PMID- 35817846 OWN - NLM STAT- PubMed-not-MEDLINE LR - 20220716 IS - 2398-6352 (Electronic) IS - 2398-6352 (Linking) VI - 5 IP - 1 DP - 2022 Jul 11 TI - Machine learning-based quantitative prediction of drug exposure in drug-drug interactions using drug label information. PG - 88 LID - 10.1038/s41746-022-00639-0 [doi] LID - 88 AB - Many machine learning techniques provide a simple prediction for drug-drug interactions (DDIs). However, a systematically constructed database with pharmacokinetic (PK) DDI information does not exist, nor is there a machine learning model that numerically predicts PK fold change (FC) with it. Therefore, we propose a PK DDI prediction (PK-DDIP) model for quantitative DDI prediction with high accuracy, while constructing a highly reliable PK-DDI database. Reliable information of 3,627 PK DDIs was constructed from 3,587 drugs using 38,711 Food and Drug Administration (FDA) drug labels. This PK-DDIP model predicted the FC of the area under the time-concentration curve (AUC) within +/- 0.5959. The prediction proportions within 0.8-1.25-fold, 0.67-1.5-fold, and 0.5-2-fold of the AUC were 75.77, 86.68, and 94.76%, respectively. Two external validations confirmed good prediction performance for newly updated FDA labels and FC from patients'. This model enables potential DDI evaluation before clinical trials, which will save time and cost. CI - (c) 2022. The Author(s). FAU - Jang, Ha Young AU - Jang HY AUID- ORCID: 0000-0002-4752-1300 AD - College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea. FAU - Song, Jihyeon AU - Song J AD - Department of Computer Science and Engineering, Seoul National University, Seoul, Republic of Korea. FAU - Kim, Jae Hyun AU - Kim JH AUID- ORCID: 0000-0002-8609-7135 AD - School of Pharmacy, Jeonbuk National University, Jeonju, Republic of Korea. FAU - Lee, Howard AU - Lee H AD - Department of Clinical Pharmacology and Therapeutics, Seoul National University College of Medicine and Hospital, Seoul, Korea. FAU - Kim, In-Wha AU - Kim IW AD - College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea. FAU - Moon, Bongki AU - Moon B AUID- ORCID: 0000-0001-9382-8306 AD - Department of Computer Science and Engineering, Seoul National University, Seoul, Republic of Korea. bkmoon@snu.ac.kr. FAU - Oh, Jung Mi AU - Oh JM AUID- ORCID: 0000-0002-1836-1707 AD - College of Pharmacy and Research Institute of Pharmaceutical Sciences, Seoul National University, Seoul, Republic of Korea. jmoh@snu.ac.kr. LA - eng GR - 19182MFDS407/Ministry of Food and Drug Safety (MFDS)/ GR - 19182MFDS407/Ministry of Food and Drug Safety (MFDS)/ GR - 19182MFDS407/Ministry of Food and Drug Safety (MFDS)/ GR - 19182MFDS407/Ministry of Food and Drug Safety (MFDS)/ GR - 19182MFDS407/Ministry of Food and Drug Safety (MFDS)/ GR - 19182MFDS407/Ministry of Food and Drug Safety (MFDS)/ GR - 19182MFDS407/Ministry of Food and Drug Safety (MFDS)/ PT - Journal Article DEP - 20220711 PL - England TA - NPJ Digit Med JT - NPJ digital medicine JID - 101731738 PMC - PMC9273620 COIS- The authors declare no competing interests. EDAT- 2022/07/12 06:00 MHDA- 2022/07/12 06:01 PMCR- 2022/07/11 CRDT- 2022/07/11 23:21 PHST- 2022/02/13 00:00 [received] PHST- 2022/06/16 00:00 [accepted] PHST- 2022/07/11 23:21 [entrez] PHST- 2022/07/12 06:00 [pubmed] PHST- 2022/07/12 06:01 [medline] PHST- 2022/07/11 00:00 [pmc-release] AID - 10.1038/s41746-022-00639-0 [pii] AID - 639 [pii] AID - 10.1038/s41746-022-00639-0 [doi] PST - epublish SO - NPJ Digit Med. 2022 Jul 11;5(1):88. doi: 10.1038/s41746-022-00639-0.