Rc. Li et al., CONCENTRATION-DEPENDENT PROTEIN-BINDING OF A NOVEL ORAL THROMBOXANE SYNTHASE INHIBITOR - FCE 22,178, Journal of clinical pharmacology, 33(10), 1993, pp. 933-935
The protein binding of FCE 22,178 in humans was determined ex vivo by
equilibrium dialysis using plasma samples obtained from a dose-ranging
study in normal male volunteers. These data suggested that FCE 22,178
may exhibit concentration-dependent protein binding over an in vivo c
oncentration range of .8 to 64 mug/mL. Increase in free fraction at hi
gher plasma drug concentrations corresponded directly to the dose-depe
ndent increase in renal drug clearance. Nonlinear parameter estimation
showed that FCE 22,178 binds tightly to plasma proteins with an appar
ent equilibrium association constant of 1.44 X 10(5) mol/L. Predicted
change in the free fraction is consistent with the observed changes in
renal clearance.