Pharmacokinetic, pharmacodynamic, and safety profile of a new cholesteryl ester transfer protein inhibitor in healthy human subjects

Clin Pharmacol Ther. 2009 Oct;86(4):430-7. doi: 10.1038/clpt.2009.120. Epub 2009 Jul 8.

Abstract

A new cholesteryl ester (CE) transfer protein (CETP) inhibitor (CP-800,569) was evaluated. Doses of 30-1,800 mg were administered once daily to healthy subjects for 14 days. Serum CP-800,569 levels increased, and CETP activity decreased, in a dose-related manner. Serum levels of high-density lipoprotein (HDL) increased (by a maximum of 156%), and those of low-density lipoprotein (LDL) decreased (by a maximum of 47%). CP-800,569 also had the effect of lowering postprandial triglyceride levels. Trough concentrations of apolipoprotein E (apoE) increased: the maximum increases were 89% for total plasma apoE and 280% for HDL apoE. By contrast, the postprandial increases in total plasma levels of apoE and non HDL apoE were either diminished by CP-800,569 or reversed to decreases. CP-800,569 was very well tolerated, with some nonserious gastrointestinal adverse events seen only with the 1,800-mg dose. No changes in blood pressure (BP) were observed. The possible effects of higher CP-800,569 doses on aldosterone and cortisol levels could not be excluded. The results of this study may be useful in CP-800,569 dose selection.

Publication types

  • Clinical Trial
  • Randomized Controlled Trial
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Adult
  • Apolipoproteins E / blood
  • Area Under Curve
  • Benzene Derivatives / adverse effects
  • Benzene Derivatives / pharmacokinetics*
  • Benzene Derivatives / pharmacology*
  • Cholesterol Ester Transfer Proteins / antagonists & inhibitors*
  • Cholesterol, HDL / blood
  • Cholesterol, LDL / blood
  • Dose-Response Relationship, Drug
  • Female
  • Humans
  • Hydrocarbons, Halogenated / adverse effects
  • Hydrocarbons, Halogenated / pharmacokinetics*
  • Hydrocarbons, Halogenated / pharmacology*
  • Male
  • Middle Aged
  • Time Factors
  • Triglycerides / blood
  • Young Adult

Substances

  • Apolipoproteins E
  • Benzene Derivatives
  • CP-800,569
  • Cholesterol Ester Transfer Proteins
  • Cholesterol, HDL
  • Cholesterol, LDL
  • Hydrocarbons, Halogenated
  • Triglycerides