An integrated pharmacokinetic/pharmacogenomic analysis of ABCB1 and SLCO1B1 polymorphisms on edoxaban exposure

Pharmacogenomics J. 2018 Jan;18(1):153-159. doi: 10.1038/tpj.2016.82. Epub 2016 Nov 29.

Abstract

Edoxaban and its low-abundance, active metabolite M4 are substrates of P-glycoprotein (P-gp; MDR1) and organic anion transporter protein 1B1 (OATP1B1), respectively, and pharmacological inhibitors of P-gp and OATP1B1 can affect edoxaban and M4 pharmacokinetics (PK). In this integrated pharmacogenomic analysis, genotype and concentration-time data from 458 healthy volunteers in 14 completed phase 1 studies were pooled to examine the impact on edoxaban PK parameters of allelic variants of ABCB1 (rs1045642: C3435T) and SLCO1B1 (rs4149056: T521C), which encode for P-gp and OATP1B1. Although some pharmacologic inhibitors of P-gp and OATP1B1 increase edoxaban exposure, neither the ABCB1 C3435T nor the SLCO1B1 T521C polymorphism affected edoxaban PK. A slight elevation in M4 exposure was observed among SLCO1B1 C-allele carriers; however, this elevation is unlikely to be clinically significant as plasma M4 concentrations comprise <10% of total edoxaban levels.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • ATP Binding Cassette Transporter, Subfamily B / genetics
  • ATP Binding Cassette Transporter, Subfamily B, Member 1 / genetics
  • Adult
  • Alleles
  • Female
  • Genotype
  • Humans
  • Liver-Specific Organic Anion Transporter 1 / genetics*
  • Male
  • Organic Anion Transporters / genetics
  • Pharmacogenomic Testing / methods
  • Polymorphism, Single Nucleotide / genetics*
  • Pyridines / pharmacokinetics*
  • Pyridines / therapeutic use*
  • Thiazoles / pharmacokinetics*
  • Thiazoles / therapeutic use*

Substances

  • ABCB1 protein, human
  • ATP Binding Cassette Transporter, Subfamily B
  • ATP Binding Cassette Transporter, Subfamily B, Member 1
  • Liver-Specific Organic Anion Transporter 1
  • Organic Anion Transporters
  • Pyridines
  • SLCO1B1 protein, human
  • Thiazoles
  • edoxaban