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. 2016 Apr 22;60(5):3096–3105. doi: 10.1128/AAC.02765-15

TABLE 4.

The drug-drug interaction index (R value) predicted from in vitro OATP1B1-mediated uptake of 1 μM rosuvastatin as inhibited by anti-TB drugsa

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
a

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.