Drug Metabolism and Disposition

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1 Investigation of the Impact of Substrate Selection on In Vitro Organic Anion Transporting Polypeptide 1B1 Inhibition Profiles for the Prediction of Drug-drug Interactions Saki Izumi, Yoshitane Nozaki, Kazuya Maeda, Takafumi Komori, Osamu Takenaka, Hiroyuki Kusuhara, and Yuichi Sugiyama Supplemental Table 1 Kinetic parameters of inhibitors used for the calculation of R-values [I] u,inlet,max (estimated maximum unbound inhibitor concentrations at the inlet to the liver) of CsA, rifampin, and gemfibrozil were calculated by Eq. 7 as described under Materials and Methods, in which k a of 0.1 min -1, F a F g of 1, and Q h of 97 L/h were used. The blood to plasma concentration ratios of the inhibitors were assumed to be unity in the [I] u,inlet,max calculations. Inhibitors Dose f u C max [I] u,inlet,max (mg) (%) (µm) (µm) CsA 200 a 11 b 0.95 a 1.2 Rifampin 600 c 15 d 23 e 10 Gemfibrozil 600 c 0.65 f,h 100 g 1.6 a Mück et al., 1999 b Lemaire and Tillement, 1982 c Yoshida et al., 2012 d Burman et al., 2001 e Maeda et al., 2011 f Shitara et al., 2004 g Okerholm et al., 1976 h As the f u was less than 1%, the [I] u,inlet,max was calculated assuming f u of 1% based on the regulatory DDI guidelines or draft guidance materials in U.S., EU, and Japan.

2 [Title] Investigation of the Impact of Substrate Selection on In Vitro Organic Anion Transporting Polypeptide 1B1 Inhibition Profiles for the Prediction of Drug-drug Interactions [Authors] Saki Izumi, Yoshitane Nozaki, Kazuya Maeda, Takafumi Komori, Osamu Takenaka, Hiroyuki Kusuhara, and Yuichi Sugiyama [Journal] Drug Metabolism and Disposition Supplemental Table 2 IC 50 values of CsA, rifampin, and gemfibrozil for OATP1B1-mediated uptake of clinically-used OATP1B1 substrate drugs OATP1B1-mediated uptake of 12 clinically-used OATP1B1 substrate drugs was examined in the presence and absence of CsA, rifampin, or gemfibrozil as shown in Fig. 3. IC 50 values (parameter estimate ± parameter S.D.) were estimated by a nonlinear least-squares regression analysis based on Eq. 3 as described under Materials and Methods (n = 6-9). Substrates Inhibitors CsA a Rifampin Gemfibrozil IC 50, µm Pitavastatin ± ± ± 11.1 Atorvastatin ± ± ± 10.1 Fluvastatin ± ± ± 10.5 Rosuvastatin ± ± ± 9.4 Pravastatin ± ± ± 3.8 Repaglinide ± ± ± 20.0 Nateglinide ± ± ± 103 Glibenclamide ± ± ± 5.7 Bosentan ± ± ± 6.0 Valsartan ± ± ± 0.4 Torasemide ± ± ± 11.3 Fexofenadine ± ± ± 4.4 a IC 50 values of CsA listed in the table were obtained by co-incubation of a substrate and CsA without CsA pre-incubation.

3 [Title] Investigation of the Impact of Substrate Selection on In Vitro Organic Anion Transporting Polypeptide 1B1 Inhibition Profiles for the Prediction of Drug-drug Interactions [Authors] Saki Izumi, Yoshitane Nozaki, Kazuya Maeda, Takafumi Komori, Osamu Takenaka, Hiroyuki Kusuhara, and Yuichi Sugiyama [Journal] Drug Metabolism and Disposition Supplemental Table 3 Reported IC 50 or K i values of CsA, rifampin, and gemfibrozil for OATP1B1-mediated uptake of prototypical substrates or clinically-used OATP1B1 substrate drugs These data were retrieved from the University of Washington Metabolism and Transport Drug Interaction Database (DIDB), the University of Tokyo TP-search, and searches in PubMed. Substrates Inhibitors CsA Rifampin Gemfibrozil References Reported IC 50 or K i values, µm E 2 G 0.05, 0.13, 0.198, 0.2, 0.37, 0.87, 0.9, 1.4, 2, 5-7, 11, 18-20, 22, 0.55, 0.59, 0.6, 0.94, 1.2, 1.5, , 12.5, 27, 27.5, 41.4, , 26, 28 E 1 S , 2.65, 5.16 a 200 3, 22, 23 BSP , 17, , 14, 27 Pitavastatin 0.242, 0.7, 2.91 a 0.477, 1.6, , 38, 100 4, 8, 16, 19, 22 Atorvastatin 0.31, , 68 1, 10, 12, 19 Fluvastatin Rosuvastatin 0.31, 0.89, 2.2 a 1.1 4, 19, 25 9, 16, 17, 19-21, 26 Pravastatin a, 18, , 19 Repaglinide Nateglinide Glibenclamide Bosentan Valsartan Torasemide Fexofenadine : Not reported. a X. laevis oocyte systems. Other IC 50 or K i values were determined in OATP1B1-expressing mammalian cells.

