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. 2021 Sep 1;110(6):1547–1557. doi: 10.1002/cpt.2384

Table 2.

Observed and predicted midazolam Cmax and AUC ratios

Cmax a Cmax ratiob AUClast a AUClast ratiob
Observed
without risdiplam (n = 27) 7.65 (48.5%) n.a 19.9 (49.0%) n.a
with risdiplam (n = 26) 8.96 (40.4%) 1.16 (1.06–1.28) 22.0 (47.7%) 1.11 (1.02–1.20)
Predictedc
without risdiplam 7.51 (70%) n.a. 22.8 (64%) n.a
with risdiplam
in vitro k inact = 3.91/hour  13.2 (67%) 1.76 (+52%)f 48.4 (73%) 2.12 (+91%)f
in vivo k inact d = 0.39/hour  8.72 (70%) 1.16 (0%)f 27.0 (66%) 1.19 (+7.0%)f
in vivo k inact e = 0.22/hour  8.32 (70%) 1.11 (−4.0%)f 25.6 (65%) 1.12 (+1.0%)f

Observed and predicted midazolam Cmax and AUC ratios using in vitro and estimated in vivo k inact values.

AUClast, area under the plasma concentration‐time curve from time zero to time of last measurable concentration; Cmax, maximum concentration; k inact, inactivation constant; n.a, not applicable.

aGeometric mean (coefficient of variation, CV%). bGeometric least squares means are presented. cPredicted by the PBPK models. d1/10 of the in vitro k inact. e1/18 of the in vitro k inact. f% difference from the corresponding observed values. Number ranges in parentheses are 90% confidence intervals.