The Corrected Traditional Equations for Calculation of Hepatic Clearance that Account for the Difference in Drug Ionization in Extracellular and Intracellular Tissue Water and the Corresponding Corrected PBPK Equation
Abstract
The estimation of hepatic clearance, Clh, using in vitro data on metabolic stability of compound, its protein binding and blood–plasma equilibrium concentration ratio is commonly performed using well-stirred, parallel tube or dispersion models. It appears that for ionizable drugs there is a difference of the steady-state concentrations in extracelluar and intracellular water (at hepatocytes), where metabolism takes place. This occurs due to the different pH of extra- and intracellular water (7.4 and 7.0, respectively). The account of this fact leads to the novel equations for Clh . These equations include the additional parameter named ionization factor, FI, which is the ratio of the unionized drug fractions in plasma and intracellular tissue water (or the ratio of the unbound drug concentrations in intracellular tissue water and plasma at equilibrium). For neutral drugs FI = 1 and the novel equations coincide with the traditional ones. It is shown that the account of this factor may yield the calculated Clh up to 6.3-fold greater than that obtained by the traditional equations for the strong diprotic basic compounds, and up to 6.3-fold smaller for the strong diprotic acidic compounds. For triprotic acids and bases the difference could be as much as 15-fold. The account of pH difference between extra- and intracellular water also results in the change of the term commonly used to describe drug metabolic elimination rate in physiologically based pharmacokinetic (PBPK) equation. This consequently may lead to a noticeable change of drug concentration-time profiles in plasma and tissues. The effect of ionization factor is especially pronounced for the low-extraction ratio drugs. The examples of significant improvement in the prediction of hepatic clearance due to the account of ionization factor are provided. A more general equation for hepatic clearance, which accounts for ionization factor and possible drug uptake and efflux, is obtained.
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For basic compounds, the modified equation with FI could improve the prediction of CLH.
“Therefore, for basic compounds, the modified equation could improve the prediction of CLH.”
From Interpretation of Non-Clinical Data for Prediction of Human Pharmacokinetic Parameters: In Vitro-In Vivo Extrapolation and Allometric Scaling (2019) · cites this paper as [71]
For acidic drugs, the conventional IVIVE equation tends to overestimate CLH.
“For acidic drugs, the conventional IVIVE equation tends to overestimate the CLH.”
From Interpretation of Non-Clinical Data for Prediction of Human Pharmacokinetic Parameters: In Vitro-In Vivo Extrapolation and Allometric Scaling (2019) · cites this paper as [71]
The modified equation with FI improves the prediction of CLH for acidic compounds.
“However, this modified equation also improves the prediction of CLH for acidic compounds.”
From Interpretation of Non-Clinical Data for Prediction of Human Pharmacokinetic Parameters: In Vitro-In Vivo Extrapolation and Allometric Scaling (2019) · cites this paper as [71]
Berezhkovskiy's modified equation yielded higher CLH values (up to 6.3-fold) for a basic compound (FI > 1) for strong diprotic bases, but lower CLH values (up to 6.3-fold) for an acidic compound (FI < 1) for strong diprotic acids.
“These equations yielded higher values (up to 6.3-fold) of CLH for a basic compound (FI > 1) for strong diprotic bases, but lower values (up to 6.3-fold) of CLH for an acidic compound (FI < 1) for strong diprotic acids.”
