Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy Volunteers

Background/Objectives: This study investigates the metabolic profile of a single dose of etodolac in healthy volunteers, focusing on pharmacokinetics, clinical parameters, and metabolomic variations to identify biomarkers and pathways linked to drug response, efficacy, and safety. Methods: Thirty-se...

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Main Authors: Karen Sánchez-Luquez, Anne Michelli Reis Silveira, Salvador Sánchez-Vinces, Alex Ap. Rosini Silva, Joyce Barreto, Rhubia Bethania Socorro Lemos de Brito, Caroline de Moura Garcia, Ana Lais Vieira, Marcia Ap. Antonio, Patrícia de Oliveira Carvalho
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Pharmaceuticals
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Online Access:https://www.mdpi.com/1424-8247/18/1/82
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author Karen Sánchez-Luquez
Anne Michelli Reis Silveira
Salvador Sánchez-Vinces
Alex Ap. Rosini Silva
Joyce Barreto
Rhubia Bethania Socorro Lemos de Brito
Caroline de Moura Garcia
Ana Lais Vieira
Marcia Ap. Antonio
Patrícia de Oliveira Carvalho
author_facet Karen Sánchez-Luquez
Anne Michelli Reis Silveira
Salvador Sánchez-Vinces
Alex Ap. Rosini Silva
Joyce Barreto
Rhubia Bethania Socorro Lemos de Brito
Caroline de Moura Garcia
Ana Lais Vieira
Marcia Ap. Antonio
Patrícia de Oliveira Carvalho
author_sort Karen Sánchez-Luquez
collection DOAJ
description Background/Objectives: This study investigates the metabolic profile of a single dose of etodolac in healthy volunteers, focusing on pharmacokinetics, clinical parameters, and metabolomic variations to identify biomarkers and pathways linked to drug response, efficacy, and safety. Methods: Thirty-seven healthy volunteers, enrolled after rigorous health assessments, received a single dose of etodolac (Flancox<sup>®</sup> 500 mg). Pharmacokinetic profiles were determined using tandem mass spectrometry analysis, and the metabolomic profiling was conducted using baseline samples (pre-dose) and samples at maximum drug concentration (post-dose) via liquid chromatography coupled with a quadrupole time-of-flight mass spectrometer. Network analysis was employed to interpret the data. Results: Correlations were observed between metabolomic profiles and pharmacokinetic parameters as well as clinical characteristics. Notably, metabolites derived from arachidonic acid, such as prostaglandins and leukotrienes, were linked to etodolac’s pharmacokinetics. Other metabolites involved in pathways like cholesterol biosynthesis, bile salts, riboflavin, and retinoic acid signaling were correlated with hematological and liver function parameters. These findings are consistent with the infrequent adverse events reported by participants, including hematological and biochemical changes in liver function. Conclusions: A set of metabolites was identified in possible associations between specific pathways and unusual side effects, comparing the metabolic profiles before and after doses of etodolac. Our results highlight the importance of optimizing drug therapy and minimizing adverse events by taking into account individual metabolic profile information.
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spelling doaj-art-757b84a1d44c41c983d2af70f3864fe52025-01-24T13:45:19ZengMDPI AGPharmaceuticals1424-82472025-01-011818210.3390/ph18010082Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy VolunteersKaren Sánchez-Luquez0Anne Michelli Reis Silveira1Salvador Sánchez-Vinces2Alex Ap. Rosini Silva3Joyce Barreto4Rhubia Bethania Socorro Lemos de Brito5Caroline de Moura Garcia6Ana Lais Vieira7Marcia Ap. Antonio8Patrícia de Oliveira Carvalho9Health Sciences Postgraduate Program, São Francisco University—USF, Bragança Paulista 12916-900, SP, BrazilHealth Sciences Postgraduate Program, São Francisco University—USF, Bragança Paulista 12916-900, SP, BrazilHealth Sciences Postgraduate Program, São Francisco University—USF, Bragança Paulista 12916-900, SP, BrazilHealth Sciences Postgraduate Program, São Francisco University—USF, Bragança Paulista 12916-900, SP, BrazilIntegrated Unit of Pharmacology and Gastroenterology (UNIFAG), São Francisco University—USF, Bragança Paulista 12916-900, SP, BrazilAlthaia S.A. Indústria Farmacêutica, Atibaia 12952-820, SP, BrazilAlthaia S.A. Indústria Farmacêutica, Atibaia 12952-820, SP, BrazilAlthaia S.A. Indústria Farmacêutica, Atibaia 12952-820, SP, BrazilIntegrated Unit of Pharmacology and Gastroenterology (UNIFAG), São Francisco University—USF, Bragança Paulista 12916-900, SP, BrazilHealth Sciences Postgraduate Program, São Francisco University—USF, Bragança Paulista 12916-900, SP, BrazilBackground/Objectives: This study investigates the metabolic profile of a single dose of etodolac in healthy volunteers, focusing on pharmacokinetics, clinical parameters, and metabolomic variations to identify biomarkers and pathways linked to drug response, efficacy, and safety. Methods: Thirty-seven healthy volunteers, enrolled after rigorous health assessments, received a single dose of etodolac (Flancox<sup>®</sup> 500 mg). Pharmacokinetic profiles were determined using tandem mass spectrometry analysis, and the metabolomic profiling was conducted using baseline samples (pre-dose) and samples at maximum drug concentration (post-dose) via liquid chromatography coupled with a quadrupole time-of-flight mass spectrometer. Network analysis was employed to interpret the data. Results: Correlations were observed between metabolomic profiles and pharmacokinetic parameters as well as clinical characteristics. Notably, metabolites derived from arachidonic acid, such as prostaglandins and leukotrienes, were linked to etodolac’s pharmacokinetics. Other metabolites involved in pathways like cholesterol biosynthesis, bile salts, riboflavin, and retinoic acid signaling were correlated with hematological and liver function parameters. These findings are consistent with the infrequent adverse events reported by participants, including hematological and biochemical changes in liver function. Conclusions: A set of metabolites was identified in possible associations between specific pathways and unusual side effects, comparing the metabolic profiles before and after doses of etodolac. Our results highlight the importance of optimizing drug therapy and minimizing adverse events by taking into account individual metabolic profile information.https://www.mdpi.com/1424-8247/18/1/82etodolacmetabolomics profilemetabolic pathwayspharmacokinetics
spellingShingle Karen Sánchez-Luquez
Anne Michelli Reis Silveira
Salvador Sánchez-Vinces
Alex Ap. Rosini Silva
Joyce Barreto
Rhubia Bethania Socorro Lemos de Brito
Caroline de Moura Garcia
Ana Lais Vieira
Marcia Ap. Antonio
Patrícia de Oliveira Carvalho
Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy Volunteers
Pharmaceuticals
etodolac
metabolomics profile
metabolic pathways
pharmacokinetics
title Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy Volunteers
title_full Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy Volunteers
title_fullStr Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy Volunteers
title_full_unstemmed Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy Volunteers
title_short Etodolac Single Dose Metabolic Profile Elucidation: Pharmacokinetics and Adverse Events in Healthy Volunteers
title_sort etodolac single dose metabolic profile elucidation pharmacokinetics and adverse events in healthy volunteers
topic etodolac
metabolomics profile
metabolic pathways
pharmacokinetics
url https://www.mdpi.com/1424-8247/18/1/82
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