PMID- 26965676 OWN - NLM STAT- MEDLINE DCOM- 20171010 LR - 20181202 IS - 1532-2750 (Electronic) IS - 1098-612X (Linking) VI - 18 IP - 11 DP - 2016 Nov TI - Confirmatory field study for the evaluation of ciclosporin at a target dose of 7.0 mg/kg (3.2 mg/lb) in the control of feline hypersensitivity dermatitis. PG - 889-897 LID - 10.1177/1098612X16636660 [doi] AB - Objectives This study was designed to confirm the efficacy and tolerability of a daily dose of 7.0 mg/kg (3.2 mg/lb) ciclosporin (CsA) in the treatment of feline hypersensitivity dermatitis (HD), as this includes some of the most frequently suspected skin diseases in cats and recent publications have reported the successful use of CsA in the treatment of feline HD. Methods In total, 217 cats with feline HD were treated daily for 42 days with a target dose of 7 mg/kg CsA (n = 144) or a placebo control (n = 73) administered either in the food or directly in the mouth following feeding. Clinical and dermatological evaluations were conducted on days 0, 21 and 42, or study exit. Safety was evaluated through physical examinations, clinical pathology and the monitoring of adverse events (AEs). Results Administration of CsA at 7.0 mg/kg produced a significant improvement in the total lesion score ( P <0.0001). The average reduction from visit 1 to visit 3 was 65.1% in the CsA group (9.2% for the placebo). In addition, owners assessed 78.3% of the cases in the CsA group as a success. Statistically significant recoveries were also seen in extent of lesions, investigator assessment of overall improvement, and mean improvement in both the investigators' and owners' assessment of pruritus. Mild gastrointestinal disorders were the most common AEs but did not require cessation of therapy. Conclusions and relevance Results confirm that 7.0 mg/kg CsA dosed daily in food or orally for up to 6 weeks is effective and well tolerated by cats with feline HD. FAU - Roberts, Elizabeth S AU - Roberts ES AD - 1 Novartis Animal Health US, Greensboro, NC, USA. FAU - Speranza, Cindy AU - Speranza C AD - 2 Novartis Animal Health, Basel, Switzerland. FAU - Friberg, Cecilia AU - Friberg C AD - 3 Animal Dermatology Center of Chicago, Chicago, IL, USA. FAU - Griffin, Craig AU - Griffin C AD - 4 Animal Dermatology Clinic, San Diego, CA, USA. FAU - Steffan, Jean AU - Steffan J AD - 2 Novartis Animal Health, Basel, Switzerland. FAU - Roycroft, Linda AU - Roycroft L AD - 1 Novartis Animal Health US, Greensboro, NC, USA. FAU - King, Stephen AU - King S AD - 1 Novartis Animal Health US, Greensboro, NC, USA. LA - eng PT - Journal Article PT - Multicenter Study PT - Randomized Controlled Trial DEP - 20160709 PL - England TA - J Feline Med Surg JT - Journal of feline medicine and surgery JID - 100897329 RN - 0 (Immunosuppressive Agents) RN - 83HN0GTJ6D (Cyclosporine) SB - IM MH - Animals MH - Canada MH - Cat Diseases/*drug therapy/pathology MH - Cats MH - Cyclosporine/administration & dosage/*therapeutic use MH - Dermatitis, Atopic/drug therapy/*veterinary MH - Dose-Response Relationship, Drug MH - Double-Blind Method MH - Female MH - Immunosuppressive Agents/administration & dosage/*therapeutic use MH - Male MH - Pruritus/drug therapy/veterinary MH - Severity of Illness Index MH - Treatment Outcome MH - United States EDAT- 2016/03/12 06:00 MHDA- 2017/10/11 06:00 CRDT- 2016/03/12 06:00 PHST- 2016/03/12 06:00 [pubmed] PHST- 2017/10/11 06:00 [medline] PHST- 2016/03/12 06:00 [entrez] AID - 1098612X16636660 [pii] AID - 10.1177/1098612X16636660 [doi] PST - ppublish SO - J Feline Med Surg. 2016 Nov;18(11):889-897. doi: 10.1177/1098612X16636660. Epub 2016 Jul 9.