TABLE 2

Summary of in vitro predicted CLH values for 21 low- and intermediate-cleared drugs derived from three individual experiments using UHH of donor 151-03

Values for each experiment are presented as mean ± S.D. of triplicate (n = 3) incubations per compound. Prediction fold errors were calculated from the mean values and used to assess accuracy and bias.

CompoundPredominant CYP450 IsoformfupObserved In Vivo CLnonrenalIn Vitro Predicted CLH Expt. 1Fold ErrorIn Vitro Predicted CLH Expt. 2Fold ErrorIn Vitro Predicted CLH Expt. 3Fold Error
(mL/min/kg)(mL/min/kg)(mL/min/kg)(mL/min/kg)
Low nonrenal CLb (<5 mL/min/kg)Alprazolam(1)3A40.290.760.70±0.070.920.67±0.060.880.76±0.071.00
Prednisolone(2)3A40.281.441.55±0.041.081.27±0.050.881.95±0.051.35
Diazepam(3)2C190.0150.539.02±0.1317.08.29±0.1615.69.39±0.2817.7
Voriconazole(4)2C190.423.727.15±0.191.925.74±0.171.546.70±0.121.80
Tolbutamide(5)2C90.0580.360.71±0.031.970.35±0.060.970.63±0.031.75
Meloxicam(6)2C90.0060.120.11*±0.021.170.24±0.102.000.11*±0.020.92
Warfarin(7)2C90.010.080.22±0.012.750.24±0.023.000.36±0.024.50
Glimepiride(8)2C90.0051.121.91±0.111.701.80±0.041.612.28±0.092.04
Theophylline(9)1A20.411.13n.dn.d.n.d
Riluzole(10)1A20.023.205.32±0.051.666.48±0.092.036.78±0.022.12
Oxazepam(11)UGT2B150.0451.431.93±0.071.351.85±0.101.291.96±0.081.37
Intermediate nonrenal CLb (5–15 mL/min/kg)Midazolam(12)3A40.028.6111.0±0.191.2810.1±0.221.1710.9±0.121.21
Atazanavir(13)3A40.145.582.03±0.230.361.32±0.120.241.83±0.240.33
Diclofenac(14)2C90.0057.602.12±0.070.281.69±0.090.221.64±0.090.22
Lidocaine(15)1A20.3010.710.5±0.20.9810.1±0.120.9411.0±0.031.03
Risperidone(16)2D60.117.823.00±0.160.382.42±0.070.313.70±0.260.47
Flecainide(17)2D60.395.820.15±0.010.030.13±0.010.020.22±0.040.04
Atomoxetine(18)2D60.0137.053.02±0.020.432.62±0.060.373.13±0.170.44
Metoprolol(19)2D60.8911.90.37±0.100.030.30±0.030.030.49±0.050.04
Imipramine(20)2D6/1A20.1311.8n.t.4.58±0.110.396.45±0.180.55
Ondansetron(21)2D60.736.75n.t.1.73±0.120.262.27±0.130.34
  • CLb, blood clearance; fup, fraction unbound in plasma; n.d., not determinable; n.t., not tested; *n = 2 replicates; R2 < 0.7.