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局部 κ-阿片受体激动剂阿西米朵林改善特应性皮炎犬模型的皮炎。

Topical κ-opioid receptor agonist asimadoline improves dermatitis in a canine model of atopic dermatitis.

机构信息

Department of Small Animal Clinical Sciences, College of Veterinary Medicine, University of Florida, Gainesville, Florida, USA.

Dr. August Wolff GmbH & Co. KG Arzneimittel, Bielefeld, Germany.

出版信息

Exp Dermatol. 2022 Apr;31(4):628-632. doi: 10.1111/exd.14507. Epub 2021 Dec 5.

Abstract

This prospective, 4-week, placebo-controlled, cross-over study aimed to investigate the efficacy of 1% topical κ-opioid agonist, asimadoline, in a model of canine atopic dermatitis (AD). Fourteen beagles were challenged with house dust mites every 3-4 days for a total of 9 challenges. Severity of dermatitis was assessed, and pruritus was monitored using GoPro HERO cameras. Pruritus scoring was evaluated at 10 time periods; baseline, 4 h post allergen challenge and the last day of the study on Day 28. Scoring was done blindly by personnel using BORIS software. A global subjective score was also given using a visual analogue scale (VAS). A 4-week washout period occurred and dogs were crossed-over, the study was repeated, and the results were analysed using combined data. Gel was applied once daily on inguinal area (0.6 ml/dog). ANOVA showed significant effect of time (p < 0.0001) and group (p = 0.0001) on dermatitis scores. Overall, no statistically significant effect on pruritus was found due to a crossing of scores on Day 17. Overtime the placebo scores increased while the active ingredient showed decrease after first 3 weeks. It is concluded that this approach is promising in dogs with AD and longer studies with more frequent application may be beneficial.

摘要

这项前瞻性、4 周、安慰剂对照、交叉研究旨在研究 1%局部 κ-阿片受体激动剂asimadoline 在犬特应性皮炎(AD)模型中的疗效。14 只比格犬每隔 3-4 天用屋尘螨进行挑战,总共进行 9 次挑战。使用 GoPro HERO 摄像机评估皮炎的严重程度和瘙痒情况。瘙痒评分在 10 个时间段进行评估;基线、过敏原挑战后 4 小时和第 28 天研究的最后一天。使用 BORIS 软件由人员进行盲法评分。还使用视觉模拟量表(VAS)给出了总体主观评分。进行了 4 周的洗脱期,然后交叉分组,重复研究,并使用合并数据进行分析。每天在腹股沟区域涂抹凝胶一次(0.6ml/只狗)。方差分析显示,皮炎评分的时间(p<0.0001)和组间(p=0.0001)有显著影响。总体而言,由于第 17 天的评分交叉,瘙痒评分没有统计学上的显著影响。随着时间的推移,安慰剂评分增加,而活性成分在最初 3 周后显示出下降。结论是,这种方法在 AD 犬中很有前景,更长时间的研究和更频繁的应用可能会更有益。

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