Cited by 41Pharmacogenetics and Drug MetabolismDrug Transport and Resistance MechanismsComputational Drug Discovery Methods

In vitro Tests for Predicting Drug‐Drug Interactions: The Need for Validated Procedures

Kremers, Pierre·2002·Pharmacology & Toxicology

Abstract

Over the past decade, the prediction of drug-drug interactions from in vitro studies has become a rapidly expanding field of research. Numerous papers and excellent review articles (Bertz & Granneman 1997; Ito et al. 1998a & b; Lin 2000; Bachmann & Ghosh 2001; Ekins & Wrighton 2001; Weaver 2001) have been published in this area. Yet like any new and fast-growing subject, this one has been developing with some confusion and without any real, efficient organisation. Depending on the drug tested, the models and extrapolation parameters used, etc., results and conclusions may vary widely from study to study (von Moltke et al. 1998; Weaver 2001). Several authors have called for validation of these procedures (Rodrigues et al. 2001; Kummar & Surapaneni 2001; Pelkonen et al. 2001a & b; Kremers 2002), and regulatory authorities intend to require better traceability and reliability (FDA & EMEA guidelines). A systematic and reliable approach is needed also to allow such protocols to be incorporated into early screening for potential drugs and new chemical entities. There is certainly a great need to standardise these studies and to verify their conclusions, but is true validation possible in this field? The main purpose of the present paper is to discuss this issue and to examine what is possible and what is needed to improve the quality of predictions made from in vitro experiments.

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Crossref · 10.1034/j.1600-0773.2002.910501.x

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  • Concomitant administration of phenelzine and ginseng resulted in headache, tremulousness, and manic episodes.

    “The concomitant administration of the two resulted in headache, tremulousness, and manic episodes [98]”
  • Induction or inhibition of drugs' pharmacological actions by herbs is facilitated by hepatic enzymes such as cytochrome P450 and/or the drug transporter P-glycoprotein.

    “The induction or inhibition of drugs' pharmacological actions by herbs is facilitated by hepatic enzymes such as cytochrome P450 (CYP) and/or the drug transporter, P-glycoprotein (P-gp).”
  • P-gp and CYP3A are significantly present in the villus tip of enterocytes, the major site of orally taken medications.

    “P-gp and CYP3A are significantly present in the villus tip of enterocytes, which is the major site of medications taken through the oral route.”

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Authors
Kremers, P.
Affiliations
University of Liège (BE)
Corresponding author
Kremers, Pierre
Venue
Pharmacology & Toxicology
Publisher
Wiley
Published
2002-11
Volume
91
Issue
5
Pages
209-217
ISSN
0901-9928 (ISSN-L)
OpenAlex
W2049141234
Cited by
41
References
56
Citations by year
2026: 2 · 2025: 2 · 2023: 2 · 2022: 2 · 2021: 6 · 2020: 1 · 2019: 3 · 2014: 1 · 2012: 2
FWCI
0.33
Type
journal article
Language
en
Open access
closed
Locations
  • Pharmacology & Toxicology (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
drug-drug interactions, in vitro prediction, cytochrome P450 inhibition, drug screening, new chemical entities, regulatory guidelines
MeSH terms
Clinical Trials as Topic, Drug Interactions, Pharmaceutical Preparations, Forecasting, Humans, Research Design, Drug Design, Reproducibility of Results, Clinical Laboratory Techniques, Drug-Related Side Effects and Adverse Reactions, In Vitro Techniques

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