J. Dingemanse et al., INTEGRATED PHARMACOKINETICS AND PHARMACODYNAMICS OF THE NOVEL CATECHOL-O-METHYLTRANSFERASE INHIBITOR TOLCAPONE DURING FIRST ADMINISTRATION TO HUMANS, Clinical pharmacology and therapeutics, 57(5), 1995, pp. 508-517
Objectives: To assess the tolerability, pharmacokinetics and pharmacod
ynamics of single oral doses of the novel catechol-O-methyltransferase
(COMT) inhibitor tolcapone in healthy volunteers. Methods: In this do
uble-blind, placebo-controlled, ascending-single-dose study, doses of
5 to 800 mg tolcapone were administered orally to eight sequential gro
ups of six young healthy male volunteers. Adverse events, vital signs,
and clinical laboratory variables were recorded. Pharmacokinetic para
meters of tolcapone and its 3-O-methylmetabolite were determined. Phar
macodynamics were assessed by determination of COMT activity in erythr
ocytes. Results: Tolcapone was well tolerated at all dose levels and d
id not exert a detectable influence on vital sign measurements. The dr
ug was rapidly absorbed and showed dose-proportional pharmacokinetics.
Its mean elimination half-life was 2.0 +/- 0.8 hours (n = 42). Plasma
levels of the 3-O-methylmetabolite of tolcapone were not Proportional
to dose, and its formation was delayed at higher doses. Its eliminati
on half-life was 32 +/- 7 hours (n = 29). Tolcapone caused a rapid and
reversible inhibition of COMT activity in erythrocytes. At doses of 2
00 mg and higher, COMT activity was inhibited by more than 80%. The ph
armacokinetic-pharmacodynamic relationship could be described by an in
hibitory E(max) model and suggested that metabolites of tolcapone did
not substantially contribute to its inhibitory activity. Conclusions:
The novel COMT inhibitor tolcapone was well tolerated at oral doses of
5 to 800 mg. Tolcapone concentration-dependently inhibited COMT activ
ity in erythrocytes and exhibited dose-proportional kinetics. Further
investigations into its applicability in the treatment of Parkinson's
disease are warranted.