代谢
一旦被吸收,奈托必利会被广泛代谢,形成三种主要代谢物:去甲基衍生物M1;氮氧化物衍生物M2;和羟基甲基衍生物M3。代谢主要通过CYP3A4进行,其次通过CYP2C9和CYP2D6。代谢物M1、M2和M3显示出能与P物质/神经激肽1(NK1)受体结合。
Once absorbed, netupitant is extensively metabolized to form three major metabolites: desmethyl derivative, M1; N-oxide derivative, M2; and OH-methyl derivative, M3. Metabolism is mediated primarily by CYP3A4 and to a lesser extent by CYP2C9 and CYP2D6. Metabolites M1, M2 and M3 were shown to bind to the substance P/neurokinin 1 (NK1) receptor.
来源:DrugBank