Does Crizotinib Auto-Inhibit CYP3A in vivo?

Pharmacology. 2020;105(11-12):715-718. doi: 10.1159/000506996. Epub 2020 May 27.

Abstract

Crizotinib is a tyrosine kinase inhibitor used to treat anaplastic lymphoma kinase-positive lung cancer. There is in vitro evidence that crizotinib may auto-inhibit cytochrome P450 3A (CYP3A) activity, with important implications for crizotinib pharmacokinetics. In order to test whether crizotinib treatment alters CYP3A activity in vivo, mice were treated with 5 and 25 mg/kg crizotinib (p.o.) daily for 14 days. Results showed that crizotinib treatment did not alter CYP3A activity as determined by erythromycin N-demethylation. In addition, CYP3A polypeptide expression as measured by Western blot was unchanged. Therefore, our results do not support CYP3A inhibition by crizotinib in vivo.

Keywords: Anaplastic lymphoma kinase; Cancer; Crizotinib; Cytochrome P450 3A; Pharmacokinetics.

Publication types

  • News

MeSH terms

  • Animals
  • Crizotinib / pharmacology*
  • Cytochrome P-450 CYP3A / metabolism*
  • Male
  • Mice
  • Mice, Inbred BALB C
  • Microsomes, Liver / enzymology
  • Microsomes, Liver / metabolism
  • Protein Kinase Inhibitors / pharmacology*

Substances

  • Protein Kinase Inhibitors
  • Crizotinib
  • Cytochrome P-450 CYP3A