In vitro model Results Talinolol Detection Ref.
Caco-2 cells S-(-)-talinolol: R(B-A/A-B) ≈ 9.6; R-(+)-talinolol: R(B-A/A-B) ≈ 8.7
After addition of verapamil (0.5 mM):
S-(-)-talinolol: R(B-A/A-B) ≈ 1.41; R-(+)-talinolol: R(B-A/A-B) ≈ 1.39
HPLC [180]
  S-(-)-talinolol: R(B-A/A-B) ≈ 39.6
R-(+)-talinolol: R(B-A/A-B) ≈ 30.5
After addition of verapamil (0.5 mM):
S-(-)-talinolol: Papp (A-B) enhanced from 0.16x10-6 to 1.81x10-6cm/s
R-(-)-talinolol: Papp (A-B) enhanced from 0.19x10-6 to 1.8110-6cm/s
After addition of GFJ (50%):
S-(-)-talinolol: Papp (A-B) enhanced from 0.16x10-6to 0.61x10-6cm/s
R-(-)-talinolol: Papp (A-B) enhanced from 0.19x10-6to 0.71x10-6cm/s
HPLC-UV [181]
  Racemic talinolol: R(B-A/A-B) ≈ 7.4
After addition of verapamil (0.5 mM): R(B-A/A-B) ≈ 3.0
HPLC-FL [182]
  R(B-A/A-B) of talinolol obtained among 10 different laboratories: 1.03 – 25.6 - [183]
MDR1-Caco2 S-(-)-talinolol: R(B-A/A-B) ≈ 69.0
R-(+)-talinolol: R(B-A/A-B) ≈ 55.7
HPLC-UV [184]
L-MDR1 Racemic talinolol: R(B-A/A-B): 2.71±0.02
After addition of cyclosporin A: R(B-A/A-B): 0.66±0.02
LC-MS/MS [129]
Rat intestine mounted in Ussing chamber Papp (A-B): 6.83±0.26; Papp (B-A): 25.3±2.30; R(B-A/A-B): 3.70±0.24
After addition of verapamil (200 µM)
Papp (A-B): 18.08±1.18; Papp (B-A): 5.46±0.99; R(B-A/A-B): 0.30±0.04
HPLC-UV [185]
Animal Studies Brief Procedure Results Talinolol Detection Ref.
Rat In situ perfusion in duodenum, jejunum and colon segments of rat intestine No differences between distinct segments;
Pre-treatment with rifampin increased talinolol Papp from:
2.44 x10-4 to 1.82x10-4 cm/s in duodenum; 2.50 x10-4 to 1.51 x10-4 cm/s in jejunum; 2.46 x10-4 to 1.98 x10-4 cm/s in colon.
HPLC-UV [186]
NMR1 mice In situ perfusion Verapamil enhanced 5-fold the Papp of talinolol. HPLC [187]
Abcb1a/b (-/-) mice In situ perfusion In relation to wild type animals, talinolol Papp enhanced 7-fold.
Sprague-Dawley Rats Oral administration of racemic talinolol (10 mg/Kg ) and GFJ S-(-)-talinolol:
Cmax increased from 77.5 to 163.6 ng/mL
AUC increased from 19.3 to 29.9 µg/mL.min
CL/F decreased from 382 to 182 mL/min
R-(-)-talinolol:
Cmax increased 79.5 to 163.0 ng/mL
AUC increased from 22.2 to 30.1 µg/mL.min
CL/F decreased from 242 to 192 mL/min
HPLC-UV [181]
Studies in humans Brief description Results Talinolol Detection Ref.
Mechanistic clinical studies Triple lumen tubing technique (intestinal perfusion method)
IV infusion of talinolol
Intra-luminal talinolol concentrations were 5.5-fold higher than those in serum. HPLC [174]
Triple lumen tubing technique (intestinal perfusion method)
IV infusion of talinolol and R-verapamil
Intestinal secretion rate of talinolol diminished 44-71% after administration of R-verapamil. HPLC [188]
Clinical Studies Controlled and randomized clinical study in 8 healthy volunteers administered with rifampin (600 mg id, for 9 days) and then with talinolol After oral administration of talinolol
AUC diminished by 35%
Cmax decreased by 38%
Oral bioavailability decreased by 20%.
After IV administration of talinolol
AUC diminished by 21%
Cmax decreased by 20%
HPLC-FL [177]
Controlled and randomized clinical study in 9 healthy volunteers administered with SJW (900 mg id, for 12 days) and then with talinolol After oral administration of talinolol
Oral bioavailability reduced by 25%.
AUC decreased by 31%
Oral clearance increased by 93%
After IV administration of talinolol
Nonrenal clearance enhanced by 35%
HPLC [189]
Table 8: In vitro and in vivo studies in which talinolol demonstrated to be a substrate of P-gp. AUC, area under the curve; CL/F, total clearance; Cmax, maximum plasma concentration; HPLC, high performance liquid chromatography; FL, fluorescence; GFJ, grapefruit juice; IV, intravenous; LC-MS/MS, liquid chromatography with tandem mass detection; Papp, apparent permeability; R(B-A/A-B), efflux ratio given by the ratio between apparent permeability in efflux (B-A) and absorption (A-B) directions; SJW, St John’s wort; UV, ultraviolet.
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