TABLE 3

Median values and 95% CIs of optimized parameters in the bosentan PBPK model

Values and CIs were estimated by fitting clinical data.

ParameterMedian (95% CI)
ET koff (h−1)1.61 × 104 (7200, 3.4 × 104)
ET total concentration (nM)2750 (1400, 4900)
CLliver,pass (l/h)23.9 (13, 44)
kliver,uptake (nmol/h)4.78 × 106 (3.8 × 106, 6.5 × 106)
kliver,metabolism (nmol/h)1.00 × 106 (8.0 × 105, 1.3 × 106)
kliver,efflux (nmol/h)6.00 × 104
Km,liver,efflux (nM)1.48 × 106
ka (h−1)0.932 (0.81, 1.3)
ka (meal) (h−1)0.759 (0.64, 1.1)
fu,enterocyte0.964 (0.50, 1.0)
CLenterocyte,pass (l/h)2.31 × 10−5 (<1.1 × 10−4)
CLenterocyte,efflux (l/h)6.80 × 10−5 (<1.1 × 10−4)
Clinical induction Emax1.36 (1.0, 1.7)
Tadalafil FaFg with bosentan0.868 (0.70, 1.0)
S-warfarin FaFg with bosentan1.10 (0.99, 1.2)
R-warfarin FaFg with bosentan1.00 (0.83, 1.3)
  • Medians and CIs are not provided for the parameters with high uncertainty (i.e., the range of the approximated CI is greater than 20 magnitude). The globally optimized values (and upper bound if possible) are provided instead.