Dosage Regimena | Observed AUCR | PBPK Model Prediction | Static Model Prediction | ||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
CLint,h/CL′int,h | Fg′/Fg | AUCR | [Iu,max,in] (µM) b | [Iu,gut] (µM)b | R-Value c | CLint,h/CL′int,h | Fg′/Fg | AUCR | |||
0 hours | 0.52 (Bidstrup et al., 2004) | 1.70 | 0.40 | 0.68 | 1.76 | 3.75 | 3.1 | 1.95 | 0.30 | 0.59 | |
1 hour | 0.69 (Hatorp et al., 2003) | 1.83 | 0.41 | 0.75 | 1.76 | 3.75 | 3.1 | 1.95 | 0.30 | 0.59 | |
12.5 hours | 0.43 (Niemi et al., 2000) | 1.15 | 0.33 | 0.38 | 0.27 | 0 | 1.3 | 0.91 | 0.26 | 0.24 | |
24 hours | 0.20 (Bidstrup et al., 2004) | 0.88 | 0.33 | 0.29 | 0.02 | 0 | 1.0 | 0.73 | 0.26 | 0.19 | |
PPE | 24% | 19% | |||||||||
RMSE | 0.10 | 0.11 | |||||||||
AFE | 1.24 | 1.26 |
AFE, average-fold error model; PPE, percentage prediction error model; Fg′, fraction of drug escaping gut-wall metabolism in the presence of rifampicin; Fg, fraction of drug escaping gut-wall metabolism in the absence of rifampicin; RMSE, root mean square error model.
↵a Time of repaglinide oral dose after the last dose of rifampicin.
↵b For the static model, CYP3A4 induction was assumed constant for 24 hours after the rifampicin treatment and was calculated using 1.76 µM for [Iu,max,in] or 3.75µM for [Iu,gut].
↵c R-value for OATP1B1-mediated interaction (Giacomini et al., 2010; US Food and Drug Administration, 2012) was calculated as 1+(Iu,max,in/Ki).