Evidence map›Paper›PMID 29469197›Full record

ArticleBritish journal of clinical pharmacology2018

Physiologically-based pharmacokinetic modelling of a CYP2C19 substrate, BMS-823778, utilizing pharmacogenetic data.

Jiachang Gong, Lisa Iacono, Ramaswamy A Iyer, William G Humphreys, Ming Zheng

Open access · bronzeAbstract read
In one paragraph

Article in British journal of clinical pharmacology, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
1.6field-weighted citation impact, top 19% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed, 10 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 1 institution in 3 countries.

Jiachang GongPharmaceutical Candidate Optimization, Bristol-Myers Squibb, Princeton, NJ, 08543, USA.ORCID 0000-0003-0910-1759
Lisa IaconoGlobal Regulatory Safety & Biometrics, Bristol-Myers Squibb, Princeton, NJ, 08543, USA.
Ramaswamy A IyerPharmaceutical Candidate Optimization, Bristol-Myers Squibb, Princeton, NJ, 08543, USA.
William G HumphreysPharmaceutical Candidate Optimization, Bristol-Myers Squibb, Princeton, NJ, 08543, USA.
Ming ZhengClinical Pharmacology and Pharmacometrics, Bristol-Myers Squibb, Princeton, NJ, 08543, USA.
Bristol-Myers Squibb (Germany) · DE

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimsPrevious studies demonstrated direct correlation between CYP2C19 genotype and BMS-823778 clearance in healthy volunteers. The objective of the present study was to develop a physiologically-based pharmacokinetic (PBPK) model for BMS-823778 and use the model to predict PK and drug-drug interaction (DDI) in virtual populations with multiple polymorphic genes.

methodsThe PBPK model was built and verified using existing clinical data. The verified model was simulated to predict PK of BMS-823778 and significance of DDI with a strong CYP3A4 inhibitor in subjects with various CYP2C19 and UGT1A4 genotypes.

resultsThe verified PBPK model of BMS-823778 accurately recovered observed PK in different populations. In addition, the model was able to capture the exposure differences between subjects with different CYP2C19 genotypes. PK simulation indicated higher exposures of BMS-823778 in CYP2C19 poor metabolizers who were also devoid of UGT1A4 activity, compared to those with normal UGT1A4 functionality. Moderate DDI with itraconazole was predicted in subjects with wild-type CYP2C19 or UGT1A4. However, in subjects without CYP2C19 or UGT1A4 functionality, significant DDI was predicted when BMS-823778 was coadministered with itraconazole.

conclusionsA PBPK model was developed using clinical data that accurately predicted human PK in different population with various CYP2C19 phenotypes. Simulations with the verified PBPK model indicated that UGT1A4 was probably an important clearance pathway in CYP2C19 poor metabolizers. DDI with itraconazole is likely to be dependent on the genotypes of CYP2C19 and UGT1A4.

Indexed as

Models, BiologicalPharmacogenomic VariantsAdultAsian PeopleComputer SimulationCytochrome P-450 CYP2C19Cytochrome P-450 CYP3A InhibitorsDrug InteractionsGenotypeGlucuronosyltransferaseHumansItraconazoleMaleMiddle AgedPharmacogeneticsPhenotypebilirubin glucuronoside glucuronosyltransferaseBMS-823778CYP2C19 protein, humanCytochrome P-450 CYP2C19Cytochrome P-450 CYP3A InhibitorsGlucuronosyltransferaseItraconazolePyridinesTriazoles11β-hydroxysteroid dehydrogenaseCYP2C19drug-drug interactiongenetic polymorphismphysiologically based pharmacokinetic model (PBPK)UGT1A4

Identifiers

PMID29469197
PMCPMC5980543
OpenAlexW2793389242

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.