CYP3A4 Metabolite Prediction
Deterministic CYP3A4 metabolite structure prediction, evaluated against literature-documented metabolites and metabolism sites across a 40-drug panel.
100% Top-1 Metabolite Prediction 20/20 substrates
What the engine does
Spirographic AI’s CYP3A4 Metabolite Predictor generates predicted metabolite SMILES strings and corresponding molecular structures, and identifies CYP3A4-mediated metabolism sites. Predicted metabolites are compared with literature-reported structures for exact structural matches, rather than partial or approximate matches. The system uses deterministic molecular modeling without machine learning, training data, or force-field simulation.
Drug-level metabolite site validation
Each of the 20 CYP3A4 substrates had at least one known metabolism site ranked first. This table shows how many documented sites for each drug were identified within the top five and top ten predictions.
| Drug | Known sites | Found in top 5 | Found in top 10 |
|---|---|---|---|
| Midazolam | 2 | 2 / 2 | 2 / 2 |
| Testosterone | 3 | 3 / 3 | 3 / 3 |
| Nifedipine | 1 | 1 / 1 | 1 / 1 |
| Diazepam | 2 | 2 / 2 | 2 / 2 |
| Alprazolam | 2 | 1 / 2 | 2 / 2 |
| Cocaine | 1 | 1 / 1 | 1 / 1 |
| Codeine | 2 | 1 / 2 | 2 / 2 |
| Lidocaine | 2 | 1 / 2 | 2 / 2 |
| Omeprazole | 2 | 2 / 2 | 2 / 2 |
| Tamoxifen | 2 | 2 / 2 | 2 / 2 |
| Clozapine | 2 | 1 / 2 | 2 / 2 |
| Lansoprazole | 2 | 2 / 2 | 2 / 2 |
| Haloperidol | 2 | 1 / 2 | 2 / 2 |
| Carbamazepine | 1 | 1 / 1 | 1 / 1 |
| Venlafaxine | 2 | 1 / 2 | 2 / 2 |
| Erythromycin | 1 | 1 / 1 | 1 / 1 |
| Triazolam | 2 | 1 / 2 | 2 / 2 |
| Diclofenac | 2 | 2 / 2 | 2 / 2 |
| Sertraline | 1 | 1 / 1 | 1 / 1 |
| Tramadol | 2 | 2 / 2 | 2 / 2 |
| Total | 36 | 29 / 36 · 81% | 36 / 36 · 100% |
Top-1 identification is measured per drug (20/20). Top-5 and Top-10 recall are measured across all 36 documented metabolism sites. These are different metrics.
Drug panel
The validation includes 20 CYP3A4 substrate examples spanning several therapeutic and chemical classes, plus 20 non-CYP3A4 controls. Expand either group to review the reported compounds.
20 CYP3A4 substrates · site-prediction evaluation
Midazolam, Testosterone, Nifedipine, Diazepam, Alprazolam, Cocaine, Codeine, Lidocaine, Omeprazole, Tamoxifen, Clozapine, Lansoprazole, Haloperidol, Carbamazepine, Venlafaxine, Erythromycin, Triazolam, Diclofenac, Sertraline, Tramadol
20 non-CYP3A4 controls · included in panel
Caffeine, Ibuprofen, Coumarin, Chlorzoxazone, Flurbiprofen, Melatonin, Bupropion, Alosetron, Lorazepam, Propofol, Flutamide, Selegiline, Efavirenz, Atomoxetine, Amodiaquine, Fluoxetine, Clopidogrel, Isoniazid, Ketamine, Tolbutamide
The supplied results quantify site-prediction performance on the 20 substrates. Separate classification or false-positive rates for the 20 controls were not provided.
Validation context
This report presents the supplied CYP3A4 benchmark, including reported exact metabolite-structure matches and site-level ranking results. The site-recall table measures documented metabolism sites and is distinct from structural identity matching. Metabolite abundance and clinical outcomes were not assessed. Independent external replication is not claimed.
Source: CYP3A4 Metabolite Site Prediction — Validation Report · v2.0 · October 5, 2026 · Brandy Stoffel, MSN, RN.