TABLE 5.
Summary of clonidine drug-dependent parameters
| Parameter | Value | Methods/Reference |
|---|---|---|
| Molecular weight | 230.1 | a |
| Log Po:w | 1.57 | b |
| pKa | 8.05 | c |
| B/P ratio | 1.012 | d |
| fu,p | 0.48 | e |
| Fa | 0.98 | Calculated f |
| ka (h−1) | 1.0 | Optimized in the range of 1.0–2.3 g |
| Fg | 0.99 | Predicted by Qgut |
| Vss (l/kg) | 2.55 | Predicted h |
| CLIV (l/h) | 13.6 | i |
| CLr (l/h) | 7.0 | j |
| CLint,u (µl/min/pmol of isoform) | k | |
| CLint,u,2D6 | 0.32 | |
| CLint,u,3A | 0.006 | |
| CLint,u,1A2 | 0.008 | |
| fm and fe (2D6 EM) (%) | e, l | |
| fm,2D6 | 33 | |
| fm,3A | 11 | |
| fm,1A2 | 5 | |
| fe | 51 |
Qgut, hybrid parameter of blood flow and drug permeability; Vss, volume of distribution at steady state.
Reported in Ghasemi and Saaidpour (2007).
Reported in Cody and DeTitta (1979).
Predicted using physicochemical parameters in Simcyp. Reported B/P ratio in rodents is 1.07 (Yamahata et al., 1996).
Reported in Vanholder et al. (1988) and Boehringer Ingelheim (2011).
Mean reported bioavailability is 92% (range 88–96%) following a single oral dose of clonidine (Frisk-Holmberg et al., 1981; Arndts et al., 1983). Simcyp-predicted Fh is 0.95 and Fg is 0.99, therefore calculated Fa is 0.98.
Reported in Frisk-Holmberg et al. (1981); Anavekar et al. (1982); and Porchet et al. (1992).
Predicted according to Rodgers and Rowland (2007); estimated Vss value from i.v. dosing profiles is ∼3 l/kg (Frisk-Holmberg et al., 1981). Mean Kp values determined in rodents (Conway and Jarrott, 1980; Yamahata et al., 1996) were used, as opposed to predicted Kp values, because these values were found to better characterize the biphasic distribution of clonidine in plasma following either i.v. or oral dosing.
Mean of reported values (Frisk-Holmberg et al., 1981; Arndts et al., 1983).
Calculated by taking the product of CLIV and reported mean fe (Frisk-Holmberg et al., 1981; Arndts et al., 1983; Buchanan et al., 2009).
Back calculation from hepatic CL (CL - CLr), fm for individual P450 (see next footnote), and average population values for liver weight and hepatic P450 enzyme abundance of 137, 52, and 8 pmol/mg protein for CYP3A, 1A2, and 2D6, respectively.
Reported fm for individual P450 was calculated by taking the product of fm (i.e., 1 - fe) and the contribution from individual CYPs (67, 22, and 11% for 2D6, 3A, and 1A2, respectively) obtained in human liver microsomes (Claessens et al., 2010).