TABLE 4

Enzyme induction interactions, in vitro to in vivo translation

PerpetratorInduction EffectCmax (µM)AUC RatioCmax RatioIn Vivo VictimReference
ApremilastApproximately 0.65-fold in activity at 10 µM (CYP1A2)0.8FDA, 2014aa
0.30-fold in activity at 100 µM (CYP2C9)
3.7-fold, approximately50% of rifampin in activity at 100 µM (CYP3A4)0.840.90Norgestimateb
Belinostat2.3-fold and 14% of omeprazole in activity at 15 µM (CYP1A2)100FDA, 2014b
Ceftolozane0.27-fold in mRNA and 0.39-fold in activity at 1000 µg/ml (CYP1A2a)97.31.070.99CaffeinecFDA, 2014al
0.36-fold in mRNA and 0.60-fold in activity at 1000 µg/ml (CYP2B6a)
0.26-fold in mRNA and 0.70-fold in activity at 1000 µg/ml (CYP3A4)1.231.14Midazolamc
Ceritinib6.03-fold in mRNA and 2.06-fold in activity (1 donor) at 2.5 µM (CYP3A4a)1.8FDA, 2014ao
1.18-fold in mRNA and 2.31-fold in activity (1 donor) at 1 µM (CYP2C9)
Idelalisib46% of positive control in mRNA at 10 µM (CYP2B6)4.6FDA, 2014an
3.9-fold in mRNA at 10 µM (CYP2C8a)
3.1-fold in mRNA at 10 µM (CYP2C9)
54% of positive control in mRNA at 10 µM (CYP3A4)
2.4-fold in mRNA at 10 µM (UGT1A1a)
2.1-fold in mRNA at 10 µM (UGT1A4)
Ledipasvir4.08-fold at 10 µM and 71% of weak activator androstanol (PXR)0.4FDA, 2014k
2.0-fold at 1 µM in mRNA, 2-fold at 10 µM in activity (CYP2B6)0.790.79Efavirenzc
1.060.93Efavirenz
2.6-fold at 1 µM and >10-fold at 10 µM in mRNA, 1.32-fold at 1 µM and >5-fold at 10 µM in activity (CYP3A4a)1.331.06Atazanavirc
1.21.44Ethinyl estradiol
Olaparib3.2-fold and 40% of phenobarbital in activity at 30 µM (CYP2B6)18.2FDA, 2014s
Pirfenidone2.20-fold in activity at 250 µM (CYP2C19)48.8FDA, 2014i
1.87-fold in activity at 250 µM (CYP3A4a)
Suvorexant4.8-fold and 20.4% of omeprazole in mRNA at 5 µM, 2.7-fold and 10.7% of omeprazole in activity at 20 µM (CYP1A2a)1.0FDA, 2014c
2.4-fold and 18.6% of phenobarbital in mRNA at 5 µM, 2.3-fold and 23.1% of phenobarbital in activity at 20 µM (CYP2B6a)
22.0-fold and 42.7% of rifampin in mRNA at 5 µM, 0.4-fold in activity at 20 µM (CYP3A4a)1.471.23Midazolam
33% of rifampin at 10 µM (PXR)
Tasimelteon16.5-fold in mRNA and 5-fold in activity at 100 µM (CYP2B6)0.8FDA, 2014l
4.43-fold and 60.3% of rifampin in activity at 100 µM (CYP2C8)1.031.01Rosiglitazone
2.27-fold and 83.2% of rifampin in activity at 100 µM (CYP3A4a)0.90.94Midazolam
 Metabolite M124.64-fold in mRNA and 2.71-fold (1 donor) in activity at 100 µM (CYP1A2a)
12-fold in mRNA and 8-fold in activity at 100 µM (CYP2B6)
Tazobactam0.46-fold in mRNA and 0.63-fold in activity at 1250 µg/ml (CYP1A2)55.91.070.99CaffeinecFDA, 2014al
0.60-fold in mRNA and 0.65-fold in activity at 1250 µg/ml (CYP2B6)
0.44-fold in mRNA and 2.9-fold (12% of rifampin) in activity at 1250 µg/ml (CYP3A4a)1.231.14Midazolamc
 Metabolite M10.15-fold in mRNA and 0.16-fold in activity at 75 µg/ml (CYP1A2)
0.062-fold in mRNA and 0.11-fold in activity at 75 µg/ml (CYP2B6)
0.47-fold in mRNA and 0.67-fold in activity at 75 µg/ml mRNA 3/3 donors (CYP3A4)
Vorapaxar2.97-fold in activity at 30 µM (CYP1A2)0.05FDA, 2014am
4.66-fold in activity at 30 µM (CYP2B6)
300% activation at 30 µM (CYP2E1)
  • R3 values were not provided for any of the compounds listed.

  • a Inhibition was also observed of the same enzyme.

  • b Metabolite norelgestromin was measured.

  • c Perpetrator was administered as the combination drug.