Skip to main content
Log in

Ampiroxicam, an anti-inflammatory agent which is a prodrug of piroxicam

  • Inflammation
  • Published:
Agents and Actions Aims and scope Submit manuscript

Abstract

Ampiroxicam is a nonacidic ether carbonate prodrug of piroxicam. Our results demonstrate that, in contrast to piroxicam, ampiroxicam does not possess detectable prostaglandin synthesis inhibitory activityin vitro. Ampiroxicam, however, has similarin vivo potency to piroxicam in suppressing paw swelling in rat adjuvant arthritis. In an acute model of paw inflammation in rats, ampiroxicam is less potent than piroxicam itself: the ED50's of ampiroxicam are 9- and 3.5-fold higher than those of piroxicam following a single or multiple (5) daily oral doses, respectively. Using the phenylbenzoquinone stretching test as a method of evaluating acute analgetic activity, the ED50 for ampiroxicam is about 3-fold higher than that of piroxicam. These tests of activity share the property of being partially prostaglandin-dependent. Ampiroxicam itself is not observed in plasma after oral dosing to man [24], nor in the rat, dog, and monkey as reported here. Bioavailability studies show that conversion to piroxicam is about 100%, 90%, 70%, and 50% in these four species, respectively. These results indicate that ampiroxicam's anti-inflammatory activity is producedin vivo by conversion to piroxicam and support its credentials as an efficacious prodrug of piroxicam.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

Abbreviations

AA:

arachidonic acid

ACN:

acetonitrile

AUC:

area under the curve

C max :

maximal achievable plasma concentration of drug

CO:

cyclooxygenase

DiHETEs:

dihydroxyeicosatetraenoic acids

DMSO:

dimethylsulfoxide

ED50 :

dose causing 50% inhibition

5-HETE:

5-hydroxyeicosatetraenoic acid

HOAc:

acetic acid

HPLC:

high performance liquid chromatography

IC50 :

concentration causing 50% inhibition

LTB4 :

leukotriene B4

MPE50 :

dose which causes 50% of the maximal protective effect achieved with a standard agent

NSAID:

non-steroidal anti-inflammatory drug

PBQ:

phenylbenzoquinone

PGD2 :

prostaglandin D2

RBL-1:

rat basophilic leukemia cell line

RFE:

rat foot edema

T max :

time required to reach maximum drug concentration in plasma

References

  1. J. R. Vane,Inhibition of prostaglandin synthesis as a mechanism of action for aspirin-like drugs. Nature New Biol.231, 232–235 (1971).

    PubMed  Google Scholar 

  2. R. J. Flower,Drugs which inhibit prostaglandin biosynthesis, Pharmacol. Rev.26, 33–67 (1974).

    PubMed  Google Scholar 

  3. S. Kumakura, M. Mishima, S. Kobayashi, H. Shirota, S. Abe, K. Yamada and S. Tsurufuji,Inhibitory effect of indomethacin farnesil, a novel anti-inflammatory prodrug, on carrageenin-induced inflammation in rats. Agents and Actions29, 286–291 (1990).

    Article  PubMed  Google Scholar 

  4. G. Schwenker and J. Chen,1,2-Dihydro-3,1-benzoxazin-4-one and 4H-1, 2-dihydro-pyrido-[2,3-d]-[1,3]-oxazin-4-one derivatives as potential prodrugs. Part I: Synthesis. Arch. Pharm. (Weinheim)324, 821–825 (1991).

    Google Scholar 

  5. R. Shanbhag, A. M. Crider, R. Gokhale, A. Harpalani and R. M. Dick,Ester and amide prodrugs of ibuprofen and naproxen: synthesis, anti-inflammatory activity, and gastrointestinal toxicity. J. Pharmacol. Sci.81, 149–154 (1992).

    Google Scholar 

  6. M. W. Whitehouse and K. D. Rainsford,Esterification of acidic antiinflammatory drugs suppresses their gastrotoxicity without adversely affecting their anti-inflammatory activity in rats. J. Pharm. Pharmacol.32, 795–796 (1980).

