A phase I study investigation of metabolism, and disposition of [C-14]-anlotinib after an oral administration in patients with advanced refractory solid tumors
CANCER CHEMOTHERAPY AND PHARMACOLOGY
Authors: Liu, Yiqian; Liu, Lianke; Liu, Lingxiang; Wang, Tongshan; Guo, Lian; Wang, Yixiang; Gao, Zhengzhen; Shu, Yongqian
Abstract
Purpose Anlotinib is a novel oral multi-targeted receptor tyrosine kinase inhibitor, which selectively inhibits VEGFR2/3, FGFR1-4, PDGFR alpha/beta, c-kit, and Ret. It shows antitumor effect in patients with advanced refractory solid tumors. The detailed absorption, metabolism, and excretion pathways of anlotinib have not yet been fully investigated. Methods Six male patients were enrolled and divided into two groups. Group A (containing two patients) received 14.15 mg/80 mu Ci/subject [C-14]-anlotinib hydrochloride. Group B (containing four patients) received 14.15 mg/120 mu Ci/subject [C-14]-anlotinib hydrochloride. The blood, urine, and feces of all the six patients after orally administration of [C-14]-anlotinib were collected. The absorption, metabolism, and excretion of [C-14]-anlotinib were investigated, and the efficacy and safety of anlotinib were evaluated. Results In plasma, the average time to peak concentration (T-max) of total radioactivity was 4.42 h and the average peak concentration (C-max) of total radioactivity was 18.80 ng Eq./g. The average values of AUC(0-last), AUC(0-infinity), and MRT0-t were 4071 h.ng Eq./g, 13,555 h.ng Eq./g, and 125 h, respectively. The average recovery of total radioactivity (TRA) in urine and feces was 62.03%, accounting for 48.52% and 13.51% in feces and urine of the total dosage, respectively. The parent drug, a carboxylic metabolite (M30), and mono-oxidation products (M46/M66) were major drug-related components in human plasma. Oxidative metabolism played the major role in drug clearance in human. The major metabolic pathways include oxidative deamination to M2, mono-oxidation to M1, and the formation of M30. Adverse events occurred in five patients and severe adverse events (SAE) occurred in one. Tumor response were evaluated as stable disease (SD) in three, partial response (PR) in one, and progressive disease (PD) in one of the patients, respectively. Conclusions Anlotinib had a good pharmacokinetic profile with rapid absorption, long half-life, and extensive hepatic metabolism. The adverse events and efficacy were as expected.
Effect of Silymarin Supplementation on Physical Performance, Muscle and Myocardium Histological Changes, Bodyweight, and Food Consumption in Rats Subjected to Regular Exercise Training
INTERNATIONAL JOURNAL OF MOLECULAR SCIENCES
Authors: Vargas-Mendoza, Nancy; Angeles-Valencia, Marcelo; Madrigal-Santillan, Eduardo Osiris; Morales-Martinez, Mauricio; Tirado-Lule, Judith Margarita; Solano-Urrusquieta, Arturo; Madrigal-Bujaidar, Eduardo; Alvarez-Gonzalez, Isela; Fregoso-Aguilar, Tomas; Morales-Gonzalez, Angel; Morales-Gonzalez, Jose A.
Abstract
(1) Background: Regular exercise induces physiological and morphological changes in the organisms, but excessive training loads may induce damage and impair recovery or muscle growth. The purpose of the study was to evaluate the impact of Silymarin (SM) consumption on endurance capacity, muscle/cardiac histological changes, bodyweight, and food intake in rats subjected to 60 min of regular exercise training (RET) five days per week. (2) Methods: Male Wistar rats were subjected to an eight-week RET treadmill program and were previously administered SM and vitamin C. Bodyweight and food consumption were measured and registered. The maximal endurance capacity (MEC) test was performed at weeks one and eight. After the last training session, the animals were sacrificed, and samples of quadriceps/gastrocnemius and cardiac tissue were obtained and process for histological analyzes. (3) Results: SM consumption improved muscle recovery, inflammation, and damaged tissue, and promoted hypertrophy, vascularization, and muscle fiber shape/appearance. MEC increased after eight weeks of RET in all trained groups; moreover, the SM-treated group was enhanced more than the group with vitamin C. There were no significant changes in bodyweight and in food and nutrient consumption along the study. (5) Conclusion: SM supplementation may enhance physical performance, recovery, and muscle hypertrophy during the eight-week RET program.