From Interpretation of Non-Clinical Data for Prediction of Human Pharmacokinetic Parameters: In Vitro-In Vivo Extrapolation and Allometric Scaling (2019) · cites this paper as [71]
Cites
Obach, R. S. (1999) · Drug Metabolism and Disposition · doi:10.1016/s0090-9556(24)14938-0 · Cited by 1,232 · see citing works
Rodgers, T., & Rowland, M. (2006) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.20502 · Cited by 949 · see citing works
Pang, K. S., & Rowland, M. (1977) · Journal of Pharmacokinetics and Biopharmaceutics · doi:10.1007/bf01059688 · Cited by 797 · see citing works
Predicting the Impact of Physiological and Biochemical Processes on Oral Drug Bioavailability
Agoram, B., Woltosz, W. S., & Bolger, M. B. (2001) · Advanced Drug Delivery Reviews · doi:10.1016/s0169-409x(01)00179-x · Cited by 651 · see citing works
A Review of the Microcirculation of Adipose Tissue: Anatomic, Metabolic, and Angiogenic Perspectives
Crandall, D. L., Hausman, G. J., & Kral, J. G. (1997) · Microcirculation · doi:10.3109/10739689709146786 · Cited by 508 · see citing works
Prediction of in vivo drug metabolism in the human liver from in vitro metabolism data
Iwatsubo, T., Hirota, N., Ooie, T., Suzuki, H., Shimada, N., Chiba, K., Ishizaki, T., Green, C. E., Tyson, C. A., & Sugiyama, Y. (1997) · Pharmacology & Therapeutics · doi:10.1016/s0163-7258(96)00184-2 · Cited by 479 · see citing works
COMPARATIVE PHARMACOLOGY OF THE KETAMINE ISOMERS
White, P. F., Schüttler, J., Shafer, A., Stanski, D. R., Horai, Y., & Trevor, A. J. (1985) · British Journal of Anaesthesia · doi:10.1093/bja/57.2.197 · Cited by 416 · see citing works
Riley, R. J., McGinnity, D. F., & Austin, R. P. (2005) · Drug Metabolism and Disposition · doi:10.1124/dmd.105.004259 · Cited by 379 · see citing works
FACTORS AFFECTING DRUG METABOLISM
Gillette, J. R. (1971) · Annals of the New York Academy of Sciences · doi:10.1111/j.1749-6632.1971.tb46890.x · Cited by 348 · see citing works
Berezhkovskiy, L. M. (2004) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.20073 · Cited by 296 · see citing works
Self-citationMetabolism and disposition of buspirone
Gammans, R. E., Mayol, R. F., & Labudde, J. A. (1986) · The American Journal of Medicine · doi:10.1016/0002-9343(86)90331-1 · Cited by 219 · see citing works
Noninvasive measurement of the pH of the endoplasmic reticulum at rest and during calcium release
Kim, J., Johannes, L., Goud, B., Antony, C., Lingwood, C. A., Daneman, R., & Grinstein, S. (1998) · Proceedings of the National Academy of Sciences · doi:10.1073/pnas.95.6.2997 · Cited by 212 · see citing works
Pharmacokinetic studies on the selectiveβ 1-receptor antagonist metoprolol in man
Regårdh, C. G., Borg, K. O., Johansson, R., Johnsson, G., & Palmer, L. (1974) · Journal of Pharmacokinetics and Biopharmaceutics · doi:10.1007/bf01061407 · Cited by 196 · see citing works
Pharmacokinetic–Pharmacodynamic Modelling: History and Perspectives
Csajka, C., & Verotta, D. (2006) · Journal of Pharmacokinetics and Pharmacodynamics · doi:10.1007/s10928-005-9002-0 · Cited by 194 · see citing works
Clinical Pharmacokinetics of Verapamil, Nifedipine and Diltiazem
Echizen, H., & Eichelbaum, M. F. (1986) · Clinical Pharmacokinetics · doi:10.2165/00003088-198611060-00002 · Cited by 187 · see citing works
Pharmacokinetics of (+)‐, (‐)‐ and (+/‐)‐verapamil after intravenous administration.
Eichelbaum, M. F., Mikus, G., & Vogelgesang, B. (1984) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1984.tb02371.x · Cited by 178 · see citing works
Shibata, Y., Takahashi, H., Chiba, M., & Ishii, Y. (2002) · Drug Metabolism and Disposition · doi:10.1124/dmd.30.8.892 · Cited by 170 · see citing works
Imipramine and desipramine disposition in the elderly.
