College of Veterinary Medicine, Texas A&M University, College Station, TX, USA.
J Vet Intern Med. 2011 Mar-Apr;25(2):297-302. doi: 10.1111/j.1939-1676.2011.0687.x. Epub 2011 Feb 11.
Masitinib mesylate is a PO-administered tyrosine kinase inhibitor developed both for human and animal diseases with activity against both mutated and wild type forms of the c-kit receptor and platelet-derived growth factor receptors α and β, and is currently registered in Europe for the treatment of mast cell tumors in dogs.
HYPOTHESIS/OBJECTIVES: The objective of this study was to determine if healthy cats can tolerate administration of masitinib without clinically relevant adverse effects.
Twenty healthy research colony-specific pathogen-free cats.
This study was a prospective, randomized phase 1 clinical trial. Masitinib was administered PO to 20 healthy cats. Ten cats received 50 mg masitinib every other day for 4 weeks, and 10 cats received 50 mg masitinib daily for 4 weeks.
Clinically relevant proteinuria was noted in 2/20 (10%) cats (both treated daily), and neutropenia was noted in 3/20 (15%) (seen in both treatment groups). An increase in serum creatinine concentration and adverse gastrointestinal effects were noted in some cats.
Masitinib mesylate was tolerated in the majority of cats. Long-term administration and pharmacokinetic studies are needed to further assess the use of masitinib in cats.
甲磺酸马替尼是一种可口服的酪氨酸激酶抑制剂,既能作用于突变型和野生型 c-kit 受体,也能作用于血小板衍生生长因子受体 α 和 β,已在欧洲注册用于治疗犬肥大细胞瘤。
假设/目的:本研究旨在确定健康猫是否可以耐受马替尼而无临床相关不良反应。
20 只健康的研究用无特定病原体猫。
本研究为前瞻性、随机的 1 期临床试验。20 只健康猫口服给予马替尼。10 只猫每 2 天接受 50mg 马替尼治疗 4 周,另 10 只猫每天接受 50mg 马替尼治疗 4 周。
20 只猫中有 2 只(10%)出现临床相关蛋白尿(均为每日治疗组),3 只(15%)出现中性粒细胞减少症(两组均可见)。一些猫出现血清肌酐浓度升高和胃肠道不良反应。
马替尼在大多数猫中可耐受。需要进行长期给药和药代动力学研究,以进一步评估马替尼在猫中的应用。