ABSTRACT:The substrate depletion method is a popular approach used for the measurement of in vitro intrinsic clearance (CL int ). However, the incubation conditions used in these studies can vary, the consequences of which have not been systematically explored. Initial substrate depletion incubations using rat microsomes and hepatocytes were performed for eight benzodiazepines: alprazolam, clobazam, clonazepam, chlordiazepoxide, diazepam, flunitrazepam, midazolam, and triazolam. Subsequent predictions of in vivo CL int (ranging from 3 to 200 ml/min) and hepatic clearance (CL H ) (ranging from 0.3 to 15 ml/min) demonstrated that the general predictive ability of this approach was similar to that of the traditional metabolite formation method. A more detailed study of the substrate depletion profiles and CL int estimates indicated that the concentration of enzyme used is of particular importance.The metabolism of triazolam, clonazepam, and diazepam was monoexponential at all cell densities using hepatocytes; however, with microsomes, biphasic depletion was apparent, particularly at higher microsomal protein concentrations (2-5 mg/ml). Enzyme activity studies indicated that enzyme loss was more pronounced in the microsomal system (ranged from 8 to 65% activity after a 1-h incubation) compared with the hepatocyte system (approximately 100% activity after a 1-h incubation). For clonazepam (a low clearance substrate), these biphasic profiles could be explained by loss of enzyme activity. To ensure accurate predictions of in vivo CL int and CL H when using the substrate depletion approach, based on the results obtained for this class of drugs, it is recommended that low enzyme concentrations and short incubation times are used whenever possible.The in vitro measurement of intrinsic clearance (CL int ) using hepatic microsomes and/or hepatocytes is frequently used in both academia and the pharmaceutical industry to estimate the in vivo metabolic stability of new drug entities in both rat and human (Houston, 1994;Iwatsubo et al., 1997;Obach, 1999;McGinnity and Riley, 2001). The results of these assays are scaled and modeled, as described in eq. 1 for the well stirred liver model, to estimate in vivo hepatic clearance (CL H ).where Q H is the hepatic blood flow, SF represents the milligrams of microsomal protein or million cells per gram of liver multiplied by the grams of liver weight; f u b is the unbound fraction of drug in the blood, and f u inc is the unbound fraction in the incubation matrix.Traditionally, the metabolite formation method has been used for measurement of in vitro CL int , where the initial rate of metabolite production using hepatic microsomes or hepatocytes is measured over a range of substrate concentrations under linear conditions with respect to protein concentration/cell density and time (Madan et al., 2002;Houston et al., 2003). In general, short incubation times and low enzyme (protein) concentrations are used in these studies, since compliance with the Michaelis-Menten equation assumes less t...