The metabolism of the 1,5-benzodiazepine clobazam (CLBZ) was investiga
ted in the rat and in vitro by GC/MS using stable isotope techniques.
Coadministration of CLBZ and pentadeuteriophenyl CLBZ to rats facilita
ted the identification of 4'-hydroxy CLBZ 7, 4'-hydroxy N-desmethylclo
bazam (4'-hydroxy DMC) 5, 3',4'-dihydroxy CLBZ 13, 4'-hydroxy-3'-metho
xy CLBZ 14, 3'-hydroxy-4'-methoxy CLBZ 15, and 4'-hydroxy-3'-methoxy D
MC 16 in bile as both glucuronide and sulfate conjugates. Metabolites
7, 13, and 14 were present in urine as sulfate conjugates. 4'-Hydroxy
CLBZ and 4'-hydroxy-3'-methoxy CLBZ were the major conjugated metaboli
tes in bile and urine, respectively. An unusual in vivo disposition of
CLBZ to the O-methyl catechols was discovered. In bile, the para O-me
thyl catechol 15 constituted 2% of the O-methyl catechols as a glucuro
nide conjugate, in contrast to constituting 30% (of the O-methyl catec
hols) as a sulfate. This marks an unprecedented observation of a diffe
rent catechol O-methyl isomer ratio within the same biological fluid f
or different conjugate pools. The isotope effect associated with the m
icrosomal N-demethylation of trideuteriomethyl CLBZ was determined. Th
e values of k(H)/k(D), were calculated at 5.07 +/- 0.37 (N = 3) and 3.
88 +/- 0.23 (N = 4) for control and induced microsomes, respectively.