Perpetrator Drug | Ka | Fa | Fg | Plasma fu | Rb | fu,gut | Interaction Potential |
---|---|---|---|---|---|---|---|
min−1 | |||||||
Cyclosporine | 0.025 | 0.86 | 0.48 | 0.068 | 1.36 | 1 | Reversible inhibition of OATP1B1 (Ki = 0.014 µM), CYP3A4 (Ki = 2 µM), MRP2 (Ki = 4.1 µM) and BCRP (Ki = 6.7 µM) |
Gemfibrozil | 0.05 | 1 | 1 | 0.03 | 0.82 | 1 | Reversible inhibition of OATP1B1 (Ki = 2.54 µM) and OAT3 (Ki = 3.4 µM) |
Gemfibrozil-1-O-β-glucuronide | 0.115 | 1.0 | Reversible inhibition of OATP1B1 (Ki = 7.9 µM) and OAT3 (Ki = 9.9 µM); time-dependent inhibition of CYP2C8 (KI = 10.1 µM, Kinact = 12.6/h) | ||||
Rifampicin | 0.0085 | 1 | 0.99 | 0.15 | 0.9 | 0.15 | Reversible inhibition of OATP1B1 (Ki = 0.5 µM); induction of CYP3A4 (Emax = 49.5, EC50 = 0.23 µM) |
Clarithromycin | 0.04 | 1 | 0.69 | 0.18 | 1.0 | 1 | Reversible inhibition of OATP1B1 (Ki = 8.3 µM); time-dependent inhibition of CYP3A4 (KI = 14 µM, Kinact = 1.7/h) |
Itraconazole | 0.01 | 0.85 | 0.83 | 0.036 | 0.58 | 0.016 | Reversible inhibition of CYP3A4 (Ki = 0.0013 µM) |
4-OH-Itraconazole | 0.021 | 1.0 | Reversible inhibition of CYP3A4 (Ki = 0.014 µM) |
Fa, fraction of drug absorbed; Fg, fraction of drug escaping gut-wall extraction; fu, fraction unbound; fu,gut, fraction unbound in the gut; Ka, absorption rate constant; Rb, blood-to-plasma ratio.