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Functions for the calculation and documentation of the potential of drugs to act as precipitants of clinically relevant drug-drug interaction (DDI).

Installation

You can install the development version of ddir like so:

devtools::install_github("rstrotmann/ddir")

Example

The package provides sample data for a fictional drug, examplinib. The following code shows the relevant drug properties for examplinib, and calculates the precipitant DDI risk for direct CYP inhibition (basic method). All are provided as markdown-formatted output tables:

p <- examplinib
print(p)
parameter value source
oral 1
\(MW\) (g/mol) 492.6
\(dose\) (mg) 450
\(solubility\) (mg/l) Inf
\(C_{max,ss}\) (ng/ml) 3530
\(f_u\) 0.023
\(f_{u,mic}\) 1
\(R_B\) 1
\(F_a\) 0.81
\(F_g\) 1
\(k_a\) (1/min) 0.00267

Precipitant compound parameters for examplinib

print(examplinib_cyp_inhibition)
object ki source
CYP1A2 NA
CYP2B6 NA
CYP2C8 11.00 study 001
CYP2C9 0.60 study 001
CYP2C19 0.25 study 001
CYP2D6 NA
CYP3A4 12.50 study 001

In vitro inhibition data for precipitant examplinib

print(basic_cyp_inhibition_risk(p, examplinib_cyp_inhibition))
object ki kiu source r risk_hep r_gut risk_intest
CYP1A2 NA NA NA NA NA NA NA
CYP2B6 NA NA NA NA NA NA NA
CYP2C8 11.00 11.00 study 001 0.01 FALSE NA NA
CYP2C9 0.60 0.60 study 001 0.27 TRUE NA NA
CYP2C19 0.25 0.25 study 001 0.66 TRUE NA NA
CYP2D6 NA NA NA NA NA NA NA
CYP3A4 12.50 12.50 study 001 0.01 FALSE 292.3264 TRUE

Direct CYP inhibition risk for examplinib

See also: kinetic_cyp_induction_risk(), mech_stat_cyp_risk(), basic_ugt_inhibition_risk(), transporter_inhibition_risk()

Full documentation for ddir can be found together with the source code on github.