TABLE 2

Input parameters of risdiplam PBPK model

ParameterValueSources
Molecular weight401.5 g/mol
Compound typeDiprotic base
pKa1 = 4.52
pKa2 = 6.82
Measured
LogD*2.51 (pH = 7.4)Measured
Permeability (Peff)20.4 ×10−6 cm/sMeasured
B:P ratio1.3Measured
Protein binding89%Measured
Absorption
FA>0.9Predicted by ADAM model
fu,gut1(Yang et al., 2007)
Distribution4.1 l/kgFull PBPK model with predicted Kp values (Rodgers and Rowland, 2006)
Metabolism
CLint,CYP3A4 (µl/min/pmol)0.018According to itraconazole DDI study results (Sturm et al., 2019)
CLint,FMO3 (µl/min/pmol)0.364Calculated based on in vitro and clinical study results
Elimination
CLR (l/h)0.33According to the observations in healthy individuals (Sturm et al., 2019)
  • *The corresponding LogP is 2.61.

  • ADAM, advanced dissolution, absorption, and metabolism; B:P, blood to plasma; CLint, intrinsic clearance; CLR, renal clearance; DDI, drug-drug interaction; FA, fraction absorbed; fu,gut, unbound fraction in enterocyte; Kp, tissue-plasma partition coefficient; PBPK, physiologically based pharmacokinetic; Peff, effective permeability.