TABLE 2

Simulated δAUC for CYP2C9 mediated drug-drug interactions

Ki values were determined as described under Materials and Methods using rCYP2C9 and diclofenac as substrate. [I]in, total values and observed δAUC for amiodarone, benzbromarone, fluconazole (both clinical studies), fluvastatin, ketoconazole, miconazole, sertraline, sulfamethiazole, sulfaphenazole, and sulfinpyrazone were retrieved directly from Ito et al. (2004). [I]in, total values and observed δAUC for diclofenac, ibuprofen, and tolbutamide were retrieved from Andersson et al. (2004). [I]max, total values and observed δAUC for zafirlukast were retrieved from Blanchard et al. (2004). [I]unbound values were calculated by multiplying the [I]total by the fup determined in this laboratory. [I] and Ki values together with the estimated fmCYP2C9 for the respective in vivo substrates were used in eq. 1 to simulate the δAUC.


In Vivo Substrate

Inhibitor

CYP2C9

[I]in, total

fup

[I]in, unbound

δAUC
Ki, apparent
Ki, unbound
Observed
Simulated using [I]in, total/Ki, apparent
Simulated using [I]in, unbound/Ki, unbound
μM μM μM
Tolbutamide Sulfaphenazole 0.2 0.2 170 0.0059 1.02 5.3 6.6 3.3
S-Warfarin Miconazole 0.02 0.01 17 0.0023 0.038 4.7 6.6 3.0
S-Warfarin Fluconazole 8 8 128 0.8600 110 2.8 5.0 4.8
S-Warfarin Benzbromarone 0.02 0.02 12 0.0005 0.006 2.2 6.6 1.2
S-Warfarin Amiodarone 2 0.01 22 0.0027 0.059 2.1 4.7 3.0
Tolbutamide Fluconazole 8 8 32 0.8600 27.5 2.1 3.1 2.9
Tolbutamide Ketoconazole 3 3 28 0.0063 0.178 1.8 4.2 1.1
S-Warfarin Sulfinpyrazone 106 106 35 0.0068 0.235 1.7 1.3 1.0
Tolbutamide Sulfamethiazole 130 130 233 0.0654 15.2 1.6 2.2 1.1
S-Warfarin Zafirlukast 0.25 0.25 1a 0.0002 0.0002 1.6 3.1 1.0
Diclofenac Fluvastatin 1 1 6 0.0048 0.027 1.3 2.7 1.0
Phenytoin Sertraline 24 15 36 0.0116 0.42 1.2 1.9 1.0
Tolbutamide Diclofenac 6b 6 17 0.0032 0.053 1.1 2.7 1.0
Diclofenac Ibuprofen 80 80 275 0.0046 1.27 1.0 2.4 1.0
Diclofenac
Tolbutamide
122
122
322
0.0171
5.5
1.0
2.2
1.0
  • a [Imax].

  • b Ki determined using naproxen as substrate.