{ "Version": 79, "ExpressionProfiles": [ { "Type": "Transporter", "Species": "Human", "Molecule": "P-gp", "Category": "European (Pgp modified)", "Parameters": [ { "Path": "Organism|Bone|Intracellular|P-gp|Relative expression", "Value": 0.0242518189 }, { "Path": "Organism|Brain|Intracellular|P-gp|Relative expression", "Value": 0.07608904 }, { "Path": "Organism|Gonads|Intracellular|P-gp|Relative expression", "Value": 0.017417973 }, { "Path": "Organism|Heart|Intracellular|P-gp|Relative expression", "Value": 0.0419198106 }, { "Path": "Organism|Kidney|Intracellular|P-gp|Relative expression", "Value": 0.7092198582 }, { "Path": "Organism|LargeIntestine|Intracellular|P-gp|Relative expression", "Value": 0.1108416465 }, { "Path": "Organism|LargeIntestine|Mucosa|ColonAscendens|Intracellular|P-gp|Relative expression", "Value": 0.3971631206 }, { "Path": "Organism|LargeIntestine|Mucosa|ColonDescendens|Intracellular|P-gp|Relative expression", "Value": 0.3971631206 }, { "Path": 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"EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Brain", "TransportDirection": "EffluxBrainInterstitialToPlasma", "CompartmentName": "Plasma" }, { "Name": "Brain", "TransportDirection": "EffluxBrainTissueToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "Fat", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Gonads", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Heart", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Kidney", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "Kidney", "TransportDirection": "ExcretionKidney", "CompartmentName": "Intracellular" }, { "Name": "Stomach", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "SmallIntestine", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Duodenum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "Duodenum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "UpperJejunum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "UpperJejunum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "LowerJejunum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "LowerJejunum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "UpperIleum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "UpperIleum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "LowerIleum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "LowerIleum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "LargeIntestine", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Caecum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "Caecum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "ColonAscendens", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "ColonAscendens", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "ColonTransversum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "ColonTransversum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "ColonDescendens", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "ColonDescendens", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "ColonSigmoid", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "ColonSigmoid", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "Rectum", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "Rectum", "TransportDirection": "EffluxMucosaIntracellularToLumen", "CompartmentName": "Intracellular" }, { "Name": "Periportal", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "Periportal", "TransportDirection": "ExcretionLiver", "CompartmentName": "Intracellular" }, { "Name": "Pericentral", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Interstitial" }, { "Name": "Pericentral", "TransportDirection": "ExcretionLiver", "CompartmentName": "Intracellular" }, { "Name": "Lung", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Muscle", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Pancreas", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Skin", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "Spleen", "TransportDirection": "EffluxIntracellularToInterstitial", "CompartmentName": "Intracellular" }, { "Name": "BloodCells", "TransportDirection": "EffluxBloodCellsToPlasma" }, { "Name": "VascularEndothelium", "TransportDirection": "EffluxInterstitialToPlasma" } ], "Ontogeny": { "Name": "P-gp", "Table": { "Name": "TableFormula", "Percentile": 