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The free drug theory (sometimes also termed free drug hypothesis) provides a conceptual framework increasingly used to understand pharmacokinetics/pharmacodynamics (PK/PD) relationships [1]. It underlines the central role of free (or unbound) drug concentration at the site of action (the surroundings of the drug target) as determinant of in vivo efficacy and pharmacokinetics. A deep understanding of this theory can also be helpful to establish in vitro-in vivo correlations or, alternatively, to provide explanations to absence of clear correlations between in vitro and in vivo studies.
The free drug theory can be enunciated in two parts [2].
The free drug theory part I states that, at steady state, the unbound drug concentration will be the same on both sides of a biological membrane. Provided that some requisites are verified, thus, the free drug concentration will be the same in plasma, extracellular fluid, and intracellular fluid.
The free...
References
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Talevi, A., Bellera, C.L. (2021). Free Drug Theory. In: The ADME Encyclopedia. Springer, Cham. https://doi.org/10.1007/978-3-030-51519-5_51-1
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DOI: https://doi.org/10.1007/978-3-030-51519-5_51-1
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Free Drug Theory- Published:
- 04 December 2021
DOI: https://doi.org/10.1007/978-3-030-51519-5_51-2
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Free Drug Theory- Published:
- 02 June 2021
DOI: https://doi.org/10.1007/978-3-030-51519-5_51-1