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Pharmacokinetics, Dose-Proportionality, and Tolerability of Intravenous Tanespimycin (17-AAG) in Single and Multiple Doses in Dogs: A Potential Novel Treatment for Canine Visceral Leishmaniasis.

作者信息

Ferrante Marcos, Leite Bruna Martins Macedo, Fontes Lívia Brito Coelho, Santos Moreira Alice, Nascimento de Almeida Élder Muller, Brodskyn Claudia Ida, Lima Isadora Dos Santos, Dos Santos Washington Luís Conrado, Pacheco Luciano Vasconcellos, Cardoso da Silva Vagner, Dos Anjos Jeancarlo Pereira, Guarieiro Lílian Lefol Nani, Landoni Fabiana, de Menezes Juliana P B, Fraga Deborah Bittencourt Mothé, Santos Júnior Aníbal de Freitas, Veras Patrícia Sampaio Tavares

机构信息

Laboratory of Physiology and Pharmacology, Department of Veterinary Medicine, Federal University of Lavras, Lavras 37200-000, Minas Gerais, Brazil.

Laboratory of Host-Parasite Interaction and Epidemiology, Gonçalo Moniz Institute, Fiocruz-Bahia, Salvador 40296-710, Bahia, Brazil.

出版信息

Pharmaceuticals (Basel). 2024 Jun 11;17(6):767. doi: 10.3390/ph17060767.


DOI:10.3390/ph17060767
PMID:38931434
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11206245/
Abstract

In the New World, dogs are considered the main reservoir of visceral leishmaniasis (VL). Due to inefficacies in existing treatments and the lack of an efficient vaccine, dog culling is one of the main strategies used to control disease, making the development of new therapeutic interventions mandatory. We previously showed that Tanespimycin (17-AAG), a Hsp90 inhibitor, demonstrated potential for use in leishmaniasis treatment. The present study aimed to test the safety of 17-AAG in dogs by evaluating plasma pharmacokinetics, dose-proportionality, and the tolerability of 17-AAG in response to a dose-escalation protocol and multiple administrations at a single dose in healthy dogs. Two protocols were used: Study A: four dogs received variable intravenous (IV) doses (50, 100, 150, 200, or 250 mg/m) of 17-AAG or a placebo ( = 4/dose level), using a cross-over design with a 7-day "wash-out" period; Study B: nine dogs received three IV doses of 150 mg/m of 17-AAG administered at 48 h intervals. 17-AAG concentrations were determined by a validated high-performance liquid chromatographic (HPLC) method: linearity (R = 0.9964), intra-day precision with a coefficient of variation (CV) ≤ 8%, inter-day precision (CV ≤ 20%), and detection and quantification limits of 12.5 and 25 ng/mL, respectively. In Study A, 17-AAG was generally well tolerated. However, increased levels of liver enzymes-alanine aminotransferase (ALT), aspartate aminotransferase (AST), and gamma-glutamyl transferase (GGT)-and bloody diarrhea were observed in all four dogs receiving the highest dosage of 250 mg/m. After single doses of 17-AAG (50-250 mg/m), maximum plasma concentrations (Cmax) ranged between 1405 ± 686 and 9439 ± 991 ng/mL, and the area under the curve (AUC) plotting plasma concentration against time ranged between 1483 ± 694 and 11,902 ± 1962 AUC 0-8 h μg/mL × h, respectively. Cmax and AUC parameters were dose-proportionate between the 50 and 200 mg/m doses. Regarding Study B, 17-AAG was found to be well tolerated at multiple doses of 150 mg/m. Increased levels of liver enzymes-ALT (28.57 ± 4.29 to 173.33 ± 49.56 U/L), AST (27.85 ± 3.80 to 248.20 ± 85.80 U/L), and GGT (1.60 ± 0.06 to 12.70 ± 0.50 U/L)-and bloody diarrhea were observed in only 3/9 of these dogs. After the administration of multiple doses, Cmax and AUC 0-48 h were 5254 ± 2784 μg/mL and 6850 ± 469 μg/mL × h in plasma and 736 ± 294 μg/mL and 7382 ± 1357 μg/mL × h in tissue transudate, respectively. In conclusion, our results demonstrate the potential of 17-AAG in the treatment of CVL, using a regimen of three doses at 150 mg/m, since it presents the maintenance of high concentrations in subcutaneous interstitial fluid, low toxicity, and reversible hepatotoxicity.

摘要
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/84f12f404c98/pharmaceuticals-17-00767-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/cc53296b0da3/pharmaceuticals-17-00767-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/73bd80d2ba5b/pharmaceuticals-17-00767-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/15e3f6eeba1d/pharmaceuticals-17-00767-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/8e0c0a6e3960/pharmaceuticals-17-00767-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/84f12f404c98/pharmaceuticals-17-00767-g005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/cc53296b0da3/pharmaceuticals-17-00767-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/73bd80d2ba5b/pharmaceuticals-17-00767-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/15e3f6eeba1d/pharmaceuticals-17-00767-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/8e0c0a6e3960/pharmaceuticals-17-00767-g004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a74c/11206245/84f12f404c98/pharmaceuticals-17-00767-g005.jpg

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Pharmacokinetics, Dose-Proportionality, and Tolerability of Intravenous Tanespimycin (17-AAG) in Single and Multiple Doses in Dogs: A Potential Novel Treatment for Canine Visceral Leishmaniasis.

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本文引用的文献

[1]
Synthetic biology for combating leishmaniasis.

Front Microbiol. 2024-2-1

[2]
The immune response in canine and human leishmaniasis and how this influences the diagnosis- a review and assessment of recent research.

Front Cell Infect Microbiol. 2023

[3]
Experimental structure based drug design (SBDD) applications for anti-leishmanial drugs: A paradigm shift?

Med Res Rev. 2024-5

[4]
The status of combination therapy for visceral leishmaniasis: an updated review.

Lancet Infect Dis. 2024-1

[5]
Editorial: The practical implication of clinical pharmacokinetics in drug development, pharmaceutical analysis, and clinical research.

Front Pharmacol. 2023-7-25

[6]
Canine visceral leishmaniasis: risk factors and spatial analysis in an endemic area of Northeastern Brazil.

Rev Bras Parasitol Vet. 2023

[7]
Effective immuno-therapeutic treatment of Canine Leishmaniasis.

PLoS Negl Trop Dis. 2023-5

[8]
Pharmacometrics: A New Era of Pharmacotherapy and Drug Development in Low- and Middle-Income Countries.

Adv Pharmacol Pharm Sci. 2023-3-7

[9]
Native Size-Exclusion Chromatography-Based Mass Spectrometry Reveals New Components of the Early Heat Shock Protein 90 Inhibition Response Among Limited Global Changes.

Mol Cell Proteomics. 2023-2

[10]
HSP90 inhibitors and cancer: Prospects for use in targeted therapies (Review).

Oncol Rep. 2023-1

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