TABLE 6

Clinically observed and PBPK model-predicted pharmacokinetic parameters of bosutinib in subjects with hepatic impairment after a single oral administration of 200 mg bosutinib

Data are expressed as geometric means with percent coefficients of variation in parentheses or as median tmax values with ranges in parentheses.

PopulationAnalysisPK ParameterRatiob
FaaCmaxtmaxAUCCmaxRAUCR
ng/mlhng⋅h/ml
HVsObserved32 (31)4.0 (1.0–8.0)714 (43)
Predicted0.5029 (43)3.4 (2.6–4.7)752 (53)
P/O0.91.1
HIPs
 Child–Pugh AObserved78 (52)2.5 (0.5–4.0)1720 (26)2.42.4
Predicted0.5039 (44)2.0 (1.6–2.7)1265 (59)1.41.7
P/O0.50.70.60.7
Predicted0.6853 (42)2.0 (1.6–2.7)1710 (58)1.82.3
P/O0.71.00.81.0
 Child–Pugh BObserved64 (35)2.0 (1.0–4.0)1350 (40)2.01.9
Predicted0.5048 (38)2.1 (1.6–2.9)1942 (50)1.72.6
P/O0.81.40.81.4
Predicted0.3534 (38)2.1 (1.6–2.9)1359 (50)1.21.8
P/O0.51.00.61.0
 Child–Pugh CObserved49 (70)1.5 (1.0–3.0)1270 (47)1.51.8
Predicted0.5059 (34)2.0 (1.6–2.7)2734 (43)2.13.6
P/O1.22.21.42.0
Predicted0.2327 (34)2.0 (1.6–2.7)1257 (43)0.91.7
P/O0.61.00.60.9
  • Dashes indicate not applicable.

  • a Predicted Fa was first fixed at 0.5 and then calculated from the simulation results with Fa of 0.5.

  • b Ratios of Cmax and AUC in HIPs to HVs.