4 References 1. Amundsen R, Christensen H, Zabihyan B, and Asberg A (2010) Cyclosporine A, but not tacrolimus, shows relevant inhibition of organic anion-transporting protein 1B1-mediated transport of atorvastatin. Drug Metab Dispos 38: Chiou WJ, de Morais SM, Kikuchi R, Voorman RL, Li X, and Bow DA (2014) In vitro OATP1B1 and OATP1B3 inhibition is associated with observations of benign clinical unconjugated hyperbilirubinemia. Xenobiotica 44: Choi MK, Jin QR, Choi YL, Ahn SH, Bae MA, and Song IS (2011) Inhibitory effects of ketoconazole and rifampin on OAT1 and OATP1B1 transport activities: considerations on drug-drug interactions. Biopharm Drug Dispos 32: Fujino H, Nakai D, Nakagomi R, Saito M, Tokui T, and Kojima J (2004) Metabolic stability and uptake by human hepatocytes of pitavastatin, a new inhibitor of HMG-CoA reductase. Arzneimittelforschung 54: Gertz M, Cartwright CM, Hobbs MJ, Kenworthy KE, Rowland M, Houston JB, and Galetin A (2013) Cyclosporine inhibition of hepatic and intestinal CYP3A4, uptake and efflux transporters: application of PBPK modeling in the assessment of drug-drug interaction potential. Pharm Res 30: Gui C, Miao Y, Thompson L, Wahlgren B, Mock M, Stieger B, and Hagenbuch B (2008) Effect of pregnane X receptor ligands on transport mediated by human OATP1B1 and OATP1B3. Eur J Pharmacol 584: Hinton LK, Galetin A, and Houston JB (2008) Multiple inhibition mechanisms and prediction of drug-drug interactions: status of metabolism and transporter models as exemplified by gemfibrozil-drug interactions. Pharm Res 25: Hirano M, Maeda K, Shitara Y, and Sugiyama Y (2006) Drug-drug interaction between pitavastatin and various drugs via OATP1B1. Drug Metab Dispos 34: Ho RH, Tirona RG, Leake BF, Glaeser H, Lee W, Lemke CJ, Wang Y, and Kim RB (2006) Drug and bile acid transporters in rosuvastatin hepatic uptake: function, expression, and pharmacogenetics. Gastroenterology 130: Karlgren M, Ahlin G, Bergström CA, Svensson R, Palm J, and Artursson P (2012) In vitro and in silico strategies to identify OATP1B1 inhibitors and predict clinical drug-drug interactions. Pharm Res 29: Karlgren M, Vildhede A, Norinder U, Wisniewski JR, Kimoto E, Lai Y, Haglund U, and Artursson P (2012) Classification of inhibitors of hepatic organic anion transporting polypeptides (OATPs): influence of protein expression on drug-drug interactions. J Med Chem 55: Lau YY1, Huang Y, Frassetto L, and Benet LZ (2007) effect of OATP1B transporter inhibition on the pharmacokinetics of atorvastatin in healthy volunteers. Clin Pharmacol Ther 81: Leonhardt M, Keiser M, Oswald S, Kühn J, Jia J, Grube M, Kroemer HK, Siegmund W, and Weitschies W (2010) Hepatic uptake of the magnetic resonance imaging contrast agent Gd-EOB-DTPA: role of human organic anion transporters. Drug Metab Dispos 38: Letschert K, Faulstich H, Keller D, and Keppler D (2006) Molecular characterization and inhibition of amanitin uptake into human hepatocytes. Toxicol Sci 91: Nakagomi-Hagihara R, Nakai D, Tokui T, Abe T, and Ikeda T (2007) Gemfibrozil and its glucuronide inhibit the hepatic uptake of pravastatin mediated by OATP1B1. Xenobiotica 37: Prueksaritanont T, Chu X, Evers R, Klopfer SO, Caro L, Kothare PA, Dempsey C, Rasmussen S, Houle R, Chan G, Cai X, Valesky R, Fraser IP, and Stoch SA (2014) Pitavastatin is a more sensitive and selective OATP1B clinical probe than rosuvastatin. Br J Clin Pharmacol, in press

