Table 2.
Compound | Exp. | fu,m | In vitro Clint,i (µl/s/mg prot) | In vitro Clint,P‐gp (µl/s/mg prot) | P‐pg abundance in vitro (pmol/mg prot) |
IVIV Extrapolated CLi (mL/min)a |
IVIV Extrapolated CLP‐gp (mL/min)a |
Kp,uu,brain,pred(method 2) a | Kp,uu,brain,obs (CI95%) | P/O |
---|---|---|---|---|---|---|---|---|---|---|
Verapamil | 1 | 5.99e‐4 | 3.08 | 2.43 | 1.25 | 179 ± 33 | 1,014 ± 590 | 0.19 ± 0.13 | 0.16 (0.13–0.20) | 1.18 |
2 | 4.50e‐4 | 3.14 | 6.17 | 1.15 | ||||||
3 | 2.39e‐4 | 3.97 | 3.87 | 1.16 | ||||||
4 | 7.51e‐4 | 2.56 | 4.28 | 2.09 | ||||||
N‐desmethyl loperamide | 1 | 4.59e‐4 | 3.28 | 19.5 | 0.97 | 287 ± 88 | 18,503 ± 12,011 | 0.020 ± 0.014 | 0.046 (0.035–0.057) | 0.44 |
2 | 3.41e‐4 | 0.44 | 65.1 | 1.83 | ||||||
3 | 1.41e‐4 | 6.16 | 150 | 9.20 | ||||||
4 | 5.00e‐4 | 6.66 | 476 | 11.90 | ||||||
Metoclopramide | 1 | 1 | 5.19 | 5.36 | 9.20 | 279 ± 58 | 189 ± 83 | 0.61 ± 0.10 | 0.57 (0.46–0.67) | 1.08 |
2 | 1 | 3.74 | 0.99 | 7.70 | ||||||
3 | 1 | 6.22 | 5.65 | 11.69 | ||||||
4 | 1 | 4.76 | 6.34 | 15.67 |
Predicted Kp,uu,brain,pred using method 2, i.e., by extrapolating in vitro intrinsic clearances, obtained from fitting the five‐compartmental model to the in vitro Transwell data, to in vivo using the relative expression factor (for P‐gp–mediated CL) and BMEC protein content (for passive CL).
BMEC, brain microvascular endothelial cells; CI95%, 95% confidence interval; CL, clearance; Cli, in vivo passive unbound into membrane (equal to that out of the membrane); Clint,i, passive intrinsic uptake clearance into the membrane; Clint,P‐gp, P‐gp–mediated intrinsic clearance; Exp., experiment; fu,m, unbound fraction in membranes; IVIV, in vitro–to–in vivo; Kp,uu,brain, unbound brain‐to‐plasma concentration ratio; P‐gp, P‐glycoprotein; P/O, predicted/observed value; Prot, protein.
Mean ± standard deviation.