Cited by 32Drug Transport and Resistance MechanismsPharmacogenetics and Drug MetabolismDrug-Induced Hepatotoxicity and Protection

The extended clearance model and its use for the interpretation of hepatobiliary elimination data

Open access
Camenisch, Gian, Riede, Julia, Kunze, Annett, Huwyler, Jörg, Poller, Birk, Umehara, Kenichi·2015·ADMET & DMPK

Abstract

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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Registry

Crossref · 10.5599/admet.3.1.144

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2 of 2 references verified0 citation errors · 0 not checkable

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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
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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