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选择性雌激素受体调节剂雷洛昔芬:大鼠和兔子的第二阶段研究

The selective estrogen receptor modulator, raloxifene: segment II studies in rats and rabbits.

作者信息

Byrd R A, Francis P C

机构信息

Toxicology Research Laboratories, Lilly Research Laboratories, A Division of Eli Lilly and Company, Greenfield, Indiana 46140, USA.

出版信息

Reprod Toxicol. 1998 May-Jun;12(3):261-70. doi: 10.1016/s0890-6238(98)00015-x.

Abstract

Raloxifene is a nonsteroidal, selective estrogen receptor modulator developed by Eli Lilly and Company primarily as a therapeutic agent for postmenopausal osteoporosis. Two Segment II studies were conducted that examined maternal reproductive parameters and fetal outcome following gestational exposure to raloxifene. Pregnant CD rats (25/group) and New Zealand white rabbits (20/group) were dosed once daily by oral gavage with 0, 0.1, 1, or 10 mg/kg on Gestation Days (GD) 6 through 17 and 7 through 19, respectively. Maternal body weight and food consumption were monitored throughout pregnancy. Caesarean sections were performed on GD 20 and GD 28 for rats and rabbits, respectively, to evaluate fetal viability, weight, and morphology. In rats, maternal body weight, body weight gain, and food consumption were reduced in all raloxifene treatment groups. Fetal viability was depressed in the 10-mg/kg group and was often associated with signs of hemorrhaging from the vagina. Fetal growth retardation was indicated in the 1- and/or 10-mg/kg groups by increased incidences of fetal runts and the developmental deviations, wavy ribs and kidney cavitation. There was no evidence of treatment-related malformations in rat fetuses. In rabbits, depressions in body weight gain and food consumption occurred in the 10-mg/kg group, and a single abortion occurred in the 1-mg/kg group. Fetal viability and weights were not affected in any of the raloxifene treatment groups. The overall proportions of fetuses with malformations, deviations, or variations were not affected by treatment with raloxifene; however, one fetus each from the 0.1-, 1-, and 10-mg/kg groups had incomplete closure of the interventricular septum. Therefore, maternal and fetal no-effect levels were not obtained in this study of raloxifene.

摘要

雷洛昔芬是一种非甾体类选择性雌激素受体调节剂,由礼来公司研发,主要用作绝经后骨质疏松症的治疗药物。开展了两项II期研究,考察孕期暴露于雷洛昔芬后的母体生殖参数和胎儿结局。将妊娠CD大鼠(每组25只)和新西兰白兔(每组20只)分别在妊娠第6至17天和第7至19天,通过口服灌胃,每日给药一次,剂量分别为0、0.1、1或10 mg/kg。在整个孕期监测母体体重和食物摄入量。分别于妊娠第20天和第28天对大鼠和兔子实施剖宫产,以评估胎儿的活力、体重和形态。在大鼠中,所有雷洛昔芬治疗组的母体体重、体重增加量和食物摄入量均降低。10 mg/kg组的胎儿活力降低,且常伴有阴道出血迹象。1和/或10 mg/kg组出现胎儿发育迟缓,表现为胎儿发育不全以及发育异常(肋骨波浪状和肾空洞)的发生率增加。未发现大鼠胎儿有与治疗相关的畸形。在兔子中,10 mg/kg组出现体重增加量和食物摄入量降低,1 mg/kg组出现一例流产。雷洛昔芬各治疗组均未影响胎儿活力和体重。雷洛昔芬治疗未影响胎儿畸形、偏差或变异的总体比例;然而,0.1、1和10 mg/kg组各有一只胎儿室间隔未完全闭合。因此,在这项雷洛昔芬研究中未得出母体和胎儿无影响水平。

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