A series of aryl ester prodrugs of cyclic HPMPC have been synthesized and t
heir physicochemical properties, pharmacokinetics and metabolism have been
evaluated. Chemical stability was dependent on the orientation of the exo-c
yclic ligand; the equatorial isomers were 5.4 to 9.4 fold more reactive tha
n the axial isomers. The oral bioavailability of cyclic HPMPC from the aryl
ester prodrugs ranged from 11.2% for o-pentylphenyl cyclic HPMPC to 46.3%
for butylsalicylyl cyclic HPMPC. Cyclic HPMPC was the major metabolite obse
rved for all the salicylyl ester prodrugs. Cidofovir accounted for 2 to 12%
of the total plasma AUC for butyl, cyclohexyl- and phenethyl-salicylyl est
ers of cyclic HPMPC. Intact prodrug or the corresponding monosalicylyl este
rs of cidofovir each accounted for less than 10% of the total AUC for salic
ylyl ester prodrugs.