TABLE 1

Drug parameters relevant for clinical extrapolation of in vitro transport inhibition

DrugMol. Wt.DoseCmaxfuCmax,uIgutReference
g/molmgµMµMµM
Dolutegravir441.36508.32a0.010.08a453.14Tivicay, Prescribing Information, 2018
Cabotegravir427.333014.880.010.15280.81Ford et al., 2019
Bictegravir449.385013.690.010.14445.06Biktarvy, Prescribing Information, 2018
Raltegravir482.514004.500.170.763315.99Isentress (raltegravir) Prescribing Information, 2019
Raltegravir482.51120022.560.173.849947.98http://wwwcroiconferenceorg/sessions/multiple-dose-study-raltegravir-ral-formulations
Elvitegravir447.88852.68b0.020.05b759.13Viteka Prescribing Information, 2015
Elvitegravir447.881503.35b0.020.07b1339.64Viteka Prescribing Information, 2015
Methotrexate454.44100.570.50.2888.02Jylamvo (methotrexate) Prescribing Information, 2017
Methotrexate (i.v.)454.44153.800.51.90N/ASeideman et al., 1993
Pemetrexed (i.v.)597.49500 mg/m2189.120.1935.93N/AKavathiya et al., 2017
  • Cmax,u, unbound Cmax (i.e., Cmax * fu); fu, plasma fraction unbound; Igut, theoretical gut concentration (oral dose/250 ml) or highest soluble aqueous concentration; oral administration in all cases, unless noted); N/A, not applicable (i.v. administration).

  • a Most commonly used 50-mg daily regimen; 50 mg twice daily; Cmax = 9.4 μM and Cmax,u = 0.09 μM (ViiV Healthcare, 2018), twice-daily dosing does not impact extrapolation values or results in Fig. 6.

  • b Not cobicistat boosted, 150-mg dose cobicistat-boosted Cmax = 3.8 μM and Cmax,u = 0.08 μM (2019); cobicistat boosting does not impact extrapolation values or results in Fig. 6.