...
首页> 外文期刊>Clinical Pharmacology and Therapeutics >Understanding the critical disposition pathways of statins to assess drugdrug interaction risk during drug development: It's not just about OATP1B1
【24h】

Understanding the critical disposition pathways of statins to assess drugdrug interaction risk during drug development: It's not just about OATP1B1

机译:了解他汀类药物的关键处置途径以评估药物开发过程中的药物相互作用风险:这不仅与OATP1B1有关

获取原文
获取原文并翻译 | 示例
           

摘要

The use of statins is widespread across disease areas because many patients have comorbidities. Given that these drugs have become common as comedications, it is essential to have an understanding of the potential risks of drugdrug interactions (DDIs) between statins and candidate drugs in development. Although the hepatic uptake transporter organic aniontransporting polypeptide 1B1 (OATP1B1) is known to play a substantial role in statin-related DDI risk, other transporters and metabolizing enzymes can also be involved. Consequently, a holistic approach to risk assessment is required, tailored to each statin. Using evidence from pharmacogenetics, DDIs, and literature on absorption, distribution, metabolism, and elimination (ADME) in humans, this review identifies pathways that contribute the most to, and are therefore the most critical to, the disposition of each statin. It also provides an understanding of the expected theoretical maximum increase in systemic exposure if the disposition of a statin is inhibited. Finally, on a statin-by-statin basis, we propose in vitro inhibition studies that should be routinely conducted during drug development so as to better assess DDI risk.
机译:由于许多患者患有合并症,他汀类药物在疾病领域的广泛使用。鉴于这些药物已作为喜剧药变得普遍,因此必须了解他汀类药物和候选药物在开发中的药物相互作用的潜在风险。尽管已知肝脏吸收转运蛋白有机阴离子转运多肽1B1(OATP1B1)在他汀类药物相关的DDI风险中起重要作用,但其他转运蛋白和代谢酶也可能参与其中。因此,需要针对每种他汀类药物量身定制的整体风险评估方法。这项综述利用药物遗传学,DDI和有关人体吸收,分布,代谢和消除(ADME)的文献资料,鉴定了对每种他汀类药物的贡献最大,因此最为关键的途径。如果抑制他汀类药物的治疗,它也提供了对全身暴露的预期理论最大增加的理解。最后,在他汀类药物的基础上,我们建议在药物开发过程中应常规进行体外抑制研究,以便更好地评估DDI风险。

著录项

相似文献

  • 外文文献
  • 中文文献
  • 专利
获取原文

客服邮箱:kefu@zhangqiaokeyan.com

京公网安备:11010802029741号 ICP备案号:京ICP备15016152号-6 六维联合信息科技 (北京) 有限公司©版权所有
  • 客服微信

  • 服务号