TABLE 3

Comparison of the order of in vitro inhibition potency and magnitude of in vivo DDI for 21 drugs


Drug

In Vitro Potency Rank Order

In Vivo Potency Rank Ordera

Rank-Order Correspondence?
Cimetidine 2D6 > 3A > 2C9≈1A2 3A > 1A2≈2C9≈2D6 No
Citalopram 2D6 > 3A≈2C19 > 2C9 > 1A2 2D6 > 3A≈2C19≈2C9≈1A2 Yes
Clarithromycin 3A > 2C19≈1A2≈2C9 3A > 2C19 > 2C9≈1A2 Yes
Diltiazem 3A > 2C9≈2D6 > 1A2 3A > 2D6≈1A2≈2C9 Yes
Disulfiram 2C9≈1A2 > 3A≈2C19 > 2D6 1A2≈2D6≈2C19≈2C9≈3A Yes
Erythromycin 3A > 1A2≈2C9 3A > 1A2≈2C9 Yes
Fluconazole 2C19≈3A≈2C9 > 1A2 2C19 > 2C9∼3A > 1A2 Yes
Fluoxetine 2D6 > 3A > 1A2 2D6 > 1A2≈3A Yes
Fluvoxamine 1A2 > 2C19 > 2D6≈2C9 > 3A 2C19 > 1A2 > 3A > 2C9≈2D6 No
Ketoconazole 3A > 2C9≈2C19 > 1A2≈2D6 3A > 2C9 > 2C19≈1A2≈2D6 Yes
Metronidazole 3A≈1A2≈2C9 2C9≈1A2≈3A Yes
Nefazodone 3A > 2C9 > 1A2 3A > 2C9≈1A2 Yes
Paroxetine 2D6 > 1A2 > 2C19≈3A > 2C9 2D6 > 1A2≈2C9≈2C19≈3A Yes
Propranolol 1A2 > 3A > 2C9 1A2 > 3A≈2C9 Yes
Ranitidine 3A≈2D6 > 2C9≈1A2 3A≈2D6 > 2C9≈1A2 Yes
Risperidone 2D6 > 2C19 > 1A2 2C19≈1A2≈2D6 Yes
Roxithromycin 3A > 2C19≈1A2≈2C9 3A≈2C19≈1A2≈2C9 Yes
Sertraline 2D6 > 3A≈1A2 > 2C9 2D6≈1A2≈2C9≈3A Yes
Terbinafine 2D6 > 1A2 > 3A≈2C9 2D6 > 1A2≈2C9≈3A Yes
Ticlopidine 2C19 > 1A2 > 3A 2C19 > 1A2 > 3A Yes
Troleandomycin
3A > 2C19≈1A2
3A > 1A2 > 2C19
No
  • a Boldface designates those in vivo DDI in which the increase in exposure to the probe substrate was >2-fold