In vitro assessment of the roles of drug transporters in the disposition and drug-drug interaction potential of olaparib.

In vitro assessments were conducted to examine interactions between olaparib (a potent oral inhibitor of poly[ADP-ribose] polymerase) and drug transporters. Olaparib showed inhibition of the hepatic drug uptake transporters OATP1B1 (IC50 values of 20.3M and 27.1M) and OCT1 (IC50 37.9M), but limited inhibition of OATP1B3 (25% at 100M); inhibition of the renal uptake transporters OCT2 (IC50 19.9M) and OAT3 (IC50 18.4M), but limited inhibition of OAT1 (13.5% at 100M); inhibition of the renal efflux transporters MATE1 and MATE2K (IC(50)s 5.50M and 47.1M, respectively); inhibition of the efflux transporter MDR1 (IC50 76.0M), but limited inhibition of BCRP (47% at 100M) and no inhibition of MRP2. At clinically relevant exposures, olaparib has the potential to cause pharmacokinetic interactions via inhibition of OCT1, OCT2, OATP1B1, OAT3, MATE1 and MATE2K in the liver and kidney, as well as MDR1 in the liver and GI tract. Olaparib was found to be a substrate of MDR1 but not of several other transporters. Our assessments indicate that olaparib is a substrate of MDR1 and may cause clinically meaningful inhibition of MDR1, OCT1, OCT2, OATP1B1, OAT3, MATE1 and MATE2K.