The first bioreversible prodrug of metformin with improved lipophilicity and enhanced intestinal absorption

J Med Chem. 2009 Jul 23;52(14):4142-8. doi: 10.1021/jm900274q.

Abstract

Metformin is a potent antidiabetic agent and currently used as a first-line treatment for patients with type 2 diabetes. Unfortunately, the moderate absorption and uncomfortable gastrointestinal adverse effects associated with metformin therapy impair its use. In this study, two novel prodrugs of a biguanidine functionality containing antidiabetic agent, metformin, were designed, synthesized, and evaluated in vitro and in vivo to accomplish improved lipophilicity and, consequently, enhanced oral absorption of this highly water-soluble drug. These results represent that the more lipophilic prodrug 2a biotransformed quantitatively to metformin mainly after absorption. The enhanced oral absorption consequently promoted the bioavailability of metformin from 43% to 65% in rats. Thus, this novel prodrug may offer a solution to reduce the required daily doses of metformin, which may decrease the uncomfortable adverse effects associated with metformin therapy.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Biological Availability
  • Buffers
  • Drug Design
  • Humans
  • Hydrogen Peroxide / chemistry
  • Hydrogen-Ion Concentration
  • Hydrophobic and Hydrophilic Interactions*
  • Intestinal Absorption*
  • Male
  • Metformin / chemistry*
  • Metformin / metabolism*
  • Metformin / pharmacokinetics
  • Octanols / chemistry
  • Prodrugs / chemical synthesis
  • Prodrugs / chemistry*
  • Prodrugs / metabolism*
  • Prodrugs / pharmacokinetics
  • Rats
  • Rats, Wistar
  • Solutions
  • Sulfamerazine / chemistry
  • Water / chemistry

Substances

  • Buffers
  • Octanols
  • Prodrugs
  • Solutions
  • sulfenamide
  • Water
  • Metformin
  • Hydrogen Peroxide
  • Sulfamerazine