Clarithromycin-Model

Whole-body PBPK model of clarithromycin.

The latest release of this model including a report on model building, model features and model evaluation can be found here.

Clarithromycin is a widely prescribed macrolide antibiotic and a substrate and mechanism-based inactivator of CYP3A4. Furthermore, clarithromycin is a substrate and inhibitor of P-gp and an inhibitor of OATP1B1 and OATP1B3. Clarithromycin has been proposed as one of the best alternative CYP3A4 inhibitors for clinical DDI studies to avoid further use of ketoconazole.

A whole-body PBPK model for clarithromycin was developed including its metabolism by CYP3A4 and its mechanism-based inactivation of the respective enzyme as well as its inhibition of P-gp.

The presented clarithromycin model was developed by Moj et al. [1] and revised by Hanke et al. [2].

Code of conduct

Everyone interacting in the Open Systems Pharmacology community (codebases, issue trackers, chat rooms, mailing lists etc...) is expected to follow the Open Systems Pharmacology code of conduct.

Contribution

We encourage contribution to the Open Systems Pharmacology community. Before getting started please read the contribution guidelines. If you are contributing code, please be familiar with the coding standard.

License

The model code is distributed under the GPLv2 License.

References

[1] Moj D, Hanke N, Britz H, Frechen S, Kanacher T, Wendl T, Haefeli WE, Lehr T. Clarithromycin, Midazolam, and Digoxin: Application of PBPK Modeling to Gain New Insights into Drug-Drug Interactions and Co-medication Regimens. AAPS J. 2017 Jan;19(1):298-312.

[2] Hanke N, Frechen S, Moj D, Britz H, Eissing T, Wendl T, Lehr T. PBPK models for CYP3A4 and P-gp DDI prediction: a modeling network of rifampicin, itraconazole, clarithromycin, midazolam, alfentanil and digoxin. CPT Pharmacometrics Syst Pharmacol. 2018 Oct;7(10):647-659.