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利用体外溶出-渗透室定量预测与抑酸剂的pH依赖性药物相互作用:与基于生理的药代动力学建模的比较

Utilizing In Vitro Dissolution-Permeation Chamber for the Quantitative Prediction of pH-Dependent Drug-Drug Interactions with Acid-Reducing Agents: a Comparison with Physiologically Based Pharmacokinetic Modeling.

作者信息

Zhu Andy Z X, Ho Ming-Chih David, Gemski Christopher K, Chuang Bei-Ching, Liao Mingxiang, Xia Cindy Q

机构信息

Department of Drug Metabolism and Pharmacokinetics, Drug Safety and Disposition, Takeda Pharmaceuticals International Co., 35 Lansdowne Street, Cambridge, MA, 02139, USA.

出版信息

AAPS J. 2016 Nov;18(6):1512-1523. doi: 10.1208/s12248-016-9972-4. Epub 2016 Sep 6.

Abstract

For many orally administered basic drugs with pH-dependent solubility, concurrent administration with acid-reducing agents (ARAs) can significantly impair their absorption and exposure. In this study, pH-dependent drug-drug interaction (DDI) prediction methods, including in vitro dissolution-permeation chamber (IVDP) and physiologically based pharmacokinetic (PBPK) modeling, were evaluated for their ability to quantitatively predict the clinical DDI observations using 11 drugs with known clinical pH-dependent DDI data. The data generated by IVDP, which consists of a gastrointestinal compartment and a systemic compartment separated by a biomimic membrane, significantly correlated with the clinical DDI observations. The gastrointestinal compartment AUC ratio showed strong correlation with clinical AUC ratio (R=0.72 and P=0.0056), and systemic compartment AUC ratio showed strong correlation with clinical C ratio (R=0.91 and P=0.0003). PBPK models were also developed for the 11 test compounds. The simulations showed that the predictions from PBPK model with experimentally measured parameters significantly correlated with the clinical DDI observations. Future studies are needed to evaluate predictability of Z-factor-based PBPK models for pH-dependent DDI. Overall, these data suggested that the severity of pH-dependent DDI can be predicted by in vitro and in silico methods. Proper utilization of these methods before clinical DDI studies could allow adequate anticipation of pH-dependent DDI, which helps with minimizing pharmacokinetic variation in clinical studies and ensuring every patient with life-threatening diseases receives full benefit of the therapy.

摘要

对于许多具有pH依赖性溶解度的口服碱性药物,与抑酸剂(ARA)同时给药会显著损害其吸收和暴露。在本研究中,使用11种具有已知临床pH依赖性药物相互作用(DDI)数据的药物,评估了pH依赖性药物-药物相互作用预测方法,包括体外溶出-渗透室(IVDP)和基于生理的药代动力学(PBPK)建模,以定量预测临床DDI观察结果的能力。由IVDP生成的数据由一个胃肠腔室和一个由仿生膜分隔的体循环腔室组成,与临床DDI观察结果显著相关。胃肠腔室AUC比值与临床AUC比值呈强相关性(R = 0.72,P = 0.0056),体循环腔室AUC比值与临床C比值呈强相关性(R = 0.91,P = 0.0003)。还为这11种受试化合物建立了PBPK模型。模拟结果表明,具有实验测量参数的PBPK模型的预测与临床DDI观察结果显著相关。未来需要进行研究,以评估基于Z因子的PBPK模型对pH依赖性DDI的预测能力。总体而言,这些数据表明,可以通过体外和计算机模拟方法预测pH依赖性DDI的严重程度。在临床DDI研究之前正确使用这些方法,可以充分预测pH依赖性DDI,这有助于最大限度地减少临床研究中的药代动力学差异,并确保每一位患有危及生命疾病的患者都能充分受益于治疗。

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