TABLE 4.
Anti-TB drug | Drug-drug interaction index (R value) |
||
---|---|---|---|
Ki (μM) |
R value = 1 + [I]/Ki |
||
[I] = Cmax | [I] = [I]u inlet,max | ||
PAS | 32.0 | 27.5 ± 6.8 | 55.5 ± 12.3* |
Rifabutin | 12.3 | 0.05 ± 0.001 | 1.30 ± 0.31* |
Ethambutol | 29.8 | 1.20 ± 0.46 | 17.9 ± 3.40* |
Linezolid | 35.0 | 2.44 ± 0.62 | 2.19 ± 0.92* |
Amoxicillin | 13.0 | 2.56 ± 0.63 | 10.0 ± 2.4* |
Rifapentine | 11.0 | 1.60 ± 0.32 | 1.16 ± 0.54 |
The R values were determined using the inhibition constant, Ki, with the maximum systemic concentration, Cmax (bound + unbound), of the anti-TB drugs as [I] and the maximum unbound concentration inlet to the liver, [I]u inlet,max, following the guidelines described in the text. The R value represents the mean ± SD from triplicate experiments. An asterisk indicates the result is significant according to FDA, MHLW, and EMA guidance for prototypical substrates in which the R values are greater than the corresponding cutoff values recommended by the regulatory authorities under both Cmax (R ≥ 1.1, FDA) and [I]u inlet,max (R ≥ 1.25, FDA and MHLW; R ≥ 1.04, EMA) conditions. The cutoff value is expressed as the suggested value according to the upper limit of the equivalence range by the FDA.