Preview

"Arterial’naya Gipertenziya" ("Arterial Hypertension")

Advanced search

Pharmacokinetics of Fimasartan, a novel angiotensin II receptor type 1 antagonist in Russian population

https://doi.org/10.18705/1607-419X-2016-22-3-309-315

Abstract

Objective. Fimasartan, a novel potent angiotensin II receptor blocker, was evaluated in various preclinical and clinical studies in Korea. Considering that Korean population were studied in pivotal clinical trials, determination of Fimasartan pharmacokinetics in Russian patients was performed.

Design and methods. Open-label study on fimasartan pharmacokinetics after single use of fimasartan 60 mg included 15 patients with established arterial hypertension (HTN) 1–2 grade. Drug concentration was evaluated by protein precipitation for sample extraction followed by liquid chromatograph mass spectrometry.

Results. Fimasartan 60 mg was quickly absorbed after oral uptake, and maximal product concentrations in plasma were observed after 1,0 hour (tmax median), individual range of tmax values was from 0,50 to 4,00 hours after product uptake. After Сmax was achieved fimasartan concentration biphasic reduction started, and elimination phase began 2,5–8 hours after medication uptake in all patients. Fimasartan plasma concentration was identifiable until last timepoint of sampling 24 hours after drug uptake in the range of 1,33 to 11,2 ng/ml. Apparent terminal half-life period (t1/2) was 5.8 hours, individual data was in the range of 4,40 to 7,93 hours.

Conclusions. Pharmacokinetics of fimasartan in HTN patients in Russian population correlates well to the data obtained in Korean patients with HTN as well as in healthy volunteers.

About the Authors

Zh. D. Kobalava
Peoples’ Friendship University of Russia, Moscow, Russia
Russian Federation

MD, PhD, DSc, Professor, Head, Department of Propedeutics of Internal Diseases, PFUR



Yu. V. Kotovskaya
Peoples’ Friendship University of Russia, Moscow, Russia
Russian Federation

MD, PhD, DSc, Professor, Professor, Department of Propedeutics of Internal Diseases, PFUR



V. V. Tolkacheva
Peoples’ Friendship University of Russia, Moscow, Russia
Russian Federation

MD, PhD, Consultant, Department of Propedeutics of Internal Diseases, PFUR



E. V. Korneva
JSC “R‑Pharm”, Moscow, Russia
Russian Federation

MD, PhD, Scientific adviser, Medical Department, JSC “R‑Pharm”



N. Yu. Khozyainova
JSC “R‑Pharm”, Moscow, Russia 111B, Leninsky avenue, Moscow, 119421 Russia. Phone: +7(495)956–79–37. Fax: +7(495)956–79–38
Russian Federation

MD, PhD, DSc, Professor, Medical Adviser, Clinical Development & Medical Affairs, Medical Department, JSC “R‑Pharm”



M. Yu. Samsonov
JSC “R‑Pharm”, Moscow, Russia
Russian Federation

MD, PhD, Chief Medical Officer, Medical Department, JSC “R‑Pharm”



D. E. Koloda
JSC “R‑Pharm”, Moscow, Russia
Russian Federation

MD, Head of Clinical Development & Medical Affairs Medical Department, JSC “R‑Pharm”



A. O. Konradi
V. A. Almazov Federal North-West Medical Research Centre, St Petersburg, Russia
Russian Federation

MD, PhD, DSc, Professor, The Deputy Director General of Science, V.A. Almazov Federal North-West Medical Research Centre



References

1. Mazzolai L, Burnier M. Comparative safety and tolerability of angiotensin II receptor antagonists. Drug Saf. 1999;21(1):23–33.

2. Mancia G, Fagard R, Narkiewicz K, Redón J, Zanchetti A, Böhm M et al.; Task Force Members. 2013 ESH/ESC Guidelines for the management of arterial hypertension: the Task Force for the management of arterial hypertension of the European Society of Hypertension (ESH) and of the European Society of Cardiology (ESC). J Hypertens. 2013;31(7):1281–1357. doi: 10.1097/01. hjh.0000431740.32696.cc

3. Volpe M, Savoia C. New treatment options in the management of hypertension: appraising the potential role of azilsartan medoxomil. Integr. Blood Press. Control 2012;5:19–25. doi: 10.2147/IBPC.S13784.

4. Weber MA, Schiffrin EL, White WB, Mann S, Lindholm LH, Kenerson JG et al. Clinical practice guidelines for the management of hypertension in the community a statement by the American Society of Hypertension and the International Society of hypertension. J Hypertens. 2014;32(1):3–15. doi: 10. 1097/HJH.0000000000000065.

5. Go AS, Bauman MA, King SM, Fonarow GC, Lawrence W, Williams KA. An effective approach to high blood pressure control: a science advisory from the American Heart Association, the American College of Cardiology, and the Centers for Disease Control and Prevention. Hypertension. 2014;63(4):878–885.

6. Леонова М. В., Белоусов Д. Ю., Штейнберг Л. Л., Галицкий А. А., Белоусов Ю. Б., аналитическая группа исследования ПИФАГОР. Результаты фармакоэпидемиологического исследования артериальной гипертонии ПИФАГОР III (опрос пациентов с АГ). Системные гипертензии. 2010;2:33–39. [Leonova EV, Belousov DYu, Shteinberg LL, Galitskyi AA, Belousov YuB, analytical group of PIFAGOR study. Results of pharmacoepidemiological hypertension study PIFAGOR III (questioning of hypertensive patients). Systemnye Gipertenzii = Systemic Hypertension. 2010;2:33–39. In Russian].