Abernethy, D. R., Greenblatt, D. J., & Shader, R. I. (1985) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(25)20086-6 · Cited by 143 · see citing works
McAllister, R. G., & Kirsten, E. B. (1982) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1982.54 · Cited by 142 · see citing works
Pharmacokinetic and pharmacodynamic effects of diltiazem
Stafford‐Smith, M., Verghese, C. P., Shand, D. G., & Pritchett, E. L. C. (1983) · The American Journal of Cardiology · doi:10.1016/0002-9149(83)90314-4 · Cited by 140 · see citing works
PREDICTION OF IN VIVO DRUG DISPOSITION FROM IN VITRO DATA BASED ON PHYSIOLOGICAL PHARMACOKINETICS
Iwatsubo, T., Hirota, N., Ooie, T., SUZUKI, H., & Sugiyama, Y. (1996) · Biopharmaceutics & Drug Disposition · doi:10.1002/(sici)1099-081x(199605)17:4 · Cited by 139 · see citing works
Lau, Y. Y., Sapidou, E., Cui, X., White, R. E., & Cheng, K.-C. (2002) · Drug Metabolism and Disposition · doi:10.1124/dmd.30.12.1446 · Cited by 132 · see citing works
Pathway-selective sex differences in the metabolic clearance of propranolol in human subjects
Walle, T., Walle, U. K., Cowart, T. D., & Conradi, E. C. (1989) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1989.136 · Cited by 126 · see citing works
Pharmacokinetics of quinidine in humans after intravenous, intramuscular and oral administration.
Greenblatt, D. J., Pfeifer, H. J., Ochs, H. R., Franke, K., MacLaughlin, D. S., Smith, T. W., & Koch‐Weser, J. (1977) · Journal of Pharmacology and Experimental Therapeutics · doi:10.1016/s0022-3565(25)30967-5 · Cited by 122 · see citing works
Pharmacokinetics and pharmacodynamics of alprazolam after oral and IV administration
Smith, R. B., Kroboth, P. D., VanderLugt, J. T., Phillips, J. P., & Juhl, R. P. (1984) · Psychopharmacology · doi:10.1007/bf00431449 · Cited by 115 · see citing works
Clinical Pharmacokinetics of Imipramine and Desipramine
Sallee, F. R., & Pollock, B. G. (1990) · Clinical Pharmacokinetics · doi:10.2165/00003088-199018050-00002 · Cited by 114 · see citing works
Measurement of adipose tissue blood flow and perfusion in man by uptake of 85Kr.
Lesser, G. T., & Deutsch, S. (1967) · Journal of Applied Physiology · doi:10.1152/jappl.1967.23.5.621 · Cited by 105 · see citing works
Pharmacokinetics of chlorpromazine after single and chronic dosage
Dahl, S. G., & Strandjord, R. E. (1977) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt1977214437 · Cited by 105 · see citing works
Clinical pharmacokinetics of clozapine in chronic schizophrenic patients
Cheng, Y. F., Lundberg, T., Bondesson, U., Lindstr�m, L. H., & Gabrielsson, J. (1988) · European Journal of Clinical Pharmacology · doi:10.1007/bf01046700 · Cited by 101 · see citing works
Alprazolam Metabolism in vitro: Studies of Human, Monkey, Mouse, and Rat Liver Microsomes
Moltke, L. L., Greenblatt, D. J., Harmatz, J. S., & Shader, R. I. (2008) · Pharmacology · doi:10.1159/000139107 · Cited by 100 · see citing works
Blyden, G. T., Greenblatt, D. J., Scavone, J. M., & Shader, R. I. (1986) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1986.tb02946.x · Cited by 98 · see citing works
Kinetic determinants of hepatic clearance: Plasma protein binding and hepatic uptake
Baker, M., & Parton, T. A. H. (2007) · Xenobiotica · doi:10.1080/00498250701658296 · Cited by 95 · see citing works
Roberts, M. S., & Rowland, M. (1986) · Journal of Pharmacokinetics and Biopharmaceutics · doi:10.1007/bf01106707 · Cited by 95 · see citing works
Clinical pharmacokinetics of imipramine and desipramine in alcoholics and normal volunteers
Ciraulo, D. A., BARNHILL, J. G., & Jaffe, J. H. (1988) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1988.66 · Cited by 91 · see citing works
First-pass metabolism of imipramine and desipramine: Impact of the sparteine oxidation phenotype
Brøsen, K., & Gram, L. F. (1988) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1988.50 · Cited by 86 · see citing works
Bryson, H. M., Palmer, K. J., Langtry, H. D., & Fitton, A. (1993) · Drugs · doi:10.2165/00003495-199345010-00008 · Cited by 78 · see citing works
