cArbidol is a broad-spectrum antiviral drug that is used clinically to treat influenza. In this study, the pharmacokinetics, metabolism, and excretion of arbidol were investigated in healthy male Chinese volunteers after a single oral administration of 200 mg of arbidol hydrochloride. A total of 33 arbidol metabolites were identified in human plasma, urine, and feces. The principal biotransformation pathways included sulfoxidation, dimethylamine N-demethylation, glucuronidation, and sulfate conjugation. The major drug-related component in the plasma was sulfinylarbidol (M6-1), followed by unmetabolized arbidol, N-demethylsulfinylarbidol (M5), and sulfonylarbidol (M8). The exposures of M5, M6-1, and M8, as determined by the metabolite-to-parent area under the plasma concentration-time curve from 0 to t (AUC 0-t ) ratio, were 0.9 ؎ 0.3, 11.5 ؎ 3.6, and 0.5 ؎ 0.2, respectively. In human urine, glucuronide and sulfate conjugates were detected as the major metabolites, accounting for 6.3% of the dose excreted within 0 to 96 h after drug administration. The fecal specimens mainly contained the unchanged arbidol, accounting for 32.4% of the dose. Microsomal incubation experiments demonstrated that the liver and intestines were the major organs that metabolize arbidol in humans. CYP3A4 was the major isoform involved in arbidol metabolism, whereas the other P450s and flavin-containing monooxygenases (FMOs) played minor roles. These results indicated possible drug interactions between arbidol and CYP3A4 inhibitors and inducers. Further investigations are needed to understand the importance of M6-1 in the efficacy and safety of arbidol, because of its high plasma exposure and long elimination half-life (25.0 h).carboxylate} is a broad-spectrum antiviral compound. It was first marketed in 1993 for prophylaxis and treatment of influenza virus A and B infections (1). Recently, Teissier et al. reported that arbidol could inhibit viral glycoprotein conformational changes during membrane fusion by interacting with the phospholipid membrane and protein motifs enriched in aromatic residues (2). Clinical trials indicated that 200 mg of arbidol taken three times daily for 5 to 10 days reduces the duration of influenza by 1.7 to 2.65 days (3). Recent studies have extended the inhibitory activity of arbidol to other human viruses, such as hepatitis B and C viruses, rhinovirus 14, bird viruses, chikungunya virus, and respiratory syncytial virus (4, 5).Circulating metabolites have been known to contribute to or alter the pharmacological activities of the parent drug. The safety of circulating metabolites should be considered. Furthermore, identifying drug metabolic pathways is also important for predicting drug-drug interactions (DDIs). However, the current understanding of arbidol metabolism in humans is incomplete, and only a single study has been reported on the identification of human urinary metabolites after oral drug administration. Glucuronide arbidol (M18) and glucuronide sulfinylarbidol (M20-1 and M20-2) were detected as the m...