Plasma protein binding: From discovery to development

The importance of plasma protein binding (PPB) in modulating the effective drug concentration at pharmacological target sites has been the topic of significant discussion and debate amongst drug development groups over the past few decades. Free drug theory, which states that in absence of energy-de...

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Bibliographic Details
Published inJournal of pharmaceutical sciences Vol. 102; no. 9; pp. 2953 - 2994
Main Authors Bohnert, Tonika, Gan, Liang-Shang
Format Journal Article
LanguageEnglish
Published Hoboken Elsevier Inc 01.09.2013
Wiley Subscription Services, Inc., A Wiley Company
Elsevier Limited
Subjects
albumin
alpha 1-acid glycoprotein
Animals
Blood Proteins - metabolism
Blood-Brain Barrier - metabolism
blood–brain barrier
Drug Interactions
Humans
Pharmaceutical Preparations - blood
Pharmaceutical Preparations - metabolism
Protein Binding
blood–brain barrier
drug interactions
protein binding
albumin
alpha 1-acid glycoprotein
blood-brain barrier
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Summary:The importance of plasma protein binding (PPB) in modulating the effective drug concentration at pharmacological target sites has been the topic of significant discussion and debate amongst drug development groups over the past few decades. Free drug theory, which states that in absence of energy-dependent processes, after steady state equilibrium has been attained, free drug concentration in plasma is equal to free drug concentration at the pharmacologic target receptor(s) in tissues, has been used to explain pharmacokinetics/pharmacodynamics relationships in a large number of cases. Any sudden increase in free concentration of a drug could potentially cause toxicity and may need dose adjustment. Free drug concentration is also helpful to estimate the effective concentration of drugs that potentially can precipitate metabolism (or transporter)-related drug–drug interactions. Disease models are extensively validated in animals to progress a compound into development. Unbound drug concentration, and therefore PPB information across species is very informative in establishing safety margins and guiding selection of First in Human (FIH) dose and human efficacious dose. The scope of this review is to give an overview of reported role of PPB in several therapeutic areas, highlight cases where PPB changes are clinically relevant, and provide drug metabolism and pharmacokinetics recommendations in discovery and development settings.
ISSN:0022-3549
1520-6017
DOI:10.1002/jps.23614