Amitriptyline disposition in young and elderly normal men
Schulz, P., Turner-Tamiyasu, K., Smith, G. A., Giacomini, K. M., & Blaschke, T. F. (1983) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1983.46 · Cited by 74 · see citing works
Pharmacokinetics of Metoprolol in Patients with Hepatic Cirrhosis
Regårdh, C. G., Jordö, L., Ervik, M., Lundborg, P. G., Olsson, R., & Rönn, O. (1981) · Clinical Pharmacokinetics · doi:10.2165/00003088-198106050-00004 · Cited by 73 · see citing works
Stereoselective protein binding of verapamil enantiomers
Gross, A. S., Heuer, B., & Eichelbaum, M. (1988) · Biochemical Pharmacology · doi:10.1016/0006-2952(88)90330-9 · Cited by 70 · see citing works
Influence of acute viral hepatitis on disposition and plasma binding of tolbutamide
Williams, R. L., Blaschke, T. F., Meffin, P. J., Melmon, K. L., & Rowland, M. (1977) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt1977213301 · Cited by 65 · see citing works
Plasma levels of imipramine and desipramine in man after different routes of administration
Nagy, Á., & Johansson, R. (1975) · Naunyn-Schmiedeberg s Archives of Pharmacology · doi:10.1007/bf00510547 · Cited by 65 · see citing works
Plasma Disappearance and Cerebral Effects of Chlorpromazine in Cirrhosis
Maxwell, J. D., Carrella, M., Parkes, J. D., Williams, R. L., Mould, G. P., & Curry, S. H. (1972) · Clinical Science · doi:10.1042/cs0430143 · Cited by 64 · see citing works
Guentert, T. W., Holford, N. H. G., Coafes, P. E., Upton, R. A., & Riegelman, S. (1979) · Journal of Pharmacokinetics and Biopharmaceutics · doi:10.1007/bf01062532 · Cited by 63 · see citing works
Noncompartmentally-based pharmacokinetic modeling
Veng‐Pedersen, P. (2001) · Advanced Drug Delivery Reviews · doi:10.1016/s0169-409x(01)00119-3 · Cited by 61 · see citing works
Lidocaine disposition—Sex differences and effects of cimetidine
Wing, L. M. H., Miners, J. O., Birkett, D. J., Foenander, T., Lillywhite, K. J., & Wanwimolruk, S. (1984) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1984.97 · Cited by 59 · see citing works
Pharmacokinetics of Lorcainide in Man
Klotz, U. E., Müller-Seydlitz, P. M., & Heimburg, P. (1978) · Clinical Pharmacokinetics · doi:10.2165/00003088-197803050-00006 · Cited by 48 · see citing works
The distribution of quinidine in human blood.
Hughes, I., Ilett, K., & Jellett, L. B. (1975) · British Journal of Clinical Pharmacology · doi:10.1111/j.1365-2125.1975.tb00570.x · Cited by 41 · see citing works
Timolol and propranolol: Bioavailability, plasma concentrations, and beta blockade
Wilson, T. W., Firor, W. B., Johnson, G. E., Holmes, G. I., TSIANCO, M. C., Huber, P. B., & Davies, R. O. (1982) · Clinical Pharmacology & Therapeutics · doi:10.1038/clpt.1982.223 · Cited by 41 · see citing works
On the influence of protein binding on pharmacological activity of drugs
Berezhkovskiy, L. M. (2009) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.21958 · Cited by 40 · see citing works
Self-citationPharmacokinetics of quinidine and three of its metabolites in man
Rakhit, A. K., Holford, N. H. G., Guentert, T. W., Maloney, K., & Riegelman, S. (1984) · Journal of Pharmacokinetics and Biopharmaceutics · doi:10.1007/bf01063608 · Cited by 32 · see citing works
Ka, J., Appelgren, C., Borg, K. O., & Elofsson, R. (1974) · PubMed · Cited by 31 · see citing works
Intracellular pH of hepatocytes in primary monolayer culture
Pollock, A. S. (1984) · American Journal of Physiology-Renal Physiology · doi:10.1152/ajprenal.1984.246.5.f738 · Cited by 29 · see citing works
Berezhkovskiy, L. M. (2009) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.21798 · Cited by 28 · see citing works
Self-citationNaloxone protein binding in adult and foetal plasma
Asali, L. A., & Brown, K. F. (1984) · European Journal of Clinical Pharmacology · doi:10.1007/bf00549595 · Cited by 23 · see citing works
On the prediction of hepatic clearance using the diluted plasma in metabolic stability assay.
