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. Author manuscript; available in PMC: 2020 Mar 1.
Published in final edited form as: Clin Pharmacol Ther. 2018 Oct 9;105(3):692–702. doi: 10.1002/cpt.1220

Table 2.

Pharmacokinetic parameters measured over 72 hours (i.e., up to 24 hours after the last dose of administered disulfiram) in a model simulataneously including all metabolites.

DSF
(Disulfiram)
RSE (%)a
M1
(DDTC)
RSE (%)a
M2
(DDTC-Me)
RSE (%)a
M3
(DETC-MeSO)
RSE (%)a
M4
(Carbamathione)
RSE (%)a
Final PK model parameters
 CL/F (L/hr)b 0.580 (5.5) 0.595 (6.3)
 CLintrinsic (L/hr)b 0.531 (7.7) 0.388 (6.7) 0.291 (4.1)
 V (L)c 1.29 (9.1) 0.0906 (16.6) 0.00404 (8.0) 0.0647 (15.6) 0.581 (10.3)
 Km (ng/mL)d 217 (9.3) 480 (6.2) 543 (4.3)
 Ka (hr−1)e 0.0752 (4.3)
 Qf 0.0776 (14.0)
 Vperiph (L)g 28.9 (17.3)
 Additive RE (ng/mL) 35.4 (7.1) 41.8 (12.4) 15.2 (5.3) 82.5 (8.5)
 Proportional RE (%) 31.5 (9.7) 49.5 (5.0) 20.3 (10.1) 40.8 (7.1) 23.3 (19.6)
 BV (%) in CL/F 36 (14)

Abbreviations: DSF = parent drug, disulfiram; M1 = metabolite 1; M2 = metabolite 2; M3 = metabolite 3; M4 = metabolite 4; DSF = disulfiram; DDTC = N,N-diethyldithiocarbamate; DDTC = diethyldithiocarbamate-methyl ester; DDTC-MeSO = S-methyl-N,N-diethylthiolcarbamate sulfoxide; PK = pharmacokinetic; CL = clearance; F = bioavailability; V = volume; RSE = residual standard error; BV = between-subject variability.

a

Obtained by nonparametric bootstrap with 30 samples.

b

Oral clearance: linear elimination=(CLF); non-linear elimination=(VmaxC+Km×C) where Vmax = CLintrinsic ×Km, C = concentration of analyte, Km = is the Michaelis-Menten constant as defined below.

c

Volume of distribution.

d

Michaelis–Menten constant (concentration of drug at which elimination is half maximal).

e

Absorption constant.

f

Flow from central compartment to periphery.

g

Calculated peripheral volume.