TABLE 4

Inhibition effects of apixaban on P450 enzyme activities in human liver microsomes

The concentrations of probe substrates used were at their Km values. The incubations were for 5 to 40 min at 0.05 to 0.25 mg/ml of proteins and 37°C.

EnzymeProbe Substrate AssayIC50 for ApixabanPositive Control
NameIC50
μMμM
CYP1A2Phenacetin O-deethylation>45α-Naphthoflavone0.0068
CYP2A6Coumarin 7-hydroxylation>45Tranylcypromine0.077
CYP2B6Bupropion hydroxylation>45Orphenadrine464.7
CYP2C8Paclitaxel 6α-hydroxylation>45Montelukast0.0882
CYP2C9Diclofenac 4′-hydroxylation>45Sulfaphenazole0.528
CYP2C19(S)-Mephenytoin 4′-hydroxylation>20N-3-Benzylnirvanol0.399
CYP2D6Dextromethorphan O-demethylation>45Quinidine0.0526
CYP3A4Midazolam 1′-hydroxylation>45Ketoconazole0.0302
CYP3A4Testosterone 6β-hydroxylation>45Ketoconazole0.0451