TABLE 10

Summary comparison of accuracy of drug interactions prediction for CYP3A using testosterone, midazolam, and felodipine activity assays




[I] = Csys

[I] = fu × Chep,inlet(est)
Testosterone 6β-hydroxylase
   Geometric mean-fold error (All DDI) 1.47 1.45
   Geometric mean-fold error (DDI ≥2× only) 2.00 1.89
   RMSE (All DDI) 6.87 2.18
   RMSE (DDI ≥2× only) 11.12 3.50
   Identification of true positives (DDI ≥2×) 10 of 16 9 of 16
   Identification of true negatives (DDI <2×) 26 of 26 25 of 26
   Overall Success Rate (%)a 86 81
Midazolam 1′-hydroxylase
   Geometric mean-fold error (All DDI) 1.44 1.48
   Geometric mean-fold error (DDI ≥2× only) 1.91 1.99
   RMSE (All DDI) 4.90 2.95
   RMSE (DDI ≥2× only) 7.93 4.74
   Identification of true positives (DDI ≥2×) 12 of 16 11 of 16
   Identification of true negatives (DDI <2×) 26 of 26 25 of 26
   Overall Success Rate (%)a 90 86
Felodipine dehydrogenase
   Geometric mean-fold error (All DDI) 1.52 1.53
   Geometric mean-fold error (DDI ≥2× only) 2.19 2.16
   RMSE (All DDI) 6.27 2.76
   RMSE (DDI ≥2× only) 10.15 4.44
   Identification of true positives (DDI ≥2×) 10 of 16 8 of 16
   Identification of true negatives (DDI <2×) 26 of 26 25 of 26
   Overall success rate (%)a 86 79
Most potently inhibited activity
   Geometric mean-fold error (All DDI) 1.44 1.44
   Geometric mean-fold error (DDI ≥2× only) 1.91 1.87
   RMSE (All DDI) 7.25 2.57
   RMSE (DDI ≥2× only) 11.74 4.13
   Identification of true positives (DDI ≥2×) 12 of 16 11 of 16
   Identification of true negatives (DDI <2×) 26 of 26 25 of 26
   Overall success rate (%)a
90
86
  • a The term “Overall Success Rate” refers to the percentage of times that predictions of drug interactions from in vitro data are properly categorized as greater than or less than 2-fold