Key perpetrator concentrations
key_concentrations.Rd
This function calculates the relevant perpetrator concentrations in \(\mu M\) (default) or ng/ml for a DDI perpetrator compound.
Details
Gut concentration
$$I_{gut} = \frac{D} {250}$$
If the above exceeds the aqueous solubility of the drug, \(I_{gut}\) is set to its solubility.
Unbound hepatic inlet concentration
For orally administered (parent) compounds, the hepatic inlet concentration is the systemic concentration plus a portal term:
$$portal\ term = D*\frac{F_a*F_g*k_a}{Q_h*R_B}*1000\ ng/ml$$
where \(D\) is the administered dose in mg, \(F_a\) the fraction absorbed after oral administration, \(F_g\) the fraction available after gut metabolism, \(k_a\) the absorption rate, \(Q_h\) the hepatic blood flow and \(R_B\) the blood-to-plasma ratio.
The relevant hepatic inlet concentration (\(I_{max,inlet,u}\), also called \(I_h\) in the mechanistic static modeling equations) concentration is the sum of the maximal systemic plasma concentration and the portal contribution:
$$I_{max,inlet,u}=(I_{max,ss} + portal\ term) * f_u$$
Enteric (villous) concentration
For orally administered (parent) compounds, the villous concentration in the gut (\(I_{enteric}\), also called \(I_g\) in the mechanistic static modeling equations) is calculated as:
$$I_{enteric,u} = D * \frac{F_a*k_a}{Q_{ent}} *1000\ ng/ml$$
where \(F_a\) is the fraction absorbed after oral administration, \(k_a\) the absorption rate, \(Q_{ent}\) the enteric villous blood flow and \(R_B\) the blood-to-plasma distribution ratio of the compound.
Note that as per the FDA guideline (refer to FDA, 2020, Fig. 7, and Rostami-Hodjegan and Tucker, 2004) the blood-to-plasma ratio and the plasma binding of the drug are not applicable.
Examples
key_concentrations(examplinib_parent)
#> igut imaxssu imaxinletu imaxintest
#> 3654.0803898 0.1648193 0.1929384 6.5855664
key_concentrations(examplinib_parent, molar = FALSE)
#> igut imaxssu imaxinletu imaxintest
#> 1.800000e+06 8.119000e+01 9.504145e+01 3.244050e+03
key_concentrations(examplinib_metabolite)
#> igut imaxssu imaxinletu imaxintest
#> 0.00000000 0.02458939 0.02458939 0.02458939