General Information of DIG (ID: E09KOV)
DIG Name
Poloxamer 188
DIG Function
Emulsifying agent; Solubilizing agent; Surfactant
Full List of Active Pharmaceutical Ingredients (APIs) Co-administrated with This DIG
       ICD Disease Classification 01 Infectious/parasitic disease Click to Show/Hide
Itraconazole
API Info
Blastomycosis [ICD-11: 1F22]
[1]
Griseofulvin
API Info
Dermatophytosis [ICD-11: 1F28]
[2]
Mefloquine
API Info
Malaria [ICD-11: 1F40]
[3]
       ICD Disease Classification 02 Benign/in-situ/malignant neoplasm Click to Show/Hide
Bosutinib
API Info
Chronic myelogenous leukaemia [ICD-11: 2A20]
[4]
Nilotinib
API Info
Chronic myelogenous leukaemia [ICD-11: 2A20]
[5]
       ICD Disease Classification 05 Endocrine/nutritional/metabolic disease Click to Show/Hide
Fenofibrate
API Info
Hypertriglyceridaemia [ICD-11: 5C80]
[6]
Glimepiride
API Info
Diabetes mellitus [ICD-11: 5A10]
[7]
Lovastatin
API Info
Hypertriglyceridaemia [ICD-11: 5C80]
[8]
Repaglinide
API Info
Diabetes mellitus [ICD-11: 5A10]
[9]
Deferasirox
API Info
Hyperphosphatemia [ICD-11: 5C64]
[10]
       ICD Disease Classification 06 Mental/behavioural/neurodevelopmental disorder Click to Show/Hide
Alprazolam
API Info
Anxiety disorder [ICD-11: 6B00]
[11]
Disulfiram
API Info
Alcohol dependence [ICD-11: 6C40]
[12]
       ICD Disease Classification 08 Nervous system disease Click to Show/Hide
Carbamazepine
API Info
Epilepsy [ICD-11: 8A60]
[13]
       ICD Disease Classification 11 Circulatory system disease Click to Show/Hide
Metoprolol
API Info
Essential hypertension [ICD-11: BA00]
[14]
Valsartan
API Info
Essential hypertension [ICD-11: BA00]
[15]
Irbesartan
API Info
Essential hypertension [ICD-11: BA00]
[16]
       ICD Disease Classification 12 Respiratory system disease Click to Show/Hide
Sirolimus
API Info
Lymphangioleiomyomatosis [ICD-11: CB07]
[17]
       ICD Disease Classification 13 Digestive system disease Click to Show/Hide
Esomeprazole
API Info
Duodenal ulcer [ICD-11: DA63]
[18]
Tacrolimus
API Info
Ulcerative colitis [ICD-11: DD71]
[19]
       ICD Disease Classification 14 Skin disease Click to Show/Hide
Acitretin
API Info
Psoriasis vulgaris [ICD-11: EA90]
[20]
       ICD Disease Classification 15 Musculoskeletal/connective-tissue disease Click to Show/Hide
Prednisone
API Info
Rheumatoid arthritis [ICD-11: FA20]
[21]
Full List of Biological Targets of DIG (DBTs) Regulated by This DIG
      Oxidoreductase (ORase)
            DBT Name: Cytochrome P450 3A (CYP3A) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity IC50 = 750 uM (tested by experiment) [22]
                    Tested Species Homo sapiens (Human)
                    UniProt ID CP3A4_HUMAN ; CP3A5_HUMAN ; CP3A7_HUMAN ; CP343_HUMAN
            DBT Name: Albendazole monooxygenase (CYP3A4) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity IC50 = 60 uM (tested by experiment) [23]
                    Tested Species Homo sapiens (Human)
                    UniProt ID CP3A4_HUMAN
            DBT Name: Cytochrome P450 2E1 (CYP2E1) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity IC50 = 203.7 uM (tested by experiment) [23]
                    Tested Species Homo sapiens (Human)
                    UniProt ID CP2E1_HUMAN
            DBT Name: Cytochrome P450 2C9 (CYP2C9) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity IC50 = 244.8 uM (tested by experiment) [23]
                    Tested Species Homo sapiens (Human)
                    UniProt ID CP2C9_HUMAN
            DBT Name: Debrisoquine 4-hydroxylase (CYP2D6) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity EC50 = 387.6 uM (tested by experiment) [23]
                    Tested Species Homo sapiens (Human)
                    UniProt ID CP2D6_HUMAN
            DBT Name: Cytochrome P450 3A5 (CYP3A5) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity IC50 = 210 uM (tested by experiment) [23]
                    Tested Species Homo sapiens (Human)
                    UniProt ID CP3A5_HUMAN
      Primary active transporter (PAT)
