Table 2.
Single-dose sitagliptin pharmacokinetics in the presence and absence of atorvastatin by ABCB1 diplotype group
| Pharmacokinetic parameter | Sitagliptin Alone Arithmetic Mean ± SD |
Sitagliptin + Atorvastatin Arithmetic Mean ± SD |
Mean relative change (95% CI) |
P Value (within diplotype groups) |
|---|---|---|---|---|
| Cmax (ng/ml) | ||||
| ABCB1 CGC/CGC | 454 ± 180 | 428 ± 201 | 0.96 (0.75-1.17) | 0.43 |
| ABCB1 CGC/TTT | 438 ± 152 | 420 ± 137 | 1.0 (0.79-1.21) | 0.69 |
| ABCB1 TTT/TTT | 394 ± 160 | 370 ± 217 | 0.93 (0.76-1.11) | 0.26 |
| P value, between diplotype groups | 0.67 | 0.56 | 0.86 | |
|
| ||||
| AUC0-∞ (ng*h/ml) | ||||
| ABCB1 CGC/CGC | 3638 ± 1439 | 3501 ± 1617 | 0.96 (0.81-1.11) | 0.41 |
| ABCB1 CGC/TTT | 3502 ± 1133 | 3430 ± 1279 | 0.98 (0.88-1.07) | 0.43 |
| ABCB1 TTT/TTT | 3129 ± 795 | 3117 ± 1216 | 0.97 (0.87-1.08) | 0.45 |
| P value, between diplotype groups | 0.83 | 0.90 | 0.97 | |
|
| ||||
| AUC0-24 (ng*h/ml) | ||||
| ABCB1 CGC/CGC | 3227 ± 1216 | 3205 ± 1420 | 0.99 (0.83-1.15) | 0.66 |
| ABCB1 CGC/TTT | 3081 ± 925 | 3073 ± 1101 | 0.99 (0.89-1.09) | 0.69 |
| ABCB1 TTT/TTT | 2809 ± 820 | 2799 ±1195 | 0.98 (0.92-1.04) | 0.42 |
| P value, between diplotype groups | 0.80 | 0.82 | 0.97 | |
|
| ||||
| CLRa (ml/min) | ||||
| ABCB1 CGC/CGC | 254 ± 176 | 280 ± 124 | 1.22 (0.97-1.48) | 0.11 |
| ABCB1 CGC/TTT | 232 ± 62 | 226 ± 66 | 0.99 (0.82-1.16) | 0.67 |
| ABCB1 TTT/TTT | 359 ± 182 | 339 ± 188 | 1.0 (0.81-1.18) | 0.68 |
| P value, between diplotype groups | 0.21 | 0.22 | 0.14 | |
|
| ||||
| fea | ||||
| ABCB1 CGC/CGC | 0.50 ± 0.09 | 0.55 ± 0.08 | 1.14 (0.89-1.39) | 0.25 |
| ABCB1 CGC/TTT | 0.50 ± 0.06 | 0.47 ± 0.10 | 0.96 (0.81-1.11) | 0.44 |
| ABCB1 TTT/TTT | 0.62 ± 0.22 | 0.56 ± 0.16 | 0.96 (0.78-1.14) | 0.41 |
| P value, between diplotype groups | 0.44 | 0.36 | 0.24 | |
|
| ||||
| t1/2 (h) | ||||
| ABCB1 CGC/CGC | 7.3 ± 3.0 | 6.2 ± 1.5 | 0.94 (0.70-1.17) | 0.26 |
| ABCB1 CGC/TTT | 7.7 ± 2.5 | 7.3 ± 2.4 | 0.98 (0.78-1.17) | 0.51 |
| ABCB1 TTT/TTT | 7.3 ± 2.3 | 7.4 ± 1.9 | 1.04 (0.90-1.17) | 0.65 |
| P value, between diplotype groups | 0.82 | 0.16 | 0.49 | |
fe and CLR could not be calculated for three subjects (n=2, CGC/CGC; n=1, CGC/TTT). Data are expressed as arithmetic mean ± standard deviation or mean relative change (95% CI). Relative change=(sitagliptin + atorvastatin)/sitagliptin alone.
ABCB1 CGC/CGC, n=9; ABCB1 CGC/TTT, n=10; ABCB1 TTT/TTT, n=10.