Re: Drug Interactions
From: Cornelia Weber 41 61 68 88017 <CORNELIA.WEBER@roche.com>
Subject: Re: Drug Interactions
Date: 19 Dec 1997 08:30:31 -0500
I am planning to include the evaluation of drug-drug-interactions in the population PK analysis of two phase III trials. I would like to group concomitant medications into groups such as e.g. CYP3A4 inhibitors, CYP2C9 substrates, CYP2C9 inducers etc. based on the fact that "my" drug of interest is a CYP3A4 and CYP2C9 substrate. Does anybody has experience with such an approach? Wouldn't that make more sense from a scientific point of view than using classes like diuretics or Ca-antagonists? It might well be that the majority of drugs in such a class has the same elimination pathway. But there are cases where one or more drugs in such a class have an elimination pathway which differs from that of the others? If the mentionned approach is used would you still propose to also investigate the data using the other approach of coding drugs into groups in parallel?
Thanks for your answers in advance.
Conni Weber
Clinical Pharmacology
Hoffmann-La Roche Base, Switzerland