TABLE 2

Summary of victim-gemfibrozil DDI predictions using mechanistic static models

Static ModelVictim DrugGemfibrozil DosefmCYP2C8aFRenalFsecObserved AUCRPredicted (Gemfibrozil Only)Predicted (Gemfibrozil and Gem-Glu)References
NE(S)-warfarin600 mg (8 d)00.91.01.0(Kaminsky and Zhang, 1997; Lilja et al., 2005)
NELovastatin600 mg (3 d)00.91.01.0(Wang et al., 1991; Chen et al., 2012)
NEImatinib600 mg (6 d)0.250.050.460.91.11.3(Nebot et al., 2010; Filppula et al., 2013)
NE(R)-warfarin600 mg (8 d)00.91.01.0(Kaminsky and Zhang, 1997; Lilja et al., 2005)
NEBrivaracetam600 mg (7 d)00.91.01.0(Nicolas et al., 2012)
NELovastatin600 mg (3 d)01.01.01.0(Wang et al., 1991; Kyrklund et al., 2001)
NEZopiclone600 mg (3 d)0.30.0301.01.11.4(Becquemont et al., 1999; Tornio et al., 2006)
NEZafirlukast600 mg (5 d)01.01.01.0(Dekhuijzen and Koopmans, 2002; Karonen et al., 2011)
NE(S)-ibuprofen600 mg (3 d)0.231.11.11.3(Tornio et al., 2007; Chang et al., 2008)
NEAlogliptin600 mg (7 d)00.710.381.11.11.2
NEGlimepiride600 mg (2.5 d)0.21.21.11.2(Niemi et al., 2001)
NE(R)-ibuprofen600 mg (3 d)0.251.31.11.3(Tornio et al., 2007; Chang et al., 2008)
NESimvastatin600 mg (3 d)01.41.01.0(Backman et al., 2000; Prueksaritanont et al., 2003)
ENEAtorvastatin acid600 mg (7 d)01.41.82.7(Whitfield et al., 2011)
NEEzetimibe600 mg (7 d)01.51.01.0(Ghosal et al., 2004; Reyderman et al., 2004; Kosoglou et al., 2005)
NESitagliptin600 mg (3 d)00.70.731.51.21.4(Vincent et al., 2007; Arun et al., 2012)
ENEPitavastatin600 mg (7 d)01.51.82.8
NEEmpagliflozin600 mg (5 d)00.160.261.61.01.0(Macha et al., 2014)
ENERepaglinide30 mg0.711.81.01.9(Honkalammi et al., 2011a)
ENERosuvastatin600 mg (7 d)01.91.82.7(Schneck et al., 2004)
ENEPravastatin600 mg (3 d)02.01.72.2(Kyrklund et al., 2003)
NELoperamide600 mg (5 d)0.382.21.11.6(Kim et al., 2004; Niemi et al., 2006)
NERosiglitazone600 mg (4 d)0.652.31.22.8(Baldwin et al., 1999; Niemi et al., 2003a)
NEPioglitazone600 mg (4 d)0.683.11.23.1(Jaakkola et al., 2006; Aquilante et al., 2013)
NEPioglitazone600 mg (4 d)0.683.21.23.1(Jaakkola et al., 2005, 2006)
NEPioglitazone600 mg (1 wk)0.683.41.23.1(Deng et al., 2005; Jaakkola et al., 2006)
ENERepaglinide30 mg (5 d)0.713.41.01.9(Honkalammi et al., 2012)
NEPioglitazone600 mg (4 d)0.683.81.23.1(Jaakkola et al., 2006; Aquilante et al., 2013)
NE (+Itra)Pioglitazone600 mg + 100 mg Itra (4 d)0.68 (0.1)3.91.34.5(Jaakkola et al., 2005)
NE (+Itra)Montelukast600 mg + 100 mg Itra (5 d)0.81 (0.0)4.01.25.2(Karonen et al., 2012)
NEEnzalutamide600 mg (21 d)0.754.31.24.0
NEMontelukast600 mg (5 d)0.814.31.25.2(Karonen et al., 2012)
ENECerivastatin600 mg (3 d)0.64.41.94.3(Backman et al., 2002)
NEMontelukast600 mg (3 d)0.814.51.25.2(Karonen et al., 2010)
ENERepaglinide100 mg0.714.51.12.3(Kajosaari et al., 2005a; Honkalammi et al., 2011a)
NEPioglitazone600 mg (4 d)0.684.71.23.1(Jaakkola et al., 2006; Aquilante et al., 2013)
ENERepaglinide600 mg0.715.01.94.8(Kajosaari et al., 2005a; Honkalammi et al., 2011b)
ENERepaglinide100 mg (5 d)0.715.61.12.3(Kajosaari et al., 2005a; Honkalammi et al., 2012)
ENERepaglinide600 mg0.716.41.94.8(Kajosaari et al., 2005a; Honkalammi et al., 2011b)
ENERepaglinide300 mg0.716.71.43.4(Kajosaari et al., 2005a; Honkalammi et al., 2011a)
ENERepaglinide600 mg (2.5 d)0.717.01.94.8(Kajosaari et al., 2005a; Tornio et al., 2008)
ENERepaglinide600 mg (5 d)0.717.01.94.8(Kajosaari et al., 2005a; Honkalammi et al., 2012)
ENERepaglinide600 mg (3 d)0.717.61.94.8(Kajosaari et al., 2005a; Backman et al., 2009)
ENERepaglinide600 mg (3 d)0.717.71.94.8(Kajosaari et al., 2005a; Kalliokoski et al., 2008)
ENERepaglinide600 mg (3 d)0.718.11.94.8(Niemi et al., 2003b; Kajosaari et al., 2005a)
ENERepaglinide900 mg0.718.32.36.0(Kajosaari et al., 2005a; Honkalammi et al., 2011a)
NE (+Itra)Loperamide600 mg + 100 mg Itra (5 d)0.38 (0.53)12.63.613.4(Kim et al., 2004; Niemi et al., 2006)
ENE (+Itra)Repaglinide600 mg + 100 mg Itra (3 d)0.71 (0.24)19.33.526.5(Niemi et al., 2003b; Kajosaari et al., 2005a)
  • ENE, extended net-effect model; Itra, itraconazole; NE, net effect model.

  • a Value in parentheses indicates fmCYP3A4.