Characterization of the Effect of Upadacitinib on the Pharmacokinetics of Bupropion, a Sensitive Cytochrome P450 2B6 Probe Substrate

Clin Pharmacol Drug Dev. 2021 Mar;10(3):299-306. doi: 10.1002/cpdd.844. Epub 2020 Jul 9.

Abstract

This phase 1 study characterized the effect of multiple doses of upadacitinib, an oral Janus kinase 1 selective inhibitor, on the pharmacokinetics of the cytochrome P450 (CYP) 2B6 substrate bupropion. Healthy subjects (n = 22) received a single oral dose of bupropion 150 mg alone (study period 1) and on day 12 of a 16-day regimen of upadacitinib 30 mg once daily (study period 2). Serial blood samples for measurement of bupropion and hydroxybupropion plasma concentrations were collected in each study period. The central values (90% confidence intervals) for the ratios of change were 0.87 (0.79-0.96) for bupropion maximum plasma concentration (Cmax ), 0.92 (0.87-0.98) for bupropion area under the plasma-concentration time curve from time 0 to infinity (AUCinf ), 0.78 (0.72-0.85) for hydroxybupropion Cmax , and 0.72 (0.67-0.78) for hydroxybupropion AUCinf when administered with, relative to when administered without, upadacitinib. After multiple-dose administration of upadacitinib 30 mg once daily, upadacitinib mean ± SD AUC0-24 was 641 ± 177 ng·h/mL, and Cmax was 83.3 ± 30.7 ng/mL. These results confirm that upadacitinib has no relevant effect on pharmacokinetics of substrates metabolized by CYP2B6.

Keywords: CYP2B6; Janus kinase inhibitor; bupropion; drug interaction; pharmacokinetics; upadacitinib.

Publication types

  • Clinical Trial, Phase I
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Administration, Oral
  • Adult
  • Area Under Curve
  • Arthritis, Rheumatoid / drug therapy
  • Biological Availability
  • Bupropion / administration & dosage
  • Bupropion / analogs & derivatives
  • Bupropion / blood
  • Bupropion / metabolism
  • Bupropion / pharmacokinetics*
  • Cytochrome P-450 CYP2B6 / drug effects*
  • Cytochrome P-450 CYP2B6 / metabolism
  • Cytochrome P-450 CYP2D6 Inhibitors / administration & dosage
  • Cytochrome P-450 CYP2D6 Inhibitors / blood
  • Cytochrome P-450 CYP2D6 Inhibitors / pharmacokinetics*
  • Drug Interactions
  • Female
  • Healthy Volunteers / statistics & numerical data
  • Heterocyclic Compounds, 3-Ring / administration & dosage
  • Heterocyclic Compounds, 3-Ring / adverse effects
  • Heterocyclic Compounds, 3-Ring / pharmacokinetics*
  • Humans
  • Janus Kinase Inhibitors / administration & dosage
  • Janus Kinase Inhibitors / adverse effects
  • Janus Kinase Inhibitors / pharmacokinetics*
  • Male
  • Middle Aged

Substances

  • Cytochrome P-450 CYP2D6 Inhibitors
  • Heterocyclic Compounds, 3-Ring
  • Janus Kinase Inhibitors
  • hydroxybupropion
  • Bupropion
  • upadacitinib
  • CYP2B6 protein, human
  • Cytochrome P-450 CYP2B6