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. 2024 Oct 28;15(6):930–941. doi: 10.4103/idoj.idoj_449_24

Table 2.

Summary of pharmacokinetic parameters

Pharmacokinetic parameter Details
Dose-dependent rise Dose-dependent rise in plasma Cmax and AUC up to 200 mg, indicating proportional escalation.
Steady-state plasma Reaches steady-state plasma concentrations in 48 hours with daily treatment.
Absorption Oral bioavailability: ~60% Peak plasma concentration: Within 1 hour
Distribution Volume of distribution: ~100 L (after intravenous injection) Plasma protein binding: Abrocitinib (64%), Metabolites M1 (37%) and M2 (29%) Binding: Similar amounts in red blood cells and plasma, mostly to albumin
Elimination Cleared mainly through metabolic processes Half-lives: Abrocitinib and its active metabolites (M1 and M2) - 3–5 h
Metabolism Major enzymes involved: CYP2C19 (~53%), CYP3A4 (~11%), CYP2C9 (~30%), CYP2B6 (~6%) Active metabolites: M1 (less active), M2 (similar activity to abrocitinib) Unbound exposure: Abrocitinib (~60%), M2 (~30%), M1 (~10%)
Excretion <1% of a single dose eliminated as unchanged drug in urine Main metabolites (M1 and M2) eliminated in urine, act as substrates for the OAT3 transporter