Berezhkovskiy, L. M., Khojasteh, S. C., Halladay, J. S., & Hop, C. (2009) · Journal of Pharmacy and Science · doi:10.1002/jps.21582 · Cited by 20 · see citing works
Self-citationBerezhkovskiy, L. M. (2008) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.21440 · Cited by 18 · see citing works
Self-citationLack of effect of cimetidine on the metabolism of quinidine: effect on renal clearance.
Hardy, B. G., & Schentag, J. J. (1988) · PubMed · Cited by 18 · see citing works
Excretion of tolbutamide metabolites in young and old subjects
Miller, A. K., Adir, J., & Vestal, R. E. (1990) · European Journal of Clinical Pharmacology · doi:10.1007/bf02336696 · Cited by 15 · see citing works
The Distribution of Chlorpromazine between Plasma and Erythrocytes
Lund, A. (1980) · Acta Pharmacologica et Toxicologica · doi:10.1111/j.1600-0773.1980.tb03658.x · Cited by 11 · see citing works
Berezhkovskiy, L. M. (2007) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.20986 · Cited by 10 · see citing works
Self-citationPeinhardt, G. P., & Wiese, M. (2001) · International Journal of Pharmaceutics · doi:10.1016/s0378-5173(00)00673-6 · Cited by 10 · see citing works
Abdelmawla, A. H., Langley, R. W., Szabadi, E., & Bradshaw, C. M. (1995) · PubMed Central · Cited by 8 · see citing works
Remmel, R. P., Copa, A. K., & Angaran, D. M. (1991) · Pharmaceutical Research · doi:10.1023/a:1015807129129 · Cited by 7 · see citing works
Somani, P., Fraker, T. D., & Temesy‐Armos, P. N. (1987) · The Journal of Clinical Pharmacology · doi:10.1002/j.1552-4604.1987.tb02172.x · Cited by 5 · see citing works
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Jones, H., Chen, Y., Gibson, C., Heimbach, T., Parrott, N., Peters, S., Snoeys, J., Upreti, V., Zheng, M., & Hall, S. (2015) · Clinical Pharmacology & Therapeutics · doi:10.1002/cpt.37 · Cited by 488 · see citing works
Kazmi, F., Hensley, T. N., Pope, C. A., Funk, R. S., Loewen, G. J., Buckley, D. B., & Parkinson, A. (2013) · Drug Metabolism and Disposition · doi:10.1124/dmd.112.050054 · Cited by 259 · see citing works
Gaohua, L., Miao, X., & Liu, D. (2021) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1080/17425255.2021.1951223 · Cited by 204 · see citing works
Chan, T. S., Yu, H., Moore, A., Khetani, S. R., & Tweedie, D. (2013) · Drug Metabolism and Disposition · doi:10.1124/dmd.113.053397 · Cited by 150 · see citing works
Lucas, A. J., Sproston, J. L., Barton, P., & Riley, R. J. (2019) · Expert Opinion on Drug Discovery · doi:10.1080/17460441.2019.1660642 · Cited by 144 · see citing works
Zhang, D., Hop, C. E. C. A., Patilea-Vrana, G., Gampa, G., Seneviratne, H. K., Unadkat, J. D., Kenny, J. R., Nagapudi, K., Di, L., Zhou, L., et al. (2019) · Drug Metabolism and Disposition · doi:10.1124/dmd.119.086744 · Cited by 121 · see citing works
Poulin, P., Kenny, J. R., Hop, C. E. C. A., & Haddad, S. (2012) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.22792 · Cited by 109 · see citing works
Bowman, C. M., & Benet, L. Z. (2018) · European Journal of Pharmaceutical Sciences · doi:10.1016/j.ejps.2018.08.008 · Cited by 95 · see citing works
When is Protein Binding Important?*
Heuberger, J. A. A. C., Schmidt, S., & Derendorf, H. (2013) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23559 · Cited by 83 · see citing works
Choi, G.-W., Lee, Y.-B., & Cho, H.-Y. (2019) · Pharmaceutics · doi:10.3390/pharmaceutics11040168 · Cited by 76 · see citing works
“Berezhkovskiy [71] has developed a modified equation to predict CLH based on differences in intra- and extra-cellular pH of the unbound drug fraction using FI as presented in Equations (57) to (60).”
