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In Vitro Cytochrome P450 (CYP) Enzyme Inhibition Studies

In vitro CYP (cytochrome P450) enzyme inhibition studies predict a drug candidate’s predisposition to inhibit cytochrome P450 enzymes, potentiating increased toxicity of concomitant medications or reduced therapeutic effect of concomitant medications through metabolism-mediated drug interactions.

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As an important component of the nonclinical absorption, distribution, metabolism, and excretion (ADME) portfolio of a drug candidate, knowing a compound’s inhibitory potential can help better understand the interaction of co-administered drugs with drug-metabolizing enzymes and assist the design of necessary clinical trials. In vitro CYP inhibition assays yield critical IC50 data for insight to predict metabolism-based drug-drug interactions (DDI).

Our Approach to CYP Inhibition Assays to Predict Drug-Drug Interaction (DDI) Potential

Our IC50 design evaluates drug candidates as direct, time-dependent and metabolism-dependent inhibitors of CYP enzymes in human liver microsomes in a single experiment. Direct and time-dependent CYP inhibition generally represent inhibition caused by the drug candidate itself; metabolism-dependent inhibition represents inhibition caused by metabolites of drug candidates formed after preincubation with a co-factor. The design features low protein concentrations and short incubation times to minimize artifacts caused by protein binding, metabolic instability of the test article and excessive metabolism of the marker substrate. We offer various options for follow-up studies to support the further characterization of those drug candidates that are identified as potential direct or metabolism-dependent inhibitors.

Cytochrome p450 (CYP) induction studies can inform DDI potential of a drug compound

Features of CYP Enzyme Inhibition Analysis & Evaluation

  • Robotic incubations
  • LC-MS/MS analysis
  • Efficient 3-curve IC50 study designs calculated from several concentrations of the drug candidate 
  • Validated methods with commonly used probe substrates
  • Direct and metabolism-dependent positive controls included specific for each enzyme
  • Optional follow-up mechanistic studies
  • Automated data retrieval and data processing
  • CFR 58, Part 11 compliant systems
  • Available as GLP or non-GLP

Assay Selection

ENZYME Marker Substrate Activity
CYP1A2 Phenacetin O-dealkylation
CYP2A6 Coumarin 7-hydroxylation
CYP2B6 Efavirenz 8-hydroxylation
CYP2B6 Bupropion hydroxylation
CYP2C8 Amodiaquine N-dealkylation
CYP2C8 Paclitaxel 6-hydroxylation
CYP2C9 Diclofenac 4´-hydroxylation
CYP2C19 S-Mephenytoin 4´-hydroxylation
CYP2D6 Dextromethorphan O-demethylation
CYP2E1 Chlorzoxazone 6-hydroxylation
CYP3A4/5 Testosterone 6β-hydroxylation
CYP3A4/5 Nifedipine oxidation
CYP3A4/5 Midazolam 1´-hydroxylation
CYP3A4/5 Atorvastatin ortho-hydroxylation
CYP4A11 Lauric acid 12-hydroxylation

Test System

CYP Inhibition assays are typically performed with pooled human liver microsomes from 200 donors (XTreme 200). This allows the same sample of pooled human liver microsomes and similar experimental conditions to be used to study all CYP enzymes of interest.

Incubation Conditions

  • Protein concentration: ≤ 0.1 mg/mL
  • Pre-incubation time (in the presence and absence of NADPH): 30 minutes
  • Marker substrate incubation time: 5 minutes

Our 3-Curve Approach

Direct, time-dependent and metabolism-dependent IC50 values are determined from seven concentrations of the drug candidate and plotted along three curves to provide a thorough understanding of inhibitory potential. Our systems allow for fast turnaround times for data return. Our high-quality standards result in thorough, publication-quality reports delivered with a consultative interpretation of your results that also meet eCTD requirements of regulatory agencies. 

Inhibition Follow-up Service Offerings

In cases where follow-up may be recommended based on standard assay results, we offer additional support studies to provide clarity and context.

Ki determinations

Determine Ki value and mechanism associated with direct inhibition with multiple concentrations of the drug candidate and marker substrate.

Metabolism-Dependent Inhibition (MDI)

  1. XTRA (XenoTech Reversibility Assay): Our unique approach utilizes ultracentrifugation to determine the mechanism associated with metabolism-dependent inhibition. This assay determines if the metabolism-dependent inhibition is due to:
    • Formation of a more potent reversible inhibitory metabolite
    • Formation of a quasi-irreversible metabolite inhibitor complex (MIC formation)
    • Irreversible inactivation (indicates possible covalent binding)
  2. KI and kinact determinations: Determine KI and kinact values for inactivation of an enzyme by a drug candidate using multiple drug concentrations and multiple preincubation time points.

Get the details

Learn more about FDA, EMA, and PMDA guidance on conducting Enzyme Inhibition and other assays to support DDI investigation

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Scientific Content

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