Table 2

Summary of input parameters for perpetrator drugs used in the mechanistic model-based predictions of transporter- and cytochrome P450–based drug-drug interactions

Perpetrator DrugKaFaFgPlasma fuRbfu,gutInteraction Potential
min−1
Cyclosporine0.0250.860.480.0681.361Reversible inhibition of OATP1B1 (Ki = 0.014 µM), CYP3A4 (Ki = 2 µM), MRP2 (Ki = 4.1 µM) and BCRP (Ki = 6.7 µM)
Gemfibrozil0.05110.030.821Reversible inhibition of OATP1B1 (Ki = 2.54 µM) and OAT3 (Ki = 3.4 µM)
Gemfibrozil-1-O-β-glucuronide0.1151.0Reversible 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)
Rifampicin0.008510.990.150.90.15Reversible inhibition of OATP1B1 (Ki = 0.5 µM); induction of CYP3A4 (Emax = 49.5, EC50 = 0.23 µM)
Clarithromycin0.0410.690.181.01Reversible inhibition of OATP1B1 (Ki = 8.3 µM); time-dependent inhibition of CYP3A4 (KI = 14 µM, Kinact = 1.7/h)
Itraconazole0.010.850.830.0360.580.016Reversible inhibition of CYP3A4 (Ki = 0.0013 µM)
4-OH-Itraconazole0.0211.0Reversible 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.