General Information of Drug (ID: DMKJ485)

Drug Name
Pioglitazone
Synonyms
111025-46-8; Actos; Pioglitazona; Pioglitazonum; Glustin; Zactos; 105355-27-9; Pioglitazonum [INN-Latin]; Pioglitazona [INN-Spanish]; Duetact; Pioglitazone [INN:BAN]; Pioglitazone [BAN:INN]; 5-(4-(2-(5-ethylpyridin-2-yl)ethoxy)benzyl)thiazolidine-2,4-dione; AD-4833; U 72107; CHEBI:8228; Pioglitazone (Actos); HSDB 7322; Actos (TN); 5-{4-[2-(5-ethylpyridin-2-yl)ethoxy]benzyl}-1,3-thiazolidine-2,4-dione; C19H20N2O3S; AD 4833; 5-[4-[2-(5-ETHYL-2-PYRIDYL)ETHOXY]BENZYL]-2,4-THIAZOLIDINEDIONE; U 72107A; Actos; Actost; Glustin (TN); HS-0047; Pioglitazone (INN); U-72107; U72,107A; Zactos (TN); (+-)-5-((4-(2-(5-ethyl-2-pyridinyl)ethoxy)phenyl)methyl)-2,4-thiazolidinedione; (+/-)-5-[[4-[2-(5-Ethyl-2-pyridinyl)-ethoxy]phenyl]methyl]-2,4-thiazolidinedione; (+/-)-5-[p-[2-(ethyl-2-pyridyl)ethoxy]benzyl]-2,4-thiazolidinedione; 2,4-Thiazolidinedione, 5-[[4-[2-(5-ethyl-2-pyridinyl)ethoxy]phenyl]methyl]-(9CI); 5-((4-(2-(5-Ethyl-2-pyridinyl)ethoxy)phenyl)methyl)-2,4-thiazolidinedione; 5-(4-(2-(5-ethyl-2-pyridyl)ethoxy)benzyl)-2,4-thiazolidinedione; 5-[4-[2-(5-Ethyl-2-pyridyl)ethoxy]benzyl]thiazolidine-2,4-dione; 5-[[4-[2-(5-Ethyl-2-pyridinyl)ethoxy]phenyl]methyl]-2,4-thiazolidinedione; 5-[[4-[2-(5-ethylpyridin-2-yl)ethoxy]phenyl]methyl]-1,3-thiazolidine-2,4-dione; 5-[[4-[2-(5-ethylpyridin-2-yl)ethoxy]phenyl]methyl]thiazolidine-2,4-dione; 5-[[4-[2-[(5-ethyl-2-pyridyl)]ethoxy]phenyl]methyl]thiazolidine-2,4-dione; Linagliptin + pioglitazone; PCG1
Indication
Disease Entry ICD 11 Status REF
Diabetic complication 5A2Y Approved [1], [2]
Type-2 diabetes 5A11 Phase 3 [3]
Obesity 5B81 Investigative [4]
Therapeutic Class
Hypoglycemic Agents
Drug Type
Small molecular drug
Structure
3D MOL 2D MOL
#Ro5 Violations (Lipinski): 0 Molecular Weight (mw) 356.4
Topological Polar Surface Area (xlogp) 3.8
Rotatable Bond Count (rotbonds) 7
Hydrogen Bond Donor Count (hbonddonor) 1
Hydrogen Bond Acceptor Count (hbondacc) 5
ADMET Property
Absorption Tmax
The time to maximum plasma concentration (Tmax) is 2 h [5]
BDDCS Class
Biopharmaceutics Drug Disposition Classification System (BDDCS) Class 2: low solubility and high permeability [6]
Bioavailability
83% of drug becomes completely available to its intended biological destination(s) [7]
Clearance
The clearance of drug is 5-7 L/h [5]
Elimination
Approximately 15-30% of orally administered pioglitazone is recovered in the urine [5]
Half-life
The concentration or amount of drug in body reduced by one-half in 3 - 7 hours [5]
Metabolism
The drug is metabolized via the both hydroxylation and oxidation [5]
MRTD
The Maximum Recommended Therapeutic Dose (MRTD) of drug that ensured maximising efficacy and moderate side effect is 1.8035 micromolar/kg/day [8]
Vd
The volume of distribution (Vd) of drug is 0.63 +/- 0.41 L/kg [5]
Chemical Identifiers
Formula
C19H20N2O3S
IUPAC Name
5-[[4-[2-(5-ethylpyridin-2-yl)ethoxy]phenyl]methyl]-1,3-thiazolidine-2,4-dione
Canonical SMILES
CCC1=CN=C(C=C1)CCOC2=CC=C(C=C2)CC3C(=O)NC(=O)S3
InChI
InChI=1S/C19H20N2O3S/c1-2-13-3-6-15(20-12-13)9-10-24-16-7-4-14(5-8-16)11-17-18(22)21-19(23)25-17/h3-8,12,17H,2,9-11H2,1H3,(H,21,22,23)
InChIKey
HYAFETHFCAUJAY-UHFFFAOYSA-N
