TABLE 3

Predictions of clinical DDIs from in vitro inhibition parameters of CYP3A, CYP2C9, and CYP2D6 inhibitors (63 clinical DDIs)

InhibitorVictim Drug[I]ave, totalKi, appPredicted Fold Increase in AUC byObserved Fold-Increase in AUCReference
HMMPlasmaFree [I] with HMM Ki, appTotal [I] with Plasma Ki, app
μM
KetoconazoleMidazolam2.820.260.751.936.6015.90Olkkola et al., 1994
KetoconazoleMidazolam3.460.260.751.967.4116.00Tsunoda et al., 1999
KetoconazoleMidazolam4.760.260.752.048.896.47Eap et al., 2004
KetoconazoleMidazolam1.880.260.751.865.217.72Lam et al., 2003
KetoconazoleMidazolam2.820.260.751.655.669.51Chung et al., 2006
KetoconazoleMidazolam i.v.3.460.260.751.124.245.10Tsunoda et al., 1999
KetoconazoleMidazolam1.870.260.751.474.096.45McCrea et al., 1999
FluconazoleMidazolam21.5525.234.562.666.843.51Olkkola et al., 1996
FluconazoleMidazolam29.9925.234.562.847.703.60Olkkola et al., 1996
FluconazoleMidazolam5.625.234.561.602.782.16Kharasch et al., 2005
AprepitantMidazolam1.7214.431.922.27Majumdar et al., 2003
AprepitantMidazolam2.2214.431.973.30Majumdar et al., 2003
AprepitantMidazolam0.4114.431.721.28Majumdar et al., 2003
AprepitantMidazolam i.v.3.1114.431.261.47Majumdar et al., 2007
VoriconazoleMidazolam i.v.1.6420.931.801.031.793.64Saari et al., 2006
VoriconazoleMidazolam1.4620.931.801.642.749.85Saari et al., 2006
NefazodoneMidazolam1.730.461.021.794.174.44Lam et al., 2003
ConivaptanMidazolam1.571.781.021.573.583NDA 021697a
ConivaptanMidazolam i.v.1.571.781.021.002.292NDA 021697a
SulfaphenazoleTolbutamide1600.258.554.904.165.28Veronese et al., 1990
SulfaphenazoleTolbutamide3200.258.554.954.533.09Back et al., 1988
SulfaphenazolePhenytoin6400.258.553.993.853.05Hansen et al., 1979
FluconazoleS-Warfarin46.547.3312.921.683.132.84Black et al., 1996
FluconazoleTolbutamide11.6847.3312.921.171.612.09Lazar and Wilner, 1990
FluconazolePhenytoin2447.3312.921.301.951.75Blum et al., 1991
FluconazolePhenytoin46.547.3312.921.542.421.33Touchette et al., 1992
FluconazoleLosartan23.447.3312.921.332.011.69Kazierad et al., 1997
FluconazoleLosartan23.447.3312.921.332.011.27Kaukonen et al., 1998
FluconazoleFluvastatin23.447.3312.921.221.631.84Kantola et al., 2000
FluconazoleGlimepiride23.447.3312.921.412.582.38Niemi et al., 2001
MiconazoleS-Warfarin0.271.861.821.011.134.72O'Reilly et al., 1992
FluvastatinDiclofenac13.576.111.001.121.07Andersson et al., 2004
IbuprofenDiclofenac114132.7210811.001.080.99Andersson et al., 2004
TolbutamideDiclofenac16588.6710811.051.110.93Andersson et al., 2004
DiphenhydramineMetoprolol0.261.4621.211.031.011.61Hamelin et al., 2000
DiphenhydramineMetoprolol0.261.4621.211.031.011.10Hamelin et al., 2000
DiphenhydramineMetoprolol0.261.4621.211.031.011.92Sharma et al., 2005
DiphenhydramineMetoprolol0.261.4621.211.031.010.82Sharma et al., 2005
SertralineDesipramine0.0712.659.701.001.011.24Preskorn et al., 1994
SertralineDesipramine0.0652.659.701.001.011.37Alderman et al., 1997
SertralineDesipramine0.22.659.701.001.021.74Zussman et al., 1995
SertralineDesipramine0.22.659.701.001.021.54Kurtz et al., 1997
SertralineImipramine0.22.659.701.001.011.68Kurtz et al., 1997
SertralineDesipramine0.22.659.701.001.022.29Kurtz et al., 1997
ParoxetineDesipramine0.140.030.051.232.874.64Brøsen et al., 1993
ParoxetineImipramine0.140.030.051.111.521.74Albers et al., 1996
ParoxetineDesipramine0.140.030.051.232.874.28Albers et al., 1996
ParoxetineMetoprolol0.140.030.051.212.607.93Hemeryck et al., 2000
ParoxetineMetoprolol0.140.030.051.212.605.08Hemeryck et al., 2000
ParoxetineDesipramine0.140.030.051.232.875.21Alderman et al., 1997
ParoxetineDesipramine0.0170.030.051.031.291.36Alderman et al., 1997
ParoxetineDesipramine0.140.030.051.232.874.8Laine et al., 2004
QuinidineDesipramine0.4510.030.012.566.837.5Brøsen and Gram, 1989
QuinidineImipramine0.4510.030.011.471.811.54Brøsen and Gram, 1989
QuinidineEncainide0.4510.030.012.476.033.18Funck-Brentano et al., 1989b
QuinidineEncainide0.410.030.012.375.9411.4Turgeon et al., 1990
QuinidineMetoprolol0.230.030.011.804.593.24Johnson and Burlew, 1996
QuinidineMexiletine0.450.030.011.511.911.32Turgeon et al., 1991
QuinidinePropafenone0.340.030.011.913.702.7Funck-Brentano et al., 1989a
QuinidineDesipramine4.60.030.016.388.153.14Ayesh et al., 1991
FluoxetineDesipramine0.570.030.241.882.632.25Bergstrom et al., 1992
FluoxetineDesipramine1.540.030.242.984.197.43Bergstrom et al., 1992
DuloxetineDesipramine0.30.190.471.071.532.9Skinner et al., 2003