Sustained-release praziquantel tablet: pharmacokinetics and the treatment of clonorchiasis in beagle dogs (original) (raw)
Abstract
Praziquantel is rapidly absorbed and secreted; and thus fractional doses are recommended for the treatment of cestode and trematode infections. In the present study, we developed a new praziquantel tablet formula allowing sustained-release (SRP). In vitro dissolution of SRP tablets showed that praziquantel at 300 mg/tablet combined with hydroxypropyl methylcellulose dissolved completely at a constant rate over 10 h, whereas the conventional praziquantel tablet (PZQ) was only 40% dissolved. Pharmacokinetic studies in dogs confirmed that SRP was absorbed more slowly than PZQ. The mean value of the area under the concentration/time curve from 0 h to the final observation time, the maximum concentration in serum, and the time of maximum concentration in serum for SRP were 3,471,500 ng/min for 0.25 ml, 10,300 ng for 0.25 ml, and 192 min, while the values for PZQ were 688,600 ng/min for 0.25 ml, 2,500 ng for 0.25 ml, and 135 min. The cure rate in dogs with a heavy infection (500 metacercariae) treated with a single dose of SRP (150 mg/tablet) at 50 mg/kg was 80%, while in dogs treated with a single dose of SRP (300 mg/tablet) at 30 mg/kg it was 60%, and the cure rate with PZQ was 20%. In each case, the egg reduction rate was similar (over 90%). No abnormal liver functions or hepatic or renal pathologies were observed in dogs administered with SRP at 30 mg/kg. The SRP tablet showed sustained release and slow absorption; and it had an improved anthelmintic efficacy against Clonorchis sinensis in experimental dogs, compared with conventional praziquantel.
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References
- Andrews P (1985) Praziquantel: mechanisms of anti-schistosomal activity. Pharmacol Ther 29:129–156
Article CAS PubMed Google Scholar - Andrews P, Thomas H, Pohlke R, Seubert J (1983) Praziquantel. Med Res Rev 3:147–200
CAS PubMed Google Scholar - Conlon CP, Ellis CJ (1985) Praziquantel. J Antimicrob Chemother 15:1–2
CAS Google Scholar - Fallon PG, Cooper RO, Probert AJ, Doenhoff MJ (1992) Immune-dependent chemotherapy of schistosomiasis. Parasitology 105 [Suppl]:S41–S48
- Hong ST, Yoon K, Lee M, Seo M, Choi MH, Sim JS, Choi BI, Yun CK, Lee SH (1998) Control of clonorchiasis by repeated praziquantel treatment and low diagnostic efficacy of sonography. Korean J Parasitol 36:249–254
CAS PubMed Google Scholar - Hong ST, Rim HJ, Min DY, Li X, Xu J, Feng Z, Lee SH (2001) Control of clonorchiasis by repeated treatments with praziquantel. Korean J Parasitol 39:285–292
CAS PubMed Google Scholar - Maggi L, Machiste EO, Torre ML, Conte U (1999) Formulation of biphasic release tablets containing slightly soluble drugs. Eur J Pharm Biopharm 48:37–42
Article CAS PubMed Google Scholar - Mahmoud AA (1987) Praziquantel for the treatment of helminthic infections. Adv Intern Med 32:193–206
CAS PubMed Google Scholar - Mehlhorn H, Kojima S, Rim HJ, Ruenwongsa P, Andrews P, Thomas H, Bunnag B (1983) Ultrastructural investigations on the effects of praziquantel on human trematodes from Asia: Clonorchis sinensis, Metagonimus yokogawai, Opisthorchis viverrini, Paragonimus westermani and Schistosoma japonicum. Arzneimittelforschung 33:91–98
CAS PubMed Google Scholar - Ministry of Health and Welfare/Korea Association of Health (1997) Prevalence of intestinal parasitic infections in Korea—the sixth report. Ministry of Health and Welfare/Korea Association of Health, Seoul
- Niels T, Nguyen VD, Ha VV, Le VC, Nguyen DT, Piet AK, Peter JV (1999) Little effect of praziquantel or artemisinin on clonorchiasis in northern Vietnam. A pilot study. Trop Med Intern Health 4:814–818
Article Google Scholar - Rim HJ (1986) The current pathobiology and chemotherapy of clonorchiasis. Korean J Parasitol 28 [Suppl]:5–141
Google Scholar - Rim HJ, Lyu KS, Lee JS, Joo KH (1981) Clinical evaluation of the therapeutic efficacy of praziquantel (Embay 8440) against Clonorchis sinensis infection in man. Ann Trop Med Parasitol 75:27–33
CAS PubMed Google Scholar - Seo BS, Lee SH, Chai JY, Hong ST (1983) Praziquantel (Distocide) in treatment of Clonorchis sinensis infection. Korean J Parasitol 21:241–245
Google Scholar - Wahn V, Mehlhorn H (1984) Four kinds of parasites in an 8-year-old boy. Therapeutic effects of praziquantel against Fasciola hepatica. Dtsch Med Wochenschr 109:1486–1488
CAS PubMed Google Scholar
Acknowledgements
The present study was supported by a grant from the Ministry of Health and Welfare, Korea (HMP-98-D-7-0024). We appreciate the assistance of the Shinpoong Pharmaceutical Co. in preparing SRP tablets and monitoring the concentration of praziquantel in dog sera.
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Authors and Affiliations
- Department of Parasitology and Tropical Medicine, and Institute of Endemic Diseases, Seoul National University College of Medicine, Seoul 110-799, Korea
Sung-Tae Hong, Sang Hyup Lee, Mejeong Lee, Shunyu Li, Byung-Suk Chung & Min-Ho Choi - College of Pharmacy, Ewha Womans University, Seoul 120-750, Korea
Seung-Jin Lee - Department of Parasitology, Inje University College of Medicine, Busan 614-735, Korea
Weon-Gyu Kho - Department of Parasitology, Dankuk University College of Medicine, Cheonan 330-714, Korea
Min Seo
Authors
- Sung-Tae Hong
- Sang Hyup Lee
- Seung-Jin Lee
- Weon-Gyu Kho
- Mejeong Lee
- Shunyu Li
- Byung-Suk Chung
- Min Seo
- Min-Ho Choi
Corresponding author
Correspondence toMin-Ho Choi.
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Hong, ST., Lee, S.H., Lee, SJ. et al. Sustained-release praziquantel tablet: pharmacokinetics and the treatment of clonorchiasis in beagle dogs.Parasitol Res 91, 316–320 (2003). https://doi.org/10.1007/s00436-003-0958-7
- Received: 23 June 2003
- Accepted: 01 July 2003
- Published: 28 August 2003
- Issue date: October 2003
- DOI: https://doi.org/10.1007/s00436-003-0958-7