Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS Analysis

Nafamostat, a synthetic serine protease inhibitor, has been used for the treatment of inflammatory diseases such as pancreatitis. Recently, an increasing number of studies have shown the promising antiviral effects of nafamostat for the treatment of coronavirus disease-19 (COVID-19). This study aime...

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Main Authors: Hyeon Seok Oh, Taehyung Kim, Dong-Hyeon Gu, Tae Suk Lee, Tae Hwan Kim, Soyoung Shin, Beom Soo Shin
Format: Article
Language:English
Published: MDPI AG 2022-03-01
Series:Molecules
Subjects:
Online Access:https://www.mdpi.com/1420-3049/27/6/1881
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author Hyeon Seok Oh
Taehyung Kim
Dong-Hyeon Gu
Tae Suk Lee
Tae Hwan Kim
Soyoung Shin
Beom Soo Shin
author_facet Hyeon Seok Oh
Taehyung Kim
Dong-Hyeon Gu
Tae Suk Lee
Tae Hwan Kim
Soyoung Shin
Beom Soo Shin
author_sort Hyeon Seok Oh
collection DOAJ
description Nafamostat, a synthetic serine protease inhibitor, has been used for the treatment of inflammatory diseases such as pancreatitis. Recently, an increasing number of studies have shown the promising antiviral effects of nafamostat for the treatment of coronavirus disease-19 (COVID-19). This study aimed to develop a novel liquid chromatography–tandem mass spectrometry (LC-MS/MS) analysis and to characterize the pharmacokinetics of nafamostat in rats. Nafamostat in the rat plasma was extracted by solid phase extraction, and <sup>13</sup>C<sub>6</sub>-nafamostat was used as an internal standard. The quantification limit of nafamostat in the rat plasma was 0.5 ng/mL. The LC-MS/MS method was fully validated and applied to characterize the pharmacokinetics of nafamostat in rats. Following intravenous injection (2 mg/kg), nafamostat in the plasma showed a multiexponential decline with an average elimination half-life (t<sub>1/2</sub>) of 1.39 h. Following oral administration of nafamostat solutions (20 mg/kg) in 10% dimethyl sulfoxide (DMSO) and in 10% DMSO with 10% Tween 80, nafamostat was rapidly absorbed, and the average oral bioavailability was 0.95% and 1.59%, respectively. The LC-MS/MS method and the pharmacokinetic information of nafamostat could be helpful for the further preclinical and clinical studies of nafamostat.
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spelling doaj.art-6c261f0fccad4241ad55b2b357a3e5162023-11-30T21:42:41ZengMDPI AGMolecules1420-30492022-03-01276188110.3390/molecules27061881Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS AnalysisHyeon Seok Oh0Taehyung Kim1Dong-Hyeon Gu2Tae Suk Lee3Tae Hwan Kim4Soyoung Shin5Beom Soo Shin6School of Pharmacy, Sungkyunkwan University, Suwon 16419, KoreaSchool of Pharmacy, Sungkyunkwan University, Suwon 16419, KoreaSchool of Pharmacy, Sungkyunkwan University, Suwon 16419, KoreaSchool of Pharmacy, Sungkyunkwan University, Suwon 16419, KoreaCollege of Pharmacy, Daegu Catholic University, Gyeongsan 38430, KoreaCollege of Pharmacy, Wonkwang University, Iksan 54538, KoreaSchool of Pharmacy, Sungkyunkwan University, Suwon 16419, KoreaNafamostat, a synthetic serine protease inhibitor, has been used for the treatment of inflammatory diseases such as pancreatitis. Recently, an increasing number of studies have shown the promising antiviral effects of nafamostat for the treatment of coronavirus disease-19 (COVID-19). This study aimed to develop a novel liquid chromatography–tandem mass spectrometry (LC-MS/MS) analysis and to characterize the pharmacokinetics of nafamostat in rats. Nafamostat in the rat plasma was extracted by solid phase extraction, and <sup>13</sup>C<sub>6</sub>-nafamostat was used as an internal standard. The quantification limit of nafamostat in the rat plasma was 0.5 ng/mL. The LC-MS/MS method was fully validated and applied to characterize the pharmacokinetics of nafamostat in rats. Following intravenous injection (2 mg/kg), nafamostat in the plasma showed a multiexponential decline with an average elimination half-life (t<sub>1/2</sub>) of 1.39 h. Following oral administration of nafamostat solutions (20 mg/kg) in 10% dimethyl sulfoxide (DMSO) and in 10% DMSO with 10% Tween 80, nafamostat was rapidly absorbed, and the average oral bioavailability was 0.95% and 1.59%, respectively. The LC-MS/MS method and the pharmacokinetic information of nafamostat could be helpful for the further preclinical and clinical studies of nafamostat.https://www.mdpi.com/1420-3049/27/6/1881nafamostatCOVID-19LC-MS/MSpharmacokineticsbioavailability
spellingShingle Hyeon Seok Oh
Taehyung Kim
Dong-Hyeon Gu
Tae Suk Lee
Tae Hwan Kim
Soyoung Shin
Beom Soo Shin
Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS Analysis
Molecules
nafamostat
COVID-19
LC-MS/MS
pharmacokinetics
bioavailability
title Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS Analysis
title_full Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS Analysis
title_fullStr Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS Analysis
title_full_unstemmed Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS Analysis
title_short Pharmacokinetics of Nafamostat, a Potent Serine Protease Inhibitor, by a Novel LC-MS/MS Analysis
title_sort pharmacokinetics of nafamostat a potent serine protease inhibitor by a novel lc ms ms analysis
topic nafamostat
COVID-19
LC-MS/MS
pharmacokinetics
bioavailability
url https://www.mdpi.com/1420-3049/27/6/1881
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