Safety of TCMCB07, a melanocortin-4 antagonist peptide, in dogs with naturally occurring cachexia

© 2023 The Authors. Journal of Veterinary Internal Medicine published by Wiley Periodicals LLC on behalf of American College of Veterinary Internal Medicine..

BACKGROUND: The melanocortin 4 antagonist TCMCB07 is safe and effective in reversing cachexia caused by sepsis or cancer in rodents. The safety and pharmacokinetics of TCMCB07 are demonstrated in healthy beagle dogs.

HYPOTHESIS/OBJECTIVES: The objectives of this study were to investigate the safety, peak plasma concentrations, and potential for efficacy of TCMCB07 in pet dogs with naturally occurring cachexia over a 4-week time period.

ANIMALS: Fourteen dogs with cachexia of any underlying cause, except cancer of the oral cavity or gastrointestinal tract, were eligible for enrollment with informed client consent.

METHODS: This study was a prospective, 1-armed open-label trial. Physical examination, complete blood count, chemistry panel, and owner-assessed quality of life surveys were checked at weeks 1, 2, and 4. Due to potential for bradycardia and hypotension, Holter monitoring and blood pressure evaluations were scheduled at pre-enrollment and week 4.

RESULTS: Fourteen dogs completed the trial. Significant changes detected included increased mean body weight (18.6-19.5 kg, P < .02), increased body condition score (median Tufts 5-point thin dog scale score P < .004 and WSAVA muscle condition score P < .02) and increased mean blood urea nitrogen (21.79-30.43 mg dL-1 , P < .004). On quality of life surveys, pet owners perceived their dog appeared to be panting less (P < .002) and that the general health improved (P < .03). Four dogs had a change in coat pigmentation. The peak plasma concentration of TCMCB07 in cachectic dogs was similar to that in healthy beagle dogs.

CONCLUSIONS AND CLINICAL IMPORTANCE: TCMCB07 was safe and has potential efficacy in pet dogs with cachexia.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:37

Enthalten in:

Journal of veterinary internal medicine - 37(2023), 6 vom: 28. Nov., Seite 2344-2355

Sprache:

Englisch

Beteiligte Personen:

Axiak-Bechtel, Sandra M [VerfasserIn]
Leach, Stacey B [VerfasserIn]
Newton-Northup, Jessica R [VerfasserIn]
Milner, Rowan J [VerfasserIn]
Fox-Alvarez, Stacey A [VerfasserIn]
Fagman, Lana I [VerfasserIn]
Young, Kaylee A [VerfasserIn]
Tate, Deborah J [VerfasserIn]
Wright, Zachary M [VerfasserIn]
Chretin, John D [VerfasserIn]
Allen, Justin W [VerfasserIn]
Yoshimoto, Sean K [VerfasserIn]
Selting, Kimberly A [VerfasserIn]
Flesner, Brian K [VerfasserIn]
White, Carrie R [VerfasserIn]
Mills, Tracy [VerfasserIn]
Aherne, Michael [VerfasserIn]
Bergman, Philip J [VerfasserIn]
Qi, LeAnn [VerfasserIn]
Gruber, Kenneth A [VerfasserIn]
Callahan, Michael F [VerfasserIn]

Links:

Volltext

Themen:

Anorexia
Canine
Emaciation
Journal Article
Melanocortins
Metabolism
Peptides
Therapy

Anmerkungen:

Date Completed 21.11.2023

Date Revised 10.02.2024

published: Print-Electronic

Citation Status MEDLINE

doi:

10.1111/jvim.16915

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM363893237