Cross-matching ID
PubChem CID
4829
ChEBI ID
CHEBI:8228
CAS Number
111025-46-8
DrugBank ID
DB01132
TTD ID
D03OFF
VARIDT ID
DR00518
INTEDE ID
DR1295
ACDINA ID
D00534

Molecular Interaction Atlas of This Drug


Drug Therapeutic Target (DTT)
DTT Name DTT ID UniProt ID MOA REF
Peroxisome proliferator-activated receptor gamma (PPAR-gamma) TTZMAO3 PPARG_HUMAN Agonist [9], [4]

Drug-Metabolizing Enzyme (DME)
DME Name DME ID UniProt ID MOA REF
Cytochrome P450 3A4 (CYP3A4)
Main DME
DE4LYSA CP3A4_HUMAN Substrate [10]
Cytochrome P450 2C9 (CYP2C9) DE5IED8 CP2C9_HUMAN Substrate [11]
Cytochrome P450 2C8 (CYP2C8)
Main DME
DES5XRU CP2C8_HUMAN Substrate [12]
Prostaglandin G/H synthase 1 (COX-1) DE073H6 PGH1_HUMAN Substrate [13]
Molecular Interaction Atlas (MIA) Jump to Detail Molecular Interaction Atlas of This Drug

Molecular Expression Atlas of This Drug

The Studied Disease Diabetic complication
ICD Disease Classification 5A2Y
Molecule Name Molecule Type Gene Name p-value Fold-Change Z-score
Peroxisome proliferator-activated receptor gamma (PPAR-gamma) DTT PPARG 2.41E-01 -0.06 -0.25
Cytochrome P450 2C8 (CYP2C8) DME CYP2C8 1.82E-04 -1.35E-01 -5.84E-01
Cytochrome P450 2C9 (CYP2C9) DME CYP2C9 1.90E-01 -9.81E-03 -5.96E-02
Cytochrome P450 3A4 (CYP3A4) DME CYP3A4 1.04E-02 6.29E-02 3.54E-01
Prostaglandin G/H synthase 1 (COX-1) DME PTGS1 3.97E-03 1.56E-01 4.33E-01
Molecular Expression Atlas (MEA) Jump to Detail Molecular Expression Atlas of This Drug

Drug-Drug Interaction (DDI) Information of This Drug

Coadministration of a Drug Treating the Disease Different from Pioglitazone (Comorbidity)
DDI Drug Name DDI Drug ID Severity Mechanism Comorbidity REF
Remdesivir DMBFZ6L Moderate Increased risk of hepatotoxicity by the combination of Pioglitazone and Remdesivir. 1D6YCoronavirus Disease 2019 [1D6YCoronavirus Disease 2019] [47]
Bedaquiline DM3906J Moderate Increased risk of hepatotoxicity by the combination of Pioglitazone and Bedaquiline. Antimicrobial drug resistance [MG50-MG52] [48]
Dalfopristin DM4LTKV Moderate Decreased metabolism of Pioglitazone caused by Dalfopristin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [49]
Clarithromycin DM4M1SG Moderate Decreased metabolism of Pioglitazone caused by Clarithromycin mediated inhibition of CYP450 enzyme. Bacterial infection [1A00-1C4Z] [50]
Pexidartinib DMS2J0Z Major Increased risk of hepatotoxicity by the combination of Pioglitazone and Pexidartinib. Bone/articular cartilage neoplasm [2F7B] [51]
Lapatinib DM3BH1Y Moderate Decreased metabolism of Pioglitazone caused by Lapatinib mediated inhibition of CYP450 enzyme. Breast cancer [2C60-2C6Y] [52]
Drospirenone DM1A9W3 Minor Increased metabolism of Pioglitazone caused by Drospirenone mediated induction of CYP450 enzyme. Contraceptive management [QA21] [53]
Levonorgestrel DM1DP7T Minor Increased metabolism of Pioglitazone caused by Levonorgestrel mediated induction of CYP450 enzyme. Contraceptive management [QA21] [53]
Mestranol DMG3F94 Minor Increased metabolism of Pioglitazone caused by Mestranol mediated induction of CYP450 enzyme. Contraceptive management [QA21] [54]
Lumacaftor DMCLWDJ Moderate Increased metabolism of Pioglitazone caused by Lumacaftor mediated induction of CYP450 enzyme. Cystic fibrosis [CA25] [55]
