Pharmacokinetics and toxicity of the novel oral demethylating agent zebularine in laboratory and tumor bearing dogs

The purpose of this study was to determine the plasma pharmacokinetics (PK) and toxicity of zebularine, an oral cytidine analog with demethylating activity, in dogs. Plasma zebularine concentrations were determined by HPLC‐MS/MS following an oral zebularine dose of 8 or 4 mg kg−1. Plasma zebularine...

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Published in:Veterinary & comparative oncology Vol. 15; no. 1; pp. 226 - 236
Main Authors: Fulkerson, C. M., Dhawan, D., Jones, D. R., Marquez, V. E., Jones, P. A., Wang, Z., Wu, Q., Klaunig, J. E., Fourez, L. M., Bonney, P. L., Knapp, D. W.
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Language:English
Published: Oxford, UK Blackwell Publishing Ltd 01-03-2017
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Abstract The purpose of this study was to determine the plasma pharmacokinetics (PK) and toxicity of zebularine, an oral cytidine analog with demethylating activity, in dogs. Plasma zebularine concentrations were determined by HPLC‐MS/MS following an oral zebularine dose of 8 or 4 mg kg−1. Plasma zebularine clearance was constant. Mean maximum concentration (Cmax) was 23 ± 4.8 and 8.6 ± 1.4 µM following 8 and 4 mg kg−1, respectively. Mean half‐life was 5.7 ± 0.84 and 7.1 ± 2.1 following 8 and 4 mg kg−1, respectively. A single 8 mg kg−1 dose was well tolerated. Daily 4 mg kg−1 treatment in three laboratory dogs resulted in grade 4 neutropenia (n = 3), grade 1 anorexia (n = 2) and grade 1 or 2 dermatologic changes (n = 2). All adverse events resolved with supportive care. A 4 mg kg−1 dose every 21 days was well tolerated. A follow‐up dose escalation study is in progress with a lower starting dose.
AbstractList The purpose of this study was to determine the plasma pharmacokinetics (PK) and toxicity of zebularine, an oral cytidine analog with demethylating activity, in dogs. Plasma zebularine concentrations were determined by HPLC-MS/MS following an oral zebularine dose of 8 or 4 mg kg . Plasma zebularine clearance was constant. Mean maximum concentration (C ) was 23 ± 4.8 and 8.6 ± 1.4 µM following 8 and 4 mg kg , respectively. Mean half-life was 5.7 ± 0.84 and 7.1 ± 2.1 following 8 and 4 mg kg , respectively. A single 8 mg kg dose was well tolerated. Daily 4 mg kg treatment in three laboratory dogs resulted in grade 4 neutropenia (n = 3), grade 1 anorexia (n = 2) and grade 1 or 2 dermatologic changes (n = 2). All adverse events resolved with supportive care. A 4 mg kg dose every 21 days was well tolerated. A follow-up dose escalation study is in progress with a lower starting dose.
The purpose of this study was to determine the plasma pharmacokinetics ( PK ) and toxicity of zebularine, an oral cytidine analog with demethylating activity, in dogs. Plasma zebularine concentrations were determined by HPLC‐MS / MS following an oral zebularine dose of 8 or 4 mg kg −1 . Plasma zebularine clearance was constant. M ean maximum concentration (C max ) was 23 ± 4.8 and 8.6 ± 1.4 µM following 8 and 4 mg kg −1 , respectively. Mean half‐life was 5.7 ± 0.84 and 7.1 ± 2.1 following 8 and 4 mg kg −1 , respectively. A single 8 mg kg −1 dose was well tolerated. Daily 4 mg kg −1 treatment in three laboratory dogs resulted in grade 4 neutropenia ( n  = 3), grade 1 anorexia ( n  = 2) and grade 1 or 2 dermatologic changes ( n  = 2). All adverse events resolved with supportive care. A 4 mg kg −1 dose every 21 days was well tolerated. A follow‐up dose escalation study is in progress with a lower starting dose.
The purpose of this study was to determine the plasma pharmacokinetics (PK) and toxicity of zebularine, an oral cytidine analog with demethylating activity, in dogs. Plasma zebularine concentrations were determined by HPLC‐MS/MS following an oral zebularine dose of 8 or 4 mg kg−1. Plasma zebularine clearance was constant. Mean maximum concentration (Cmax) was 23 ± 4.8 and 8.6 ± 1.4 µM following 8 and 4 mg kg−1, respectively. Mean half‐life was 5.7 ± 0.84 and 7.1 ± 2.1 following 8 and 4 mg kg−1, respectively. A single 8 mg kg−1 dose was well tolerated. Daily 4 mg kg−1 treatment in three laboratory dogs resulted in grade 4 neutropenia (n = 3), grade 1 anorexia (n = 2) and grade 1 or 2 dermatologic changes (n = 2). All adverse events resolved with supportive care. A 4 mg kg−1 dose every 21 days was well tolerated. A follow‐up dose escalation study is in progress with a lower starting dose.
Author Fulkerson, C. M.
Knapp, D. W.
Wu, Q.
Fourez, L. M.
Jones, P. A.
Bonney, P. L.
Dhawan, D.
Wang, Z.
Jones, D. R.
Marquez, V. E.
Klaunig, J. E.
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  surname: Dhawan
  fullname: Dhawan, D.
  organization: Purdue University College of Veterinary Medicine
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  surname: Jones
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Keywords DNA methylation
zebularine
demethylating agent
dog pharmacokinetics and toxicity
epigeneitcs
Language English
License 2015 John Wiley & Sons Ltd.
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Snippet The purpose of this study was to determine the plasma pharmacokinetics (PK) and toxicity of zebularine, an oral cytidine analog with demethylating activity, in...
The purpose of this study was to determine the plasma pharmacokinetics ( PK ) and toxicity of zebularine, an oral cytidine analog with demethylating activity,...
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pubmed
wiley
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StartPage 226
SubjectTerms Administration, Oral
Aldehyde Oxidase - metabolism
Animals
Chromatography, High Pressure Liquid - veterinary
Cytidine - adverse effects
Cytidine - analogs & derivatives
Cytidine - pharmacokinetics
Cytosol
demethylating agent
DNA Methylation
Dog Diseases - drug therapy
dog pharmacokinetics and toxicity
Dogs
epigeneitcs
Female
Half-Life
Indiana
Liver - metabolism
Macrolides
Male
Neoplasms - drug therapy
Neoplasms - veterinary
Neutropenia - chemically induced
Neutropenia - veterinary
Schools, Veterinary
zebularine
Title Pharmacokinetics and toxicity of the novel oral demethylating agent zebularine in laboratory and tumor bearing dogs
URI https://onlinelibrary.wiley.com/doi/abs/10.1111%2Fvco.12159
https://www.ncbi.nlm.nih.gov/pubmed/26178438
Volume 15
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