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. 2022 Jun 6;11(7):919–933. doi: 10.1002/psp4.12807

TABLE 1.

Summary of fixed or initial parameters for rifampicin, digoxin, talinolol, and quinidine

Parameter Rifampicin 15 Digoxin Talinolol Quinidine
T lag (h) 0.255 0 0 0
k stomach (/h) 0.8 a 5 a
R B 0.9 0.955 44 0.941 22 0.919 22
f B 0.0778 0.785 b 0.478 b 0.218 b
f hepatocytes 0.0814 0.535 c 0.893 c
f enterocytes 0.115 0.360 c 0.724 22 0.215 22
f renal cell 0.504 c 0.881 c 0.856 c
SFKp 6.65 30 a 2 a 5 a
K p,liver c 0.409
K p,muscle c 0.0947 0.861 0.434
K p,skin c 0.326 0.877 0.589
K p,adipose c 0.0629 0.383 0.229
K p,serosa c 0.200 1.25 0.908 0.523
f BCLint,all or f BCLint (L/h/kg) 0.251 0.0091 d 0.6 a 0.189 a , d
R dif,inf,liver 0.129 0.665 26 1 e
β liver 0.2 0.2/0.5/0.8 0.2/0.5/0.8
γ inf,liver 0.778 1 4.15 45
f bile 0.77 7 0.914 46
f m,liver or f P‐gp,liver 0.759 (UGT) 1 (P‐gp) e 1 (P‐gp) e 0.962 (CYP3A) f
PSdif,gut lumen to enterocytes (L/h/kg) 0.08 g 0.01 a 0.016 h 0.011 h
R dif,eff,duodenum i 1.45 1.05 1.38
R dif,eff,jejunum i 0.406 0.292 0.385
R dif,eff,ileum i 0.332 0.239 0.315
γ inf,enterocytes j 0.778 1 e 1 e 1 e
CLint,met,enterocytes (L/h/kg) 0.005 g 0 i 0 i 0.008 h
f m,enterocytes or f P‐gp,enterocytes 0.759 (UGT) 1 (P‐gp) e 1 (P‐gp) e

1 (P‐gp) e

1 (CYP3A) e

R dif,inf,kidney 0.002 a 0.012 k 0.02 k
R dif,eff,kidney 1 k 1 k 0.3 k
PSdif,proximal cells to vessels (L/h/kg) l 0.00125 0.000617 0.0104
PSdif,proximal cells to tubule (L/h/kg) l 0.00941 0.00464 0.0784
PSdif,distal cells to vessels (L/h/kg) l , m 0.000324 0.00016 0.0027
PSdif,collecting duct cells to vessels (L/h/kg) l , n 0.0000694 0.0000343 0.000579
f P‐gp,kidney 1 (P‐gp) e 1 (P‐gp) e 1 (P‐gp) e
K m,u (ng/mL) 146 (OATP1B) 4071 (P‐gp) 22

409 (P‐gp) 22

1996 (CYP3A) 22

Note: Physiologically based pharmacokinetic model parameters of rifampicin were mostly adapted from the previous report. 15 The following parameters were also used: rifampicin parameters—CLrenal (0.011 L/h/kg), E max,UGT (1.34, autoinduction), E max,CYP3A (4.57), EC50 ,u (63.9 nmol/L); Digoxin parameters—f muscle (0.716),c f skin (0.187),c f adipose (0.00854),c PStissue ,in (0.3 L/h/kg),a PStissue,ratio (5)a; talinolol parameterso—R dif,inf,gut lumen to enterocytes (0.5),e γ inf,proximal cells (8.95), γ inf,distal cells (7.01), γ inf,collecting duct cells (8.95), γ eff,proximal cells (8.04), γ eff,distal cells (5.07), γ eff,collecting duct cells (2.72); quinidine parameterso—SFrenal permeability (0.1), γ inf,proximal cells (7.22), γ inf,distal cells (5.96), γ inf,collecting duct cells (7.22), γ eff,proximal cells (6.41), γ eff,distal cells (4.35), γ eff,collecting duct cells (2.50).

