Evidence map›Paper›PMID 34491372›Full record

Trial reportEuropean journal of clinical pharmacology2022

The effect of potent CYP2D6 inhibition on the pharmacokinetics and safety of deutetrabenazine in healthy volunteers.

F Schneider, D Stamler, M J Bradbury, P S Loupe, M F Gordon, L Rabinovich-Guilatt

Open access · hybridAbstract readClinical Trial
In one paragraph

Trial report in European journal of clinical pharmacology, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.3field-weighted citation impact, top 48% 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

3 citing papers in PubMed, 9 citations in OpenAlex.

  1. Trial
  2. Trial
  3. Article
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

6 authors at 4 institutions in 3 countries.

F SchneiderTeva Pharmaceutical Industries Ltd, Ratiopharm GmbH, Ulm, Germany. frank.schneider02@teva.de.ORCID http://orcid.org/0000-0001-5757-285X
D StamlerFormerly of Teva Pharmaceutical Industries Ltd, Currently Alterity Therapeutics Limited, Newark, CA, USA.
M J BradburyFormerly of Teva Pharmaceutical Industries Ltd, Currently Alterity Therapeutics Limited, Newark, CA, USA.
P S LoupeTeva Pharmaceutical Industries Ltd, West Chester, PA, USA.
M F GordonTeva Pharmaceutical Industries Ltd, West Chester, PA, USA.
L Rabinovich-GuilattTeva Pharmaceutical Industries Ltd, Netanya, Israel.
Altera (United States) · USTeva Pharmaceuticals (United States) · USTeva Pharmaceuticals (Germany) · DETeva Pharmaceuticals (Israel) · IL

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeDeutetrabenazine is a deuterated form of tetrabenazine with a confirmed lower rate of CYP2D6 metabolism of the active metabolites, α- and β-HTBZ. In this study, we assessed the effect of paroxetine, a potent CYP2D6 inhibitor, on the pharmacokinetics and safety of deutetrabenazine and its metabolites.

methodsIn this open-label sequential drug-drug-interaction study, 24 healthy adults who were CYP2D6 extensive or intermediate metabolizers received a single deutetrabenazine 22.5-mg oral dose on days 1 and 11 and a single paroxetine 20-mg oral daily dose on days 4-12. Pharmacokinetics of deutetrabenazine and its metabolites were assessed on days 1-4 and 11-14. Paroxetine trough concentrations were obtained pre-dose on days 9-13. Safety examinations occurred throughout the study.

resultsParoxetine administered under steady-state conditions, increased exposure of the deuterated active metabolites, α-HTBZ (1.2-fold C

conclusionsParoxetine-induced increases in exposure to the active deutetrabenazine metabolites were less than those previously reported for tetrabenazine, a finding expected to reduce the burden of drug interaction. In addition, single doses of 22.5 mg deutetrabenazine, when given alone or in the presence of steady-state paroxetine (20 mg daily), were safe.

Indexed as

AdultArea Under CurveCytochrome P-450 CYP2D6Cytochrome P-450 CYP2D6 InhibitorsDrug InteractionsFemaleHalf-LifeHealthy VolunteersHumansMaleMetabolic Clearance RateParoxetineTetrabenazineVesicular Monoamine Transport ProteinsCytochrome P-450 CYP2D6Cytochrome P-450 CYP2D6 InhibitorsdeutetrabenazineParoxetineTetrabenazineVesicular Monoamine Transport ProteinsCYP2D6 inhibitionDeuterationDeutetrabenazineTetrabenazine

Identifiers

PMID34491372
PMCPMC8724172
OpenAlexW3196915742

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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.