BackgroundMethodFisher, C. P., Siméon, S., Jamei, M., Gardner, I., & Bois, Y. F. (2018) · Toxicology in Vitro · doi:10.1016/j.tiv.2018.12.017 · Cited by 74 · see citing works
Successful and Unsuccessful Prediction of Human Hepatic Clearance for Lead Optimization
Sodhi, J., & Benet, L. (2021) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.0c01930 · Cited by 55 · see citing works
Poulin, P., Hop, C. E. C. A., Ho, Q., Halladay, J. S., Haddad, S., & Kenny, J. R. (2012) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23288 · Cited by 64 · see citing works
Hallifax, D., & Houston, J. B. (2012) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23202 · Cited by 60 · see citing works
Yadav, J., Hassani, M. E., Sodhi, J. K., Lauschke, V. M., Hartman, J. H., & Russell, L. E. (2021) · Drug Metabolism Reviews · doi:10.1080/03602532.2021.1922435 · Cited by 57 · see citing works
Ye, M., Nagar, S., & Korzekwa, K. (2015) · Biopharmaceutics & Drug Disposition · doi:10.1002/bdd.1996 · Cited by 54 · see citing works
Williamson, B., Harlfinger, S., & McGinnity, D. F. (2020) · Drug Metabolism and Disposition · doi:10.1124/dmd.120.000131 · Cited by 48 · see citing works
Schmitt, M. V., Lienau, P., Fricker, G., & Reichel, A. (2018) · Drug Metabolism and Disposition · doi:10.1124/dmd.118.084541 · Cited by 46 · see citing works
Chan, T. S., Yu, H., Moore, A., Khetani, S. R., & Tweedie, D. (2018) · Drug Metabolism and Disposition · doi:10.1124/dmd.113.053397fullarticlecorrection · Cited by 41 · see citing works
Jones, R. S., Leung, C., Chang, J. H., Brown, S., Liu, N., Yan, Z., Kenny, J. R., & Broccatelli, F. (2022) · Drug Metabolism and Disposition · doi:10.1124/dmd.121.000784 · Cited by 40 · see citing works
Olivares‐Morales, A., Kamiyama, Y., Darwich, A. S., Aarons, L. J., & Rostami‐Hodjegan, A. (2014) · European Journal of Pharmaceutical Sciences · doi:10.1016/j.ejps.2014.10.018 · Cited by 40 · see citing works
Zang, R., Barth, A., Wong, H., Mařı́k, J., Shen, J., Lade, J. M., Grove, K. J., Durk, M. R., Parrott, N. J., Rudewicz, P. J., et al. (2022) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.2c00502 · Cited by 37 · see citing works
Bteich, M., Poulin, P., & Haddad, S. (2019) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1080/17425255.2019.1640679 · Cited by 37 · see citing works
Poulin, P. (2015) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.24427 · Cited by 37 · see citing works
Da-silva, F., Boulenc, X., Vermet, H., Compigne, P., Gerbal‐Chaloin, S., Daujat‐Chavanieu, M., Klieber, S., & Poulin, P. (2018) · Journal of Pharmaceutical Sciences · doi:10.1016/j.xphs.2018.03.001 · Cited by 36 · see citing works
Lowe, M. A., Cardenas, A., Valentin, J., Zhu, Z., Abendroth, J. A., Castro, J. L., Class, R., Delaunois, A. G., Fleurance, R., Gerets, H. H. J., et al. (2022) · Journal of Medicinal Chemistry · doi:10.1021/acs.jmedchem.2c01336 · Cited by 35 · see citing works
In Vitro- in Vivo Extrapolation of Hepatic Metabolism for Different Scenarios - a Toolbox.
