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Table 2 Comparison of enzymatic and cellular findings with human C max for oral PDE4 inhibitors
Oral PDE4 inhibitor
PMN/ROS (plasma) Ratio #
PDE4B
PDE4D
Selectivity
LPS/TNF wb
C max (human) Clinical dose
IC 50 (nM)
IC 50 (nM)
Fold
IC 30 (nM)
IC 35 (nM)
fold
nM
0.75 mg TID, p.o., d28 a
Rolipram
230
120
1,000
500
90
0.2
40
3,300 b
3,700 b
30 mg BID, p.o., d16 c
Ibudilast
0.7 (PDE10) ND
ND
ND
260
50 mg p.o., single dose d
Tetomilast
380
ND
8 (PDE3)
30,200
9,120
0.3
16
15 mg BID, p.o., d9 e
Cilomilast
140
20
150
5,000
1,000
0.2
7,800
Oglemilast
0.3
ND
>
1,000
90
1,820
20
Unknown
800 m gOD
0.5 mg OD, p.o., d7 f
Roflumilast
0.7
0.4
>
1,000
50
90
1.8
15
Roflumilast N-oxide
1.5
0.8
>
1,000
50
110
2.2
52
> 300 316 912 2.8 450 20 mg OD, p.o., d29 h
Data for inhibition of PDE4B1 and PDE4D3 catalytic activity, PDE isoenzyme selectivity, LPS-induced TNF- a release in human whole blood (LPS/TNF wb),
and fMLP-induced superoxide release from human PMN in the presence of 80% human autologous plasma (PMN/ROS (Plasma)) were generated by one of the
authors (A.H.) according to the methods described in Hatzelmann and Schudt ( 2001 ), with the exception of Ibudilast, taken from Gibson et al. ( 2006 ) and
apremilast (PDE4B2 and PDE4D3, inhibition of catalytic activity) taken from Schafer et al. ( 2010 ). For the LPS/TNF wb and PMN/ROS (plasma) assay, IC30
and IC35 refer to half-maximum inhibition given that the efficacy achieved with a PDE4 inhibitor was 60 and 70% inhibition, respectively. Plasma total C max
values at the indicated clinical doses are obtained from the references listed below. ND is not done. # Ratio is the IC 35 (PMN/ROS, plasma) divided by IC 30
(LPS/TNF wb)
a Laux et al. ( 1988 )
b Gibson et al. ( 2006 )
c Rolan et al. ( 2008 )
d Mallikaarjun et al. ( 2006 )
e Zussman et al. ( 2001a )
f Bethke et al. ( 2007 )
g Schafer et al. ( 2010 )
h Gottlieb et al. ( 2008 )
33/49 g
ND/30 g
Apremilast
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