ABSTRACT:MK-0457 (N-[4({4-(4-methylpiperazin-1-yl)-6-[(3-methyl-1H-pyrazol-5 -yl)amino]pyrimidin-2-yl}thio)phenyl]cyclopropanecarboxamide), an Aurora kinase inhibitor in development for the treatment of cancer, was evaluated for its in vitro metabolism in different species. This compound primarily underwent N-oxidation and Ndemethylation in human, monkey, dog, and rat liver preparations. However, N-demethylation was less significant in dogs. The formation of minor metabolites varied with species, but all metabolites generated in human hepatocytes were observed in animals. Results of immunoinhibition, selective chemical inhibition, thermal inactivation, and metabolism by recombinant cytochromes P450 and flavin-containing monoogygenases (FMOs) strongly suggest that CYP3A4 and FMO3 comparably contributed to MK-0457 N-oxidation in human liver microsomes, where the reaction conformed to Michaelis-Menten kinetics. These studies indicate a major role of CYP2C8 in the N-demethylation reaction, whereas CYP3A4 only made a minor contribution. However, significant substrate inhibition was observed with MK-0457 N-demethylation at high substrate concentrations (>10 M) in human liver microsomes relative to the anticipated therapeutic exposure. A multienzyme metabolic pathway such as this may mitigate the potential of drug interactions in clinical treatment with MK-0457.MK-0457 is a potent and selective Aurora kinase inhibitor in clinical development for the treatment of solid tumors and hematopoietic cancers. Aurora kinases are involved in the regulation of chromosome segregation and cytokinesis during mitosis, and overexpression of these proteins is likely to contribute to tumorigenesis (Katayama et al., 2003;Jiang et al., 2006). Inhibition of Aurora kinases disrupts progression of the cancer cell cycle and blocks proliferation in vitro, whereas noncycling cells remain unaffected. Rodent in vivo studies have shown that MK-0457 inhibits tumor growth, resulting in regression (Harrington et al., 2004). MK-0457 is the first kinase inhibitor to exhibit clinical activity in patients with T315I BCR-ABL mutated chronic myeloid leukemia or acute lymphocytic leukemia (Giles et al., 2007).To gain an understanding of the species differences and similarities in the disposition of MK-0457 for the purpose of predicting human disposition and determining appropriate species for toxicology studies, metabolism studies were conducted in rat, dog, monkey, and human liver preparations. For the purpose of predicting potential drug-drug interactions, the drug-metabolizing enzymes involved in the biotransformation of MK-0457 in human liver microsomes were identified. In the present studies, the role of cytochrome P450 (P450) and flavin-containing monooxygenase (FMO), two major enzyme systems that catalyze oxidative metabolic reactions, have been investigated using a combination of in vitro reaction phenotyping strategies. These methods include the use of 1) monoclonal antibodies for immunoinhibition of specific P450 families, 2) selective chemical in...