0.0, "DistributionMetaData": [ { "Mean": 1E-14, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 1.915059E-05, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 5.486795E-05, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.0001571905, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.0004502473, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.001288958, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.00368424, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.01048397, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.02946235, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.0800178, "Deviation": 1.6, "Distribution": "LogNormal" }, { "Mean": 0.1994918, 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"Age in years", "XUnit": "year(s)", "YName": "P-gp", "YDimension": "Fraction", "UseDerivedValues": false, "Points": [ { "X": 0.0, "Y": 1E-14, "RestartSolver": false }, { "X": 0.08333334, "Y": 1.915059E-05, "RestartSolver": false }, { "X": 0.1666667, "Y": 5.486795E-05, "RestartSolver": false }, { "X": 0.25, "Y": 0.0001571905, "RestartSolver": false }, { "X": 0.3333333, "Y": 0.0004502473, "RestartSolver": false }, { "X": 0.4166667, "Y": 0.001288958, "RestartSolver": false }, { "X": 0.5, "Y": 0.00368424, "RestartSolver": false }, { "X": 0.5833333, "Y": 0.01048397, "RestartSolver": false }, { "X": 0.6666667, "Y": 0.02946235, "RestartSolver": false }, { "X": 0.75, "Y": 0.0800178, "RestartSolver": false }, { "X": 0.8333333, "Y": 0.1994918, "RestartSolver": false }, { "X": 0.9166667, "Y": 0.4165768, "RestartSolver": false }, { "X": 1.0, "Y": 0.6716791, "RestartSolver": false }, { "X": 1.083333, "Y": 0.8542612, "RestartSolver": false }, { "X": 1.166667, "Y": 0.943803, "RestartSolver": false }, { "X": 1.25, "Y": 0.9796414, "RestartSolver": false }, { "X": 1.333333, "Y": 0.992799, "RestartSolver": false }, { "X": 1.416667, "Y": 0.9974749, "RestartSolver": false }, { "X": 1.5, "Y": 0.9991173, "RestartSolver": false }, { "X": 1.583333, "Y": 0.9996917, "RestartSolver": false }, { "X": 1.666667, "Y": 0.9998924, "RestartSolver": false }, { "X": 1.75, "Y": 0.9999624, "RestartSolver": false }, { "X": 1.833333, "Y": 0.9999869, "RestartSolver": false }, { "X": 3.333333, "Y": 1.0, "RestartSolver": false } ] } } }, { "Type": "OtherProtein", "Species": "Human", "Molecule": "ATP1A2", "Category": "European (Pgp modified)", "Parameters": [ { "Path": "ATP1A2|Reference concentration", "Value": 0.39140774, "Unit": "µmol/l", "ValueOrigin": { "Source": "ParameterIdentification", "Description": "Due to OSP v9 -> v10 switch reported value of 0.48 was recalculated to 0.39" } }, { "Path": "ATP1A2|t1/2 (intestine)", "Value": 23.0, "Unit": "h" }, { "Path": "ATP1A2|t1/2 (liver)", "Value": 36.0, "Unit": "h" }, { "Path": "Organism|Bone|Intracellular|ATP1A2|Relative expression", "Value": 0.0062154033171 }, { "Path": "Organism|Brain|Intracellular|ATP1A2|Relative expression", "Value": 1.0 }, { "Path": "Organism|Gonads|Intracellular|ATP1A2|Relative expression", "Value": 0.0508741242 }, { "Path": "Organism|Heart|Intracellular|ATP1A2|Relative expression", "Value": 0.3179118843 }, { "Path": "Organism|Kidney|Intracellular|ATP1A2|Relative expression", "Value": 0.0158938619 }, { "Path": "Organism|LargeIntestine|Intracellular|ATP1A2|Relative expression", "Value": 0.0786998764 }, { "Path": "Organism|LargeIntestine|Mucosa|ColonAscendens|Intracellular|ATP1A2|Relative expression", "Value": 0.0786998764 }, { "Path": "Organism|LargeIntestine|Mucosa|ColonDescendens|Intracellular|ATP1A2|Relative expression", "Value": 0.0786998764 }, { "Path": "Organism|LargeIntestine|Mucosa|ColonSigmoid|Intracellular|ATP1A2|Relative expression", "Value": 0.0786998764 }, { "Path": "Organism|LargeIntestine|Mucosa|ColonTransversum|Intracellular|ATP1A2|Relative expression", "Value": 0.0786998764 }, { "Path": "Organism|Liver|Pericentral|Intracellular|ATP1A2|Relative expression", "Value": 0.0223784807 }, { "Path": "Organism|Liver|Periportal|Intracellular|ATP1A2|Relative expression", "Value": 0.0223784807 }, { "Path": "Organism|Lung|Intracellular|ATP1A2|Relative expression", "Value": 0.0272345453 }, { "Path": "Organism|Muscle|Intracellular|ATP1A2|Relative expression", "Value": 0.7034193524 }, { "Path": "Organism|Pancreas|Intracellular|ATP1A2|Relative expression", "Value": 0.0073903254795 }, { "Path": "Organism|Skin|Intracellular|ATP1A2|Relative expression", "Value": 0.0389467988 }, { "Path": "Organism|SmallIntestine|Intracellular|ATP1A2|Relative expression", "Value": 0.0501579923 }, { "Path": "Organism|SmallIntestine|Mucosa|Duodenum|Intracellular|ATP1A2|Relative expression", "Value": 0.0501579923 }, { "Path": "Organism|SmallIntestine|Mucosa|LowerIleum|Intracellular|ATP1A2|Relative expression", "Value": 0.0501579923 }, { "Path": "Organism|SmallIntestine|Mucosa|LowerJejunum|Intracellular|ATP1A2|Relative expression", "Value": 0.0501579923 }, { "Path": "Organism|SmallIntestine|Mucosa|UpperIleum|Intracellular|ATP1A2|Relative expression", "Value": 0.0501579923 }, { "Path": "Organism|SmallIntestine|Mucosa|UpperJejunum|Intracellular|ATP1A2|Relative expression", "Value": 0.0501579923 }, { "Path": "Organism|Spleen|Intracellular|ATP1A2|Relative expression", "Value": 0.0103243118 }, { "Path": "Organism|Stomach|Intracellular|ATP1A2|Relative expression", "Value": 0.0309435884 } ], "Localization": "Interstitial, BloodCellsMembrane, VascMembranePlasmaSide" } ], "Individuals": [ { "Name": "European (Pgp modified)", "Seed": 264844784, "OriginData": { "CalculationMethods": [ "SurfaceAreaPlsInt_VAR1", "Body surface area - Mosteller" ], "Species": "Human", "Population": "European_ICRP_2002", "Gender": "MALE", "Age": { "Value": 30.0, "Unit": "year(s)" } }, "Parameters": [ { "Path": "Organism|Liver|EHC continuous fraction", "Value": 1.0, "ValueOrigin": { "Source": "Other", "Description": "Assumption" } } ], "ExpressionProfiles": [ "P-gp|Human|European (Pgp modified)", "ATP1A2|Human|European (Pgp modified)" ] } ], "Compounds": [ { "Name": "Digoxin", "IsSmallMolecule": true, "PlasmaProteinBindingPartner": "Albumin", "Lipophilicity": [ { "Name": "fitted", "Parameters": [ { "Name": "Lipophilicity", "Value": 1.40017663, "Unit": "Log Units", "ValueOrigin": { "Source": "ParameterIdentification", "Method": "ParameterIdentification" } } ] } ], "FractionUnbound": [ { "Name": "Neuhoff (2013)", "Species": "Human", "Parameters": [ { "Name": "Fraction unbound (plasma, reference value)", "Value": 0.71, "ValueOrigin": { "Source": "Publication", "Method": "InVitro", "Description": "Neuhoff 2013" } } ] } ], "Solubility": [ { "Name": "Aqueous Solubility", "Parameters": [ { "Name": "Solubility at reference pH", "Value": 64.8, "Unit": "mg/l", "ValueOrigin": { "Source": "Internet", "Method": "InVitro", "Description": "Drugbank" } }, { "Name": "Reference pH", "Value": 7.0, "ValueOrigin": { "Source": "Internet", "Method": "InVitro", "Description": "Drugbank" } } ] } ], "IntestinalPermeability": [ { "Name": "fitted", "Parameters": [ { "Name": "Specific intestinal permeability (transcellular)", "Value": 2.7627E-07, "Unit": "dm/min" } ] } ], "Permeability": [ { "Name": "fitted", "Parameters": [ { "Name": "Permeability", "Value": 1.0115E-05, "Unit": "dm/min" } ] } ], "Processes": [ { "InternalName": "SpecificBinding", "DataSource": "Katz (2010)", "Molecule": "ATP1A2", "Parameters": [ { "Name": "koff", "Value": 0.00098888, "Unit": "1/min", "ValueOrigin": { "Source": "Publication", "Method": "InVitro", "Description": "Katz 2010" } }, { "Name": "Kd", "Value": 25.6, "Unit": "nmol/l", "ValueOrigin": { "Source": "ParameterIdentification" } } ] }, { "InternalName": "LiverClearance", "DataSource": "Fitted", "Species": "Human", "Parameters": [ { "Name": "Fraction unbound (experiment)", "Value": 0.71 }, { "Name": "Lipophilicity (experiment)", "Value": 1.40017663, "Unit": "Log Units" }, { "Name": "Plasma clearance", "Value": 