Human pharmacokinetics of XBD173 and etifoxine distinguish their potential for pharmacodynamic effects mediated by TSPO
Author(s)
Owen, David
Type
Journal Article
Abstract
XBD173 and etifoxine are translocator protein (TSPO) ligands that modulate inflammatory responses in preclinical models. Limited human pharmacokinetic data is available for either molecule, and the binding affinity of etifoxine for human TSPO is unknown. To allow for design of human challenge experiments, we derived pharmacokinetic data for orally administered etifoxine (50 mg 3 times daily) and XBD173 (90 mg once daily) and determined the binding affinity of etifoxine for TSPO. For XBD173, maximum plasma concentration and free fraction measurements predicted a maximal free concentration of 1.0 nM, which is similar to XBD173 binding affinity. For etifoxine, maximum plasma concentration and free fraction measurements predicted a maximal free concentration of 0.31 nM, substantially lower than the Ki for etifoxine in human brain derived here (7.8 μM, 95% CI 4.5–14.6 μM). We conclude that oral XBD173 dosing at 90 mg once daily will achieve pharmacologically relevant TSPO occupancy. However, the occupancy is too low for TSPO mediated effects after oral dosing of etifoxine at 50 mg 3 times daily.
Date Issued
2022-09
Date Acceptance
2022-04-29
Citation
British Journal of Clinical Pharmacology, 2022, 88 (9), pp.4230-4236
ISSN
0306-5251
Publisher
British Pharmacological Society
Start Page
4230
End Page
4236
Journal / Book Title
British Journal of Clinical Pharmacology
Volume
88
Issue
9
Copyright Statement
© 2022 The Authors. British Journal of Clinical Pharmacology published by John Wiley & Sons Ltd on behalf of British Pharmacological Society.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
This is an open access article under the terms of the Creative Commons Attribution License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
License URL
Sponsor
Medical Research Council (MRC)
National Institute for Health Research
UK DRI Ltd
UK DRI Ltd
Medical Research Council (MRC)
Identifier
https://bpspubs.onlinelibrary.wiley.com/doi/10.1111/bcp.15392
Grant Number
MR/N026934/1
RDA26
DRI-CORE2020-IMP
N/A
4050641385
Subjects
Science & Technology
Life Sciences & Biomedicine
Pharmacology & Pharmacy
anti-inflammatory drugs
brain
etifoxine
translocator protein
XBD173
PERIPHERAL BENZODIAZEPINE-RECEPTOR
TSPO LIGAND ETIFOXINE
TUMOR-NECROSIS-FACTOR
ANXIOLYTIC ETIFOXINE
MOUSE MODEL
MICROGLIAL ACTIVATION
IN-VIVO
18 KDA
BRAIN
XBD173
anti-inflammatory drugs
brain, etifoxine
translocator protein
Pharmacology & Pharmacy
1115 Pharmacology and Pharmaceutical Sciences
Publication Status
Published
Date Publish Online
2022-05-06