Böhm D, Moré S, Moré M, Kloner L, Volkmann M, Haag R, Kohn B
Klinik für kleine Haustiere, Freie Universität Berlin.
Dendropharm GmbH, Berlin.
Schweiz Arch Tierheilkd. 2020 Apr;162(4):223-234. doi: 10.17236/sat00253.
The oral treatment of feline hyperthyroidism with antithyroid drugs often results in gastrointestinal side effects (10-20%). To date only oral formulations are approved although the oral application is not tolerated by all cats. Transdermal therapy can be an alternative. Nanocarriers could be used to ensure adequate transport of active agents through the skin. The present pilot study investigated the efficacy and safety of a novel dermal formulation of thiamazole for the treatment of feline hyperthyroidism. For the first time, amphiphilic dendritic core-multishell-nanocarriers were used. Cats with T4 values ≥ 4.0 µg/dl or a T4 value from 3.0-4.0 µg/dl and defined clinical findings were recruited. The euthyroid range for the T4 value was defined from ≥ 0.8 and ≤ 4.0 µg/dl. A total of 24 hyperthyroid cats were included and treated with thiamazole ointment for three weeks (24 cats) up to eight weeks (12 cats). The treatment success was 50% after three weeks and 41,7% after eight weeks. Cats that were within the euthyroid range required after three weeks a mean total dose of 1,09 mg/kg/d (0,68-1,7 mg/kg/d, 12/24) and after eight weeks 1,65 mg/kg/d (1,49-2,04 mg/kg/d, 5/12). No side effects were observed during the three resp. eight-week study period. Variations of the T4 value in companion cats in the same household were comparable to those of an independent control group. Thiamazole ointment based on nanocarriers is suitable for the treatment of feline hyperthyroidism.
用抗甲状腺药物口服治疗猫甲状腺功能亢进症常常会导致胃肠道副作用(发生率为10 - 20%)。尽管并非所有猫都能耐受口服给药,但迄今为止只有口服制剂获得批准。透皮疗法可能是一种替代方法。纳米载体可用于确保活性剂充分透过皮肤。本初步研究调查了一种新型甲巯咪唑皮肤制剂治疗猫甲状腺功能亢进症的疗效和安全性。首次使用了两亲性树枝状核 - 多壳纳米载体。招募了T4值≥4.0μg/dl或T4值在3.0 - 4.0μg/dl且有明确临床症状的猫。T4值的正常甲状腺功能范围定义为≥0.8且≤4.0μg/dl。总共纳入24只甲状腺功能亢进的猫,用甲巯咪唑软膏治疗3周(24只猫)至8周(12只猫)。3周后治疗成功率为50%,8周后为41.7%。甲状腺功能处于正常范围的猫在3周后平均总剂量为1.09mg/kg/d(0.68 - 1.7mg/kg/d,12/24),8周后为1.65mg/kg/d(1.49 - 2.04mg/kg/d,5/12)。在3周和8周的研究期间均未观察到副作用。同一家庭中伴养猫的T4值变化与独立对照组相当。基于纳米载体的甲巯咪唑软膏适用于治疗猫甲状腺功能亢进症。