Objective: Ocedurenone is a novel nonsteroidal mineralocorticoid receptor antagonist under development for the treatment of uncontrolled/resistant hypertension in patients with advanced chronic kidney disease. A phase 1, open-label study was conducted to determine absorption, metabolism, and excretion of 14 C labeled Ocedurenone following a single oral dose in healthy male subjects. Methods: A total of seven healthy subjects between 18 and 55 years of age with a body mass index between 18.0 and 32.0 kg/m 2 were selected and received a single oral dose ocedurenone (5 mg, 100 μCi of [ 14 C]-ocedurenone). Blood, urine and feces samples were collected for determination of ocedurenone in plasma, total radioactivity in whole blood and plasma, and metabolite profiling and identification. Results: Fecal excretion was the predominant route and mean cumulative percent of total radioactivity eliminated via feces was 84.2% (4.23 of 5). Urine excretion was the minor route, only 6.91% (0.347 of 5) of total radioactivity was collected. Ocedurenone geometric mean Cmax, AUC0-tlast and AUC0-∞ were 92.7 ng/mL, 6510 h*ng/mL and 6560 h*ng/mL, respectively. The geometric mean Cmax of total radioactivity in plasma and whole blood was 123 and 71.5 ngEq/g, respectively. The geometric mean AUC0-tlast and AUC0-∞ of total radioactivity in plasma and whole blood were 9660 and 9910 h*ngEq/g and 5240 and 5570 h*ngEq/g, respectively. Mean whole blood/plasma ratio for total radioactivity was 0.562 for AUC0-∞, indicating little association of radioactivity with red blood cells. In addition to parent drug, 12 metabolites were detected in various matrices. Unchanged ocedurenone was major circulating entities, oxidation and dehydrogenation were the major metabolic pathways. One subject experienced 1 mild adverse event. No serious adverse event and all events resolved without intervention. Conclusion: Ocedurenone appears to be safe and well-tolerated after single oral 0.5 mg dose in humans. The primary route of elimination was fecal after steadily absorbed and extensively metabolized primarily through oxidation and dehydrogenation.
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