MK-8228 DMOB58Q Moderate Decreased metabolism of Pioglitazone caused by MK-8228 mediated inhibition of CYP450 enzyme. Cytomegaloviral disease [1D82] [52]
Vilazodone DM4LECQ Moderate Decreased metabolism of Pioglitazone caused by Vilazodone mediated inhibition of CYP450 enzyme. Depression [6A70-6A7Z] [52]
Nefazodone DM4ZS8M Moderate Decreased metabolism of Pioglitazone caused by Nefazodone mediated inhibition of CYP450 enzyme. Depression [6A70-6A7Z] [50]
Stiripentol DMMSDOY Moderate Decreased metabolism of Pioglitazone caused by Stiripentol mediated inhibition of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [56]
Rufinamide DMWE60C Moderate Increased metabolism of Pioglitazone caused by Rufinamide mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [57]
Phenobarbital DMXZOCG Moderate Increased metabolism of Pioglitazone caused by Phenobarbital mediated induction of CYP450 enzyme. Epilepsy/seizure [8A61-8A6Z] [58]
Cannabidiol DM0659E Moderate Increased risk of hepatotoxicity by the combination of Pioglitazone and Cannabidiol. Epileptic encephalopathy [8A62] [57]
Ripretinib DM958QB Moderate Decreased metabolism of Pioglitazone caused by Ripretinib mediated inhibition of CYP450 enzyme. Gastrointestinal stromal tumour [2B5B] [52]
Rifapentine DMCHV4I Moderate Increased metabolism of Pioglitazone caused by Rifapentine mediated induction of CYP450 enzyme. HIV-infected patients with tuberculosis [1B10-1B14] [58]
Brentuximab vedotin DMWLC57 Moderate Increased risk of hepatotoxicity by the combination of Pioglitazone and Brentuximab vedotin. Hodgkin lymphoma [2B30] [59]
Saquinavir DMG814N Moderate Decreased metabolism of Pioglitazone caused by Saquinavir mediated inhibition of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [50]
Etravirine DMGV8QU Moderate Increased metabolism of Pioglitazone caused by Etravirine mediated induction of CYP450 enzyme. Human immunodeficiency virus disease [1C60-1C62] [60]
Raltegravir DMYURI6 Minor Increased metabolism of Pioglitazone caused by Raltegravir mediated induction of UGT. Human immunodeficiency virus disease [1C60-1C62] [61]
Gemfibrozil DMD8Q3J Major Decreased metabolism of Pioglitazone caused by Gemfibrozil mediated inhibition of CYP450 enzyme. Hyper-lipoproteinaemia [5C80] [52]
Mipomersen DMGSRN1 Major Increased risk of hepatotoxicity by the combination of Pioglitazone and Mipomersen. Hyper-lipoproteinaemia [5C80] [62]
Teriflunomide DMQ2FKJ Major Increased risk of hepatotoxicity by the combination of Pioglitazone and Teriflunomide. Hyper-lipoproteinaemia [5C80] [61]
BMS-201038 DMQTAGO Major Increased risk of hepatotoxicity by the combination of Pioglitazone and BMS-201038. Hyper-lipoproteinaemia [5C80] [63]
ITI-007 DMUQ1DO Major Increased metabolism of Pioglitazone caused by ITI-007 mediated induction of CYP450 enzyme. Insomnia [7A00-7A0Z] [64]
Selpercatinib DMZR15V Moderate Decreased metabolism of Pioglitazone caused by Selpercatinib mediated inhibition of CYP450 enzyme. Lung cancer [2C25] [52]
Idelalisib DM602WT Moderate Increased risk of hepatotoxicity by the combination of Pioglitazone and Idelalisib. Mature B-cell leukaemia [2A82] [65]