0.0, "Unit": "ml/min/kg" }, { "Name": "Specific clearance", "Value": 0.03758077, "Unit": "1/min", "ValueOrigin": { "Source": "ParameterIdentification" } } ] }, { "InternalName": "ActiveTransportSpecific_MM", "DataSource": "Stephens (2001)", "Molecule": "P-gp", "Parameters": [ { "Name": "Transporter concentration", "Value": 1.0, "Unit": "µmol/l" }, { "Name": "Vmax", "Value": 8.67, "Unit": "µmol/l/min" }, { "Name": "Km", "Value": 177.0, "Unit": "µmol/l" }, { "Name": "kcat", "Value": 71.163, "Unit": "1/min", "ValueOrigin": { "Source": "ParameterIdentification" } } ], "Description": "A transporter mediated unidirectional transfer of a compound across a cellular membrane is described as saturable process following Michaelis-Menten type kinetics. The corresponding kcat value is calculated from a specific Vmax as input value." }, { "InternalName": "GlomerularFiltration", "DataSource": "Steiness (1982)", "Species": "Human", "Parameters": [ { "Name": "GFR fraction", "Value": 1.0, "ValueOrigin": { "Source": "Publication", "Description": "Steiness (1982)" } } ] } ], "CalculationMethods": [ "Cellular partition coefficient method - Rodgers and Rowland", "Cellular permeability - PK-Sim Standard" ], "Parameters": [ { "Name": "Molecular weight", "Value": 780.93, "Unit": "g/mol", "ValueOrigin": { "Source": "Internet", "Method": "InVitro", "Description": "Drugbank" } } ] } ], "Formulations": [ { "Name": "Solution", "FormulationType": "Formulation_Dissolved" } ], "Protocols": [ { "Name": "Digoxin colon, Ochs '75, 0.5 mg", "ApplicationType": "UserDefined", "DosingInterval": "Single", "TargetOrgan": "Lumen", "TargetCompartment": "ColonTransversum", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 0.5, "Unit": "mg" } ] }, { "Name": "Digoxin iv, Ding '04, 0.5 mg, 0.083 h", "ApplicationType": "Intravenous", "DosingInterval": "Single", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 0.5, "Unit": "mg" }, { "Name": "Infusion time", "Value": 5.0, "Unit": "min" } ] }, { "Name": "Digoxin iv, Greiner '99, 1 mg, 0.5 h", "ApplicationType": "Intravenous", "DosingInterval": "Single", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 1.0, "Unit": "mg" }, { "Name": "Infusion time", "Value": 30.0, "Unit": "min" } ] }, { "Name": "Digoxin iv, Koup '75, 0.75 mg, 1 h", "ApplicationType": "Intravenous", "DosingInterval": "Single", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 0.75, "Unit": "mg" }, { "Name": "Infusion time", "Value": 60.0, "Unit": "min" } ] }, { "Name": "Digoxin iv, Kramer '79, 1 mg, Bolus", "ApplicationType": "IntravenousBolus", "DosingInterval": "Single", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 1.0, "Unit": "mg" } ] }, { "Name": "Digoxin iv, Lalonde '85, 0.01 mg/kg, 0.083 h", "ApplicationType": "Intravenous", "DosingInterval": "Single", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 0.01, "Unit": "mg/kg" }, { "Name": "Infusion time", "Value": 5.0, "Unit": "min" } ] }, { "Name": "Digoxin iv, Ochs '78, 0.5 mg, 1 h", "ApplicationType": "Intravenous", "DosingInterval": "Single", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 0.5, "Unit": "mg" }, { "Name": "Infusion time", "Value": 60.0, "Unit": "min" } ] }, { "Name": "Digoxin iv, Ochs '78, 1 mg, 1 h", "ApplicationType": "Intravenous", "DosingInterval": "Single", "Parameters": [ { "Name": "Start time", "Value": 0.0, "Unit": "h" }, { "Name": "InputDose", "Value": 1.0, "Unit": 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(n=20)|ObservedData|Peripheral Venous Blood|Plasma|Digoxin|ArithmeticMean" }, "DataInfo": { "Origin": "Observation", "AuxiliaryType": "Undefined", "MolWeight": 780.93, "LLOQ": 1E-10 }, "Values": [ 0.05, 0.2746269, 1.265672, 1.707463, 1.802985, 1.659701, 1.480597, 1.21791, 0.8955224, 0.5850746 ], "Dimension": "Concentration (mass)", "Unit": "µg/l" } ], "BaseGrid": { "Name": "Time", "QuantityInfo": { "Path": "Gurley 2007 - control to Clarithromycin - Digoxin - PO - 0.5 mg - serum - agg. (n=20)|Time", "Type": "Time" }, "DataInfo": { "Origin": "BaseGrid", "AuxiliaryType": "Undefined" }, "Values": [ 0.0, 0.33, 0.67, 1.0, 1.5, 