - 2016/1
Y1 - 2016/1
N2 - Cathepsin A (CathA) is a lysosomal protein where it forms a stable complex with neuraminidase and ß-galactosidase. CathA also has enzymatic activity and is involved in the degradation of many peptides. CathA was recently discovered as a target for heart failure, fostering the development of CathA inhibitors with SAR164653 as a frontrunner. The first-in-man study investigated single oral doses from 20 to 800 mg of SAR164653 followed by repeat dose studies at doses up to 800 mg in healthy young and elderly subjects. SAR164653 was safe and well tolerated at doses up to 800 mg in healthy subjects, and a maximum tolerated dose could not be determined from the study. Activity of ß-galactosidase measured in leukocytes did not show any abnormalities. The tmax was 1.0 to 2.5 hours, and the t1/2 was ∼5-11 after single dosing; exposure increased less than dose proportional. Following multiple dosing, accumulation was not observed, Cmax and AUC0-24 increased in a dose-proportional manner, and t1/2 was around 14-20 hours. The novel CathA inhibitor SAR164653 was found to have a favorable safety profile in these early phase 1 studies, but further studies are required to confirm if SAR164653 is equally safe in patients undergoing long-term treatment.
AB - Cathepsin A (CathA) is a lysosomal protein where it forms a stable complex with neuraminidase and ß-galactosidase. CathA also has enzymatic activity and is involved in the degradation of many peptides. CathA was recently discovered as a target for heart failure, fostering the development of CathA inhibitors with SAR164653 as a frontrunner. The first-in-man study investigated single oral doses from 20 to 800 mg of SAR164653 followed by repeat dose studies at doses up to 800 mg in healthy young and elderly subjects. SAR164653 was safe and well tolerated at doses up to 800 mg in healthy subjects, and a maximum tolerated dose could not be determined from the study. Activity of ß-galactosidase measured in leukocytes did not show any abnormalities. The tmax was 1.0 to 2.5 hours, and the t1/2 was ∼5-11 after single dosing; exposure increased less than dose proportional. Following multiple dosing, accumulation was not observed, Cmax and AUC0-24 increased in a dose-proportional manner, and t1/2 was around 14-20 hours. The novel CathA inhibitor SAR164653 was found to have a favorable safety profile in these early phase 1 studies, but further studies are required to confirm if SAR164653 is equally safe in patients undergoing long-term treatment.
KW - Adolescent
KW - Adult
KW - Age Factors
KW - Aged
KW - Aged, 80 and over
KW - Area Under Curve
KW - Cathepsin A
KW - Dose-Response Relationship, Drug
KW - Double-Blind Method
KW - Female
KW - Half-Life
KW - Humans
KW - Male
KW - Middle Aged
KW - Young Adult
KW - Clinical Trial, Phase I
KW - Journal Article
KW - Randomized Controlled Trial
U2 - 10.1002/cpdd.201
DO - 10.1002/cpdd.201
M3 - SCORING: Journal article
C2 - 27119579
VL - 5
SP - 57
EP - 68
JO - CLIN PHARM DRUG DEV
JF - CLIN PHARM DRUG DEV
SN - 2160-7648
IS - 1
ER -
