Tseng Elaine, Lin Jian, Strelevitz Timothy J, DaSilva Ethan, Goosen Theunis C, Obach R Scott
Pfizer Global Research and Development, Pfizer Inc, United States
PDM, Pfizer Inc, United States.
Drug Metab Dispos. 2024 Feb 26;52(5):DMD-AR-2024-001660. doi: 10.1124/dmd.124.001660.
In vitro time-dependent inhibition (TDI) kinetic parameters for cytochrome P450 (CYP) 1A2, 2B6, 2C8, 2C9, 2C19, and 2D6, were determined in pooled human liver microsomes for 19 drugs (and 2 metabolites) for which clinical drug-drug interactions (DDI) are known. In vitro TDI data were incorporated into the projection of the magnitude of DDIs using mechanistic static models and Simcyp®. Results suggest that for the mechanistic static model, use of estimated average unbound exit concentration of the inhibitor from the liver resulted in a successful prediction of observed magnitude of clinical DDIs and was similar to Simcyp®. Overall, predictions of DDI magnitude (i.e., fold increase in AUC of a CYP-specific marker substrate) were within 2-fold of actual values. Geometric mean-fold errors were 1.7 and 1.6 for static and dynamic models, respectively. Projections of DDI from both models were also highly correlated to each other (r2 = 0.92). This investigation demonstrates that DDI can be reliably predicted from in vitro TDI data generated in HLM for several CYP enzymes. Simple mechanistic static model equations as well as more complex dynamic PBPK models can be employed in this process. Cytochrome P450 time-dependent inhibitors (TDI) can cause drug-drug interactions (DDI). An ability to reliably assess the potential for a new drug candidate to cause DDI is essential during drug development. In this report, TDI data for 19 drugs (and 2 metabolites) were measured and used in static and dynamic models to reliably project the magnitude of DDI resulting from inhibition of CYP1A2, 2B6, 2C8, 2C9, 2C19, and 2D6.
在人肝微粒体池中测定了细胞色素P450(CYP)1A2、2B6、2C8、2C9、2C19和2D6的体外时间依赖性抑制(TDI)动力学参数,涉及19种已知存在临床药物相互作用(DDI)的药物(以及2种代谢物)。利用机理静态模型和Simcyp®将体外TDI数据纳入DDI强度的预测中。结果表明,对于机理静态模型,使用肝脏中抑制剂的估计平均非结合流出浓度可成功预测临床DDI的观察强度,且与Simcyp®相似。总体而言,DDI强度的预测(即CYP特异性标记底物AUC的增加倍数)在实际值的2倍以内。静态和动态模型的几何平均倍数误差分别为1.7和1.6。两种模型的DDI预测彼此也高度相关(r2 = 0.92)。这项研究表明,对于几种CYP酶,可根据在人肝微粒体中生成的体外TDI数据可靠地预测DDI。在此过程中可采用简单的机理静态模型方程以及更复杂的动态PBPK模型。细胞色素P450时间依赖性抑制剂(TDI)可导致药物相互作用(DDI)。在药物开发过程中,可靠评估新药候选物导致DDI的可能性至关重要。在本报告中,测定了19种药物(和2种代谢物)的TDI数据,并将其用于静态和动态模型,以可靠地预测CYP1A2、2B6、2C8、2C9、2C19和2D6抑制导致的DDI强度。