TABLE 1.
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.
Initial value for optimization.
Calculated based on in silico methodology.
Calculated based on the previous report. 15
Assumption.
Extracted value from the Simcyp software package version 20.1.
Adjusted manually to be comparable to the previous model. 15
Adjusted manually to reproduce observed F a F g.
Details are provided in the Method section.
Assumed to be equal to γ eff,enterocytes.
Adjusted manually to reproduce observed CLrenal.
Calculated by multiplying the apparent permeability coefficient obtained from Caco‐2 cells by the surface area of each segment. 22 , ,40
Assumed to be equal to PSdif,distal cells to tubule.
Assumed to be equal to PSdif,collecting duct cells to tubule.
γinf and γeff of talinolol and quinidine in proximal cells, distal cells, and collecting duct cells were calculated according to the previous report. 17