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Die Pharmazie is published by IMR Press from Volume 81 Issue 1 (2026). Previous articles were published by another publisher under the CC-BY licence, and they are hosted by IMR Press on imrpress.com as a courtesy and upon agreement.

Abstract

Detailed pharmacokinetic (PK) studies in rats were performed (i) to compare the PK of prednisolone (PRN) and loteprednol etabonate (LE, a soft corticosteroid) as well as their common inactive metabolite Δ1- cortienic acid (Δ1-CA), (ii) to investigate the excretion of Δ1-CA after PRN and LE administration, and (iii) to investigate the effect of Δ1-unsaturation on the excretion of Δ1-CA versus CA. Following a 10 mg·kg—1 intravenous bolus dose, the total clearance (CLtot) of PRN (27.0 ± 1.4 mL·min—1 kg—1) was significantly lower than that of LE (67.4 ± 11.6 mL·min—1 kg—1) or Δ1 CA (53.8 ± 1.4 L·min—1 kg—1) indicating that the metabolism/elimination of PRN in the liver (primarily, conjugation) may be less efficient than that of LE (primarily, hydrolysis) or Δ1-CA (unchanged). The volume of distribution (Vdss) of PRN (823 ± 78 mL·kg—1) was significantly lower than that of LE (3078 ± 79 mL·kg—1) indicating that LE is more distributed to lipophilic tissues. Excretion studies have confirmed that Δ1-CA is indeed a metabolite of PRN. After intravenous injection of 10 mg·kg—1, less than 1% of the administered PRN was excreted as Δ1-CA by 4 h (0.38 ± 0.10% in bile and 0.18 ± 0.04% in urine), significantly less than for LE (17.01 ± 2.09% in bile and 2.53 ± 1.17% in urine) indicating that extent of this metabolic transformation can indeed be affected by molecular design. At doses of 100 mg/kg, the proportion of Δ1-CA excreted after PRN administration (0.12 ± 0.03% in bile and 0.19 ± 0.03% in urine) was similar to that of CA excreted after hydrocortisone administration (0.11 ± 0.03% in bile and 0.22 ± 0.04% in urine) indicating that the presence of the Δ1 double bond (Δ1-unsaturation) does not affect significantly this metabolic conversion.