Krause, S., & Goss, K. (2018) · Chemical Research in Toxicology · doi:10.1021/acs.chemrestox.8b00187 · Cited by 29 · see citing works
Plasma protein-mediated uptake and contradictions to the free drug hypothesis: a critical review
Schulz, J., Stresser, D. M., & Kalvass, J. C. (2023) · Drug Metabolism Reviews · doi:10.1080/03602532.2023.2195133 · Cited by 31 · see citing works
Poulin, P., & Haddad, S. (2018) · Journal of Pharmaceutical Sciences · doi:10.1016/j.xphs.2018.03.012 · Cited by 29 · see citing works
Rougée, L. R. A., Mohutsky, M. A., Bedwell, D. W., Ruterbories, K. J., & Hall, S. D. (2016) · Drug Metabolism and Disposition · doi:10.1124/dmd.116.071761 · Cited by 24 · see citing works
Poulin, P. (2015) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.24468 · Cited by 23 · see citing works
From Genotype to Phenotype: Cytochrome P450 2D6-Mediated Drug Clearance in Humans
Gao, J., Tian, X., Zhou, J., Cui, M., Zhang, H., Gao, N., Wen, Q., & Qiao, H. (2017) · Molecular Pharmaceutics · doi:10.1021/acs.molpharmaceut.6b00920 · Cited by 22 · see citing works
Verapamil hepatic clearance in four preclinical rat models: towards activity‐based scaling
Nicolaï, J., de Bruyn, T., Veldhoven, P. V., Keemink, J., Augustijns, P., & Annaert, P. (2015) · Biopharmaceutics & drug disposition · doi:10.1002/bdd.1959 · Cited by 15 · see citing works
Rougée, L. R. A., Mohutsky, M. A., Bedwell, D. W., Ruterbories, K. J., & Hall, S. D. (2017) · Drug Metabolism and Disposition · doi:10.1124/dmd.117.076331 · Cited by 17 · see citing works
Klein, S. G., Maggioni, S., Bucher, J., Mueller, D., Niklas, J., Shevchenko, V., Mauch, K., Heinzle, E., & Noor, F. (2015) · Toxicological Sciences · doi:10.1093/toxsci/kfv218 · Cited by 17 · see citing works
Berezhkovskiy, L. M. (2012) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23396 · Cited by 16 · see citing works
Self-citationPoulin, P., & Haddad, S. (2021) · Journal of Pharmaceutical Sciences · doi:10.1016/j.xphs.2021.04.002 · Cited by 14 · see citing works
Poulin, P., Dambach, D. M., Hartley, D. H., Ford, K. A., Theil, F., Harstad, E. B., Halladay, J. S., Choo, E. F., Boggs, J. W., Liederer, B. M., et al. (2013) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23670 · Cited by 13 · see citing works
Bell, L., & Wang, J. (2012) · Expert Opinion on Drug Metabolism & Toxicology · doi:10.1517/17425255.2012.695346 · Cited by 13 · see citing works
Dahab, A. A., El-Hag, D., Moutamed, G., Dahab, S. A., Abuknesha, R. A., & Smith, N. W. (2016) · Cancer Chemotherapy and Pharmacology · doi:10.1007/s00280-016-3028-4 · Cited by 12 · see citing works
Determination of Hepatic Clearance with the Account of Drug–Protein Binding Kinetics
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Self-citationBerezhkovskiy, L. M. (2011) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.22696 · Cited by 10 · see citing works
Self-citationMayumi, K., Ohnishi, S., & Hasegawa, H. (2019) · Journal of Pharmacy and Science · doi:10.1016/j.xphs.2019.03.002 · Cited by 10 · see citing works
Berezhkovskiy, L. M., Liu, N., & Halladay, J. S. (2011) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23000 · Cited by 10 · see citing works
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Berezhkovskiy, L. M. (2012) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23073 · Cited by 8 · see citing works
