TABLE 3

Comparison of in vivo human intrinsic clearance with in vitro intrinsic clearance using the relay method

CompoundsMetabolizing EnzymesHuman In Vivo Intrinsic ClearanceRelay Method Intrinsic Clearance ± S.E.aFold Difference between In Vitro and In Vivo
ml · min1 · kg1ml · min1 · kg1
DiazepamCYP3A, CYP2C1915 (Hallifax et al., 2010)15 ± 0.851.0
DisopyramideCYP3A5.9 (Obach et al., 2008)4.8 ± 0.551.2
TheophyllineCYP1A22.6 (Hallifax et al., 2010)2.8 ± 0.601.1
TimololCYP2D636–49 (Obach et al., 2008; Hallifax et al., 2010)14 ± 2.52.6
TolbutamideCYP2C94.9 (Brown et al., 2007)7.4 ± 0.401.5
S-WarfarinCYP3A, CYP2C94.5 (Hallifax et al., 2010)4.2 ± 0.651.1
ZolmitriptanCYP1A2, MAO13 (Obach et al., 2008)3.5 ± 0.90b3.7b
  • a n = 4 for all the compounds, with the exception of theophylline (n = 2) and zolmitriptan (n = 3).

  • b Underprediction of in vivo clearance could potentially be due to extrahepatic contribution of MAO.