METABOLIC-FATE OF C-14 CAMOSTAT MESYLATE IN MAN, RAT AND DOG AFTER INTRAVENOUS ADMINISTRATION

1. The metabolic fate of N,N-dimethylcarbamoylmethyl 4-(4-guanidino[C-14]benzoyloxy)phenylacetate methanesulphonate (C-14-camostat mesylate) was investigated after i.v. administration to man (12-h infusion), and to rat and dog (bolus injection). 2. Renal excretion (mainly in 24 h) accounted for al least 80% dose in all three species, and the only two important metabolites were identified as 4-(4-guanidinobenzoyloxy)phenylacetic acid (GBPA) and 4-guanidinobenzoic acid (GBA). 3. Parent drug was not detected in human plasma either during or after infusion of C-14-camostat mesylate owing to rapid hydrolysis of the side-chain ester group (t(1/2) < 1 min). Steady-stale levels of both GBPA and GBA in plasma were apparently attained by the end of the infusion period. Mean terminal half-life, systemic clearance and apparent volume of distribution at steady-state of GBPA in man were 1.0 h, 6.4 ml/min per kg and 0.38 l/kg, respectively, and the corresponding values for GBA were 2.4 h, 4.7 ml/min per kg and 1.0 l/kg respectively. 4. Radioactivity was rapidly distributed to most tissues after bolus i.v. doses of C-14-camostat mesylate to rats and dogs, with highest levels being associated with the liver and kidney, the two main organs of drug elimination. Concentrations in the pancreas, a possible site for drug action, were generally lower than those in plasma.