Table 1.
Summary of PBPK models published for P450 Sensitive Substrates
Main Clearance Enzyme | Compound | Application | Minimal or Full PBPK | Oral or IV | Clearancea | Simulated genotype specified? | Population matched?b | Verificationc | Acceptance Criteriad | Software | Citation |
---|---|---|---|---|---|---|---|---|---|---|---|
CYP1A2 | Caffeine | Allometry | Full | Oral | SF | No | N.S | A,D | 1 | PK Sim | (Thiel et al., 2014) |
CYP2B6 | Efavirenz | DDI | Minimal | Oral | In vitro | Yes | N.S | A, E | 1 | Simcyp | (Siccardi et al., 2013) |
Efavirenz | DDI | Full | Oral | In vitro | Yes | Sex | D,E | 1 | Simcyp | (Rekic et al., 2011) | |
Efavirenz | Absorption | Full | Oral | In vitro | No | N.S | B | 5 | Matlab | (Rajoli et al., 2014) | |
CYP2C8 | Repaglinide | Diabetes | Full | Oral | In vitro | No | N.S. | B,D | 3 | WinNonlin | (Li et al., 2014b) |
Repaglinide | RI | Full | Oral | BC | Yes | N.S. | D | 1 | Simcyp | (Zhao et al., 2012a) | |
Repaglinide | DDI | Minimal | Oral | PE | No | N.S | B, E | 1 | Napp | (Kudo et al., 2013) | |
Repaglinide | DDI | Full | Oral | BC | No | N.S | C,E | 1 | Simcyp | (Varma et al., 2013) | |
CYP2C19 | Clobazam | Pediatrics | Full | Oral | In vitro | No | N.S. | B,D,E | 1 | Matlab | (Ogungbenro and Aarons, 2015) |
Omeprazole | Clinical PK | Minimal | Both | BC | Yes | N.S. | B,E | 1 | Simcyp | (Wu et al., 2014) | |
CYP2D6 | Metoprolol | Pregnancy | Full | Oral | In vitro, SF | Yes | Sex, PGX | D, E | 2 | Simcyp, Matlab | (Ke et al., 2013b) |
Dextromethorphan | Pregnancy | Full | Oral | PE | No | Sex, PGX | D, E | 2 | Simcyp, Matlab | (Ke et al., 2013b) | |
Dextromethorphan | Allometry | Full | Oral | SF | No | N.S | A,D | 1 | PK Sim | (Thiel et al., 2014) | |
CYP3A4 | Alfentanil | DDI | Full | Oral | BC | No | N.S. | C, E | 5 | Gastroplus | (Baneyx et al., 2014) |
Alfentanil | DDI | Full | Oral | In vitro | No | N.S. | E | 5 | WinNonlin | (Guo et al., 2013) | |
Buspirone | DDI | Full | Oral | In vitro | No | N.S. | E | 5 | WinNonlin | (Guo et al., 2013) | |
Indinavir | Pregnancy | Full | Both | In vitro, SA | No | Sex | C, D, E | 2 | Simcyp, Matlab | (Ke et al., 2012) | |
Maraviroc | DDI | Minimal | Oral | In vitro | No | N.S. | A,E | 1 | Simcyp | (Hyland et al., 2008) | |
Midazolam | Pregnancy | Full | Oral | In vitro | No | Sex | A, D | 2 | Simcyp, Matlab | (Ke et al., 2012) | |
Midazolam | DDI | Full | Oral | BC | No | N.S | C, D | 5 | Gastroplus | (Baneyx et al., 2014) | |
Midazolam | DDI | Full | Oral | PE | No | N.S | A | 4 | Berkeley Madonna | (Brantley et al., 2014) | |
Midazolam | Pregnancy | Full | Oral | In vivo | No | Sex | B,D | 3 | Gastroplus | (Xia et al., 2013b) | |
Midazolam | DDI | Minimal | Oral | In vitro | No | N.S. | E | 5 | WinNonlin | (Wang et al., 2013a) | |
Midazolam | DDI | Full | Oral | In vitro | No | N.S. | E | 5 | WinNonlin | (Guo et al., 2013) | |
Midazolam | Allometry | Full | Oral | SF | No | N.S | A, D | 1 | PK Sim | (Thiel et al., 2014) | |
Quetiapine | Pediatrics | Both | Oral | BC | No | Age, Sex | D, E | 1 | Simcyp | (Johnson et al., 2014) | |
Sildenafil | RI | Full | Oral | BC | Yes | N.S. | D | 2 | Simcyp | (Zhao et al., 2012a) | |
Simvastain | DDI | Full | Oral | In vitro | No | N.S. | E | 5 | WinNonlin | (Guo et al., 2013) | |
Simvastatin | DDI | Minimal | Oral | In vitro | No | N.S. | A, E | 5 | WinNonlin | (Wang et al., 2013a) | |
Triazolam | DDI | Full | Oral | In vitro | No | N.S. | E | 5 | WinNonlin | (Guo et al., 2013) | |
Triazolam | DDI | Full | Oral | BC | No | N.S. | C, E | 5 | Gastroplus | (Baneyx et al., 2014) |
BC = back-calculated from in vivo data, PE = parameter estimate, SA = sensitivity analysis, SF = scaling factor from mice.
PGX = genotype, N.S. = not specified.
Data sets used in model verification included: (A) Single dose PK, (B) alternative dosing regimen, (C) alternative formulation, (D) alternative population, (E) DDI.
Acceptance criteria fell into 5 categories: (1) Not specified, (2) Ratio of PK parameter(s) must be within 30% of observed ratio, (3) Ratio of PK parameter(s) must be within 2 fold of observed ratio, (4) PK parameters must be within 30% of observed parameters, (5) PK parameters must be within 2 fold of observed parameters.