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Drug Metabolism and Disposition Fast Forward
First published on October 11, 2006; DOI: 10.1124/dmd.106.011973


0090-9556/07/3501-180-184$20.00
DMD 35:180-184, 2007

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An Evaluation of the Cytochrome P450 Inhibition Potential of Lisdexamfetamine in Human Liver Microsomes

Suma Krishnan, and Scott Moncrief

New River Pharmaceuticals, Blacksburg, Virginia

The human cytochrome P450 (P450) system is implicated in many drug interactions. Lisdexamfetamine dimesylate (NRP104), the proposed generic name for a new agent under investigation for treatment of attention deficit hyperactivity disorder, was recently analyzed for inhibitory drug-drug interactions with seven major P450 isoforms using pooled human liver microsomes. Probe substrates were used near the Km concentration values reported in the literature for CYP1A2 (phenacetin), CYP2A6 (coumarin), CYP2B6 (bupropion), CYP2C9 (tolbutamide), CYP2C19 ([S]-mephenytoin), CYP2D6 (dextromethorphan), and CYP3A4 (midazolam and testosterone), and lisdexamfetamine was evaluated at concentrations ranging from 0.01 to 100 µM for its ability to inhibit the activity of these seven P450 isoforms. NADPH was added to one set of samples to initiate metabolic reactions, which were then terminated by adding organic solvent, vortexing the samples, and placing them on ice. The relevant substrates were then introduced to both sets of samples so that the percentage of remaining activity could be measured and compared. In addition, these samples were compared with other samples with the same concentrations of lisdexamfetamine but without preincubation. None of the seven P450 isoforms showed any concentration-dependent inhibition. Comparison of results from microsomes preincubated with and without NADPH showed no mechanism-based inhibition. Neither concentration-dependent nor mechanism-based inhibition caused by time-dependent inactivation of human P450 isoforms was shown for lisdexamfetamine during in vitro testing. The evidence suggests that lisdexamfetamine has a low potential for drug-drug interactions or initiation of drug-drug interactions.


Address correspondence to: Suma Krishnan, 2200 Kraft Drive, Suite 2050, Blacksburg, VA 24060. E-mail: skrishnan{at}nrpharma.com




This article has been cited by other articles:


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Am J Health Syst PharmHome page
B. Popovic, P. Bhattacharya, and L. Sivaswamy
Lisdexamfetamine: A prodrug for the treatment of attention-deficit/hyperactivity disorder
Am. J. Health Syst. Pharm., November 15, 2009; 66(22): 2005 - 2012.
[Abstract] [Full Text] [PDF]


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The Annals of PharmacotherapyHome page
B. J Cowles
Lisdexamfetamine for Treatment of Attention-Deficit/Hyperactivity Disorder
Ann. Pharmacother., April 1, 2009; 43(4): 669 - 676.
[Abstract] [Full Text] [PDF]




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