Table 2.
Reproducibility between validation studies
| Category/Drug | Margin to EFTPC |
AstraZeneca |
Study 1 |
Study 2 |
||||||||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| T | R | I | MAPD60 | ProA | n | Score | T | R | Ia | MAPD60 | ProA | n | Score | T | R | I | MAPD60 | ProA | n | Score | ||
| 1 dl sotalol | 0.30 | 1R | MAPD60 | EADs, TdP | 3 | 111 | R | EADs | 6 | 101 | ||||||||||||
| 1 Ibutilide | 0.30 | 1T | EADs, TdP, VF | 3 | 103 | T | R | I | MAPD60 | EADs | 6 | 116 | ||||||||||
| 2 Cisapride | 30 | 11 | MAPD60 | TdP | 3 | 117 | I | MAPD60 | EADs VT | 6 | 113 | |||||||||||
| 2 Terfenadine (1) | 30 | 1T | 11 | MAPD60 | EADs | 6 | 115 | I | EADs, VT | 8 | 103 | 2T | VT | 3 | 107 | |||||||
| 2 Terfenadine (2) | 30 | 3T | 1R | 31 | 6 | 16 | 11 | 3 | 7 | |||||||||||||
| 3 Flecainide | 3 | 3T | 7R | MAPD60 | EADs | 3 | 132 | MAPD60 | 6 | 10 | ||||||||||||
| 3 Erythromycin | 30 | 1T | 5R | MAPD60 | EADs | 6 | 116 | 11 | 3 | 6 | ||||||||||||
| 3 Bepridil | 300 | 11 | MAPD60 | TdP | 3 | 117 | MAPD60 | VT, VF | 2 | 110 | ||||||||||||
| 3 Sertindole | 300 | 2T | 2R | 21 | MAPD60 | EADs, TdP | 6 | 121 | T | I | MAPD60 | EADs | 2 | 125 | ||||||||
| 4 Ziprasidone | 300 | 2T | 21 | MAPD60 | EADs, TdP, VF | 6 | 120 | R | I | MAPD60 | EADs, VT | 2 | 123 | |||||||||
| 5 Diltiazem | 30 | 3 | 0 | 6 | 0 | |||||||||||||||||
| 5 Verapamil | 30 | 1T | 5R | 6 | 6 | R | 6 | 5 | -MAPD60 | 3 | 0 | |||||||||||
The table compares results from our study with independent validation studies commissioned by two pharmaceutical companies (Hondeghem and Hoffman, 2003; Hondeghem et al., 2003). Proarrhythmic scores have been calculated at single concentrations and thus may differ from those in Table 1. Nine drugs: dl-sotalol, ibutilide, terfenadine (1), cisapride, bepridil, sertindole, ziprasidone, diltiazem and verapamil, show very good reproducibility between studies. Three drugs, terfenadine (2), erythromycin and flecainide show discrepancies between the studies. Erythromycin and flecainide were shown to be proarrhythmic in our study and relatively benign in Study 2 and 1, respectively. See Table 1 legend for details of table symbols. Blank spaces indicate where no data are available.
The number of TRIad elements at each concentration is unknown.