TABLE 3

Inhibition of CYP enzymes by DTG in HLMs

SubstrateMDI
Control Preincubationa IC50NADPH Preincubationb IC50Fold Change in IC50
μMc
CYP1A2Phenacetin>100>100NC
CYP 2A6Coumarin>100>100NC
CYP 2B6Bupropion>100d>100NC
CYP 2C8Rosiglitazone>100>100NC
CYP 2C9Diclofenac>100d>100NC
CYP 2C19S-Mephenytoin>100d>100NC
CYP 2D6Bufuralol>100d>100NC
CYP 3A4Atorvastatin54331.6
CYP 3A4Nifedipine>100d65>1.5
  • NC, not calculated.

  • a Microsomes (0.1 mg/ml), buffer and DTG preincubated for 20 minutes with probe substrate prior to initiation of reaction with NADPH.

  • b Microsomes (0.1 mg/ml), buffer and DTG preincubated for 20 minutes with NADPH prior to initiation of reaction with probe substrate.

  • c Control preincubation IC50 = direct inhibition IC50.

  • d P450 inhibition was observed but the percentage of inhibition at the highest DTG concentration tested (100 μM) was weak (20–40%) and insufficient to calculate an IC50.