Evidence map›Paper›PMID 31129789›Full record

ArticleClinical pharmacokinetics2019

Physiologically Based Pharmacokinetic Models for Prediction of Complex CYP2C8 and OATP1B1 (SLCO1B1) Drug-Drug-Gene Interactions: A Modeling Network of Gemfibrozil, Repaglinide, Pioglitazone, Rifampicin, Clarithromycin and Itraconazole.

Denise Türk, Nina Hanke, Sarah Wolf, Sebastian Frechen, Thomas Eissing, Thomas Wendl, Matthias Schwab, Thorsten Lehr

Abstract read
In one paragraph

Article in Clinical pharmacokinetics, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.

0numbers the graph read from it
0cells of the map it votes in
27citing papers in PubMed
–field-weighted citation impact
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

27 citing papers in PubMed.

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  8. Observational
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  16. Cytochrome P450 Enzymes and Drug Metabolism in Humans.International journal of molecular sciences · 2021
    Review
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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

8 authors.

Denise TürkClinical Pharmacy, Saarland University, Campus C2 2, 66123, Saarbrücken, Germany.
Nina HankeClinical Pharmacy, Saarland University, Campus C2 2, 66123, Saarbrücken, Germany.
Sarah WolfClinical Pharmacy, Saarland University, Campus C2 2, 66123, Saarbrücken, Germany.
Sebastian FrechenClinical Pharmacometrics, Bayer AG, Leverkusen, Germany.
Thomas EissingClinical Pharmacometrics, Bayer AG, Leverkusen, Germany.
Thomas WendlClinical Pharmacometrics, Bayer AG, Leverkusen, Germany.
Matthias SchwabDr. Margarete Fischer-Bosch-Institute of Clinical Pharmacology, Stuttgart, Germany.
Thorsten LehrClinical Pharmacy, Saarland University, Campus C2 2, 66123, Saarbrücken, Germany. thorsten.lehr@mx.uni-saarland.de.ORCID 0000-0002-8372-1465

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundDrug-drug interactions (DDIs) and drug-gene interactions (DGIs) pose a serious health risk that can be avoided by dose adaptation. These interactions are investigated in strictly controlled setups, quantifying the effect of one perpetrator drug or polymorphism at a time, but in real life patients frequently take more than two medications and are very heterogenous regarding their genetic background.

objectivesThe first objective of this study was to provide whole-body physiologically based pharmacokinetic (PBPK) models of important cytochrome P450 (CYP) 2C8 perpetrator and victim drugs, built and evaluated for DDI and DGI studies. The second objective was to apply these models to describe complex interactions with more than two interacting partners.

methodsPBPK models of the CYP2C8 and organic-anion-transporting polypeptide (OATP) 1B1 perpetrator drug gemfibrozil (parent-metabolite model) and the CYP2C8 victim drugs repaglinide (also an OATP1B1 substrate) and pioglitazone were developed using a total of 103 clinical studies. For evaluation, these models were applied to predict 34 different DDI studies, establishing a CYP2C8 and OATP1B1 PBPK DDI modeling network.

resultsThe newly developed models show a good performance, accurately describing plasma concentration-time profiles, area under the plasma concentration-time curve (AUC) and maximum plasma concentration (C

conclusionsWhole-body PBPK models of gemfibrozil, repaglinide, and pioglitazone have been built and qualified for DDI and DGI prediction. PBPK modeling is applicable to investigate complex interactions between multiple drugs and genetic polymorphisms.

Indexed as

Models, BiologicalArea Under CurveCarbamatesClarithromycinCytochrome P-450 CYP2C8Drug InteractionsGemfibrozilHumansItraconazoleLiver-Specific Organic Anion Transporter 1PioglitazonePiperidinesRifampinCarbamatesClarithromycinCYP2C8 protein, humanCytochrome P-450 CYP2C8GemfibrozilItraconazoleLiver-Specific Organic Anion Transporter 1PioglitazonePiperidinesrepaglinideRifampinSLCO1B1 protein, human

Identifiers

PMID31129789
PMCPMC6885506

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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.