TABLE 1

Evaluation of laromustine as a direct-acting inhibitor of selected P450 enzymes in human liver microsomes


Enzyme

P450 Enzyme Reaction

Maximum Inhibition at 750 μM (%)a

Ki

Type of Inhibition
% μM
CYP1A2 Phenacetin O-dealkylation 21 >750 Noncompetitive
CYP2B6 Bupropion hydroxylation 80 125 Competitive
CYP2C8 Amodiaquine N-dealkylation 24 >750 Noncompetitive
CYP2C9 Diclofenac 4′-hydroxylation 14 >750 Noncompetitive
CYP2C19 S-Mephenytoin 4′-hydroxylation 55 349 Mixed
CYP2D6 Dextromethorphan O-demethylation 16 >750 Noncompetitive
CYP3A4/5 Testosterone 6β-hydroxylation 26 >750 Competitive
CYP3A4/5
Midazolam 1′-hydroxylation
66
297
Mixed
  • a Maximum inhibition is based on the highest concentration of laromustine evaluated (750 μM) with P450 marker substrates at concentrations approximately equal to Km.