IPI-145 DMWA24P Moderate Decreased metabolism of Pioglitazone caused by IPI-145 mediated inhibition of CYP450 enzyme. Mature B-cell leukaemia [2A82] [66]
Vemurafenib DM62UG5 Moderate Decreased metabolism of Pioglitazone caused by Vemurafenib mediated inhibition of CYP450 enzyme. Melanoma [2C30] [52]
Dabrafenib DMX6OE3 Moderate Increased metabolism of Pioglitazone caused by Dabrafenib mediated induction of CYP450 enzyme. Melanoma [2C30] [47]
Exjade DMHPRWG Moderate Decreased metabolism of Pioglitazone caused by Exjade mediated inhibition of CYP450 enzyme. Mineral absorption/transport disorder [5C64] [52]
Nilotinib DM7HXWT Moderate Decreased metabolism of Pioglitazone caused by Nilotinib mediated inhibition of CYP450 enzyme. Myeloproliferative neoplasm [2A20] [67]
Abametapir DM2RX0I Moderate Decreased metabolism of Pioglitazone caused by Abametapir mediated inhibition of CYP450 enzyme. Pediculosis [1G00] [68]
Lefamulin DME6G97 Moderate Decreased metabolism of Pioglitazone caused by Lefamulin mediated inhibition of CYP450 enzyme. Pneumonia [CA40] [69]
ABIRATERONE DM8V75C Moderate Decreased metabolism of Pioglitazone caused by ABIRATERONE mediated inhibition of CYP450 enzyme. Prostate cancer [2C82] [52]
Dexamethasone DMMWZET Moderate Increased metabolism of Pioglitazone caused by Dexamethasone mediated induction of CYP450 enzyme. Rheumatoid arthritis [FA20] [50]
Larotrectinib DM26CQR Moderate Decreased metabolism of Pioglitazone caused by Larotrectinib mediated inhibition of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [47]
Trabectedin DMG3Y89 Moderate Increased risk of hepatotoxicity by the combination of Pioglitazone and Trabectedin. Solid tumour/cancer [2A00-2F9Z] [57]
Armodafinil DMGB035 Minor Increased metabolism of Pioglitazone caused by Armodafinil mediated induction of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [70]
LEE011 DMMX75K Moderate Increased metabolism of Pioglitazone caused by LEE011 mediated induction of CYP450 enzyme. Solid tumour/cancer [2A00-2F9Z] [47]
Fostamatinib DM6AUHV Moderate Decreased metabolism of Pioglitazone caused by Fostamatinib mediated inhibition of CYP450 enzyme. Thrombocytopenia [3B64] [71]
⏷ Show the Full List of 44 DDI Information of This Drug

Drug Inactive Ingredient(s) (DIG) and Formulation(s) of This Drug

DIG
DIG Name DIG ID PubChem CID Functional Classification
Mannitol E00103 6251 Diluent; Flavoring agent; Lyophilization aid; Plasticizing agent; Tonicity agent
Sodium lauryl sulfate E00464 3423265 Emulsifying agent; Modified-release agent; Penetration agent; Solubilizing agent; Surfactant; lubricant
Lactose monohydrate E00393 104938 Binding agent; Diluent; Dry powder inhaler carrier; Lyophilization aid
Magnesium stearate E00208 11177 lubricant
Pharmaceutical Formulation
Formulation Name Drug Dosage Dosage Form Route
Pioglitazone 15 mg tablet 15 mg Oral Tablet Oral
Pioglitazone 30 mg tablet 30 mg Oral Tablet Oral
Pioglitazone 45 mg tablet 45 mg Oral Tablet Oral
Jump to Detail Pharmaceutical Formulation Page of This Drug

References

1 URL: http://www.guidetopharmacology.org Nucleic Acids Res. 2015 Oct 12. pii: gkv1037. The IUPHAR/BPS Guide to PHARMACOLOGY in 2016: towards curated quantitative interactions between 1300 protein targets and 6000 ligands. (Ligand id: 2694).
