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Pitavastatin is a more sensitive and selective organic anion-transporting polypeptide 1B clinical probe than rosuvastatin.
Br J Clin Pharmacol. 2014 Sep; 78(3):587-98.BJ

Abstract

AIMS

Rosuvastatin and pitavastatin have been proposed as probe substrates for the organic anion-transporting polypeptide (OATP) 1B, but clinical data on their relative sensitivity and selectivity to OATP1B inhibitors are lacking. A clinical study was therefore conducted to determine their relative suitability as OATP1B probes using single oral (PO) and intravenous (IV) doses of the OATP1B inhibitor rifampicin, accompanied by a comprehensive in vitro assessment of rifampicin inhibitory potential on statin transporters.

METHODS

The clinical study comprised of two separate panels of eight healthy subjects. In each panel, subjects were randomized to receive a single oral dose of rosuvastatin (5 mg) or pitavastatin (1 mg) administered alone, concomitantly with rifampicin (600 mg) PO or IV. The in vitro transporter studies were performed using hepatocytes and recombinant expression systems.

RESULTS

Rifampicin markedly increased exposures of both statins, with greater differential increases after PO vs. IV rifampicin only for rosuvastatin. The magnitudes of the increases in area under the plasma concentration-time curve were 5.7- and 7.6-fold for pitavastatin and 4.4- and 3.3-fold for rosuvastatin, after PO and IV rifampicin, respectively. In vitro studies showed that rifampicin was an inhibitor of OATP1B1 and OATP1B3, breast cancer resistance protein and multidrug resistance protein 2, but not of organic anion transporter 3.

CONCLUSIONS

The results indicate that pitavastatin is a more sensitive and selective and thus preferred clinical OATP1B probe substrate than rosuvastatin, and that a single IV dose of rifampicin is a more selective OATP1B inhibitor than a PO dose.

Authors+Show Affiliations

Merck Research Laboratories, Merck & Co., Inc., Whitehouse Station, NJ, USA.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

24617605

Citation

Prueksaritanont, Thomayant, et al. "Pitavastatin Is a More Sensitive and Selective Organic Anion-transporting Polypeptide 1B Clinical Probe Than Rosuvastatin." British Journal of Clinical Pharmacology, vol. 78, no. 3, 2014, pp. 587-98.
Prueksaritanont T, Chu X, Evers R, et al. Pitavastatin is a more sensitive and selective organic anion-transporting polypeptide 1B clinical probe than rosuvastatin. Br J Clin Pharmacol. 2014;78(3):587-98.
Prueksaritanont, T., Chu, X., Evers, R., Klopfer, S. O., Caro, L., Kothare, P. A., Dempsey, C., Rasmussen, S., Houle, R., Chan, G., Cai, X., Valesky, R., Fraser, I. P., & Stoch, S. A. (2014). Pitavastatin is a more sensitive and selective organic anion-transporting polypeptide 1B clinical probe than rosuvastatin. British Journal of Clinical Pharmacology, 78(3), 587-98. https://doi.org/10.1111/bcp.12377
Prueksaritanont T, et al. Pitavastatin Is a More Sensitive and Selective Organic Anion-transporting Polypeptide 1B Clinical Probe Than Rosuvastatin. Br J Clin Pharmacol. 2014;78(3):587-98. PubMed PMID: 24617605.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Pitavastatin is a more sensitive and selective organic anion-transporting polypeptide 1B clinical probe than rosuvastatin. AU - Prueksaritanont,Thomayant, AU - Chu,Xiaoyan, AU - Evers,Raymond, AU - Klopfer,Stephanie O, AU - Caro,Luzelena, AU - Kothare,Prajakti A, AU - Dempsey,Cynthia, AU - Rasmussen,Scott, AU - Houle,Robert, AU - Chan,Grace, AU - Cai,Xiaoxin, AU - Valesky,Robert, AU - Fraser,Iain P, AU - Stoch,S Aubrey, PY - 2014/01/06/received PY - 2014/03/05/accepted PY - 2014/3/13/entrez PY - 2014/3/13/pubmed PY - 2015/5/20/medline KW - breast cancer resistance protein KW - drug-drug interactions KW - organic anion-transporting polypeptide 1B KW - pitavastatin KW - regulatory guidance KW - rosuvastatin SP - 587 EP - 98 JF - British journal of clinical pharmacology JO - Br J Clin Pharmacol VL - 78 IS - 3 N2 - AIMS: Rosuvastatin and pitavastatin have been proposed as probe substrates for the organic anion-transporting polypeptide (OATP) 1B, but clinical data on their relative sensitivity and selectivity to OATP1B inhibitors are lacking. A clinical study was therefore conducted to determine their relative suitability as OATP1B probes using single oral (PO) and intravenous (IV) doses of the OATP1B inhibitor rifampicin, accompanied by a comprehensive in vitro assessment of rifampicin inhibitory potential on statin transporters. METHODS: The clinical study comprised of two separate panels of eight healthy subjects. In each panel, subjects were randomized to receive a single oral dose of rosuvastatin (5 mg) or pitavastatin (1 mg) administered alone, concomitantly with rifampicin (600 mg) PO or IV. The in vitro transporter studies were performed using hepatocytes and recombinant expression systems. RESULTS: Rifampicin markedly increased exposures of both statins, with greater differential increases after PO vs. IV rifampicin only for rosuvastatin. The magnitudes of the increases in area under the plasma concentration-time curve were 5.7- and 7.6-fold for pitavastatin and 4.4- and 3.3-fold for rosuvastatin, after PO and IV rifampicin, respectively. In vitro studies showed that rifampicin was an inhibitor of OATP1B1 and OATP1B3, breast cancer resistance protein and multidrug resistance protein 2, but not of organic anion transporter 3. CONCLUSIONS: The results indicate that pitavastatin is a more sensitive and selective and thus preferred clinical OATP1B probe substrate than rosuvastatin, and that a single IV dose of rifampicin is a more selective OATP1B inhibitor than a PO dose. SN - 1365-2125 UR - https://www.unboundmedicine.com/medline/citation/24617605/Pitavastatin_is_a_more_sensitive_and_selective_organic_anion_transporting_polypeptide_1B_clinical_probe_than_rosuvastatin_ L2 - https://doi.org/10.1111/bcp.12377 DB - PRIME DP - Unbound Medicine ER -