Fan Timothy M, de Lorimier Louis-Philippe, Charney Sarah C, Hintermeister John G
Department of Veterinary Clinical Medicine, Veterinary Teaching Hospital, University of Illinois, Urbana, IL 61802-4714, USA.
J Vet Intern Med. 2005 Jan-Feb;19(1):74-80. doi: 10.1892/0891-6640(2005)19<74:eoipai>2.0.co;2.
The purpose of this study was to evaluate the clinical safety of pamidronate when administered at a mean dosage of 1.0 mg/kg IV q28d in 33 tumor-bearing dogs. Biochemical tests of renal function were evaluated before each successive pamidronate treatment. Of 33 dogs treated with pamidronate, 1 dog had clinically relevant increases in serum creatinine and blood urea nitrogen concentrations. The biologic activity of IV pamidronate was assessed prospectively in 10 dogs with appendicular osteosarcoma and was assessed on reductions in urine N-telopeptide excretion (P = .042) and enhanced bone mineral density of the primary tumor measured with dual-energy x-ray absorptiometry (P = .024). Additionally, in these 10 dogs, pamidronate's therapeutic activity was supported by subjective improvement in pain control in 4 of the 10 dogs treated. IV pamidronate appears clinically safe in tumor-bearing dogs and may possess modest biologic activity for managing neoplastic complications associated with pathologic bone resorption.
本研究的目的是评估在33只荷瘤犬中以1.0mg/kg静脉注射、每28天一次的平均剂量给予帕米膦酸二钠的临床安全性。在每次连续给予帕米膦酸二钠治疗前评估肾功能的生化指标。在接受帕米膦酸二钠治疗的33只犬中,1只犬的血清肌酐和血尿素氮浓度出现了具有临床意义的升高。对10只患有四肢骨肉瘤的犬进行了前瞻性评估静脉注射帕米膦酸二钠的生物活性,并通过尿N-端肽排泄减少(P = 0.042)和用双能X线吸收法测量的原发肿瘤骨密度增加(P = 0.024)来评估。此外,在这10只犬中,10只接受治疗的犬中有4只疼痛控制方面的主观改善支持了帕米膦酸二钠的治疗活性。静脉注射帕米膦酸二钠在荷瘤犬中似乎临床安全,并且可能对处理与病理性骨吸收相关的肿瘤并发症具有适度的生物活性。