Guarnieri M, Brayton C, Sarabia-Estrada R, Tyler B, McKnight P, DeTolla L
Johns Hopkins School of Medicine, Department of Neurological Surgery, Baltimore, MD, USA.
Johns Hopkins School of Medicine, Department of Molecular and Comparative Pathobiology, Baltimore, MD, USA.
J Vet Med. 2017;2017:3102567. doi: 10.1155/2017/3102567. Epub 2017 Apr 9.
A Target Animal Safety protocol was used to examine adverse events in male and female Fischer F344/NTac rats treated with increasing doses of a subcutaneous implant of a lipid suspension of buprenorphine. A single injection of 0.65 mg/kg afforded clinically significant blood levels of drug for 3 days. Chemistry, hematology, coagulation, and urinalysis values with 2- to 10-fold excess doses of the drug-lipid suspension were within normal limits. Histopathology findings were unremarkable. The skin and underlying tissue surrounding the drug injection were unremarkable. Approximately 25% of a cohort of rats given the excess doses of 1.3, 3.9, and 6.5 mg/kg displayed nausea-related behavior consisting of intermittent and limited excess grooming and self-gnawing. These results confirm the safety of cholesterol-triglyceride carrier systems for subcutaneous drug delivery of buprenorphine in laboratory animals and further demonstrate the utility of lipid-based carriers as scaffolds for subcutaneous, long-acting drug therapy.
采用目标动物安全方案,对皮下植入递增剂量丁丙诺啡脂质混悬液的雄性和雌性Fischer F344/NTac大鼠的不良事件进行检查。单次注射0.65mg/kg可使药物在3天内达到具有临床意义的血药浓度。给予2至10倍过量药物-脂质混悬液后的化学、血液学、凝血和尿液分析值均在正常范围内。组织病理学检查结果无明显异常。药物注射部位周围的皮肤和皮下组织无明显异常。给予1.3、3.9和6.5mg/kg过量剂量的一组大鼠中,约25%表现出与恶心相关的行为,包括间歇性和有限的过度梳理毛发和自咬行为。这些结果证实了胆固醇-甘油三酯载体系统用于丁丙诺啡皮下给药在实验动物中的安全性,并进一步证明了脂质载体作为皮下长效药物治疗支架的实用性。