7. Kim JH, Lee JH, Paik SH, Chi YH. Fimasartan a novel angiotensin ii receptor antagonist. Arch Pharm Res. 2012;35 (7):1123–1126.

8. Kim TW, Yoo BW, Lee JK, Kim JH, Lee KT, Chi YH et al. Synthesis and antihypertensive activity of pyrimidin‑4 (3H)-one derivatives as losartan analogue for new angiotensin II receptor type 1 (AT1) antagonists. Bioorg Med Chem Lett. 2012;22 (4):1649–1654.

9. Chi YH, Lee JH, Kim JH, Tan HK, Kim SL, Lee JY et al. Pharmacological characterization of BR-A‑657, a highly potent nonpeptide angiotensin II receptor antagonist. Biol Pharm Bull. 2013;36(7):1208–1215.

10. Choi MJ, Kwon GH, Han NS, Yoo BW, Kim JH, Paik SH et al. Development of 3D-QSAR CoMSIA models for 5- (biphenyl‑2‑yl)-1H-tetrazole derivatives as angiotensin II receptor type 1 (AT1) antagonists. Bioorg Med Chem Lett. 2013;23 (16):4540–4546.

11. Kim TH, Shin S, Bashir M, Chi YH, Paik SH, Lee JH et al. Pharmacokinetics and metabolite profiling of fimasartan, a novel antihypertensive agent, in rats. Xenobiotica. 2014;44 (10):913–925.

12. Lee SE, Kim YJ, Lee HY, Yang HM, Park CG, Kim JJ et al; Investigators. Efficacy and tolerability of fimasartan, a new angiotensin receptor blocker, compared with losartan (50/100 mg): a 12‑week, phase III, multicenter, prospective, randomized, doubleblind, parallel-group, dose escalation clinical trial with an optional 12‑week extension phase in adult Korean patients with mild-tomoderate hypertension. Clin Ther 2012;34(3):552–568.

13. Lee H, Jang IJ, Yu KS, Choi E, Oh BH. A Population pharmacokinetic analysis of fimasartan, a selective angiotensin ii receptor antagonist, in healthy Caucasian subjects and Korean patients with hypertension. Clin Pharmacol Drug Develop. 2013;2 (2):162–172.

14. Park JB, Sung KC, Kang SM, Cho EJ. Safety and efficacy of fimasartan in patients with arterial hypertension (Safe-KanArb study): an open-label observational study. Am J Cardiovasc. Drugs.2013;13(1):47–56. doi: 10.1007/s40256–013–0004–9

15. Kobalava Zh, Korneva E, Tolkacheva V, Kotovskaya Y, Samsonov M, Ajmi H et al. Pharmacokinetic parameters of fimasartan in Russian patients with arterial hypertensions. J Hypertens. 2015;33.e‑Suppl 1: e259‑e260 (abstract PP.LB01.25).

16. Shin BS, Kim TH, Paik SH, Chi YH, Lee JH, Tan HK et al. Simultaneous determination of fimasartan, a novel antihypertensive agent, and its active metabolite in rat plasma by liquid chromatography-tandem mass spectrometry. Biomed Chromatography. 2011;25(11):1208– 1214.

17. Yoon SH, Oh S, Kim HS, Yi S, Yu KS, Jang IJ et al. Validated LC–MS/MS Assay for the quantitative determination of fimasartan in human plasma: application to pharmacokinetic studies. J Chromatogr Sci. 2015;53(8):1250–1256. doi:10.1093/chromsci/bmu219

18. Chi YH, Lee H, Paik SH, Lee JH, Yoo BW, Kim JH et al. Safety, tolerability, pharmacokinetics, and pharmacodynamics of fimasartan following single and repeated oral administration in the fasted and fed states in healthy subjects. Am J Cardiovasc Drugs. 2011;11(5):335–346.

19. Lee H, Yang HM, Lee HY, Kim JJ, Choi DJ, Seung KB et al. Efficacy and tolerability of once-daily oral fimasartan 20 to 240 mg/d in Korean patients with hypertension: findings from two phase II, randomized, double-blind, placebo-controlled studies. Clin Ther. 2012;34(6):1273–1289.

20. Ghim JL, Paik SH, Hasanuzzaman M, Chi YH, Choi HK, Kim DH et al. Absolute bioavailability and pharmacokinetics of the angiotensin II receptor antagonist fimasartan in healthy subjects. J Clin Pharmacol. 2015;56(5):576–80. doi: 10.1002/jcph.618

21. Lee J, Han S, Jeon S, Hong T, Yim DS. Pharmacokineticpharmacodynamic model of fimasartan applied to predict the influence of a high fat diet on its blood pressure-lowering effect in healthy subjects. Eur J Clin Pharmacol. 2013;69(1):11–20.


Review

For citations:


Kobalava Zh.D., Kotovskaya Yu.V., Tolkacheva V.V., Korneva E.V., Khozyainova N.Yu., Samsonov M.Yu., Koloda D.E., Konradi A.O. Pharmacokinetics of Fimasartan, a novel angiotensin II receptor type 1 antagonist in Russian population. "Arterial’naya Gipertenziya" ("Arterial Hypertension"). 2016;22(3):309-315. (In Russ.) https://doi.org/10.18705/1607-419X-2016-22-3-309-315

Views: 1430


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1607-419X (Print)
ISSN 2411-8524 (Online)