The disposition of the antipsoriatic agent, acitretin, was investigate
d in six healthy human volunteers who each received a single, oral 50
mg dose of [C-14]acitretin (50 mu Ci). plasma, urine, and feces were c
ollected for 240 hr after administration. Mean values of 20.9 and 62.6
% of the administered dose were recovered in the urine and feces, resp
ectively. The terminal elimination half-life of total radioactivity fr
om the plasma was similar to 120 hr. Extraction of pooled plasma sampl
es followed by separation by HPLC and quantitation by liquid scintilla
tion counting indicated that acitretin and its 13-cis-isomer, isoacitr
etin, were minor fractions of the total drug-related material in the p
lasma at most time points up to 72-hr postdose. The structures of acit
retin, isoacitretin, and two other ,3,6-trimethylphenyl)-2,6-dimethyl-
5,7-octadienoic acid (I) and 4-hydroxy-2,3,6-trimethylphenyl)-2,6-dime
thyl-5,7- octadienoic acid (II)-were confirmed by MS and cochromatogra
phy with authentic standards. I and II were major fractions of the dru
g-related material in the plasma at all time points. Other compounds,
whose structures could not be confirmed, also account for a significan
t fraction of the circulating radioactivity.