TABLE 3

Experimentally determined IC50 values based on the initial or final inhibitor concentration and the ratio of IC50 values determined with dilution (10–40-fold) versus no dilution for fluconazole, a direct-acting inhibitor of CYP3A4, and methimazole and diltiazem, metabolism-dependent inhibitors of CYP3A4 based on midazolam 1′-hydroxylation (4 μM)

All values were rounded to two significant figures. [HLM] indicates microsomal protein concentration before and after dilution. [Initial] refers to initial or predilution concentrations of inhibitor; [Final] refers to final or postdilution concentrations.

Dilution Factor[HLM]IC50
Fluconazole (30 min)Methimazole (30 min)Diltiazem (30 min)
Without NADPHWith NADPHWithout NADPHWith NADPHWithout NADPHWith NADPH
[Initial][Final][Initial][Final][Initial][Final][Initial][Final][Initial][Final][Initial][Final]
mg/mlμM
00.05 → 0.055.65.66.66.6570570808089891818
100.5 → 0.05555.5717.15100510767.678078121.2
201.0 → 0.051105.31306.44300220713.61100579.30.47
301.5 → 0.051605.42106.98400280642.11700588.20.27
402.0 → 0.052806.93308.110000260591.52100528.30.21