Table 5.
Calculated individual pharmacokinetic properties of IBR and the active moiety (IBR + DIB). AUC0–24, area under the concentration–time curve from dose intake to 24 h postdose. AUMC0–24, area under the first moment of the concentration–time curve from dose intake to 24 h postdose. CL/F, apparent clearance. cmax, peak concentration. Ke, terminal elimination rate constant. MRT0–24, mean residence time from dose intake to 24 h postdose. t1/2, systemic half-life. tmax, time to reach the peak concentration. V/F, apparent volume of distribution.
Parameter | Ibrutinib | Dihydrodiol Ibrutinib | Ibrutinib + Dihydrodiol Ibrutinib | ||||||
---|---|---|---|---|---|---|---|---|---|
Patient 1 | Patient 2 | Patient 3 | Patient 1 | Patient 2 | Patient 3 | Patient 1 | Patient 2 | Patient 3 | |
AUC0–24 (nmol × L/h) | 1786 | 1740 | 613 | 2347 | 2528 | 1800 | 4134 | 4268 | 2414 |
AUMC0–24 (nmol × L) | 7488 | 7434 | 2051 | 16,593 | 11,626 | 8172 | 24,082 | 19,071 | 10,230 |
cmax (nmol/L) | 265.6 | 374.0 | 163.2 | 184.7 | 253.7 | 216.6 | 450.3 | 627.7 | 358.3 |
Dose-normalized cmax [nmol/(L × mmol)] | 278.7 | 392.4 | 256.6 | Cannot be calculated | 472.5 | 658.6 | 563.3 | ||
tmax (h) | 2.0 | 1.0 | 1.0 | 2.0 | 1.0 | 2.0 | 2.0 | 1.0 | 1.0 |
CL/F (L/h) | 515 | 523 | 1008 | Cannot be calculated | Cannot be calculated | ||||
MRT0–24 (h) | 4.19 | 4.28 | 3.34 | 7.07 | 4.60 | 4.54 | 5.82 | 4.47 | 4.24 |
ke (1/h) | 0.126 | 0.113 | 0.121 | 0.069 | 0.130 | 0.122 | 0.085 | 0.123 | 0.122 |
t1/2 (h) | 5.49 | 6.12 | 5.74 | 10.1 | 5.35 | 5.68 | 8.13 | 5.64 | 5.70 |
V/F (L) | 4080 | 4620 | 8346 | Cannot be calculated | Cannot be calculated |