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Prediction of Human Pharmacokinetics of Fomepizole from Preclinical Species Pharmacokinetics Based on Normalizing Time Course Profiles

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Abstract

Fomepizole is used as an antidote to treat methanol poisoning due to its selectivity towards alcohol dehydrogenase. In the present study, the goal is to develop a method to predict the fomepizole human plasma concentration versus time profile based on the preclinical pharmacokinetics using the assumption of superimposability on simulated time course profiles of animals and humans. Standard allometric equations with/without correction factors were also assimilated in the prediction. The volume of distribution at steady state (Vss) predicted by simple allometry (57.55 L) was very close to the reported value (42.17 L). However, clearance (CL) prediction by simple allometry was at least 3-fold higher to the reported value (33.86 mL/min); hence, multiple correction factors were used to predict the clearance. Both brain weight and maximum life span potential could predict the CL with 1.22- and 1.01-fold difference. Specifically, the predicted Vss and CL values via interspecies scaling were used in the prediction of series of human intravenous pharmacokinetic parameters, while the simulation of human oral profile was done by the use of absorption rate constant (Ka) from dog following the applicability of human bioavailability value scaled from dog data. In summary, the findings indicate that the utility of diverse allometry approaches to derive the human pharmacokinetics of fomepizole after intravenous/oral dosing.

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Authors and Affiliations

  1. Drug Metabolism and Pharmacokinetics, Jubilant Biosys, Industrial Suburb, Yeshwanthpur, Bangalore, 560 022, India

    Ravi Kumar Jairam, Sadanand Rangnathrao Mallurwar, Suresh P. Sulochana, Devaraj V. Chandrasekhar, Umesh Todmal, Ravi Kanth Bhamidipati & Ramesh Mullangi

  2. TUBE Pharmaceuticals GmbH, Leberstr. 20, A-1110, Vienna, Austria

    Wolfgang Richter

  3. Jubilant Generics Limited, Noida, Uttar Pradesh, 201 301, India

    Nuggehally R. Srinivas

Authors
  1. Ravi Kumar Jairam
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  2. Sadanand Rangnathrao Mallurwar
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  3. Suresh P. Sulochana
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  4. Devaraj V. Chandrasekhar
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  5. Umesh Todmal
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  6. Ravi Kanth Bhamidipati
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  7. Wolfgang Richter
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  8. Nuggehally R. Srinivas
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  9. Ramesh Mullangi
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Correspondence to Ramesh Mullangi.

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Jairam, R.K., Mallurwar, S.R., Sulochana, S.P. et al. Prediction of Human Pharmacokinetics of Fomepizole from Preclinical Species Pharmacokinetics Based on Normalizing Time Course Profiles. AAPS PharmSciTech 20, 221 (2019). https://doi.org/10.1208/s12249-019-1434-8

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