2 Emerging drug candidates of dipeptidyl peptidase IV (DPP IV) inhibitor class for the treatment of Type 2 Diabetes. Curr Drug Targets. 2009 Jan;10(1):71-87.
3 ClinicalTrials.gov (NCT01183013) 30 Week Parallel Group Comparison Study of Linagliptin + Pioglitazone (5+15, 5+30 and 5+45 mg) qd Versus Respective Monotherapies, Followed by a Comparison of 5mg+30mg and 5mg+45mg Versus Respective Monotherapies in Type 2 Diabetes for up to 54 Weeks. U.S. National Institutes of Health.
4 Obesity: pathophysiology and clinical management. Curr Med Chem. 2009;16(4):506-21.
5 FDA Approved Drug Products: Actos (pioglitazone) oral tablets
6 BDDCS applied to over 900 drugs
7 Critical Evaluation of Human Oral Bioavailability for Pharmaceutical Drugs by Using Various Cheminformatics Approaches
8 Estimating the safe starting dose in phase I clinical trials and no observed effect level based on QSAR modeling of the human maximum recommended daily dose
9 Functional PPAR-gamma receptor is a novel therapeutic target for ACTH-secreting pituitary adenomas. Nat Med. 2002 Nov;8(11):1281-7.
10 Pioglitazone is metabolised by CYP2C8 and CYP3A4 in vitro: potential for interactions with CYP2C8 inhibitors. Basic Clin Pharmacol Toxicol. 2006 Jul;99(1):44-51.
11 Current clinical evidence on pioglitazone pharmacogenomics. Front Pharmacol. 2013 Nov 26;4:147.
12 The role of human CYP2C8 and CYP2C9 variants in pioglitazone metabolism in vitro. Basic Clin Pharmacol Toxicol. 2009 Dec;105(6):374-9.
13 Substrates, inducers, inhibitors and structure-activity relationships of human Cytochrome P450 2C9 and implications in drug development. Curr Med Chem. 2009;16(27):3480-675.
14 Expression levels and activation of a PXR variant are directly related to drug resistance in osteosarcoma cell lines. Cancer. 2007 Mar 1;109(5):957-65.
15 Contribution of human hepatic cytochrome P450 isoforms to regioselective hydroxylation of steroid hormones. Xenobiotica. 1998 Jun;28(6):539-47.
16 Comprehensive evaluation of tamoxifen sequential biotransformation by the human cytochrome P450 system in vitro: prominent roles for CYP3A and CYP2D6. J Pharmacol Exp Ther. 2004 Sep;310(3):1062-75.
17 Isoform-specific regulation of cytochromes P450 expression by estradiol and progesterone. Drug Metab Dispos. 2013 Feb;41(2):263-9.
18 Metabolic interactions between acetaminophen (paracetamol) and two flavonoids, luteolin and quercetin, through in-vitro inhibition studies. J Pharm Pharmacol. 2017 Dec;69(12):1762-1772.
19 Potent mechanism-based inhibition of CYP3A4 by imatinib explains its liability to interact with CYP3A4 substrates. Br J Pharmacol. 2012 Apr;165(8):2787-98.
