PMID- 36678630 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20230202 IS - 1424-8247 (Print) IS - 1424-8247 (Electronic) IS - 1424-8247 (Linking) VI - 16 IP - 1 DP - 2023 Jan 16 TI - Evaluation of Safety, Tolerability and Pharmacokinetic Characteristics of SA001 and Its Active Metabolite Rebamipide after Single and Multiple Oral Administration. LID - 10.3390/ph16010132 [doi] LID - 132 AB - Dry eye disease (DED) is one of the most common eye diseases caused by multiple factors. Rebamipide, which is currently used to treat peptic ulcer disease, was shown to enhance secretory function and modulate inflammation in animal disease models. Considering the pathophysiology of DED, SA001 was developed expecting enhanced systemic exposure of rebamipide. Clinical trials to evaluate the safety, tolerability and pharmacokinetic (PK) characteristics of SA001 and its active metabolite rebamipide were conducted. After oral administration of SA001, blood and urine samples were collected for PK analysis of SA001 and rebamipide. PK parameters were compared between SA001 and conventional rebamipide (Bamedin((R))) and also between fasted and fed. Safety and tolerability were evaluated throughout the study based on adverse events (AEs), physical examinations, vital signs, 12-lead electrocardiography and clinical laboratory tests. SA001 was rapidly absorbed and quickly converted to rebamipide. The systemic exposure of rebamipide was dose-proportional after single and multiple doses. The plasma concentration of rebamipide after administration of SA001 was higher with a dose adjusted AUC(last) and C(max) 2.20 and 5.45 times higher in the 240 mg dose group and 4.73 and 11.94 times higher in the 600 mg dose group compared to conventional rebamipide. The favorable PK and tolerability profiles support further clinical development. FAU - Bae, Sungyeun AU - Bae S AUID- ORCID: 0000-0002-6584-9158 AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul 03080, Republic of Korea. FAU - Huh, Ki Young AU - Huh KY AUID- ORCID: 0000-0002-1872-9954 AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul 03080, Republic of Korea. FAU - Oh, Jaeseong AU - Oh J AUID- ORCID: 0000-0001-6275-8587 AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul 03080, Republic of Korea. FAU - Yu, Kyung-Sang AU - Yu KS AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul 03080, Republic of Korea. FAU - Kim, Anhye AU - Kim A AUID- ORCID: 0000-0002-6622-8089 AD - Department of Clinical Pharmacology and Therapeutics, CHA Bundang Medical Center, CHA University, Seongnam 13496, Republic of Korea. AD - Department of Biomedical Informatics, CHA University School of Medicine, CHA University, Seongnam 13488, Republic of Korea. AD - Institute for Biomedical Informatics, CHA University School of Medicine, CHA University, Seongnam 13488, Republic of Korea. LA - eng PT - Journal Article DEP - 20230116 PL - Switzerland TA - Pharmaceuticals (Basel) JT - Pharmaceuticals (Basel, Switzerland) JID - 101238453 PMC - PMC9862565 OTO - NOTNLM OT - Sjogren syndrome OT - bioavailability OT - dry eye syndrome OT - phase 1 clinical trials COIS- The authors declare no conflict of interest. EDAT- 2023/01/22 06:00 MHDA- 2023/01/22 06:01 PMCR- 2023/01/16 CRDT- 2023/01/21 01:49 PHST- 2022/11/16 00:00 [received] PHST- 2023/01/09 00:00 [revised] PHST- 2023/01/11 00:00 [accepted] PHST- 2023/01/21 01:49 [entrez] PHST- 2023/01/22 06:00 [pubmed] PHST- 2023/01/22 06:01 [medline] PHST- 2023/01/16 00:00 [pmc-release] AID - ph16010132 [pii] AID - pharmaceuticals-16-00132 [pii] AID - 10.3390/ph16010132 [doi] PST - epublish SO - Pharmaceuticals (Basel). 2023 Jan 16;16(1):132. doi: 10.3390/ph16010132.