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甲磺酸马替尼在健康猫中的安全性。

Safety of masitinib mesylate in healthy cats.

机构信息

College of Veterinary Medicine, Texas A&M University, College Station, TX, USA.

出版信息

J Vet Intern Med. 2011 Mar-Apr;25(2):297-302. doi: 10.1111/j.1939-1676.2011.0687.x. Epub 2011 Feb 11.

Abstract

BACKGROUND

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.

ANIMALS

Twenty healthy research colony-specific pathogen-free cats.

METHODS

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.

RESULTS

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.

CONCLUSIONS AND CLINICAL IMPORTANCE

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.

摘要

背景

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。

动物

20 只健康的研究用无特定病原体猫。

方法

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。

结果

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。

结论和临床意义

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。

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