The extended clearance model and its use for the interpretation of hepatobiliary elimination data
Open accessAbstract
Hepatic elimination is a function of the interplay between different processes such as sinusoidal uptake, intracellular metabolism, canalicular (biliary) secretion, and sinusoidal efflux. In this review, we outline how drugs can be classified according to their in vitro determined clearance mechanisms using the extended clearance model as a reference. The approach enables the determination of the rate-determining hepatic clearance step. Some successful applications will be highlighted, together with a discussion on the major consequences for the pharmacokinetics and the drug-drug interaction potential of drugs. Special emphasize is put on the role of passive permeability and active transport processes in hepatic elimination.
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An extended clearance model has been developed in which permeability is an important factor affecting CLH.
“recently, an extended clearance model has been developed in which permeability is one of the important factors affecting the CLH [41,42].”
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 [41]
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- Authors
- Camenisch, G., Riede, J., Kunze, A., Huwyler, J., Poller, B., & Umehara, K.
- Affiliations
- University of Basel (CH)
- Novartis Institutes for BioMedical Research (CH)
- Venue
- ADMET & DMPK
- Published
- 2015-03-31
- Volume
- 3
- Issue
- 1
- ISSN
- 1848-7718 (ISSN-L)
- OpenAlex
- W2055193127
- Cited by
- 32
- References
- 2
- Citations by year
- 2026: 1 · 2025: 1 · 2024: 4 · 2022: 3 · 2021: 4 · 2020: 3 · 2019: 6 · 2018: 2 · 2017: 3 · 2016: 4 · 2015: 1
- FWCI
- 1.46
- Type
- journal article
- Language
- en
- Open access
- diamond
- doi.org
- Licence
- cc-by
- Locations
- ADMET & DMPK (publishedVersion, cc-by)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Hrčak Portal of scientific journals of Croatia (University Computing Centre) (submittedVersion, other-oa)
- Topics
- Health Sciences › Medicine › Oncology › Drug Transport and Resistance Mechanisms
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Pharmacogenetics and Drug Metabolism
- Life Sciences › Pharmacology, Toxicology and Pharmaceutics › Pharmacology › Drug-Induced Hepatotoxicity and Protection
- Keywords
- hepatic drug elimination, hepatobiliary elimination, cellular metabolism, passive permeability, active transport, drug-drug interactions, pharmacokinetics, drug classification
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