ABSTRACT:The metabolism and disposition of 14 C-labeled muraglitazar (Pargluva), a novel dual ␣/␥ peroxisome proliferator-activated receptor activator, was investigated in eight healthy male subjects with and without bile collection (groups 1 and 2) after a single 20-mg oral dose. Bile samples were collected for 3 to 8 h after dosing from group 2 subjects in addition to the urine and feces collection. In plasma, the parent compound was the major component, and circulating metabolites, including several glucuronide conjugates, were minor components at all time points. The exposure to parent drug (C max and area under the plasma concentration versus time curve) in subjects with bile collection was generally lower than that in subjects without bile collection. The major portion of the radioactive dose was recovered in feces (91% for group 1 and 51% for group 2). In addition, 40% of the dose was recovered in the bile from group 2 subjects. In this 3-to 8-h bile, the glucuronide of muraglitazar (M13, 15% of dose) and the glucuronides of its oxidative metabolites (M17a,b,c, M18a,b,c, and M20, together, 16% of dose) accounted for approximately 80% of the biliary radioactivity; muraglitazar and its O-demethylated metabolite (M15) each accounted for approximately 4% of the dose. In contrast, fecal samples only contained muraglitazar and its oxidative metabolites, suggesting hydrolysis of biliary glucuronides in the intestine before fecal excretion. Thus, the subjects with and without bile collection showed different metabolic profiles of muraglitazar after oral administration, and glucuronidation was not observed as a major pathway of metabolic clearance from subjects with the conventional urine and fecal collection, but was found as a major elimination pathway from subjects with bile collection.Peroxisome proliferator-activated receptors (PPARs) are a set of nuclear hormone receptors (comprising the ␣, ␥, and ␦ subtypes) which act as transcription factors in the regulation of multiple genes involved in such diverse disease areas as type 2 diabetes, dyslipidemia, obesity, inflammation, cancer, and osteoporosis (Torra et al., 2001;Taskinen, 2003;Yajima et al., 2004). The two most intensively investigated subtypes have been PPAR␣ (primarily expressed in the liver and which plays a critical role in lipid metabolism) and PPAR␥ (predominantly expressed in adipose tissue and implicated in insulin sensitization as well as glucose and fatty acid utilization). PPAR␣ is the target of the fibrate class of hypolipidemic drugs such as fenofibrate (Balfour et al., 1990;Despres, 2001;Packard et al., 2002) and gemfibrozil (Spencer and Barradell, 1996), whereas PPAR␥ is the target of the thiazolidinedione (Mudaliar and Henry, 2001) class of antidiabetic drugs such as rosiglitazone (Balfour and Plosker, 1999;Cheng-Lai and Levine, 2000;Goldstein, 2000) and pioglitazone (Gillies and Dunn, 2000).glycine, is a novel dual ␣/␥ PPAR activator, and the structure of muraglitazar is shown in Fig. 1. It has been shown that muraglitazar has both gluc...