Enalapril maleate and a lysine analogue (MK-521) in normal volunteers; relationship between plasma drug levels and the renin angiotensin system

Br J Clin Pharmacol. 1982 Sep;14(3):363-8. doi: 10.1111/j.1365-2125.1982.tb01992.x.

Abstract

1 Two single doses of 10 mg each of the converting enzyme inhibitor enalapril maleate or MK-421 and of its lysine analogue (MK-521) were administered p.o. to twelve male volunteers. 2 The active diacid metabolite of MK-421 and the lysine analogue were determined by radioimmunoassay and MK-421 by the active metabolite method following in vitro hydrolysis. 3 Peak serum levels of MK-421, active metabolite and lysine analogue were reached within 1, 3 to 4, and 6 h respectively. Practically all MK-421 had disappeared from serum within 4 h. 4 A close correlation between percent inhibition of plasma converting enzyme activity and the serum concentration of active metabolite was observed ( r = 0.98, n = 171, P less than 0.001). Similarly, converting enzyme blockade as expressed by the ratio plasma angiotensin II/angiotensin I was closely correlated with serum active metabolite levels (r = 0.93, n = 15, P less than 0.001).

MeSH terms

  • Adult
  • Angiotensin-Converting Enzyme Inhibitors*
  • Angiotensins / blood
  • Captopril / pharmacology
  • Dipeptides / blood*
  • Dipeptides / pharmacology
  • Enalapril
  • Humans
  • Lisinopril
  • Male
  • Renin-Angiotensin System / drug effects*

Substances

  • Angiotensin-Converting Enzyme Inhibitors
  • Angiotensins
  • Dipeptides
  • Enalapril
  • Captopril
  • Lisinopril