TABLE 1

IVIVE of fexofenadine and erythromycin CLhepatic utilizing in vitro CLint, uptake measurements demonstrating the impact of elacridar

CLint, uptakea (µl/min/106 cells)Predicted CLbloodb (ml/min/kg)Predicted CLhepaticc (ml/min/kg)In vivo CLbloodd (ml/min/kg)In vivo CLhepaticc (ml/min/kg)Fold Error CLhepatic (Observed/ Predicted)
Rat, fexofenadine
Control1.92 ± 0.81.7 ± 0.71.1 ± 0.510.9 ± 3.47.2 ± 2.76.5
Elacridar, 1 µM4.6 ± 1.6**3.8 ± 1.3*2.5 ± 0.9*2.9
Elacridar, 2 µM7.6 ± 1.1**6.0 ± 0.8**4.1 ± 0.6**1.8
Human, erythomycin
Control4.4 ± 0.31.9 ± 0.31.9 ± 0.38.8 ± 2.28.5 ± 2.24.5
Elacridar, 0.5 µM5.7 ± 0.8**2.4 ± 0.4**2.4 ± 0.4**3.6
  • Mean ± SD, n = 3; ***P < 0.001, **P < 0.01, *P < 0.05, significantly different from control experiments without elacridar.

  • a CLint, uptake was measured using suspended hepatocytes.

  • b CLblood was predicted from CLint, uptake using the well-stirred model, as described (Sohlenius-Sternbeck et al., 2012).

  • c CLhepatic was calculated from CLblood using data from Swift et al. (2009).

  • d In vivo CLblood was measured in house in Sprague-Dawley rats (Lundquist P et al., 2014). Human pharmacokinetic parameters are from Sun et al. (2010).