Summary
An ultrafiltration technique or equilibrium dialysis has been used to study the in vitro human plasma protein binding of racemic zileuton, its individual enantiomers, and its pharmacologically inactive metabolite N-dehydroxyzileuton.
The plasma protein binding of zileuton and N-dehydroxyzileuton over the concentration range of 0.1 to 100 mg/L averaged 93.1 ± 0.22 and 92.0 ± 0.12%, respectively. However, there appeared to be a stereoselective effect, with the R(+) enantiomer of zileuton demonstrating greater binding to plasma proteins than the S(−) enantiomer (96 vs 88%, respectively). Zileuton was bound to both human serum albumin (40 g/L) and α1-acid glycoprotein (1 g/L), although binding affinity to albumin was approximately 3-fold greater. Displacement interactions of zileuton with warfarin, salicylate, theophylline, naproxen, ibuprofen, prednisone, and terfenadine were minimal.
The blood to plasma concentration ratio for zileuton and N-dehydroxyzileuton ranged from 0.65 to 0.68, indicating that these compounds were mainly distributed in the plasma.
Thus, zileuton is approximately 93% bound to plasma proteins at expected therapeutic concentrations in vitro, and this figure is largely unaffected by several commonly prescribed agents with which the drug may be coadministered.
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References
Bell RL, Young PR, Albert D, et al. The discovery and development of zileuton: an orally active 5-lipoxygenase inhibitor. Int J Immunopharmacol 1992; 14: 505–10
Batt DG. 5-lipoxygenase inhibitors and their anti-inflammatory activities. Prog Med Chem 1992; 29: 1–63
Carter GW, Young PR, Albert DH, et al. 5-lipoxygenase inhibitory activity of zileuton. J Pharmacol Exp Ther 1991; 256: 929–37
Noonan TC, Jamieson-Leclercq T, Desai SV. Effect of BI-L-239, A-64077 and MK-886 on leukotriene B4 synthesis by chopped guinea pig lung and on antigen-induced tracheal contraction in vitro. Prostaglandins 1992; 44: 543–54
Riendeau D, Guay J, Foster A, et al. Inhibition of leukotriene B4 biosynthesis by disulfiram and A-64077 during carrageenan-induced pleurisy in the rat. Gen Pharmacol 1991; 22: 371–4
Rubin P, Kesterson J, Swanson L, et al. Safety, pharmacokinetics and leukotriene B4 (LTB4) inhibition of single doses of A-64077 in normal male volunteers [abstract IVC-1]. Clin Pharmacol Ther 1989; 45: 187
Rubin P, Dubé L, Braeckman R, et al. Pharmacokinetics, safety, and ability to diminish leukotriene synthesis by zileuton, an inhibitor of 5-lipoxygenase. Agents Actions 1991; 35: 103–16
Sirois P, Borgeat P, Lauziere M, et al. Effect of zileuton (A-64077) on the 5-lipoxygenase activity of human whole blood ex vivo. Agents Actions 1991; 34: 117–20
Young PR, Bell RL, Lanni C, et al. Inhibition of leukotriene biosynthesis in the rat peritoneal cavity. Eur J Pharmacol 1991; 205: 259–66
Bukhave K, Laursen LS, Lauritsen K, et al. 5-lipoxygenase inhibition in double-blind trial with zileuton: how much is sufficient in active ulcerative colitis? [abstract]. Gastroenterology 1991; 100: A200
Collawn C, Rubin P, Perez N, et al. Phase II study of the safety and efficacy of a 5-lipoxygenase inhibitor in patients with ulcerative colitis. Am J Gastroenterol 1992; 87: 342–6
Frossard N, LeGall G, Cohn J. Effect of a 5-lipoxygenase inhibitor, zileuton, on the immunologically-induced contraction of human bronchi [abstract]. Am Rev Respir Dis 1992; 145: A289
Hui KP, Taylor IK, Taylor GW, et al. Effect of a 5-lipoxygenase inhibitor on leukotriene generation and airway responses after allergen challenge in asthmatic patients. Thorax 1991; 46: 184–9
Israel E, Dermarkarian R, Rosenberg M, et al. The effects of a 5-lipoxygenase inhibitor on asthma induced by cold, dry air. N Engl J Med 1990; 323: 1740–4
Israel E, Drazen J, Pearlman H, et al. A double-blind multicenter of study of zileuton, a potent 5-lipoxygenase (5-LO) inhibitor versus placebo in the treatment of spontaneous asthma in adults [abstract 368]. J Allergy Clin Immunol 1992; 236: 89
Israel E, Rubin P, Pearlman H, et al. 5-lipoxygenase inhibition by zileuton causes acute bronchodilation in asthma [abstract]. Am Rev Respir Dis 1992; 145: A16
Knapp HR. Reduced allergen-induced nasal congestion and leukotriene synthesis with an orally active 5-lipoxygenase inhibitor. N Engl J Med 1990; 323: 1745–8
Laursen LS, Naesdal J, Bukhave K, et al. Selective 5-lipoxygenase inhibition in ulcerative colitis. Lancet 1990; 335: 683–5
Stenson WF, Lauritsen K, Laursen LS, et al. A clinical trial of zileuton, a specific inhibitor of 5-lipoxygenase, in ulcerative colitis [abstract]. Gastroenterology 1991; 100: A253
Weinblatt ME, Kremer JM, Coblyn JS, et al. Zileuton, a 5-lipoxygenase inhibitor in rheumatoid arthritis. J Rheumatol 1992; 19: 1537–41
MacKichan JJ. Influence of protein binding and use of unbound (free) drug concentrations. In: Evans et al., editors. Applied pharmacokinetics: principles of therapeutic drug monitoring. 3rd ed. Vancouver, Washington: Applied Therapeutics Inc., 1992:5–1–5–48
McElnay JC, D’Arcy PR Protein binding displacement interactions and their clinical importance. Drugs1983; 25: 495–513
Gross AS, Heuer B, Eichelbaum M. Stereoselective protein binding of verapamil enantiomers. Biochem Pharmacol 1988; 37: 4623–7
Takahashi H, Ogata H, Kanno S, et al. Plasma binding of propranolol enantiomers as a major determinant of their stereoselective tissue distribution in rats. J Pharmacol Exp Ther 1990; 252: 272–8
Lapicque F, Muller N, Payan E, et al. Protein binding and stereoselectivity of nonsteroidal anti-inflammatory drugs. Clin Pharmacokinet 1993; 25: 115–25
Thomas ST, Surber BW, Fitzgerald M. Preparative separation and analysis of the enantiomers of 14C-zileuton, a 5-lipoxygenase inhibitor. J Chromatogr 1992; 623: 390–4
Gibaldi M, Perrier D. Pharmacokinetics. In: Drugs and pharmaceutical sciences. Vol 15. New York: Marcel Dekker, 1982: 327–30
Vozeh S, Schmidlin O, Taeschner W. Pharmacokinetic drug data. Clin Pharmacokinet 1988: 254–82
McTavish D, Goa KL, Ferrill M. Terfenadine. An updated review of its pharmacological properties and therapeutic efficacy. Drugs 1990; 39: 552–74
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Machinist, J.M., Kukulka, M.J. & Bopp, B.A. In Vitro Plasma Protein Binding of Zileuton and its N-Dehydroxylated Metabolite. Clin-Pharmacokinet 29 (Suppl 2), 34–41 (1995). https://doi.org/10.2165/00003088-199500292-00006
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DOI: https://doi.org/10.2165/00003088-199500292-00006