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The ethics of research involving animals - Nuffield Council on ...

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T h e e t h i c s o f r e s e a r c h i n v o l v i n g a n i m a l s<br />

4) Medicines withdrawn due to unexpected toxicity<br />

Product Year <str<strong>on</strong>g>of</str<strong>on</strong>g> withdrawal Reas<strong>on</strong><br />

Benoxapr<str<strong>on</strong>g>of</str<strong>on</strong>g>en 1982 Toxicity in the aged<br />

Benziodar<strong>on</strong>e 1964 Hepatotoxicity<br />

Domperid<strong>on</strong>e injecti<strong>on</strong> 1986 Cardiovascular effects<br />

Fepraz<strong>on</strong>e 1984 Multiple<br />

Ibufenac 1968 Hepatotoxicity<br />

Methandrostenol<strong>on</strong>e 1982 Endocrine effects<br />

Metipranolol 1990 Ophthalmological<br />

Mumps vaccine 1992 Neuropsychiatric<br />

Nomifensine 1986 Haematological<br />

Practolol 1975 Rare idiosyncrasy<br />

Prenylamine 1989 Cardiovascular<br />

Propanidid 1983 Allergic type<br />

Sulphamethoxypyridazine 1986 Haematological<br />

Supr<str<strong>on</strong>g>of</str<strong>on</strong>g>en 1987 Nephrotoxicity<br />

Temafloxacin 1992 Multiple<br />

Terodiline 1991 Cardiovascular<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g>nalidine 1961 Haematological<br />

Triazolam 1991 Neuropsychiatric<br />

Tryptophan 1990 Multiple<br />

Zimeldine 1983 Neuropsychiatric<br />

* Spriet-Pourra C and Auriche M (1994) Drug Withdrawal From Sale, 2nd Editi<strong>on</strong> (Richm<strong>on</strong>d: PJB Publicati<strong>on</strong>s).<br />

8.41 Lastly, animal <str<strong>on</strong>g>research</str<strong>on</strong>g> is also undertaken by the pharmaceutical industry to refine the<br />

predictive capacity <str<strong>on</strong>g>of</str<strong>on</strong>g> data obtained from animal and human studies. For example,<br />

<str<strong>on</strong>g>research</str<strong>on</strong>g>ers seek to identify how results from different species can be best integrated in<br />

order to develop better predicti<strong>on</strong>s <str<strong>on</strong>g>of</str<strong>on</strong>g> how the medicine will be distributed, absorbed and<br />

excreted in the human body (see Boxes 8.8 and 9.4).<br />

Box 8.8: Example <str<strong>on</strong>g>of</str<strong>on</strong>g> animal <str<strong>on</strong>g>research</str<strong>on</strong>g><br />

undertaken to improve the predictability <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

pharmacokinetic data<br />

Aviles P, Pateman A, San Roman R et al. (2001) Animal<br />

pharmacokinetics and interspecies scaling <str<strong>on</strong>g>of</str<strong>on</strong>g> sordarin<br />

derivatives following intravenous administrati<strong>on</strong><br />

Anitmicrob Agents Chemother 45: 2787–92.*<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> aim <str<strong>on</strong>g>of</str<strong>on</strong>g> this <str<strong>on</strong>g>research</str<strong>on</strong>g> was to compare the<br />

pharmacokinetics <str<strong>on</strong>g>of</str<strong>on</strong>g> a group <str<strong>on</strong>g>of</str<strong>on</strong>g> synthetic antifungal<br />

agents against reference compounds in different animal<br />

species and to assess whether human pharmacokinetics<br />

could be reliably predicted from this informati<strong>on</strong>.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> antifungal agents that were used bel<strong>on</strong>g to a new<br />

group <str<strong>on</strong>g>of</str<strong>on</strong>g> synthetic chemicals called sordarin derivatives<br />

which have been shown to prevent the growth <str<strong>on</strong>g>of</str<strong>on</strong>g> fungal<br />

pathogens. Opportunistic fungal pathogens remain a<br />

comm<strong>on</strong> cause <str<strong>on</strong>g>of</str<strong>on</strong>g> death in immunocompromised<br />

patients, such as those with HIV/AIDS or those receiving<br />

chemotherapy or immunosuppressive therapy.<br />

<str<strong>on</strong>g>The</str<strong>on</strong>g> study used Cynomolgus m<strong>on</strong>keys, rats, mice and<br />

rabbits. Gunn rats, which have impaired liver functi<strong>on</strong>,<br />

were used to assess the processing <str<strong>on</strong>g>of</str<strong>on</strong>g> sordarin derivatives<br />

when they pass through the liver. A representative<br />

sordarin derivative was administered intravenously to<br />

<str<strong>on</strong>g>animals</str<strong>on</strong>g>. In mice, this was achieved by puncture <str<strong>on</strong>g>of</str<strong>on</strong>g> the tail<br />

vein. <str<strong>on</strong>g>The</str<strong>on</strong>g> compound was administered through tubes<br />

inserted into the jugular veins <str<strong>on</strong>g>of</str<strong>on</strong>g> rats and into marginal<br />

ear veins <str<strong>on</strong>g>of</str<strong>on</strong>g> rabbits. In m<strong>on</strong>keys, administrati<strong>on</strong> was<br />

performed via the cephalic vein. Each compound was<br />

administered <strong>on</strong>ce. In mice, blood samples were taken by<br />

cardiac puncture using a needle at eight intervals after<br />

administrati<strong>on</strong>. Three mice were euthanised by cervical<br />

dislocati<strong>on</strong> at each sampling point. Samples <str<strong>on</strong>g>of</str<strong>on</strong>g> rat blood<br />

were taken from the end <str<strong>on</strong>g>of</str<strong>on</strong>g> the tail. Rabbits were<br />

sampled using a tube placed in the central artery <str<strong>on</strong>g>of</str<strong>on</strong>g> the<br />

ear. Samples <str<strong>on</strong>g>of</str<strong>on</strong>g> m<strong>on</strong>key blood were obtained from the<br />

posterior <str<strong>on</strong>g>of</str<strong>on</strong>g> the <str<strong>on</strong>g>animals</str<strong>on</strong>g> by direct venepuncture using a<br />

needle at ten intervals after administrati<strong>on</strong>.<br />

Blood samples were allowed to clot and then<br />

centrifuged to separate the serum (the clear yellowish<br />

C<strong>on</strong>tinued<br />

150

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