Human moricizine metabolism. II. Quantification and pharmacokinetics of plasma and urinary metabolites

H. J. Pieniaszek, A. F. Davidson, J. E. Chaney, L. Shum, C. A. Robinson, M. Mayersohn

Research output: Contribution to journalArticlepeer-review

6 Scopus citations


1. The metabolism of moricizine·HCl was studied in 12 male volunteers dosed with 250 mg (300 μCi) 14C-radiolabelled drug. 2. Moricizine was biotransformed to many metabolites in humans (at least 35 plasma and 51 urine metabolites). 3. Urine and faecal combined mean (range) recovery accounted for 90.2% (73.4-101.6%) of the administered radioactivity, with most of the recovered radioactivity present in faeces (mean 58.4%; range 45.6-64.7%). Mean (range) urinary recovery was 31.8% (26.2-36.9%), with < 1% of the dose recovered as intact moricizine, and no one metabolite accounting for > 2.5% of the dose. 4. Total radioactivity (TR) plasma t(1/2) was 85.2 h, while that for moricizine was 2.4 h. Mean half-lives for plasma metabolites ranged from 2.9 to 23.6 h. The largest portion (11%) of TR AUC (area under the plasma concentration-time curve) was attributed to 2-amino-10-glucuronophenothiazine. Each of the other metabolites accounted for less of the TR AUC than parent drug except for two unidentified peaks which had comparable areas (~ 5% of the total radioactivity area). 5. Two identified moricizine metabolites, 2-amino-10-(3-morpholinopropionyl) phenothiazine and ethyl [10-(3-aminopropionyl) phenothiazin-2-yl] carbamate, possess the structural characteristics proposed for class 1 anti-arrhythmic activity (pendant amine functionality) and have plasma half-lives 4-7-fold longer than moricizine.

Original languageEnglish (US)
Pages (from-to)945-955
Number of pages11
Issue number9
StatePublished - 1999

ASJC Scopus subject areas

  • Biochemistry
  • Toxicology
  • Pharmacology
  • Health, Toxicology and Mutagenesis


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