The ethics of research involving animals - Nuffield Council on ...
The ethics of research involving animals - Nuffield Council on ...
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4) Medicines withdrawn due to unexpected toxicity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