Table 1 Qualitative comparison of the effects of terfenadine in the MPS systems compared to conventional approaches applied during early drug discovery to detect changes in QT prolongation23,24,55,56,57.

From: On the potential of in vitro organ-chip models to define temporal pharmacokinetic-pharmacodynamic relationships

Model

Assay/endpoints

Result

Dosing Scheme

Time Frame

Reference

Heart only MPS

FPD

+4.4% at 1.912 μM

Nominal dose at time 0

Average observed data over 24 hours

Heart:Liver MPS

FPD

+1.9% at 0.228 μM

Nominal dose at time 0

Average observed data over 24 hours

CHO cells overexpressing hERG/Kv11.1

hERG inhibition (electrophysiology)

IC50 0.02–0.2 μM

Non-cumulative concentration response curve

3–5 minutes

Redfern et al.57

Anaesthetised Guinea pig

QTc

+8% at 0.0384 μM

IV infusion for 10 minutes

Peak measurements post infusion (10–40 minutes)

Yao et al.23

Anaesthetised Guinea pig

QTc

+2.8% at 0.0069 μM

IV infusion for 10 minutes

Peak measurements post infusion (10–40 minutes)

Yao et al.23

Dog Telemetry

QTc

+2.34% at 0.026 μM

IV infusion over 180 minutes

Average measurements from 150–180 minutes

Ollerstam et al.24

Dog Telemetry

QTc

+1.72% at 0.0078 μM

IV infusion over 180 minutes

Average measurements from 150–180 minutes

Ollerstam et al.24

Human

QTc

+1.5% at approx 0.004 μM

2X daily 60 mg dose orally

QTc measured day 1–5

Chen56; Pratt et al.55