    PubMed  Google Scholar 

  7. H. Bundgaard and N. M. Nielsen,Esters of N,N-disubstituted 2-hydroxyacetamides as a novel highly biolabile prodrug type for carboxylic acid agents. J. Med. Chem.30, 451–454 (1987).

    Article  PubMed  Google Scholar 

  8. F. J. Persico, J. F. Pritchard, M. C. Fisher, K. Yorgey, S. Wong and J. Carson,Effect of tolmetin glycine amide (McN-4366), a prodrug of tolmetin sodium, on adjuvant arthritis in the rat. J. Pharm. Exp. Ther.247, 889–896 (1988).

    Google Scholar 

  9. N. M. Nielsen and H. Bundgaard,Evaluation of glycolamide esters and various other esters of aspirin as true aspirin prodrugs. J. Med. Chem.32, 727–734 (1989).

    Article  PubMed  Google Scholar 

  10. G. Chérié-Ligniére, G. Montagnani, M. Alberici and D. Acerbi,Plasma and synovial fluid concentrations of piroxicam during prolonged treatment with piroxicam pivalic ester. Arzneim.-Forsch./Drug Res.37, 560–563 (1987).

    Google Scholar 

  11. G. Chérié-Lignière and F. DeGennaro,Topical use of cinnoxicam. Clinical trials of anti-inflammatory activity. Gazz. Med Ital.-Arc. Sci. Med.149, 223–226 (1990).

    Google Scholar 

  12. Cinnoxicam, piroxicam cinnamate, Drugs of the Future16, 164 (1991).

  13. A. J. Farre, M. Colombo, A. Fort, B. Gutiérrez, L. Rodriguez and R. Roser,Pharmacological properties of droxicam, a new non-steroidal antiinflammatory agent. Med. Find. Exptl. Clin. Pharmacol.8, 407–422 (1986).

    Google Scholar 

  14. J. Esteve, A. J. Farre and R. Roser,Pharmacological profile of droxicam. Gen. Pharmacol.19, 49–54 (1988).

    PubMed  Google Scholar 

  15. A. Esteve, L. Martinez, R. Roser and R. Sagarra,Pharmacokinetics of droxicam in rat and dog. Meth. Find. Exp. Clin. Pharmacol.8, 423–429 (1986).

    Google Scholar 

  16. J. G. Lombardino,Medicinal chemistry of acidic nonsteroidal antiinflammatory drugs. InNonsteroidal Antiinflammatory Drugs. (Ed. J. G. Lombardino) Chap. 4, pp. 379–386. Wiley, New York 1985.

    Google Scholar 

  17. J. G. Lombardino and E. H. Wiseman,Sudoxicam and related N-heterocyclic carboxamides of 4-hydroxy-2H-1,2-benzothiazine 1,1-dioxide. Potent nonsteroidal antiinflammatory agents. J. Med. Chem.15, 848–849 (1972).

    Article  PubMed  Google Scholar 

  18. T. J. Carty, J. D. Eskra, J. G. Lombardino and W. W. Hoffman,Piroxicam, a potent inhibitor of prostaglandin production in cell culture. Prostaglandins19, 51–59 (1980).

    Article  PubMed  Google Scholar 

  19. F. Sakamoto, S. Ikeda and G. Tsukamoto,Studies on prodrugs. II. Preparation and characterization of (5-subsituted 2-oxo-1,3-dioxolen-4-yl) methyl esters of ampicillin. Chem. Pharm. Bull.32, 2241–2248 (1984).

    PubMed  Google Scholar 

  20. N.-O. Bosdin, B. Ekström, U. Forsgren, L.-P. Jalar, L. Magni, C.-H. Ramsay and B. Sjöberg,Bacampicillin: a new orally well-absorbed derivative of ampicillin. Antimicrob. Agents and Chemother.8, 518–525 (1975).

    Google Scholar 

  21. W. v. Daehne, E. Frederiksen, E. Gundersen, F. Lund, P. Mørch, H. J. Petersen, K. Roholt, L. Tybring and W. O. Godtfredsen,Acyloxymethyl esters of ampicillin. J. Med. Chem.13, 607–612 (1970).

