Table 2

Mean pharmacokinetic parameters for Posiphen and primary metabolites in rat and MCI patients

Posiphen and metabolitesHuman plasmaHuman CSFRat plasmaRat brainRat CSF
AnalyteParameters(ng/ml) ± SD(ng/ml) ± SD(ng/ml) ± SD(ng/g) ± SD(ng/ml) ± SD
PosiphenCmax118.5±24.81.6±0.6144±69.5979±4299.5±4.6
*ClogP=2.22AUC0–last570±235.4
N1-NorposiphenCmax25.6±6.71.7±0.756.3±8.7213±27.92.8±1.1
ClogP=1.25AUC0–last214.4±77.1
N8-NorposiphenCmax31±7.13.2±1.237.2±9.1216± 28.62.8±5.8
ClogP=1.00AUC0–last261.3±91.3
N1, N8-bisnorposiphenCmax3.8±1.2Not detected29.5±10.837.2±10.5Not detected
ClogP=0.53AUC0–last36.9±12.5
  • Rat: A comparison is shown of plasma, brain and CSF levels of Posiphen and metabolites undertaken under steady-state conditions, which was achieved by continuous administration of Posiphen 75 mg/kg/day for 10 days by osmotic mini pump. In rat plasma (ng/ml) and brain (ng/g wet weight), Posiphen proved to be the primary drug compound, with the two major metabolites, N1- and N8-norposiphen, comprising up to 39.1% of Posiphen in plasma and up to 22% of Posiphen in brain at the Cmax. The third metabolite, N1, N8-bisnorposiphen, reached 20.4% of Posiphen in plasma and 3.8% of Posiphen at Cmax in brain. Human: the pharmacokinetic parameters of Posiphen and metabolites are shown in plasma and CSF of MCI patients after 10 days of 4×60 mg/day repeat dose oral administration, male and female subjects combined. As expected from the rodent data, the two primary metabolites N1- and N8-norposiphen constitute approximately 20% of Posiphen at the Cmax, with the third metabolite N1, N8-bisnorposiphen being a minor component and reaching only 3% of Posiphen Cmax. The time-dependent pharmacokinetic profiles of Posiphen and metabolites are provided in figure 3.

  • * The ClogP value is an established measure of a compound's lipid versus water solubility, with a positive value associated with a preference for the lipid phase.

  • MCI, mild cognitive impairment.