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American journal of veterinary research2004; 65(11); 1533-1541; doi: 10.2460/ajvr.2004.65.1533

Pharmacokinetic-pharmacodynamic relationships and dose response to meloxicam in horses with induced arthritis in the right carpal joint.

Abstract: To determine pharmacokinetic-pharmacodynamic (PK-PD) relationships and dose effects for meloxicam in horses and to propose a suitable dosage for use in clinical studies. Methods: 6 adult horses. Methods: The study was conducted by use of a randomized, Latin-square design. Arthritis was induced in the right carpal joint of each horse by administration of Freund's complete adjuvant. Various dosages of meloxicam (0, 0.25, 0.5, 1.0, and 2.0 mg/kg, IV) were then administered. Validated endpoints including stride length and overall clinical lameness score (scale of 0 to 20) were used to assess the effect of meloxicam. The dose-effect relationship was quantified by use of a maximum possible effect (Emax) model. Results: For stride length (expressed as a relative percentage increase from control values), the median effective dose (ED50) was 0.120 mg/kg for an Emax of 11.15%. For clinical lameness score (expressed as an absolute increase from the control value), the ED50 was 0.265 mg/kg for an Emax of 9.16 units. The PK-PD analysis allowed calculation of a median effective concentration of 130 ng/mL for stride length and 195 ng/mL for lameness score. Use of the Emax model predicted a maximal possible increase in effect of 19.5% for stride length and 13.91 units for lameness score. For stride length and lameness score, the Hill coefficient (slope) was extremely high, which suggested a steep dose-effect relationship. Conclusions: Results of this study suggest that meloxicam is a potent anti-inflammatory drug in horses. A dosage of 0.6 mg/kg/d would be appropriate for use in a clinical study.
Publication Date: 2004-11-30 PubMed ID: 15566092DOI: 10.2460/ajvr.2004.65.1533Google Scholar: Lookup
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  • Comparative Study
  • Journal Article
  • Research Support
  • Non-U.S. Gov't

Summary

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The research article discusses a study conducted to ascertain the relationship between pharmacokinetics, pharmacodynamics, and dosage effects of meloxicam medication in horses. Specifically, it sought to identify an appropriate dosage for use in clinical studies.

Research Methodology

  • The researchers used six adult horses for the study, following a randomized, Latin-square design.
  • They induced arthritis in the horses’ right carpal joint using Freund’s complete adjuvant.
  • Various doses of meloxicam (0, 0.25, 0.5, 1.0, and 2.0 mg/kg, IV) were then administered to the horses.
  • The effect of meloxicam was assessed using two validated endpoints: stride length and overall clinical lameness score (scale of 0 to 20).
  • The researchers utilized a maximum possible effect (Emax) model to quantify the dose-effect relationship.

Research Findings

  • The median effective dose (ED50) for stride length was 0.120 mg/kg for an Emax of 11.15%. Meanwhile, for the clinical lameness score, the ED50 was determined as 0.265 mg/kg for an Emax of 9.16 units.
  • The researchers conducted a PK-PD analysis, allowing them to compute the median effective concentration of 130 ng/mL for stride length and 195 ng/mL for lameness score.
  • The Emax model predicted that the maximum possible improvement could reach 19.5% for stride length and 13.91 units for lameness score.
  • The investigation found that meloxicam had a high Hill coefficient (slope) for both stride length and lameness score, indicating a steep dose-effect relationship.

Conclusions

  • The researchers concluded that meloxicam is a potent anti-inflammatory drug for horses.
  • Based on the study’s results, they suggest a dosage of 0.6 mg/kg/d would be suitable for use in future clinical studies.

Cite This Article

APA
Toutain PL, Cester CC. (2004). Pharmacokinetic-pharmacodynamic relationships and dose response to meloxicam in horses with induced arthritis in the right carpal joint. Am J Vet Res, 65(11), 1533-1541. https://doi.org/10.2460/ajvr.2004.65.1533

Publication

ISSN: 0002-9645
NlmUniqueID: 0375011
Country: United States
Language: English
Volume: 65
Issue: 11
Pages: 1533-1541

Researcher Affiliations

Toutain, Pierre-Louis
  • UMR 181 Physiopathologie et Toxicologie Experimentales, INRA/ENVT, Ecole Nationale Vétérinaire de Toulouse, 23 Chemin des Capelles, 31076 Toulouse, France.
Cester, Corinne C

    MeSH Terms

    • Animals
    • Arthritis, Experimental / drug therapy
    • Arthritis, Experimental / veterinary
    • Biomechanical Phenomena
    • Chromatography, High Pressure Liquid
    • Dose-Response Relationship, Drug
    • Endpoint Determination / veterinary
    • Horse Diseases / metabolism
    • Horses
    • Lameness, Animal / metabolism
    • Meloxicam
    • Models, Biological
    • Thiazines / blood
    • Thiazines / pharmacokinetics
    • Thiazines / therapeutic use
    • Thiazoles / blood
    • Thiazoles / pharmacokinetics
    • Thiazoles / therapeutic use

    Citations

    This article has been cited 23 times.
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