PMID- 28445495 OWN - NLM STAT- MEDLINE DCOM- 20170907 LR - 20220321 IS - 1932-6203 (Electronic) IS - 1932-6203 (Linking) VI - 12 IP - 4 DP - 2017 TI - Pharmacokinetic and pharmacodynamic modelling after subcutaneous, intravenous and buccal administration of a high-concentration formulation of buprenorphine in conscious cats. PG - e0176443 LID - 10.1371/journal.pone.0176443 [doi] LID - e0176443 AB - BACKGROUND: The aim of this study was to describe the joint pharmacokinetic-pharmacodynamic model and evaluate thermal antinociception of a high-concentration formulation of buprenorphine (Simbadol) in cats. METHODS: Six healthy cats (4.9 +/- 0.7 kg) were included in a prospective, randomized, blinded, crossover study. Simbadol (1.8 mg mL-1) was administered by the subcutaneous (SC; 0.24 mg kg-1), intravenous (IV; 0.12 mg kg-1) or buccal (OTM; 0.12 mg kg-1) route of administration and thermal thresholds (TT) were compared with a saline group (SAL). Thermal threshold testing and blood sampling were performed at predetermined time points up to 72 hours including a placebo group. Plasma buprenorphine and norbuprenorphine concentrations were measured using liquid chromatography mass spectrometry. A bespoke bicompartmental pharmacokinetic model simultaneously fitted data from two analytes/three routes of administration. Temporal changes in TT were analyzed using one-way ANOVA followed by Dunnett's test and treatment comparisons using two-way ANOVA with Bonferroni's correction (P < 0.05). RESULTS: Thermal thresholds were significantly increased after SC, IV and OTM from 1-24 hours (except 2 hours), 0.5-8 hours (except 6 hours), and 1-8 hours (except 6 hours), respectively, when compared with baseline. Thermal thresholds were significantly increased after SC (1-30 hours), IV (1-8 hours) and OTM (1-12 hours) when compared with SAL, but not different among buprenorphine-treated cats. The absolute buprenorphine clearance was 0.98 L kg-1 hour-1, volume of distribution at steady state was 7.9 L kg-1 and the elimination-half-life was 12.3 hours. Bioavailability for SC and OTM was 94% and 24%, respectively. Subcutaneous absorption was biphasic. An initial peak (0.08 hours) was followed by a slow (half-life 11.2 hours) and progressive (peak acceleration at 2.8 hours) uptake. CONCLUSION: The SC administration of Simbadol was characterized by prolonged absorption half-life and sustained plasma concentrations yielding long-lasting antinociception (>/= 24 hours) when compared with the IV and OTM routes. FAU - Doodnaught, Graeme M AU - Doodnaught GM AD - Departement de Sciences Cliniques, Faculte de Medecine Veterinaire, Universite de Montreal, Saint-Hyacinthe, Quebec, Canada. FAU - Monteiro, Beatriz P AU - Monteiro BP AD - Groupe de Recherche en Pharmacologie Animal du Quebec (GREPAQ), Departement de Biomedecine Veterinaire, Faculte de Medecine Veterinaire, Universite de Montreal, St-Hyacinthe, Quebec, Canada. FAU - Benito, Javier AU - Benito J AD - Departement de Sciences Cliniques, Faculte de Medecine Veterinaire, Universite de Montreal, Saint-Hyacinthe, Quebec, Canada. FAU - Edge, Daniel AU - Edge D AD - Zoetis Inc., Florham Park, New Jersey, United States of America. FAU - Beaudry, Francis AU - Beaudry F AD - Groupe de Recherche en Pharmacologie Animal du Quebec (GREPAQ), Departement de Biomedecine Veterinaire, Faculte de Medecine Veterinaire, Universite de Montreal, St-Hyacinthe, Quebec, Canada. FAU - Pelligand, Ludovic AU - Pelligand L AD - Department of Clinical Sciences and Services, The Royal Veterinary College, North Mymms, Hertfordshire, United Kingdom. FAU - Steagall, Paulo AU - Steagall P AUID- ORCID: 0000-0003-4150-6043 AD - Departement de Sciences Cliniques, Faculte de Medecine Veterinaire, Universite de Montreal, Saint-Hyacinthe, Quebec, Canada. AD - Groupe de Recherche en Pharmacologie Animal du Quebec (GREPAQ), Departement de Biomedecine Veterinaire, Faculte de Medecine Veterinaire, Universite de Montreal, St-Hyacinthe, Quebec, Canada. LA - eng PT - Journal Article PT - Randomized Controlled Trial DEP - 20170426 PL - United States TA - PLoS One JT - PloS one JID - 101285081 RN - 0 (Analgesics, Opioid) RN - 40D3SCR4GZ (Buprenorphine) RN - 7E53B4O073 (norbuprenorphine) SB - IM MH - Administration, Buccal MH - Analgesics, Opioid/blood/*pharmacokinetics/pharmacology MH - Animals MH - Biological Availability MH - Buprenorphine/analogs & derivatives/blood/*pharmacokinetics/pharmacology MH - Cats MH - Cross-Over Studies MH - Disease Models, Animal MH - Female MH - Half-Life MH - Injections, Intravenous MH - Injections, Subcutaneous MH - Male MH - *Models, Biological MH - Pain/*prevention & control MH - Pain Threshold/drug effects MH - Placebo Effect MH - Prospective Studies MH - Time Factors PMC - PMC5405979 COIS- Competing Interests: Dr. Paulo Steagall has received speaker honoraria and provided consultancy services to Zoetis. Dr. Beatriz Monteiro has provided consultancy services for Zoetis. Dr. Ludovic Pelligand has received honoraria and provided consultancy services to Zoetis. Dr. Daniel Edge is an employee of Zoetis. This does not alter the authors' adherence to PLOS ONE policies on sharing data and materials. EDAT- 2017/04/27 06:00 MHDA- 2017/09/08 06:00 PMCR- 2017/04/26 CRDT- 2017/04/27 06:00 PHST- 2016/12/23 00:00 [received] PHST- 2017/04/10 00:00 [accepted] PHST- 2017/04/27 06:00 [entrez] PHST- 2017/04/27 06:00 [pubmed] PHST- 2017/09/08 06:00 [medline] PHST- 2017/04/26 00:00 [pmc-release] AID - PONE-D-16-49428 [pii] AID - 10.1371/journal.pone.0176443 [doi] PST - epublish SO - PLoS One. 2017 Apr 26;12(4):e0176443. doi: 10.1371/journal.pone.0176443. eCollection 2017.