TABLE 3

KTZ and ITZ as inhibitors of MDZ, TST, terfenadine, and vincristine metabolism

The data are presented as the mean ± S.D. (n = 3 determinations).

SubstrateP450Substrate Conc.aIC50bCYP3A5/CYP3A4 IC50 Ratio
KTZITZKTZITZ
µMnMnM
MDZrCYP3A41.4 (0.8)40 ± 10240 ± 505.0c9.6
0.1 (0.06)2.0 ± 0.217 ± 38.5d8.8
rCYP3A52.7 (0.9)200 ± 42300 ± 400
0.2 (0.07)17 ± 3150 ± 60
TSTrCYP3A478 (1.0)9.0 ± 140 ± 74.433
4.0 (0.05)17 ± 145 ± 34.79.1
rCYP3A567 (1.0)40 ± 61300 ± 400
3.0 (0.04)80 ± 7410 ± 180
TerfenadinerCYP3A42.4 (0.7)90 ± 5900 ± 2002.22.3
0.2 (0.06)8.2 ± 123 ± 41.32.8
rCYP3A51.2 (0.8)200 ± 52100 ± 500
0.1 (0.07)6.5 ± 264 ± 14
VincristinerCYP3A475 (1.0)150 ± 30360 ± 500.81.9
4.0 (0.05)111 ± 1029 ± 40.61.7
rCYP3A545 (1.0)120 ± 10680 ± 230
2.0 (0.04)70 ± 1050 ± 5
  • Conc., concentration.

  • a [S]/Km ratio in parentheses.

  • b IC50 was determined at a [S] close to the Km (S50) and at a [S] below Km (S50) (see Table 2).

  • c IC50 ratio at higher [S].

  • d IC50 ratio at lower [S].