M. Bialer et al., PHARMACOKINETIC AND PHARMACODYNAMIC ANALYSIS OF (E)-2-ENE VALPROYL DERIVATIVES OF GLYCINE AND VALPROYL DERIVATIVES OF NIPECOTIC ACID, Biopharmaceutics & drug disposition, 17(7), 1996, pp. 565-575
GABA is a major inhibitory neurotransmitter in mammals, whose uptake i
n glial cells is inhibited by nipecotic acid. In addition to GABA, gly
cine is an important inhibitory neurotransmitter. Valproic acid (VPA)
is one of the four established antiepileptics and (E)-2-ene valproic a
cid ((E)-2-ene VPA) is its major active metabolite. The described stru
cture-pharmacokinetic-pharmacodynamic relationship (SPPR) study explor
ed the possiblity of utilizing valproyl derivatives of glycine and nip
ecotic acid as new antiepileptics. The pharmacokinetics and pharmacody
namics (anticonvulsant activity and neurotoxicity) of the following co
njugation products were investigated: (E)-2-ene valproyl glycinamide (
between (E)-2-ene VPA and glycinamide) and valproyl nipecotic acid and
valproyl nipecotamide (between VPA and nipecotic acid). Out of the in
vestigated compounds only (E)-2-ene valproyl glycinamide showed a good
anticonvulsant profile in both mice and rats due to its better pharma
cokinetic and pharmacodynamic profile. (E)-2-ene valproyl glycinamide
was more potent than VPA and showed an activity and a safety margin si
milar to those of its analogous compound valproyl glycinamide. The inv
estigated valproyl derivatives did not operate as chemical drug delive
ry systems (CDDSs) of glycine or nipecotic acid, but, rather, acted as
drugs on their own. (E)-2-ene valproyl glycinamide was partially excr
eted unchanged in the urine (f(e) = 7.4%), while its urinary metabolit
e was (E)-2-ene valproyl glycine. Unlike the new antiepileptic tiagabi
ne, in which nipecotic acid is attached to 4,4-di-(3-methylthien-2-yl)
-3-butenyl and yields an active compound, the conjugation between nipe
cotic acid or its amide and VPA yielded inactive entities. In contrast
to nipecotic acid, the conjugation between VPA or (E)-2-ene VPA and g
lycinamide gave two active compounds with similar pharmacokinetic and
pharmacodynamic profiles.