Evidence map›Paper›PMID 39656410›Full record

ArticleClinical pharmacokinetics2025

Static Versus Dynamic Model Predictions of Competitive Inhibitory Metabolic Drug-Drug Interactions via Cytochromes P450: One Step Forward and Two Steps Backwards.

Ivan Tiryannik, Aki T Heikkinen, Iain Gardner, Anthonia Onasanwo, Masoud Jamei, Thomas M Polasek, Amin Rostami-Hodjegan

Abstract read
In one paragraph

Article in Clinical pharmacokinetics, 2025. 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
–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

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Review
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

7 authors.

Ivan TiryannikCertara Predictive Technologies (CPT), Sheffield, UK. ivan.tiryannik@certara.com.ORCID 0009-0001-1548-4744
Aki T HeikkinenCertara Predictive Technologies (CPT), Sheffield, UK.ORCID 0000-0002-1923-8153
Iain GardnerCertara Predictive Technologies (CPT), Sheffield, UK.
Anthonia OnasanwoCertara Predictive Technologies (CPT), Sheffield, UK.
Masoud JameiCertara Predictive Technologies (CPT), Sheffield, UK.ORCID 0000-0002-3443-0194
Thomas M PolasekCentre for Medicine Use and Safety, Monash University, Melbourne, Australia.ORCID 0000-0003-1008-5223
Amin Rostami-HodjeganCertara Predictive Technologies (CPT), Sheffield, UK.ORCID 0000-0003-3917-844X

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPredicting metabolic drug-drug interactions (DDIs) via cytochrome P450 enzymes (CYP) is essential in drug development, but controversy has reemerged recently about whether in vitro-in vivo extrapolation (IVIVE) using static models can replace dynamic models for some regulatory filings and label recommendations.

objectiveThe aim of this study was to determine if static and dynamic models are equivalent for the quantitative prediction of metabolic DDIs arising from competitive CYP inhibition.

methodsDrug parameter spaces were varied to simulate 30,000 DDIs between hypothetical substrates and inhibitors of CYP3A4. Predicted area under the plasma concentration-time profile ratios for substrates (AUCr = AUC

resultsThe highest rate of IMDR <0.8 and IMDR >1.25 discrepancies in the 'population' representative was 85.9% and 3.1%, respectively, when using C

conclusionStatic models are not equivalent to dynamic models for predicting metabolic DDIs via competitive CYP inhibition across diverse drug parameter spaces, particularly for vulnerable patients. Caution is warranted in drug development if static IVIVE approaches are used alone to evaluate metabolic DDI risks.

Indexed as

Cytochrome P-450 CYP3A InhibitorsCytochrome P-450 Enzyme InhibitorsCytochrome P-450 Enzyme SystemModels, BiologicalArea Under CurveComputer SimulationCytochrome P-450 CYP3ADrug InteractionsHumansPharmaceutical PreparationsCytochrome P-450 CYP3ACytochrome P-450 CYP3A InhibitorsCytochrome P-450 Enzyme InhibitorsCytochrome P-450 Enzyme SystemPharmaceutical Preparations

Identifiers

PMID39656410
PMCPMC11762507

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.