Table 3.
Comparison of the improved aspects in LeiCNS-PK3.0 versus LeiCN-PK1.0
| Aspect | LeiCNS-PK1.0 | LeiCNS-PK3.0 |
|---|---|---|
| pH factor (PHF) | Defined as the ratio of the neutral fraction of a drug of a given compartment to that of plasma | Defined as the neutral fraction of a drug in a given compartment |
| Calculated using Henderson-Hasselbalch equations with pH of the compartment, pH of plasma, and the drug-specific ionization constant | Calculated using adapted Henderson-Hasselbalch equations using compartment specific pH and the drug-specific ionization constant | |
| Brain tissue non-specific binding | Using binding factor | Mechanistic description |
| Instantaneous | According to diffusion clearance between aqueous and lipid phases | |
| Binding occurs within the brain ECF to a hypothetical compartment | Binding occurs to the phospholipids of the brain cell membrane | |
| Relies on total brain-to-plasma concentration ratio (Kp). Kp is calculated using drug lipophilicity (logP), unbound drug fraction in brain (fu,b) and plasma (fu,p), and brain and plasma tissue composition | Relies on drug lipophilicity and the volume of brain phospholipids | |
| Passive paracellular transport | Paracellular route is restricted to neutral drug only | Paracellular route is available for both neutral and charged drug |