J Clin Pharmacol
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DRUG METABOLISM

An Evaluation of the Dose-Dependent Inhibition of CYP1A2 by Rofecoxib Using Theophylline as a CYP1A2 Probe

Kenneth Bachmann, PhD, FCP, Donald White, PhD, Luis Jauregui, MD, Jules I. Schwartz, PharmD, MPH, Nancy G. B. Agrawal, PhD, Ralph Mazenko, MS, Patrick J. Larson, MS and Arturo G. Porras, PhD

From the Department of Pharmacology and Center for Applied Pharmacology (Dr. Bachmann) and the Departments of Mathematics and Pharmacology and Center for Applied Pharmacology (Dr. White), University of Toledo, Toledo, Ohio; Infectious Disease and Center for Applied Pharmacology, St. Vincent Mercy Medical Center, Toledo, Ohio (Dr. Jauregui); and Department of Clinical Pharmacology (Dr. Schwartz), Clinical Biostatistics and Research Data Systems Department (Mr. Larson), and Department of Drug Metabolism (Dr. Porras, Dr. Agrawal, Mr. Mazenko), Merck Research Laboratories, West Point, Pennsylvania.

This study was undertaken to determine whether rofecoxib can interfere with CYP1A2 activity in humans using theophylline as a probe substrate. Single oral doses of theophylline were administered to each of three panels of 12 healthy subjects receiving daily doses of rofecoxib for 7 days to examine the effect of rofecoxib administration on the absorption and disposition of theophylline. Each panel was administered doses of 12.5, 25, or 50 mg of rofecoxib or a matching placebo in a two-way, randomized, crossover fashion and administered a single oral 300-mg dose of theophylline on day 7 of rofecoxib or placebo administration. Plasma concentrations of theophylline were monitored for 48 hours postdose to assess differences in pharmacokinetics. All three commercially marketed doses of rofecoxib were found to slow the clearance of theophylline with no detectable effect on absorption. CL/F values for theophylline were estimated from AUC{infty} and by point estimates from the concentrations of drug in plasma at 12 and 24 hours postdose. The point estimates of CL/F were found to be in agreement with those derived from AUC.


Key Words: Rofecoxiboraltheophyllinedrug interactionoral clearancepoint clearancecyclooxygenaseCOX-2pharmacokinetics

Address for reprints: Dr. Arturo G. Porras, Merck Research Laboratories, WP26-372, West Point, PA 194886.




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