Avitriptan is a new 5-HT1-like agonist with abortive antimigraine prop
erties. The study was conducted to characterize the pharmacokinetics,
absolute bioavailability, and disposition of avitriptan after intraven
ous (iv) and oral administrations of [C-14]avitriptan in rats and oral
administration of [C-14]avitriptan in humans. The doses used were 20
mg/kg iv and oral in the rat, 10 mg iv in humans, and 50 mg oral in hu
mans. The drug was rapidly absorbed after oral administration, with pe
ak plasma concentrations occurring at 0.5 hr postdose. Absolute bioava
ilability was 19.3% in rats and 17.2% in humans. Renal excretion was a
minor route of elimination in both species, with the majority of the
dose being excreted in the feces. After a single oral dose, urinary ex
cretion accounted for 10% of the administered dose in rats and 18% of
the administered dose in humans, with the remainder excreted in the fe
ces. Extensive biliary excretion was observed in rats. Avitriptan was
extensively metabolized after oral administration, with the unchanged
drug accounting for 32% and 22% of the total radioactivity in plasma i
n rats and humans, respectively. Plasma terminal elimination half-life
was similar to 1 hr in rats and similar to 5 hr in humans. The drug w
as extensively distributed in rat tissues, with a tendency to accumula
te in the pigmented tissues of the eye.