ABSTRACT:Compound S-4 (S-3-(4-acetylamino-phenoxy)-2-hydroxy-2-methyl-N-(4-nitro-3-trifluoromethyl-phenyl)-propionamide) is a novel nonsteroidal androgen agonist that mimics many of the beneficial pharmacologic effects of testosterone with lesser effects on the prostate. S-4 demonstrated high androgen receptor binding affinity as well as anabolic specificity during in vivo pharmacologic studies in rats, identifying it as the first member of a new class of selective androgen receptor modulators. The purpose of these studies was to determine the pharmacokinetics and metabolism of S-4 in dogs. S-4 showed linear pharmacokinetics after both intravenous (i.v.) and oral (p.o.) administrations at pharmacologically relevant doses, with a mean clearance of 4.6 ml/min/kg and a mean half-life of about 200 min. It is interesting that dose-dependent oral bioavailability was seen. However, at pharmacologically relevant doses, the oral bioavailability of S-4 was 91%. Species differences were observed in S-4 metabolism; the major metabolic pathway for S-4 in dogs was deacetylation of the B-ring acetamide group and reduction of the A-ring nitro group, whereas the major metabolic pathway for S-4 in rats was hydrolysis on the amide bond and reduction of the A-ring nitro group. In addition, oxidative metabolites and phase II metabolites were identified in both rats and dogs. These studies demonstrate that S-4 maintains its promising pharmacokinetic properties in dogs (i.e., high oral bioavailability and linear kinetics) and is largely eliminated via hepatic metabolism by both phase I and phase II enzymes.Testosterone, an endogenous ligand for the androgen receptor, plays important and diverse physiological roles in several different organ systems, including muscle and bone (George and Wilson, 1986;Hiort, 2002). Testosterone and related anabolic steroids are used clinically as replacement therapy for primary or hypogonadotropic hypogonadism, delayed puberty, anemia, or muscle wasting conditions (Mooradian et al., 1987;Bagatell and Bremner, 1996). However, there are many disadvantages associated with testosterone and anabolic steroid therapy (Basaria and Dobs, 1999). First, current testosterone preparations can only be administered via intramuscular injections (Snyder and Lawrence, 1980). Although 17␣-alkylated androgens were developed for oral administration, they are associated with hepatic toxicity and are less efficacious; hence, they are not recommended for long-term androgen therapy (Swerdloff and Wang, 2002). Second, testosterone injections produce large fluctuations in testosterone plasma concentrations, which may lead to adverse effects such as hepatoxicity, blood pressure effects, and gynecomastia (Heywood et al., 1977;Negro-Vilar, 1999). Third, current steroidal preparations demonstrate equal anabolic and androgenic activity (i.e., they are not tissue-selective). The nonselective nature of testosterone and its derivatives, poor pharmacokinetic properties, and toxicities have led to the search for androgens with improved pro...