PMID- 26095588 OWN - NLM STAT- MEDLINE DCOM- 20160622 LR - 20181113 IS - 1873-6823 (Electronic) IS - 0741-8329 (Print) IS - 0741-8329 (Linking) VI - 49 IP - 6 DP - 2015 Sep TI - Oral delivery of ivermectin using a fast dissolving oral film: Implications for repurposing ivermectin as a pharmacotherapy for alcohol use disorder. PG - 553-9 LID - S0741-8329(15)20272-8 [pii] LID - 10.1016/j.alcohol.2015.03.006 [doi] AB - Individuals suffering from an alcohol-use disorder (AUD) constitute a major health concern. Preclinical studies in our laboratory show that acute and chronic intraperitoneal (i.p.) administration of ivermectin (IVM) reduces alcohol intake and preference in mice. To enable clinical investigation to use IVM for the treatment of an AUD, development of an oral formulation that can be used in animals as well as long-term preclinical toxicology studies are required. The present work explores the use of a promising alternative dosage form of IVM, fast-dissolving oral films (Cure Pharmaceutical(R)), to test the efficacy and safety of oral IVM in conjunction with alcohol exposure. We tested the effect of IVM (0.21 mg) using a fast-dissolving oral film delivery method on reducing 10% v/v alcohol (10E) intake in female C57BL/6 mice using a 24-h access two-bottle choice paradigm for 6 weeks (5 days per week). Differences in ethanol intake, preference for ethanol, water intake, fluid intake, food intake, changes in mouse and organ weights, as well as histological changes to kidney, liver, and brain were analyzed. The IVM group drank significantly less ethanol over the 30-day period compared to the placebo (blank strip) and the no-treatment groups. Organ weights did not differ between the groups. Histological evaluation showed no differences in the brain and kidney between groups. In the liver, there was a slight increase in the incidence of microvesicular fatty and degenerative changes of the animals receiving the thin strips. No overt hepatocellular necrosis or perivascular inflammation was noted. Overall, these data support the use of this novel method of oral drug delivery for longer-term studies and should facilitate FDA required preclinical testing that is necessary to repurpose IVM for treatment of an AUD. CI - Copyright (c) 2015 Elsevier Inc. All rights reserved. FAU - Yardley, Megan M AU - Yardley MM AD - Department of Psychology, University of California, Los Angeles, CA 90095, USA. FAU - Huynh, Nhat AU - Huynh N AD - Titus Family Department of Clinical Pharmacy and Pharmaceutical Economics and Policy, School of Pharmacy, University of Southern California, 1985 Zonal Ave., Los Angeles, CA 90033, USA. FAU - Rodgers, Kathleen E AU - Rodgers KE AD - Titus Family Department of Clinical Pharmacy and Pharmaceutical Economics and Policy, School of Pharmacy, University of Southern California, 1985 Zonal Ave., Los Angeles, CA 90033, USA. FAU - Alkana, Ronald L AU - Alkana RL AD - Department of Pharmacology and Pharmaceutical Sciences, School of Pharmacy, University of Southern California, 1985 Zonal Ave., Los Angeles, CA 90033, USA. FAU - Davies, Daryl L AU - Davies DL AD - Titus Family Department of Clinical Pharmacy and Pharmaceutical Economics and Policy, School of Pharmacy, University of Southern California, 1985 Zonal Ave., Los Angeles, CA 90033, USA. Electronic address: ddavies@usc.edu. LA - eng GR - TL1TR000132/TR/NCATS NIH HHS/United States GR - R01 AA022448/AA/NIAAA NIH HHS/United States GR - TL1 TR000132/TR/NCATS NIH HHS/United States GR - UL1TR000130/TR/NCATS NIH HHS/United States GR - AA022448/AA/NIAAA NIH HHS/United States GR - UL1 TR000130/TR/NCATS NIH HHS/United States PT - Journal Article PT - Research Support, N.I.H., Extramural PT - Research Support, Non-U.S. Gov't DEP - 20150529 PL - United States TA - Alcohol JT - Alcohol (Fayetteville, N.Y.) JID - 8502311 RN - 70288-86-7 (Ivermectin) SB - IM MH - Administration, Oral MH - Alcohol Drinking/*drug therapy/pathology/psychology MH - Alcohol-Related Disorders/*drug therapy/pathology/psychology MH - Animals MH - Drug Delivery Systems/*methods MH - Drug Repositioning/*methods MH - Female MH - Ivermectin/*administration & dosage MH - Mice MH - Mice, Inbred C57BL MH - Solubility PMC - PMC4554813 MID - NIHMS695642 OTO - NOTNLM OT - Alcoholism therapy OT - Drug delivery OT - Drug repositioning OT - Medications development COIS- DLD is an inventor on a patent for the use of IVM for the treatment of alcohol-use disorders. The authors have no other conflict of interest and are entirely responsible for the scientific content of the paper. EDAT- 2015/06/23 06:00 MHDA- 2016/06/23 06:00 PMCR- 2016/09/01 CRDT- 2015/06/23 06:00 PHST- 2015/01/30 00:00 [received] PHST- 2015/03/23 00:00 [revised] PHST- 2015/03/26 00:00 [accepted] PHST- 2015/06/23 06:00 [entrez] PHST- 2015/06/23 06:00 [pubmed] PHST- 2016/06/23 06:00 [medline] PHST- 2016/09/01 00:00 [pmc-release] AID - S0741-8329(15)20272-8 [pii] AID - 10.1016/j.alcohol.2015.03.006 [doi] PST - ppublish SO - Alcohol. 2015 Sep;49(6):553-9. doi: 10.1016/j.alcohol.2015.03.006. Epub 2015 May 29.