Metabolic interactions between flumatinib and the CYP3A4 inhibitors erythromycin, cyclosporine, and voriconazole

Pharmazie. 2020 Sep 1;75(9):424-429. doi: 10.1691/ph.2020.0068.

Abstract

Flumatinib, indicated for the treatment of Philadelphia chromosome-positive chronic myeloid leukemia, is a structural analog of imatinib and has shown higher potency than imatinib as a BCR-ABL inhibitor. In this paper, the metabolic profile of flumatinib was studied. It was found that CYP3A4 and CYP2C8 were the main cytochrome P450 enzyme substyles catalyzing the metabolism of flumatinib, and CYP3A4 has a stronger metabolic ability for flumatinib than CYP2C8. Erythromycin, cyclosporine, and voriconazole can inhibit the metabolism of flumatinib in vitro. Accordingly, co-administration of erythromycin and cyclosporine with flumatinib increased the plasma concentration and the systemic exposure of flumatinib in rats, which indicated that lower doses should be considered in clinical practice.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Aminopyridines / pharmacokinetics*
  • Animals
  • Benzamides / pharmacokinetics*
  • Cyclosporine / pharmacology
  • Cytochrome P-450 CYP3A Inhibitors / pharmacology*
  • Drug Interactions
  • Erythromycin / pharmacology
  • Female
  • Humans
  • Male
  • Protein Kinase Inhibitors / pharmacokinetics*
  • Rats
  • Rats, Sprague-Dawley
  • Voriconazole / pharmacology

Substances

  • Aminopyridines
  • Benzamides
  • Cytochrome P-450 CYP3A Inhibitors
  • Protein Kinase Inhibitors
  • Erythromycin
  • Cyclosporine
  • Voriconazole
  • flumatinib