Table 1.
Summary of the physiologically‐based pharmacokinetic input parameters for M‐I to M‐V
Rosuvastatin model parameters | |||||
---|---|---|---|---|---|
MW fu Blood‐to‐plasma ratio Log of the octanol:water partition coefficient Compound type pKa Main plasma binding protein |
481.54 0.107 0.625 2.4 Monoprotic acid 4.27 Human serum albumin |
||||
M‐I 17 | M‐II 22 | M‐III 23 | M‐IV 24 | M‐V 25 | |
Absorption | |||||
P app | Caco‐2 with inhibitors (passive) | Caco‐2 with inhibitors (passive) | Caco‐2 no inhibitors (passive) | Caco‐2 no inhibitors (passive + active) | MDCK II (passive) |
Reference P app (10−6 cm/second) | Propranolol (measured) | Propranolol (measured) | Propranolol (from library file) | Propranolol (from library file) | Four reference compounds (measured) |
P eff (10−4 cm/second) | 0.855 | 0.855 | 0.036 | 0.184 | 0.161 |
Distribution | |||||
V ss method |
Method 2 K p = 1 |
Method 2 K p = 1 |
Method 2 K p = 1 |
Method 2 + rat distribution data K p = 1 |
Method 2 K p = 4.85 |
V ss (L/kg) | 0.117 | 0.117 | 0.117 | 0.70 | 0.385 |
Metabolism | |||||
HLM | HLM CLint | HLM CLint | HLM CLint |
CYP3A4 CLint UGT1A1 V max/K m UGT1A3 V max/K m |
HLM CLint |
Intestinal transport | |||||
Uptake | — | — | Apical uptake CLint,T a | — | OATP2B1 CLint,T b |
Efflux | BCRP CLint,T b | BCRP CLint,T b | BCRP Jmax a/K m c | — | BCRP Jmax b/K m c |
Hepatic transport | |||||
Uptake |
OATP1B1 CLint,T d OATP1B3 CLint,T d NTCP CLint,T d |
OATP1B1 CLint,T d OATP1B3 CLint,T d NTCP CLint,T d |
OATP1B1 CLint,T d OATP1B3 CLint,T d NTCP CLint,T d |
OATP1B1 J max/K m (and REF) c OATP1B3 J max/K m (and REF) c NTCP CLint,T (and REF) c OATP2B1 J max/K m (and REF) c |
OATP1B1 CLint,T d OATP1B3 CLint,T d NTCP CLint,T d OATP2B1 CLint,T d |
Efflux | BCRP CLint,T c | BCRP CLint,T c |
BCRP CLint,T c MRP4 CLint,T b |
Canalicular efflux CLint,T (and REF) c MRP4 J max/K m (and REF) c |
BCRP CLint,T c MRP4 CLint,T c |
CLPD (mL/minute/106 cells) | SCHH (one study) | SCHH (one study) | SCHH (one study) | SCHH (one study) | SCHH (meta‐analysis) |
Renal elimination | |||||
CLR (L/hour) | In vivo value | — | — | — | In vivo value |
Uptake transport | — | OAT3 CLint,T b | OAT3 CLint,T a | OAT3 J max/K m c | — |
Efflux transport | — | BCRP CLint,T b | BCRP CLint,T a | MRP4 J max/K m c | — |
CLPD (mL/minute/106 cells) | — | Included | Not included | Included | — |
BCRP, breast cancer resistance protein; Caco‐2, human colon cancer cell line; CLint, intrinsic clearance; CLPD, passive diffusion clearance; CLR, renal clearance; fu, fraction unbound; HLM, human liver microsomes; J max, maximum rate of transport; K m, Michaelis‐Menten constant; K p, tissue‐to‐plasma partition coefficient; MDCK II, Madin‐Darby canine kidney cell line II; MW, molecular weight; MRP, multidrug resistance protein; NTCP, sodiuM‐taurocholate cotransporting polypeptide; OATP, organic anion transporting polypeptide; P app, apparent permeability; P eff, effective permeability; REF, relative expression factor; SCHH, sandwich culture human hepatocytes; Vmax, maximum velocity of the metabolic reaction; V ss, steady‐state volume of distribution.
“Model fit.”
Sensitivity analysis.
In vitro data.
Global CLint,T fit using clinical data, fraction transported determined from in vitro data.