Unravelling the complex drug–drug interactions of the cardiovascular drugs, verapamil and digoxin, with P-glycoprotein

KV Ledwitch, RW Barnes, AG Roberts - Bioscience reports, 2016 - portlandpress.com
Drug–drug interactions (DDIs) and associated toxicity from cardiovascular drugs represents
a major problem for effective co-administration of cardiovascular therapeutics. A significant …

Cardiovascular ion channel inhibitor drug-drug interactions with P-glycoprotein

KV Ledwitch, AG Roberts - The AAPS journal, 2017 - Springer
P-glycoprotein (Pgp) is an ATP-binding cassette (ABC) transporter that plays a major role in
cardiovascular drug disposition by effluxing a chemically and structurally diverse range of …

Application of permeability‐limited physiologically-based pharmacokinetic models: Part II-prediction of p‐glycoprotein mediated drug–drug interactions with digoxin

S Neuhoff, KR Yeo, Z Barter, M Jamei… - Journal of …, 2013 - Elsevier
Digoxin is the recommended substrate for assessment of P-glycoprotein (P-gp)-mediated
drug–drug interactions (DDIs) in vivo. The overall aim of our study was to investigate the …

P-glycoprotein system as a determinant of drug interactions: the case of digoxin–verapamil

M Verschraagen, CHW Koks, JHM Schellens… - Pharmacological …, 1999 - Elsevier
Digoxin, which has a very narrow therapeutic window, is one of the most commonly
prescribed drugs in the treatment of congestive heart failure. In some cases of atrial …

Drug–Drug Interactions Mediated Through P‐Glycoprotein: Clinical Relevance and In VitroIn Vivo Correlation Using Digoxin as a Probe Drug

KS Fenner, MD Troutman, S Kempshall… - Clinical …, 2009 - Wiley Online Library
The clinical pharmacokinetics and in vitro inhibition of digoxin were examined to predict the
P‐glycoprotein (P‐gp) component of drug–drug interactions. Coadministered drugs (co …

Digoxin is not a substrate for organic anion-transporting polypeptide transporters OATP1A2, OATP1B1, OATP1B3, and OATP2B1 but is a substrate for a sodium …

ME Taub, K Mease, RS Sane, CA Watson… - Drug metabolism and …, 2011 - ASPET
Digoxin, an orally administered cardiac glycoside cardiovascular drug, has a narrow
therapeutic window. Circulating digoxin levels (maximal concentration of∼ 1.5 ng/ml) …

Cooperativity between verapamil and ATP bound to the efflux transporter P-glycoprotein

KV Ledwitch, ME Gibbs, RW Barnes… - Biochemical …, 2016 - Elsevier
The P-glycoprotein (Pgp) transporter plays a central role in drug disposition by effluxing a
chemically diverse range of drugs from cells through conformational changes and ATP …

The utility of in vitro data in making accurate predictions of human P-glycoprotein-mediated drug-drug interactions: a case study for AZD5672

R Elsby, M Gillen, C Butters, G Imisson… - Drug metabolism and …, 2011 - ASPET
To support drug development and registration, Caco-2 cell monolayer assays have
previously been set up and validated to determine whether candidate drugs are substrates …

Development, validation and utility of an in vitro technique for assessment of potential clinical drug–drug interactions involving P-glycoprotein

JP Keogh, JR Kunta - European journal of pharmaceutical sciences, 2006 - Elsevier
Regulatory interest is increasing for drug transporters generally and P-glycoprotein (Pgp) in
particular, primarily in the area of drug–drug interactions. To aid in both identifying and …

Inhibition of P-glycoprotein–mediated drug transport: a unifying mechanism to explain the interaction between digoxin and quinidine

MF Fromm, RB Kim, CM Stein, GR Wilkinson… - Circulation, 1999 - Am Heart Assoc
Background—Although quinidine is known to elevate plasma digoxin concentrations, the
mechanism underlying this interaction is not fully understood. Digoxin is not extensively …