5 17. Schneck DW, Birmingham BK, Zalikowski JA, Mitchell PD, Wang Y, Martin PD, Lasseter KC, Brown CD, Windass AS, and Raza A (2004) The effect of gemfibrozil on the pharmacokinetics of rosuvastatin. Clin Pharmacol Ther 75: Sharma P, Holmes VE, Elsby R, Lambert C, and Surry D (2010) Validation of cell-based OATP1B1 assays to assess drug transport and the potential for drug-drug interaction to support regulatory submissions. Xenobiotica 40: Sharma P, Butters CJ, Smith V, Elsby R, and Surry D (2012) Prediction of the in vivo OATP1B1-mediated drug-drug interaction potential of an investigational drug against a range of statins. Eur J Pharm Sci 47: Shen H, Yang Z, Mintier G, Han YH, Chen C, Balimane P, Jemal M, Zhao W, Zhang R, Kallipatti S, Selvam S, Sukrutharaj S, Krishnamurthy P, Marathe P, and Rodrigues AD (2013) Cynomolgus monkey as a potential model to assess drug interactions involving hepatic organic anion transporting polypeptides: in vitro, in vivo, and in vitro-to-in vivo extrapolation. J Pharmacol Exp Ther 344: Simonson SG, Raza A, Martin PD, Mitchell PD, Jarcho JA, Brown CD, Windass AS, and Schneck DW (2004) Rosuvastatin pharmacokinetics in heart transplant recipients administered an antirejection regimen including cyclosporine. Clin Pharmacol Ther 76: Soars MG, Barton P, Ismair M, Jupp R, and Riley RJ (2012) The development, characterization, and application of an OATP1B1 inhibition assay in drug discovery. Drug Metab Dispos 40: Tamraz B, Fukushima H, Wolfe AR, Kaspera R, Totah RA, Floyd JS, Ma B, Chu C, Marciante KD, Heckbert SR, Psaty BM, Kroetz DL, and Kwok PY (2013) OATP1B1-related drug-drug and drug-gene interactions as potential risk factors for cerivastatin-induced rhabdomyolysis. Pharmacogenet Genomics 23: Tirona RG, Leake BF, Wolkoff AW, and Kim RB (2003) Human organic anion transporting polypeptide-c (SLC21A6) is a major determinant of rifampin-mediated pregnane X receptor activation. J Pharmacol Exp Ther 304: Treiber A, Schneiter R, Häusler S, and Stieger B (2007) Bosentan is a substrate of human OATP1B1 and OATP1B3: inhibition of hepatic uptake as the common mechanism of its interactions with cyclosporin A, rifampicin, and sildenafil. Drug Metab Dispos 35: van de Steeg E, Greupink R, Schreurs M, Nooijen IH, Verhoeckx KC, Hanemaaijer R, Ripken D, Monshouwer M, Vlaming ML, DeGroot J, Verwei M, Russel FG, Huisman MT, and Wortelboer HM (2013) Drug-drug interactions between rosuvastatin and oral antidiabetic drugs occurring at the level of OATP1B1. Drug Metab Dispos 41: Vavricka SR, Van Montfoort J, Ha HR, Meier PJ, and Fattinger K (2002) Interactions of rifamycin SV and rifampicin with organic anion uptake systems of human liver. Hepatology 36: Yamazaki M, Li B, Louie SW, Pudvah NT, Stocco R, Wong W, Abramovitz M, Demartis A, Laufer R, Hochman JH, Prueksaritanont T, and Lin JH (2005) Effects of fibrates on human organic anion-transporting polypeptide 1B1-, multidrug resistance protein 2- and P-glycoprotein-mediated transport. Xenobiotica 35:

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