2.0, 2.5, 3.0, 4.0, 6.0 ], "Dimension": "Time", "Unit": "h" } } ], "ObservedDataClassifications": [ { "Name": "PO", "Classifications": [ { "Name": "1 mg", "Classifiables": [ "Greiner 1999 - po Control (Perpetrator Placebo) - Digoxin - PO - 1 mg - Plasma - agg. (n=8)", "Hawyard 1978 - 1mg po - Digoxin - PO - 1 mg - Plasma - agg. (n=5)", "Oosterhuis 1991 - 1mg po - Digoxin - PO - 1 mg - Plasma - agg. (n=10)" ] }, { "Name": "0,25 / 0,5 mg", "Classifiables": [ "Sanofi-Aventis 2009 - 0.25mg md QD - Digoxin - PO - 0,25 / 0,5 mg - Plasma - agg. (n=20)" ] }, { "Name": "0.25 mg", "Classifiables": [ "Eckermann 2012 - 0.25mg po - Digoxin - PO - 250 µg - Plasma - agg. (n=16)", "Friedrich 2011 - 0.25mg po md - Digoxin - PO - 0.25 mg - Plasma - agg. (n=20)", "Johne 1999 - 0.25mg po md with placebo day 6 - Digoxin - PO - 0.25 mg - Plasma - agg. (n=12)", "Johne 1999 - 0.25mg po md with placebo day 15 - Digoxin - PO - 0.25 mg - Plasma - agg. (n=12)", "Kirch 1986 - 2x0.25mg po md - Digoxin - PO - 0.25 mg - Plasma - agg. (n=7)", "Rodin 1988 - 2x0.25mg po md - Digoxin - PO - 0.25 mg - Plasma - agg. (n=10)", "Rodin 1988 - 2x0.25mg po md - Digoxin - PO - 0.25 mg - Plasma - agg. (n=9)", "Vaidyanathan 2008 - 0.25mg po pd - Digoxin - PO - 0.25 mg - Plasma - agg. (n=22)", "Wiebe 2020 - Control digoxin - plasma - Digoxin - PO - 0.25 mg - Plasma - agg. (n=12)", "Wiebe 2020 - Control digoxin - urine - Digoxin - PO - 0.25 mg - Urine - agg. (n=12)", "Wiebe 2020 - DDI digoxin + verapamil - plasma - Digoxin - PO - 0.25 mg - Plasma - agg. (n=12)", "Wiebe 2020 - DDI digoxin + verapamil - urine - Digoxin - PO - 0.25 mg - Urine - agg. (n=12)", "Klein et al. 1982 - Digoxin and Verapamil in MD setting - Digoxin - PO - 0.25 mg - Serum - agg. (n=7)", "Wiebe 2020 - Digoxin (Cocktail) + Rifampin - Digoxin - PO - 0.25 mg - Plasma - agg. (n=12)", "Wiebe 2020 - Digoxin (Cocktail) + Rifampin - Digoxin - PO - 0.25 mg - Urine - agg. (n=12)", "Wiebe 2020 - Digoxin + Placebo - Digoxin - PO - 0.25 mg - Plasma - agg. (n=12)", "Wiebe 2020 - Digoxin + Placebo - Digoxin - PO - 0.25 mg - Urine - agg. (n=12)", "Kurata 2002 - G/G2677C/C3435_Digoxin day 16 + Clarithromycin - Digoxin - PO - 0.25 mg - serum - agg. (n=5)", "Kurata 2002 - T/T2677T/T3435_Digoxin day 16 + Clarithromycin - Digoxin - PO - 0.25 mg - serum - agg. (n=5)", "Kurata 2002 - G/T2677C/T3435_Digoxin day 16 + Clarithromycin - Digoxin - PO - 0.25 mg - serum - agg. (n=5)", "Partanen 1995 - Digoxin + Itraconazol in Part 1 - Digoxin - PO - 0.25 mg - serum - agg. (n=10)", "Partanen 1995 - Digoxin + Itraconazol in Part 2 - Digoxin - PO - 0.25 mg - serum - agg. (n=10)", "Gurley 2008b - Digoxin without Hyperforin - Digoxin - PO - 0.25 mg - Serum - agg. (n=18)", "Gurley 2008b - Digoxin with Hyperforin - Digoxin - PO - 0.25 mg - Serum - agg. (n=18)", "Johne 1999 - Digoxin MD with placebo - Digoxin - PO - 0.25 mg - Plasma - agg. (n=12)", "Johne 1999 - Digoxin after SD St John's Wort - Digoxin - PO - 0.25 mg - Plasma - agg. (n=13)", "Johne 1999 - Digoxin after MD St John's Wort - Digoxin - PO - 0.25 mg - Plasma - agg. (n=13)", "Rodin 1988 - 2x0.25mg po md - Digoxin - PO - 0.25 mg - Urine - agg. (n=10)", "Rodin 1988 - 2x0.25mg po md with verapamil - Digoxin - PO - 0.25 mg - Urine - agg. (n=10)", "Rodin 1988 - 2x0.25mg po md - Digoxin - PO - 0.25 mg - Urine - agg. (n=9)", "Rodin 1988 - 2x0.25mg po md with isradipine - Digoxin - PO - 0.25 mg - Urine - agg. (n=9)", "Gurley 2008b - with Perpetrator (Echinacea) - Digoxin - PO - 0.25 mg - Serum - agg. (n=18)", "Gurley 2008b - Control to Perpetrator Rifampicin - Digoxin - PO - 0.25 mg - Serum - agg. (n=18)", "Gurley 2008b - Control to Perpetrator Clarithromycin - Digoxin - PO - 0.25 mg - Serum - agg. (n=18)", "Gurley 2008b - Control to Perpetrator Echinacea - Digoxin - PO - 0.25 mg - Serum - agg. (n=18)" ] }, { "Name": "0.5 mg", "Classifiables": [ "Jalava 1997 - po Control (Perpetrator Placebo) - Digoxin - PO - 0.5 mg - Serum - agg. (n=10)", "Jalava 1997 - po Control (Perpetrator Placebo) - Digoxin - PO - 0.5 mg - Urine - agg. (n=10)", "Kirby 2012 - Study 1 - Staggered Administration Control - Digoxin - PO - 0.5 mg - Plasma - agg. (n=16)", "Kirby 2012 - Study 2 - Simultaneous Administration Control - Digoxin - PO - 0.5 mg - Plasma - agg. (n=9)", "Larsen 2007 - Control (Perpetrator Placebo) - Digoxin - PO - 0.5 mg - Serum - typical (n=10)", "Reitman 2011 - Week 4 after Perpetrator (Rifampicin) - Digoxin - PO - 0.5 mg - Plasma - agg. (n=11)", "Verstuyft 2003 - 0.5mg with Placebo - Digoxin - PO - 0.5 mg - Plasma - agg. (n=12)", "Verstuyft 2003 - 0.5mg with placebo - Digoxin - PO - 0.5 mg - Urine - agg. (n=12)", "Wagner 1981 - 0.5mg po - Digoxin - PO - 0.5 mg - Urine - agg. (n=6)", "Wagner 1981 - 0.5mg po - Digoxin - PO - 0.5 mg - Plasma - agg. (n=6)", "Becquemont 2001 - 0.5mg po - Digoxin - PO - 0.5 mg - Plasma - agg. (n=12)", "Ragueneau 1999 - 0.5mg po with placebo - Digoxin - PO - 0.5 mg - Plasma - agg. (n=18)", "Tayrouz 2003 - 0.5mg po with placebo - Digoxin - PO - 0.5 mg - Plasma - agg. (n=12)", "Westphal 2000 - 0.5mg po - Digoxin - PO - 0.5 mg - Plasma - agg. (n=10)", "Verstuyft 2003 - 0.5mg with dipyridamole - Digoxin - PO - 0.5 mg - Urine - agg. (n=12)", "Kurata 2002 - G/G2677C/C3435_Digoxin day 1 - Digoxin - PO - 0.5 mg - Serum - agg. (n=5)", "Kurata 2002 - T/T2677T/T3435_Digoxin day 1 - Digoxin - PO - 0.5 mg - serum - agg. (n=5)", "Kurata 2002 - G/T2677C/T3435_Digoxin day 1 - Digoxin - PO - 0.5 mg - serum - agg. (n=5)", "Gurley 2007 - Digoxin + Rifampicin - Digoxin - PO - 0.5 mg - serum - agg. (n=20)", "Gurley 2007 - Digoxin + Clarithromycin - Digoxin - PO - 0.5 mg - serum - agg. (n=20)", "Gurley 2007 - control to Rifampicin - Digoxin - PO - 0.5 mg - serum - agg. (n=20)", "Gurley 2007 - control to Clarithromycin - Digoxin - PO - 0.5 mg - serum - agg. (n=20)" ] }, { "Name": "0.75 mg", "Classifiables": [ "Rengelshausen 2003 - 0.75mg/kg po with placebo - Digoxin - PO - 0.75 mg - Plasma - agg. (n=12)" ] }, { "Name": "0.6 mg", "Classifiables": [ "Martin 1997 - 0.6mg po - Digoxin - PO - 0.6 mg - Plasma - agg. (n=12)" ] }, { "Name": "0.125 mg", "Classifiables": [ "Qiu 2010 - 0.125mg md QD placebo - Digoxin - PO - 0.125 mg - Plasma - agg. (n=12)", "Belz et al. 1983 - Digoxin + 80mg Verapamil - Digoxin - PO - 0.125 mg - Plasma - agg. (n=12)", "Belz et al. 1983 - Digoxin + 120mg Verapamil - Digoxin - PO - 0.125 mg - Plasma - agg. (n=12)", "Doering et al. 1983 - Digoxin control - Digoxin - PO - 0.125 mg - Serum - agg. (n=9)", "Doering et al. 1983 - Digoxin+ 80mg Verapamil - Digoxin - PO - 0.125 mg - Serum - agg. (n=9)", "Belz 1981 - Digoxin + Placebo - Digoxin - PO - 0.125 mg - Plasma - agg. (n=12)", "Belz 1981 - Digoxin + Verapamil - Digoxin - PO - 0.125 mg - Plasma - agg. (n=12)", "Belz et al. 1983 - Digoxin control to 80mg Verapamil - Digoxin - PO - 0.125 mg - Plasma - agg. (n=12)", "Belz et al. 1983 - Digoxin control to 120mg Verapamil - Digoxin - PO - 0.125 mg - Plasma - agg. (n=12)" ] }, { "Name": "1/0.0625/0.125 mg", "Classifiables": [ "Pedersen et al. 1982 - Digoxin and Verapamil in MD setting - Digoxin - PO - 1/0.0625/0.125 mg - Plasma - agg. (n=7)" ] }, { "Name": "0.46 mg", "Classifiables": [ "Schwartz et al. 1982 - Digoxin and Verapamil in MD setting - Digoxin - PO - 0.46 mg - Serum - agg. (n=10)" ] }, { "Name": "0.4 mg", "Classifiables": [ "Gurley 2006 - day 7 plasma + Rifampin - Digoxin - PO - 0.4 mg - serum - agg. (n=16)", "Gurley 2006 - day 7 plasma + Clarithromycin - Digoxin - PO - 0.4 mg - serum - agg. (n=16)", "Gurley 2006 - day 1 plasma before Rifampicin - Digoxin - PO - 0.4 mg - serum - agg. (n=16)", "Gurley 2006 - day 1 plasma before Clarithromycin - Digoxin - PO - 0.4 mg - serum - agg. (n=16)" ] }, { "Name": "0.75 (day 1 and 2); 0.25 days 3 (sampling day) mg", "Classifiables": [ "Arold 2005 - Study B - Digoxin without Hyperforin (Day 1) - Digoxin - PO - 0.75 (day 1 and 2); 0.25 days 3 (sampling day) mg - Plasma - agg. (n=28)" ] }, { "Name": "0.75 (day 1 and 2); 0.25 days 3 to 13 mg", "Classifiables": [ "Arold 2005 - Study B - Digoxin with Hyperforin - Digoxin - PO - 0.75 (day 1 and 2); 0.25 days 3 to 13 mg - Plasma - agg. (n=16)", "Arold 2005 - Study B - Digoxin with Placebo - Digoxin - PO - 0.75 (day 1 and 2); 0.25 days 3 to 13 mg - Plasma - agg. (n=12)" ] }, { "Name": "unknown, see comment ", "Classifiables": [ "Mueller 2004 - study part 1 - Placebo - before - Digoxin - PO - unknown, see comment - Plasma - agg. (n=5)", "Mueller 2004 - study part 1 - Placebo - after - Digoxin - PO - unknown, see comment - Plasma - agg. (n=5)", "Mueller 2004 - study part 1 - LI160 (~28.9mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=6)", "Mueller 2004 - study part 1 - LI160 (~28.9mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=6)", "Mueller 2004 - study part 1 - Hypericum powder type A, 4 g/d (~21.1mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=5)", "Mueller 2004 - study part 1 - Hypericum powder type A, 4 g/d (~21.1mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=5)", "Mueller 2004 - study part 1 - Hypericum powder type A, 2 g/d (~10.6mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=6)", "Mueller 2004 - study part 1 - Hypericum powder type A, 2 g/d (~10.6mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=6)", "Mueller 2004 - study part 2 - Placebo - before - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - study part 2 - Placebo - after - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Hypericum powder type A, 1 g/d (~5.3mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Hypericum powder type A, 1 g/d (~5.3mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Hypericum powder type A, 0.5 g/d (~2.6mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Hypericum powder type A, 0.5 g/d (~2.6mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Hypericum oil extract (~0.13mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Hypericum oil extract (~0.13mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Tea (~0.04mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - Tea (~0.04mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - study part 3 - Placebo - before - Digoxin - PO - unknown, see comment - Plasma - agg. (n=9)", "Mueller 2004 - study part 3 - Placebo - after - Digoxin - PO - unknown, see comment - Plasma - agg. (n=9)", "Mueller 2004 - Hypericum powder type B, 2 g/d (~0.3mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=10)", "Mueller 2004 - Hypericum powder type B, 2 g/d (~0.3mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=10)", "Mueller 2004 - Fresh plant juice (~3.56mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=10)", "Mueller 2004 - Fresh plant juice (~3.56mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=10)", "Mueller 2004 - ZE 117 (~ca-0.38mg/d hyperforin) - without hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)", "Mueller 2004 - ZE 117 (~ca-0.38mg/d hyperforin) - with hyperforin - Digoxin - PO - unknown, see comment - Plasma - agg. (n=7)" ] } ] }, { "Name": "IV", "Classifications": [ { "Name": "0.5 mg", "Classifiables": [ "Ochs 1975 - 0.5mg Patient 1 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Ochs 1978 - 0.5mg - Digoxin - IV - 0.5 mg - Plasma - agg. (n=9)", "Wagner 1981 - 0.5mg iv 1h - Digoxin - IV - 0.5 mg - Urine - agg. (n=6)", "Wagner 1981 - 0.5mg iv 3h - Digoxin - IV - 0.5 mg - Urine - agg. (n=6)", "Wagner 1981 - 0.5mg iv bolus - Digoxin - IV - 0.5 mg - Urine - agg. (n=6)", "Wagner 1981 - 0.5mg iv 1h - Digoxin - IV - 0.5 mg - Plasma - agg. (n=6)", "Wagner 1981 - 0.5mg iv 3h - Digoxin - IV - 0.5 mg - Plasma - agg. (n=6)", "Wagner 1981 - 0.5mg iv bolus - Digoxin - IV - 0.5 mg - Plasma - agg. (n=6)", "Ding 2004 - 0.5mg iv placebo - Digoxin - IV - 0.5 mg - Plasma - agg. (n=12)", "Tsutsumi 2002 - 0.5mg iv - Digoxin - IV - 0.5 mg - Plasma - agg. (n=9)", "Tsutsumi 2002 - 0.5mg iv with erythromycin - Digoxin - IV - 0.5 mg - Plasma - agg. (n=9)", "Tsutsumi 2002 - 0.5mg iv with clarithromycin - Digoxin - IV - 0.5 mg - Plasma - agg. (n=9)", "Tsutsumi 2002 - 0.5mg iv - Digoxin - IV - 0.5 mg - Urine - agg. (n=9)", "Tsutsumi 2002 - 0.5mg iv with erythromycin - Digoxin - IV - 0.5 mg - Urine - agg. (n=9)", "Tsutsumi 