            DBT Name: Multidrug resistance protein 2 (ABCC2) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment (1) for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity Inhibition ratio = 53 % (tested by experiment) [24]
                    Tested Species Homo sapiens (Human)
                    UniProt ID MRP2_HUMAN
               Experiment (2) for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity Inhibition ratio > 55 % (tested by experiment) [25]
                    Tested Species Homo sapiens (Human)
                    UniProt ID MRP2_HUMAN
      Cell line (CELL)
            DBT Name: Colon cancer Caco-2 cells (Caco-2) Click to Show/Hide
               Detailed Information DBT Info click to show the detail info of this DBT
               Experiment for Assessing the Biological Activity of the Studied DIG on This DBT
                    Biological Activity Chylomicron secretion downregulation (tested by experiment) [26]
                    Tested Species Homo sapiens (Human)
References
1 FDA label for approved itraconazole from the official website of the U.S. Food and Drug Administration.
2 FDA label for approved griseofulvin from the official website of the U.S. Food and Drug Administration.
3 FDA label for approved mefloquine from the official website of the U.S. Food and Drug Administration.
4 FDA label for approved bosutinib from the official website of the U.S. Food and Drug Administration.
5 FDA label for approved nilotinib from the official website of the U.S. Food and Drug Administration.
6 FDA label for approved fenofibrate from the official website of the U.S. Food and Drug Administration.
7 FDA label for approved glimepiride from the official website of the U.S. Food and Drug Administration.
8 FDA label for approved lovastatin from the official website of the U.S. Food and Drug Administration.
9 FDA label for approved repaglinide from the official website of the U.S. Food and Drug Administration.
10 FDA label for approved deferasirox from the official website of the U.S. Food and Drug Administration.
11 FDA label for approved alprazolam from the official website of the U.S. Food and Drug Administration.
12 FDA label for approved disulfiram from the official website of the U.S. Food and Drug Administration.
13 FDA label for approved carbamazepine from the official website of the U.S. Food and Drug Administration.
14 FDA label for approved metoprolol from the official website of the U.S. Food and Drug Administration.
15 FDA label for approved valsartan from the official website of the U.S. Food and Drug Administration.
16 FDA label for approved irbesartan from the official website of the U.S. Food and Drug Administration.
17 FDA label for approved sirolimus from the official website of the U.S. Food and Drug Administration.
18 FDA label for approved esomeprazole from the official website of the U.S. Food and Drug Administration.
19 FDA label for approved tacrolimus from the official website of the U.S. Food and Drug Administration.
20 FDA label for approved acitretin from the official website of the U.S. Food and Drug Administration.
21 FDA label for approved prednisone from the official website of the U.S. Food and Drug Administration.
22 Nonionic surfactants are strong inhibitors of cytochrome P450 3A biotransformation activity in vitro and in vivo. Eur J Pharm Sci. 2009 Mar 2;36(4-5):401-11.
23 Mediation of in vitro cytochrome p450 activity by common pharmaceutical excipients. Mol Pharm. 2013 Jul 1;10(7):2739-48.
24 Inhibition of human efflux transporter ABCC2 (MRP2) by self-emulsifying drug delivery system: influences of concentration and combination of excipients. J Pharm Pharm Sci. 2014;17(4):447-60.
25 Interactions between human multidrug resistance related protein (MRP2; ABCC2) and excipients commonly used in self-emulsifying drug delivery systems (SEDDS). Int J Pharm. 2013 Apr 15;447(1-2):192-8.
26 The effects of pluronics block copolymers and Cremophor EL on intestinal lipoprotein processing and the potential link with P-glycoprotein in Caco-2 cells. Pharm Res. 2003 Jul;20(7):1085-92.

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