    Article  PubMed  Google Scholar 

  22. Liposomal flubiprofen axetil. Drugs of the Future17, 788–790 (1992).

  23. A. Marfat, T. J. Carty, J. G. Lombardino, P. F. Moore, T. M. Twomey and A. Weissman,Prodrugs of piroxicam. Proc. Third International Conference of the Inflammation Research Association, White Haven, PA, October, 1986.

  24. F. C. Falkner, T. M. Twomey, A. P. Borger, D. Garg, D. Weidler, N. Gerber and I. W. Browder,Disposition of ampiroxicam, a prodrug of piroxicam, in man. Xenobiotica20, 645–652 (1990).

    PubMed  Google Scholar 

  25. A. Marfat,Ether prodrugs of antiinflammatory oxicams. U.S. Patent #4551452.

  26. B. A. Jakschik and L. H. Lee,Enzymatic assembly of slow reacting substance. Nature (London)287, 51–52 (1980).

    Article  Google Scholar 

  27. B. A. Jakschik, L. H. Lee, G. Shuffer and C. W. Parker,Arachidonic acid metabolism in rat basophilic leukemia (RBL-1) cells. Prostaglandins16, 733–748 (1978).

    Article  Google Scholar 

  28. B. A. Jakschik, F. F. Sun, L. H. Lee and M. M. Steinhoff,Calcium stimulation of a novel lipoxygenase. Biochem. Biophys. Res. Commun.95, 103–110 (1980).

    Article  PubMed  Google Scholar 

  29. C. A. Winter, E. A. Risley and G. W. Nuss,Carrageenin-induced edema in hind paw of the rat as an assay for antiinflammatory drugs. Proc. Soc. Exp. Biol. Med.111, 544–547 (1962).

    PubMed  Google Scholar 

  30. E. Siegmund, R. Cadmus and G. Lu,A method for evaluating both non-narcotic and narcotic analgesics. Proc. Soc. Exp. Biol. Med.95, 729–731 (1957).

    PubMed  Google Scholar 

  31. G. M. Milne and T. M. Twomey,The analgetic properties of piroxicam in animals and correlation with experimentally determined plasma levels. Agents and Actions10, 31–37 (1980).

    Article  PubMed  Google Scholar 

  32. D. T. Walz, M. M. Dolan, M. J. DiMartino and S. L. Yankell,Effects of topical hydrocortisone and acetylsalicylic acid on the primary lesion of adjuvant-induced arthritis. Proc. Soc. Exp. Biol. Med.137, 1466–1471 (1971).

    PubMed  Google Scholar 

  33. T. J. Carty, J. S. Stevens, J. G. Lombardino, M. J. Parry and M. J. Randall,Piroxicam, a structurally novel anti-inflammatory compound. Mode of prostaglandin synthesis inhibition. Prostaglandins19, 671–682 (1980).

    Article  PubMed  Google Scholar 

  34. F. J. Sweeney, J. D. Eskra, M. J. Ernest and T. J. Carty,Spectrophotometric monitoring of lipoxygenase and cyclo-oxygenase pathway activity using ionophore stimulated whole blood. Agents and Actions21, 393–396 (1987).

    Article  PubMed  Google Scholar 

  35. I. G. Otterness and M. L. Bliven,Laboratory models for testing nonsteroidal antiinflammatory drugs. InNonsteroidal Antiinflammatory Drugs. (Ed. J. G. Lombardino), Chap. 3, pp. 119, 147, 172. Wiley, New York 1985.

    Google Scholar 

  36. A. Swahn,Gastrointestinal absorption and metabolism of two 35 S-labelled ampicillin esters. Eur. J. Clin. Pharmacol.9, 299–306 (1976).

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

About this article

Cite this article

Carty, T.J., Marfat, A., Moore, P.F. et al. Ampiroxicam, an anti-inflammatory agent which is a prodrug of piroxicam. Agents and Actions 39, 157–165 (1993). https://doi.org/10.1007/BF01998969

Download citation

  • Received:

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01998969

Keywords

Navigation