Panteri Alessandro, Strehlau Günther, Helbig Rainer, Prost Christine, Doucette Kelly
Elanco Centre de Recherche Santé Animale (CRA), 20 route de la petite glâne, CH 1566, St Aubin, Switzerland.
Elanco Animal Health, Schwarzwaldallee 215, CH 4058, Basel, Switzerland.
Vet Dermatol. 2016 Feb;27(1):22-e7. doi: 10.1111/vde.12278. Epub 2015 Dec 11.
Ciclosporin and oclacitinib are immunomodulators approved for the treatment of canine atopic dermatitis. The administration of a short course of prednisolone at the beginning of ciclosporin therapy hastens the efficacy of this drug; oclacitinib has a rapid antipruritic effect similar to that of prednisolone.
To evaluate the oral tolerance of oclacitinib and ciclosporin given concurrently for three weeks.
Two groups of eight beagles.
Dogs were randomized to receive oclacitinib alone (0.4-0.6 mg/kg twice daily for 14 days then once daily for seven days) or in combination with ciclosporin (5 mg/kg once daily) for three weeks. They were examined every day and adverse events were recorded. Blood samples were collected during the acclimatization phase, weekly during treatment and at the end of the study for haematology, clinical chemistry and coagulation evaluation.
There were no abnormal clinical observations following treatment with oclacitinib given alone or concomitantly with ciclosporin, with the exception of diarrhoea in two dogs receiving both drugs. Three dogs from each group experienced transient inappetence; three dogs treated with oclacitinib had mild weight loss. Clinical pathology parameters remained within the reference range for beagle dogs at that facility.
The concomitant administration of ciclosporin and oclacitinib for three weeks to beagles was well tolerated and was not associated with an increase in the number of adverse events or laboratory abnormalities beyond those associated with oclacitinib given alone.
环孢素和奥克拉替尼是被批准用于治疗犬特应性皮炎的免疫调节剂。在环孢素治疗开始时给予短期泼尼松龙可加速该药物的疗效;奥克拉替尼具有与泼尼松龙相似的快速止痒作用。
评估同时给予奥克拉替尼和环孢素三周的口服耐受性。
两组,每组八只比格犬。
将犬随机分为单独接受奥克拉替尼(0.4 - 0.6毫克/千克,每日两次,共14天,然后每日一次,共7天)或与环孢素联合使用(5毫克/千克,每日一次)三周。每天对它们进行检查并记录不良事件。在适应期、治疗期间每周以及研究结束时采集血样进行血液学、临床化学和凝血评估。
单独使用奥克拉替尼或与环孢素联合使用后,除两只同时接受两种药物的犬出现腹泻外,没有异常临床观察结果。每组有三只犬出现短暂食欲不振;三只接受奥克拉替尼治疗的犬体重轻度减轻。该机构比格犬的临床病理学参数仍在参考范围内。
对比格犬同时给予环孢素和奥克拉替尼三周耐受性良好,且与单独使用奥克拉替尼相比,不良事件数量或实验室异常并未增加。