ABSTRACT:Motesanib diphosphate is a novel, investigational, highly selective oral inhibitor of the receptor tyrosine kinases vascular endothelial growth factor receptors 1, 2, and 3, the platelet-derived growth factor receptor, and the stem cell factor receptor (Kit). The in vitro metabolic profiles of [ 14 C]motesanib were examined by using microsomes and hepatocytes from preclinical species and humans. Several oxidative metabolites were observed and characterized by tandem mass spectrometry, nuclear magnetic resonance spectroscopy, and coinjection with authentic standards. Cytochrome P450 (P450) 3A4 is the major isozyme involved in the oxidative biotransformation of motesanib, but the CYP2D6 and CYP1A isozymes also make minor contributions. In hepatocyte incubations, oxidative and conjugative pathways were observed for all species examined, and indoline N-glucuronidation was the dominant pathway. Three less common and novel phase II conjugates of the indoline nitrogen were detected in hepatocytes and in microsomes supplemented with specific cofactors, including N-carbamoyl glucuronide, N-glucose, and N-linked -N-acetylglucosamine. An N-glucuronide metabolite was the most frequently observed phase II conjugate in liver microsomes of all species, whereas the N-acetylglucosamine conjugate was observed only in monkey liver microsomes. Incubations with recombinant human UDP-glucuronosyltransferases (UGTs) and inhibition by the UGT1A4 and UGT1A1 substrates/inhibitors imipramine and bilirubin suggested that UGT1A4 is the major UGT isozyme catalyzing the N-glucuronidation of motesanib, with a minor contribution from UGT1A1. The in vitro metabolic profiles were similar between the human and preclinical species examined. All metabolites found in humans were also detected in other species.Motesanib diphosphate (formerly known as AMG 706) (Fig. 1) is a highly selective kinase inhibitor with both antiangiogenic and direct antitumor activity (Polverino et al., 2006;Rosen et al., 2007). Motesanib is an ATP-competitive inhibitor of vascular endothelial growth factor (VEGF) receptors 1, 2, and 3, platelet-derived growth factor (PDGF) receptor, and stem cell factor receptor (Kit), which have all been implicated in the pathogenesis of human tumors (Dvorak, 2002;Heinrich et al., 2002;Song et al., 2005). In preclinical models of human cancer, oral administration of motesanib potently inhibited VEGF-induced angiogenesis in the rat corneal model and induced regression of established A431 xenografts (Polverino et al., 2006). Furthermore, motesanib has shown antiangiogenic and antitumor activity in patients with advanced solid malignancies (Rosen et al., 2007). Additional studies of motesanib as monotherapy and in combination with various agents are currently ongoing.Definitive characterization of metabolites and examination of species differences in metabolism are becoming increasingly important.