Abbreviations: β liver, (CLint,met + CLint,bile)/(PSdif,eff + CLint,met + CLint,bile); CLint, hepatic intrinsic clearance; CLint,all, overall hepatic intrinsic clearance; CLint,bile, intrinsic clearance of biliary excretion; CLint,met, intrinsic clearance of metabolism; CLrenal, renal clearance; CYP3A, cytochrome P450 3A; EC50,u, unbound concentration for half maximum induction effect; E max, maximum induction effect; f, unbound fraction in each tissue; F a(F g), intestinal availability after an oral dose; f B, unbound fraction in blood; f bile, CLint,bile/(CLint,bile + CLint,met); f m, fractional metabolism of each metabolizing enzyme to overall metabolism: f P‐gp, fractional efflux of P‐gp to overall transpoter efflux; γ eff, PSdif,inf/PSdif,eff on apical membrane; γ inf, PSdif,inf/PSdif,eff on sinusoidal or basolateral membrane; K m,u, unbound Michaelis–Menten constant; K p, tissue/blood concentration ratio; k stomach, transit rate constant from stomach to duodenum lumen; OATP1B, organic anion transporting polypeptide 1B; P‐gp, P‐glycoprotein; PSact,inf, influx intrinsic clearance by transporter; PSdif,collecting duct cells to vessels, intrinsic clearance by passive diffusion from collecting duct cells to vessels; PSdif,distal cells to vessels, intrinsic clearance by passive diffusion from distal cells to vessels; PSdif,eff, efflux intrinsic clearance by passive diffusion; PSdif,gut lumen to enterocytes, intrinsic clearance by passive diffusion from gut lumen to enterocytes; PSdif,inf, influx intrinsic clearance by passive diffusion; PSdif,proximal cells to tuble, intrinsic clearance by passive diffusion from proximal cells to tuble; PSdif,proximal cells to vessels, intrinsic clearance by passive diffusion from proximal cells to vessels; PSP‐gp, efflux intrinsic clearance by P‐gp; PStissue,in, intrinsic clearance by passive diffusion from extracellular to intracellular space of each tissue; PStissue,out, intrinsic clearance by passive diffusion from intracellular to extracellular space of each tissue; PStissue,ratio, PStissue,in/PStissue,out; R B, blood‐to‐plasma concentration ratio; R dif,eff, PSdif,eff/PSP‐gp on apical membrane; R dif,inf, PSdif,inf/PSact,inf on sinusoidal or basolateral membrane; SFKp, common scaling factor to in silico K p values in each tissue; Rdif,inf,kidney, Rdif,inf in the kidney; SFrenal permeability, common scaling factor to intrinsic clearance by passive diffusion in kidney; T lag, lag time in intestinal absorption; UGT, uridine diphosphate‐glucuronosyl transferase.

a

Initial value for optimization.

b

Calculated as f B = f Plasma/R B with the previous reports. 37 , ,47

c

Calculated based on in silico methodology.

d

Calculated based on the previous report. 15

e

Assumption.

f

Extracted value from the Simcyp software package version 20.1.

g

Adjusted manually to be comparable to the previous model. 15

h

Adjusted manually to reproduce observed F a F g.

i

Details are provided in the Method section.

j

Assumed to be equal to γ eff,enterocytes.

k

Adjusted manually to reproduce observed CLrenal.

l

Calculated by multiplying the apparent permeability coefficient obtained from Caco‐2 cells by the surface area of each segment. 22 , ,40

m

Assumed to be equal to PSdif,distal cells to tubule.

n

Assumed to be equal to PSdif,collecting duct cells to tubule.

o

γinf and γeff of talinolol and quinidine in proximal cells, distal cells, and collecting duct cells were calculated according to the previous report. 17