20 Effects of morin on the pharmacokinetics of etoposide in rats. Biopharm Drug Dispos. 2007 Apr;28(3):151-6.
21 The metabolism of zidovudine by human liver microsomes in vitro: formation of 3'-amino-3'-deoxythymidine. Biochem Pharmacol. 1994 Jul 19;48(2):267-76.
22 Roles of cytochromes P450 1A2, 2A6, and 2C8 in 5-fluorouracil formation from tegafur, an anticancer prodrug, in human liver microsomes. Drug Metab Dispos. 2000 Dec;28(12):1457-63.
23 Role of cytochrome P450 2C8 in drug metabolism and interactions. Pharmacol Rev. 2016 Jan;68(1):168-241.
24 Summary of information on human CYP enzymes: human P450 metabolism data. Drug Metab Rev. 2002 Feb-May;34(1-2):83-448.
25 Differential expression and function of CYP2C isoforms in human intestine and liver. Pharmacogenetics. 2003 Sep;13(9):565-75.
26 Analysis of human cytochrome P450 2C8 substrate specificity using a substrate pharmacophore and site-directed mutants. Biochemistry. 2004 Dec 14;43(49):15379-92.
27 Interaction of sorafenib and cytochrome P450 isoenzymes in patients with advanced melanoma: a phase I/II pharmacokinetic interaction study. Cancer Chemother Pharmacol. 2011 Nov;68(5):1111-8.
28 PharmGKB summary: mycophenolic acid pathway. Pharmacogenet Genomics. 2014 Jan;24(1):73-9.
29 Possible involvement of multiple human cytochrome P450 isoforms in the liver metabolism of propofol. Br J Anaesth. 1998 Jun;80(6):788-95.
30 Progesterone and testosterone hydroxylation by cytochromes P450 2C19, 2C9, and 3A4 in human liver microsomes. Arch Biochem Biophys. 1997 Oct 1;346(1):161-9.
31 Tamoxifen inhibits cytochrome P450 2C9 activity in breast cancer patients. J Chemother. 2006 Aug;18(4):421-4.
32 Characterization of the oxidative metabolites of 17beta-estradiol and estrone formed by 15 selectively expressed human cytochrome p450 isoforms. Endocrinology. 2003 Aug;144(8):3382-98.
33 Drug-drug interactions with imatinib: an observational study. Medicine (Baltimore). 2016 Oct;95(40):e5076.
34 Drug interactions with calcium channel blockers: possible involvement of metabolite-intermediate complexation with CYP3A. Drug Metab Dispos. 2000 Feb;28(2):125-30.
35 New insights into the structural features and functional relevance of human cytochrome P450 2C9. Part I. Curr Drug Metab. 2009 Dec;10(10):1075-126.
36 A potential role for the estrogen-metabolizing cytochrome P450 enzymes in human breast carcinogenesis. Breast Cancer Res Treat. 2003 Dec;82(3):191-7.
37 A mechanistic approach to antiepileptic drug interactions. Ann Pharmacother. 1998 May;32(5):554-63.
38 Peroxidative free radical formation and O-demethylation of etoposide(VP-16) and teniposide(VM-26). Biochem Biophys Res Commun. 1986 Feb 26;135(1):215-20.
39 Expression of peroxisome proliferator-activated receptors (PPARs) in human urinary bladder carcinoma and growth inhibition by its agonists. Int J Cancer. 2003 May 1;104(5):597-602.
40 Tolerability and pharmacokinetics of lobeglitazone, a novel peroxisome proliferator-activated receptor-gamma agonist, after a single oral administration in healthy female subjects. Clin Drug Investig. 2014 Jul;34(7):467-74.
41 Clinical pipeline report, company report or official report of GlaxoSmithKline (2009).
42 Peroxisome proliferator-activated receptor alpha activators improve insulin sensitivity and reduce adiposity. J Biol Chem. 2000 Jun 2;275(22):16638-42.
