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Table 3 PK/PD relationship between BI 187004 concentration in adipose tissue and plasma and ex vivo 11beta-HSD1 inhibition in AT after a single dose of BI 187004

From: Safety, tolerability, pharmacokinetics and pharmacodynamics of single oral doses of BI 187004, an inhibitor of 11beta-hydroxysteroid dehydrogenase-1, in healthy male volunteers with overweight or obesity

Dose (mg)

BI 187004

Plasma C10

gMean (range)

[nmol/L]

BI 187004

AT C10

gMean (range)

[nmol/L]

BI 187004

AT:plasma

ratio (range)

10 h

11beta-HSD1 inhibition in AT* median (min–max)

10 h [%]

BI 187004

Plasma C24

gMean (range)

[nmol/L]

BI 187004

AT C24

gMean (range)

[nmol/L]

BI 187004

AT:plasma

ratio (range)

24 h

11beta-HSD1 inhibition in AT* median (min–max)

24 h [%]

10

174

(118 – 250)

17.9

(12.3 – 26.7)

10.3

(7.78 – 14.8)

86.8

(81.1 – 91.4)

71.3

(39.1 – 112)

(9.91 – 22.6)

(9.58 – 20.1)

59.4

(34.0 – 78.6)

20

382

(253 – 529)

38.1

(26.2 – 49.5)

9.97

(8.47 – 13.4)

81.5

(68.5 – 93.6)

161

(85.8 – 353)

17.5

(11.1 – 33.3)

10.8

(5.90 – 16.7)

82.3

(65.0 – 90.7)

40

796

(467 – 1,140)

80.3

(67.6 – 122)

10.1

(7.22 – 14.5)

95.6

(93.6 – 96.7)

321

(169 – 625)

27.5

(18.9 – 42.7)

8.58

(6.84 – 12.5)

84.6

(82.9 – 95.0)

80

1,530

(1,040 – 2,570)

128

(92.3 – 207)

8.36

(6.71 – 12.2)

97.5

(95.7 – 98.8)

878

(605 – 1,560)

84.5

(63.7 – 128)

9.62

(8.18 – 12.0)

93.5

(91.1 – 96.9)

160

3,000

(1,940 – 4,290)

412

(328 – 58 2)

13.7

(8.74 – 20.7)

99.1

(98.8 – 99.4)

1,630

(1,360 – 2,690)

168

(105 – 325)

10.3

(7.73 – 12.4)

97.9

(94.0 – 98.9)

240

2,600

(313 – 5,800)

653

(474 – 899)

25.1

(11.4 – 207)

99.4

(99.1 – 99.6)

2,130

(1,530 – 2,630)

212

(143 – 283)

9.96

(8.32 – 11.7)

98.1

(96.8 – 98.8)

360

5,300

(3,360 – 7,680)

857

(595 – 1,480)

16.2

(9.31 – 34.4)

99.5

(99.3 – 99.6)

2,690

(1,790 – 4,740)

307

(191 – 404)

11.4

(8.51 – 15.0)

98.6

(98.0 – 99.4)

  1. – no descriptive statistics calculated (> 60% of subjects had concentrations below lower limit of quantification), gMean Geometric mean, AT Adipose tissue, C10 Drug concentration 10 h after single dose treatment, C24 Drug concentration 24 h after single dose treatment
  2. * 11beta-HSD1 inhibition in AT defined as % decrease from baseline in d2 cortisol levels