2002 - 0.5mg iv with clarithromycin - Digoxin - IV - 0.5 mg - Urine - agg. (n=9)", "Ochs 1975 - 0.5mg Patients with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Urine - agg. (n=8)", "Ochs 1978 - 0.5mg - Digoxin - IV - 0.5 mg - Urine - agg. (n=9)", "Ochs 1975 - 0.5mg Patient 2 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Ochs 1975 - 0.5mg Patient 3 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Ochs 1975 - 0.5mg Patient 4 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Ochs 1975 - 0.5mg Patient 5 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Ochs 1975 - 0.5mg Patient 6 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Ochs 1975 - 0.5mg Patient 7 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Ochs 1975 - 0.5mg Patient 8 with normal colon mucosa - Digoxin - Intracolonic - 0.5 mg - Plasma - indiv.", "Kurata 2002 - G/G2677C/C3435_Digoxin day 1 - Digoxin - IV - 0.5 mg - serum - agg. (n=5)", "Kurata 2002 - T/T2677T/T3435_Digoxin day 1 - Digoxin - IV - 0.5 mg - serum - agg. (n=5)", "Kurata 2002 - G/T2677C/T3435_Digoxin day 1 - Digoxin - IV - 0.5 mg - serum - agg. (n=5)" ] }, { "Name": "1 mg", "Classifiables": [ "Greiner 1999 - iv Control (Perpetrator Placebo) - Digoxin - IV - 1 mg - Plasma - agg. (n=8)", "Kramer 1979 - 1mg iv bolus - Digoxin - IV - 1 mg - Plasma - agg. (n=12)", "Ochs 1978 - 1mg - Digoxin - IV - 1 mg - Plasma - agg. (n=9)", "Ochs 1978 - 1mg - Digoxin - IV - 1 mg - Urine - agg. (n=9)", "Johnson et al. 1987 - Digoxin IV control - Digoxin - IV - 1 mg - Serum - agg. (n=12)", "Johnson et al. 1987 - Digoxin IV control - Digoxin - IV - 1 mg - Urine - agg. (n=12)", "Johnson et al. 1987 - Digoxin IV + Verapamil - Digoxin - IV - 1 mg - Serum - agg. (n=12)", "Johnson et al. 1987 - Digoxin IV + Verapamil - Digoxin - IV - 1 mg - Urine - agg. (n=12)", "Pedersen et al. 1983 - Digoxin IV control - Digoxin - IV - 1 mg - Plasma - indiv.", "Pedersen et al. 1983 - Digoxin IV + Verapamil - Digoxin - IV - 1 mg - Plasma - indiv.", "Pedersen 1981 - Digoxin without Verapamil - Digoxin - IV - 1 mg - Urine - agg. (n=7)" ] }, { "Name": "0.75 mg", "Classifiables": [ "Koup 1975 - 0.75mg iv h - Digoxin - IV - 0.75 mg - Plasma - indiv.", "Pedersen 1981 - Digoxin withVerapamil - Digoxin - IV - 0.75 mg - Urine - agg. (n=7)" ] }, { "Name": "0.01 mg/kg", "Classifiables": [ "Lalonde 1985 - 0.01mg/kg iv control - Digoxin - IV - 10 (250 µg/ml) µg/kg - Plasma - agg. (n=11)", "Lalonde 1985 - 0.01mg/kg charcoal - Digoxin - IV - 10 (250 µg/ml) µg/kg - Plasma - agg. (n=11)", "Rengelshausen 2003 - 0.01mg/kg iv with placebo - Digoxin - IV - 0.01 mg/kg - Plasma - agg. (n=3)" ] }, { "Name": "1.5 mg", "Classifiables": [ "Ochs 1978 - 1.5mg - Digoxin - IV - 1.5 mg - Plasma - agg. (n=9)", "Ochs 1978 - 1.5mg - Digoxin - IV - 1.5 mg - Urine - agg. (n=9)" ] }, { "Name": "0.25 mg", "Classifiables": [ "Kurata 2002 - G/G2677C/C3435_Digoxin day 16 + Clarithromycin - Digoxin - IV - 0.25 mg - serum - agg. (n=5)", "Kurata 2002 - T/T2677T/T3435_Digoxin day 16 + Clarithromycin - Digoxin - IV - 0.25 mg - serum - agg. (n=5)", "Kurata 2002 - G/T2677C/T3435_Digoxin day 16 + Clarithromycin - Digoxin - IV - 0.25 mg - serum - agg. (n=5)" ] } ] } ], "SimulationClassifications": [ { "Name": "Digoxin", "Classifications": [ { "Name": "Digoxin colonic admin.", "Classifiables": [ "Digoxin colon, 0.5 mg" ] }, { "Name": "Digoxin iv", "Classifiables": [ "Digoxin iv, 0.01 mg/kg", "Digoxin iv, 0.01 mg/kg, Charcoal", "Digoxin iv, 0.5 mg, 1 h", "Digoxin iv, 0.5 mg, 3 h", "Digoxin iv, 0.5 mg, Bolus", "Digoxin iv, 0.75 mg, 1h", "Digoxin iv, 1.0 mg, 0.5 h", "Digoxin iv, 1.0 mg, 1 h", "Digoxin iv, 1.0 mg, Bolus", "Digoxin iv, 1.5 mg, 1 h" ] }, { "Name": "Digoxin po", "Classifiables": [ "Digoxin po, 0.25 mg", "Digoxin po, 0.5 mg", "Digoxin po, 0.6 mg", "Digoxin po, 0.75 mg", "Digoxin po, 1.0 mg", "Digoxin po, 0.4 mg" ] }, { "Name": "Digoxin po, MD", "Classifiables": [ "Digoxin po MD, 0.125 mg", "Digoxin po MD, 0.25 mg", "Digoxin po MD, 0.25 mg, LD", "Digoxin po MD, 2x 0.25 mg", "Digoxin po MD, 2x 0.25 mg - 2" ] } ] } ] }