TABLE 3

Predicted in vivo inhibition of CYP2D6, CYP3A, CYP2C9, and CYP1A2 mediated metabolism by atomoxetine, N-desmethylatomoxetine, and 4-hydroxyatomoxetine in CYP2D6 extensive and poor metabolizer populations


Compound

Predicted Inhibition
CYP3A
CYP2D6
CYP2C9
CYP1A2
CYP2D6 extensive metabolizers
    Atomoxetine 11% 54% Nonea Nonea
    N-Desmethylatomoxetine 1.2% 5.3% 0.4% 0.1%
    4-Hydroxyatomoxetine 0.01% 0.08% Nonea Nonea
    Total predicted inhibition 12% 60% 0.4% 0.1%
CYP2D6 poor metabolizers
    Atomoxetine 28% NC Nonea Nonea
    N-Desmethylatomoxetine 28% NC 11% 2.3%
    4-Hydroxyatomoxetine 0.002% NC Nonea Nonea
    Total predicted inhibition
56%
NC
11%
2.3%
  • NC, not calculated due to the lack of functional CYP2D6 in the PM population.

  • a No significant inhibition in vitro was observed.