Ratio of Cmax/AUCss or Cmax/Cmin in steady-state pharmacokinetic profile for selected URAT1 inhibitors
Drug metabolite | URAT1 IC50 (nM) | Cmax/AUCss | Cmax/Cmin | Renal safety profile |
---|---|---|---|---|
Lesinurad [123]* | 7,300 | 0.19 | 88 | Serious renal issues, needed to combine with XOIs |
Verinurad [124]* | < 50 | 0.52 | 33 | Second generation of lesinurad by AstraZeneca; failed development; needed to combine with XOIs |
Dotinurad [125]* | < 50 | 0.09 | 4.7 | Approved by the Japanese Pharmaceuticals and Medical Devices Agency; no known renal-related safety events |
Benzbromarone [126]* | 196 | 0.14 | 18 | Used in Asia; no known renal-related safety events |
6-OH benzbromarone [126]* | NA | 0.07 | 2.83 | NA |
Pozdeutinurad (AR882) [81, 127]* | 67 | 0.08 | 2.7 | In development; no renal safety signals identified in phase 2 trials |
* Data have been derived from the cited publications. AUCss: area under the curve steady state; Cmax: maximum concentration; Cmin: minimum concentration; IC50: half-maximal inhibitory concentration; NA: not available; URAT1: urate transporter-1; XOI: xanthine oxidase inhibitor