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Berezhkovskiy, L. M., Wong, S., & Halladay, J. S. (2013) · Journal of Pharmacokinetics and Pharmacodynamics · doi:10.1007/s10928-013-9339-8 · Cited by 7 · see citing works
Self-citationSvennebring, A. M. (2014) · Xenobiotica · doi:10.3109/00498254.2014.978413 · Cited by 6 · see citing works
Berezhkovskiy, L. M. (2015) · Xenobiotica · doi:10.3109/00498254.2015.1089366 · Cited by 5 · see citing works
Self-citationBerezhkovskiy, L. M. (2012) · Journal of Pharmaceutical Sciences · doi:10.1002/jps.23327 · Cited by 5 · see citing works
Self-citationEgashira, Y., Shimada, T., & Mayumi, K. (2021) · Journal of Pharmaceutical Sciences · doi:10.1016/j.xphs.2021.01.015 · Cited by 4 · see citing works
Berezhkovskiy, L. M. (2016) · Journal of Pharmaceutical Sciences · doi:10.1016/j.xphs.2016.04.019 · Cited by 2 · see citing works
Self-citationKazmi, F. (2015) · KU ScholarWorks (University of Kansas) · Cited by 2 · see citing works
Chan, T. S., Yu, H., Moore, A., Khetani, S. R., & Tweedie, D. (2013) · Cited by 1 · see citing works
Models for Nonspecific Binding and Partitioning
Korzekwa, K. (2015) · Royal Society of Chemistry eBooks · doi:10.1039/9781782622376-00053 · Cited by 1 · see citing works
Bell, L., Skolnik, S. M., & Bednarczyk, D. (2014) · doi:10.1002/9781118783344.ch4
Chandani, R. (2015) · UWSpace (University of Waterloo)
In vitro-in vivo extrapolation of human hepatic and renal clearance
Alluri, R. V., & Varma, M. V. S. (2020) · Elsevier eBooks · doi:10.1016/b978-0-12-820018-6.00022-3
Rougée, L. R. A., Mohutsky, M. A., Bedwell, D. W., Ruterbories, K. J., & Hall, S. D. (2016) · The FASEB Journal · doi:10.1096/fasebj.30.1_supplement.934.8
Mechanistic Basis of Clearance
Chen, E. P. (2025) · doi:10.1002/9781119650263.ch05
Yan, F., Wang, J., Liu, D., Li, J., Tian, X., Gao, N., Zhang, H., Wen, Q., & Qiao, H. (2026) · Drug Metabolism and Disposition · doi:10.1016/j.dmd.2026.100264
Maurer, C. K., Fang, Z., Harlfinger, S., & Petersson, C. (2026) · Drug Metabolism And Disposition · doi:10.1016/j.dmd.2026.100288
- Authors
- Berezhkovskiy, L. M.
- Affiliations
- Genentech (US)
- Corresponding author
- Berezhkovskiy, Leonid M.
- Venue
- Journal of Pharmaceutical Sciences
- Publisher
- Elsevier BV
- Published
- 2011-03
- Volume
- 100
- Issue
- 3
- Pages
- 1167-1183
- ISSN
- 0022-3549 (ISSN-L)
- OpenAlex
- W2047951338
- Cited by
- 63
- References
- 64
- Citations by year
- 2026: 2 · 2025: 1 · 2023: 1 · 2022: 3 · 2021: 5 · 2020: 3 · 2019: 5 · 2018: 8 · 2017: 2 · 2016: 4 · 2015: 10 · 2014: 3 · 2013: 6 · 2012: 7
- FWCI
- 5.16
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Journal of Pharmaceutical Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Physical Sciences › Computer Science › Computational Theory and Mathematics › Computational Drug Discovery Methods
- Keywords
- hepatic clearance, drug ionization, intracellular pH, physiologically based pharmacokinetic modeling, ionizable drugs, extraction ratio, drug metabolism, unbound drug concentration
- MeSH terms
- Algorithms, Pharmaceutical Preparations, Humans, Hydrogen-Ion Concentration, Intracellular Fluid, Liver, Metabolic Clearance Rate, Models, Biological, Pharmacokinetics, Protein Binding, Tissue Distribution, Hepatocytes, Extracellular Fluid
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