Table 3.
Performance of different study designs in identifying regulatory QT prolongation risk at Cmax. Shown for each chemical and study design is the percentage of subsampling iterations that resulted in a positive classification of QT prolongation risk at Cmax of 10 msec prolongation at 95% confidence. For comparison, the reference clinical classification based on in vivo human data and the classification based on the full cohort (n = 43) are also shown. Parenthesis around a clinical classification indicates that the classification is ambiguous (some studies above and some below the regulatory threshold).
Percent subsamples “+” |
|||||
---|---|---|---|---|---|
Chemical: clinical classification | Std. Donor | n = 5 | n = 10 | n = 20 | n = 43 |
Cisapride: + | 100 | 100 | 100 | 100 | + |
Citalopram: + | 100 | 100 | 100 | 100 | + |
N-acetylprocainamide: + | 100 | 100 | 100 | 100 | + |
Quinidine: + | 100 | 100 | 100 | 100 | + |
Sematilide: + | 100 | 100 | 100 | 100 | + |
Vernacalant: + | 100 | 100 | 100 | 100 | + |
Sotalol: + | 98 | 100 | 100 | 100 | + |
Disopyramide: + | 84 | 100 | 100 | 100 | + |
Dofetilide: + | 98 | 92 | 100 | 100 | + |
Moxifloxacin: (+) | 100 | 94 | 91 | 96 | + |
Cabazitaxel: – | 12 | 6 | 0 | 0 | – |
Mifepristone: – | 2 | 16 | 3 | 0 | – |
Lamotrigine: (–) | 100 | 76 | 31 | 8 | – |
+: Positive for QTc prolongation; –: Negative for QTc prolongation; (+) or (–): mixed or ambiguous clinical results in terms of 10 msec regulatory threshold at 95% confidence.