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Showing posts with label hepatic lipidosis. Show all posts
Showing posts with label hepatic lipidosis. Show all posts

Monday, September 10, 2012

Investigating new drugs for feline diabetes mellitus

Final report, Winn grant W10-020
Pharmacokinetics of pioglitazone in lean and obese cats
Investigators: Levent Dirikolu, Margarethe Hoenig, Duncan Ferguson; University of Illinois
 
Diabetes mellitus and hepatic lipidosis (fatty liver disease) are common problems in feline medicine. Both diseases are associated with obesity and may be prevented by maintaining an ideal body weight. However, weight control is difficult in many cats and once these diseases develop, specific treatment is needed. Current treatment for diabetes mellitus in cats is either insulin or drug therapy with glipizide, along with dietary modification. The only treatment available for hepatic lipidosis is aggressive nutritional support, often with a feeding tube. In human medicine, new anti-diabetic drugs called thiazolidinediones such as pioglitazone improve insulin sensitivity and reverse fatty changes in the liver. The purpose of this project was to begin investigation of pioglitazone in cats so that it may be evaluated in clinical trials in the future.

The investigators’ objectives in this study were to evaluate the pharmacokinetics of this drug in lean and obese cats in an effort to provide a foundation for assessment of its effects on insulin sensitivity and lipid metabolism. Pioglitazone was administered intravenously (median dose 0.2 mg/kg) or orally (3 mg/kg) to six healthy lean cats and six obese cats. There were no statistically significant differences in pharmacokinetic parameters between lean and obese cats subsequent to either oral or intravenous administration. No adverse effects were noted with oral dosing in any of the cats. It appears that achieving therapeutic concentrations of pioglitazone, potentially at a dose of 3 mg/kg, appears feasible. [VT]

Clark MH, Hoenig M, Ferguson DC and Dirikolu L. Pharmacokinetics of pioglitazone in lean and obese cats. J Vet Pharmacol Ther. 2012.

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Final report, Winn grant W10-020
Pharmacokinetics of pioglitazone in lean and obese cats
Investigators: Levent Dirikolu, Margarethe Hoenig, Duncan Ferguson; University of Illinois
 
Diabetes mellitus and hepatic lipidosis (fatty liver disease) are common problems in feline medicine. Both diseases are associated with obesity and may be prevented by maintaining an ideal body weight. However, weight control is difficult in many cats and once these diseases develop, specific treatment is needed. Current treatment for diabetes mellitus in cats is either insulin or drug therapy with glipizide, along with dietary modification. The only treatment available for hepatic lipidosis is aggressive nutritional support, often with a feeding tube. In human medicine, new anti-diabetic drugs called thiazolidinediones such as pioglitazone improve insulin sensitivity and reverse fatty changes in the liver. The purpose of this project was to begin investigation of pioglitazone in cats so that it may be evaluated in clinical trials in the future.

The investigators’ objectives in this study were to evaluate the pharmacokinetics of this drug in lean and obese cats in an effort to provide a foundation for assessment of its effects on insulin sensitivity and lipid metabolism. Pioglitazone was administered intravenously (median dose 0.2 mg/kg) or orally (3 mg/kg) to six healthy lean cats and six obese cats. There were no statistically significant differences in pharmacokinetic parameters between lean and obese cats subsequent to either oral or intravenous administration. No adverse effects were noted with oral dosing in any of the cats. It appears that achieving therapeutic concentrations of pioglitazone, potentially at a dose of 3 mg/kg, appears feasible. [VT]

Clark MH, Hoenig M, Ferguson DC and Dirikolu L. Pharmacokinetics of pioglitazone in lean and obese cats. J Vet Pharmacol Ther. 2012.

More on cat health:
Winn Feline Foundation Library
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Monday, July 7, 2008

Propofol for Cats with Hepatic Lipidosis

Posner, L. P., M. Asakawa, et al. (2008). "Use of propofol for anesthesia in cats with primary hepatic lipidosis: 44 cases (1995-2004)." Journal of the American Veterinary Medical Association 232(12): 1841-1843.

Hepatic lipidosis (fatty liver disease) is a common disease in cats and is typically found in obese cats that have suffered a period of inappetance. A significant part of successful treatment is nutritional supplemention, often given through a gastrotomy or esophagostomy tube. Feeding tubes must be placed under anesthesia, and care must be taken in the choice of anesthetic regime. Concern has been expressed over the use of propofol in cats with hepatic lipidosis since it is primarily metabolized via the liver, although there is also some extrahepatic metabolism. In this retrospective case series, the medical records of 44 cats (21 female, 23 male) with hepatic lipidosis admitted to the College of Veterinary Medicine, Cornell University, from January 1995 to December 2004 were examined. The age of the patients ranged from 3 to 15 years, and body weights ranged from 1.8 to 9.0 kg. Twenty-seven of the cats had been administered propofol. There was no significant association between the use of propofol or the dosage of propofol and any risk factor, including the need for blood products, number of hours in the ICU, or survival. The use of propofol did not increase morbidity or mortality, and the researchers conclude that propofol can be given to cats with hepatic lipidosis for placement of a feeding tube.
>> PubMed Abstract

Related articles:
Bley, C. R., M. Roos, et al. (2007). "Clinical assessment of repeated propofol-associated anesthesia in cats." J Am Vet Med Assoc 231(9): 1347-53.
>> PubMed Abstract

More on cat health: Winn Feline Foundation Library
Posner, L. P., M. Asakawa, et al. (2008). "Use of propofol for anesthesia in cats with primary hepatic lipidosis: 44 cases (1995-2004)." Journal of the American Veterinary Medical Association 232(12): 1841-1843.

Hepatic lipidosis (fatty liver disease) is a common disease in cats and is typically found in obese cats that have suffered a period of inappetance. A significant part of successful treatment is nutritional supplemention, often given through a gastrotomy or esophagostomy tube. Feeding tubes must be placed under anesthesia, and care must be taken in the choice of anesthetic regime. Concern has been expressed over the use of propofol in cats with hepatic lipidosis since it is primarily metabolized via the liver, although there is also some extrahepatic metabolism. In this retrospective case series, the medical records of 44 cats (21 female, 23 male) with hepatic lipidosis admitted to the College of Veterinary Medicine, Cornell University, from January 1995 to December 2004 were examined. The age of the patients ranged from 3 to 15 years, and body weights ranged from 1.8 to 9.0 kg. Twenty-seven of the cats had been administered propofol. There was no significant association between the use of propofol or the dosage of propofol and any risk factor, including the need for blood products, number of hours in the ICU, or survival. The use of propofol did not increase morbidity or mortality, and the researchers conclude that propofol can be given to cats with hepatic lipidosis for placement of a feeding tube.
>> PubMed Abstract

Related articles:
Bley, C. R., M. Roos, et al. (2007). "Clinical assessment of repeated propofol-associated anesthesia in cats." J Am Vet Med Assoc 231(9): 1347-53.
>> PubMed Abstract

More on cat health: Winn Feline Foundation Library
Read More