43 Muraglitazar, a dual (alpha/gamma) PPAR activator: a randomized, double-blind, placebo-controlled, 24-week monotherapy trial in adult patients with... Clin Ther. 2005 Aug;27(8):1181-95.
44 A randomized-controlled trial to investigate the effects of rivoglitazone, a novel PPAR gamma agonist on glucose-lipid control in type 2 diabetes. Diabetes Obes Metab. 2011 Sep;13(9):806-13.
45 Balaglitazone: a second generation peroxisome proliferator-activated receptor (PPAR) gamma () agonist.Mini Rev Med Chem.2012 Feb;12(2):87-97.
46 Ragaglitazar: the pharmacokinetics, pharmacodynamics, and tolerability of a novel dual PPAR alpha and gamma agonist in healthy subjects and patients with type 2 diabetes. J Clin Pharmacol. 2003 Nov;43(11):1244-56.
47 Cerner Multum, Inc. "Australian Product Information.".
48 Product Information. Sirturo (bedaquiline). Janssen Pharmaceuticals, Titusville, NJ.
49 Product Information. Synercid (dalfopristin-quinupristin) Rhone-Poulenc Rorer, Collegeville, PA.
50 Product Information. Actos (pioglitazone) Takeda Pharmaceuticals America, Lincolnshire, IL.
51 Product Information. Turalio (pexidartinib). Daiichi Sankyo, Inc., Parsippany, NJ.
52 Aquilante CL, Kosmiski LA, Bourne DW, et al. "Impact of the CYP2C8 *3 polymorphism on the drug-drug interaction between gemfibrozil and pioglitazone." Br J Clin Pharmacol 75 (2013): 217-26. [PMID: 22625877]
53 Glazer NB, Cheatham WW "Thiazolidinediones for type 2 diabetes - No evidence exists that pioglitazone induces hepatic cytochrome P450 isoform CYP3A4." Br Med J 322 (2001): 235-6. [PMID: 11159615]
54 Loi CM, Stern R, Koup JR, Vassos AB, Knowlton P, Sedman AJ "Effect of troglitazone on the pharmacokinetics of an oral contraceptive agent." J Clin Pharmacol 39 (1999): 410-7. [PMID: 10197300]
55 Cerner Multum, Inc. "Canadian Product Information.".
56 EMEA. European Medicines Agency "EPARs. European Union Public Assessment Reports.".
57 Cerner Multum, Inc. "UK Summary of Product Characteristics.".
58 Jaakkola T, Backman JT, Neuvonen M, Laitila J, Neuvonen PJ "Effect of rifampicin on the pharmacokinetics of pioglitazone." Br J Clin Pharmacol 61 (2006): 70-8. [PMID: 16390353]
59 Product Information. Adcetris (brentuximab vedotin). Seattle Genetics Inc, Bothell, WA.
60 Product Information. Intelence (etravirine). Ortho Biotech Inc, Bridgewater, NJ.
61 Canadian Pharmacists Association.
62 Product Information. Kynamro (mipomersen). Genzyme Corporation, Cambridge, MA.
63 Product Information. Juxtapid (lomitapide). Aegerion Pharmaceuticals Inc, Cambridge, MA.
64 Product Information. Caplyta (lumateperone). Intra-Cellular Therapies, Inc., New York, NY.
65 Product Information. Zydelig (idelalisib). Gilead Sciences, Foster City, CA.
66 Product Information. Copiktra (duvelisib). Verastem, Inc., Needham, MA.
67 Product Information. Tasigna (nilotinib). Novartis Pharmaceuticals, East Hanover, NJ.
68 Product Information. Xeglyze (abametapir topical). Dr. Reddy's Laboratories Inc, Upper Saddle River, NJ.
69 Product Information. Fycompa (perampanel). Eisai Inc, Teaneck, NJ.
70 Doherty MM, Charman WN "The mucosa of the small intestine: how clinically relevant as an organ of drug metabolism?" Clin Pharmacokinet 41 (2002): 235-53. [PMID: 11978143]
71 Product Information. Tavalisse (fostamatinib). Rigel Pharmaceuticals, South San Francisco, CA.