Bicifadine [DOV 220,075; (+/-)-1-(4-methylphenyl)-3-azabicyclo[3.1.0]-hexane HCl)] is a non-narcotic analgesic that is effective in animal models of acute and chronic pain.
The study investigated how the drug bicifadine is metabolized in the liver cells of mice, rats, monkeys, and humans using advanced chromatography techniques.
Two main metabolic pathways were identified: one dependent on NADPH that converts bicifadine into a hydroxymethyl metabolite (M2), primarily involving the enzyme CYP2D6, and another independent pathway that produces a lactam metabolite (M12) through monoamine oxidase (MAO)-B.
The research highlights that in humans, the key enzymes for bicifadine metabolism are CYP2D6 and MAO-B, with notable differences in metabolic activity across the different species.