In: Nursing
Consider a new drug being developed for the treatment of a relatively common indication, such as diabetes mellitus or high blood pressure. In vitro and preclinical studies indicate the compound is extensively metabolized, primarily by CYP3A and partially by CYP2C19. The compound does not appear to be an inducer or inhibitor of any CYP450 enzymes, but it is a potential inhibitor of P-glycoprotein (P-gp). What in vivo drug-drug interaction (DDI) studies should the company developing the compound consider? A. A DDI study with digoxin, a sensitive P-gp substrate B. A DDI study with lansoprazole, a sensitive CYP2C19 substrate C. A DDI study with midazolam, a sensitive CYP3A4 substrate D. All