Table 4

Summary of human clearance values predicted from in vitro intrinsic clearance, protein binding, and microsome binding values using well-stirred and parallel-tube models of hepatic extraction

DrugActual Human CLbloodPredicted Human CLblooda
Well-StirredParallel-Tube
No Binding (eq. 1)fu(bl) Only (eq. 2)fu(bl)and fu(mic) (eq. 3)No binding (eq. 4)fu(bl)Only (eq. 5)fu(bl) and fu(mic) (eq. 6)
mL/min/kg
Basic compounds
 Chlorpromazine11111.58.6151.511
 Propafenone19196.513217.617
 Verapamil19189.013211117
 Diphenhydramine9.51.90.72.22.00.72.3
 Lorcainide18156.79.9197.812
 Diltiazem128.72.93.6113.03.9
 Amitriptyline128.20.84.2100.84.6
 Desipramine129.42.88.8122.911
 Imipramine12101.66.6121.67.7
 Ketamine20121215151520
 Quinidine2.72.90.51.43.10.51.4
 Clozapine2.93.80.31.94.10.31.9
Neutral compounds
 Dexamethasone3.82.61.01.02.81.01.0
 Prednisone4.92.40.83.42.50.83.6
 Diazepam0.62.10.040.22.20.040.2
 Midazolam8.7198.89.4211112
 Methoxsalen18144.34.5184.75.0
 Alprazolam0.761.50.640.951.50.640.97
 Triazolam4.7102.73.3122.83.6
 Zolpidem5.72.50.30.52.60.30.5
Acidic compounds
 Diclofenac7.6191.61.6211.61.6
 Ibuprofen1.56.20.20.27.20.20.2
 Tolbutamide0.360.860.070.070.880.070.07
 Warfarin0.080.460.010.020.460.010.02
 Tenidap0.105.90.010.036.80.010.03
 Tenoxicam0.031.60.020.031.60.020.03
 Amobarbital0.350.900.240.320.920.240.32
 Hexobarbital3.62.11.21.402.21.21.45
 Methohexital16159.911191214
  • Equations used are as follows:Embedded Image Equation 1Embedded Image Equation 2Embedded Image Equation 3Embedded Image Equation 4Embedded Image Equation 5Embedded Image Equation 6a A value of 21 ml/min/kg was used for human hepatic blood flow (Q).