ClearanceStudiesof Methotrexatein Dogsafter Multiple-Rate Infusion1

Plasma, renal, and nonrenal clearances of methotrexate as well as their interrelationship were studied in five conditioned male beagle-mongrel dogs using the multiple-rate infusion method. Steady-state plasma methotrexate concentrations of 1, 20, and 100 //g/ml were targeted for by i.v. bolus doses followed by i.v. infusions. An isotonic solution of sodium bicarbonate or ammonium chloride was simultaneously infused to study the effect of acid-base imbalance on the clearances. NaCI solution (0.9%) infusion served as a control. Plasma and urine concentra tions of methotrexate were quantitated by a sensitive high- performance liquid Chromatographie method. Distortion of body acid-base balance did not significantly change the clearances of methotrexate. The results showed that the plasma clearance (4.02 to 4.68 ml/min/kg) of methotrexate was relatively constant over the concentration range studied. The renal and nonrenal clearances, on the other hand, were concentration dependent. As the plasma methotrexate concentration increased from 1 to 20 or 100 /ug/ml, renal clearance decreased from 3.60 to 4.28 ml/min/kg to 2.62 to 2.73 ml/min/kg, and nonrenal clearance increased from 0.35 to 0.42 ml/min/kg to 1.38 to 1.74 ml/min/ kg. Concentration-dependent renal clearance may be due to saturation of the process involving active tubular secretion of methotrexate.