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Carcinogenicity testing of eliglustat in mice and rats.

Abstract
Eliglustat is a novel glucosylceramide synthase inhibitor for long-term oral treatment of type 1 Gaucher disease (GD1), an inherited metabolic disorder. The carcinogenic potential of this drug has been evaluated in lifetime carcinogenicity bioassays in mice and rats. Administration of eliglustat to Swiss CD-1 mice at 0, 10, 25 or 75 mg/kg/day for 104 weeks by dietary admixture did not influence survival or bodyweight evolution, or produce any clinical indication of poor condition. At histopathology, no increases in tumor incidence for any tumor type were attributed to treatment with eliglustat. Systemic exposure to eliglustat was confirmed by a reduction in circulating levels of glucosylceramide. Administration of eliglustat to Sprague-Dawley rats by oral gavage for 105 weeks at 0, 10, 25 or 75 mg/kg/day (males) or 103 weeks at 0, 5, 15 or 50 mg/kg/day (females) did not affect survival rates, but resulted in reduced bodyweight evolution in male rats (-18% at high dose), indicating that the MTD had been achieved. At histopathology, no increases in tumor incidence were attributed to treatment with eliglustat. Systemic exposure was confirmed by toxicokinetic analyses. In conclusion, eliglustat was not carcinogenic to mice or rats in standard lifetime bioassays.
AuthorsRafif Dagher, Malene Watzinger, Guillaume Chevalier, Catherine Thirion-Delalande, Frederic Gervais, Roy Forster
JournalRegulatory toxicology and pharmacology : RTP (Regul Toxicol Pharmacol) Vol. 73 Issue 1 Pg. 401-12 (Oct 2015) ISSN: 1096-0295 [Electronic] Netherlands
PMID26232705 (Publication Type: Journal Article, Research Support, Non-U.S. Gov't)
CopyrightCopyright © 2015 Elsevier Inc. All rights reserved.
Chemical References
  • Carcinogens
  • Enzyme Inhibitors
  • Pyrrolidines
  • eliglustat
Topics
  • Animals
  • Body Weight (drug effects)
  • Carcinogenicity Tests (methods)
  • Carcinogens (administration & dosage, toxicity)
  • Enzyme Inhibitors (adverse effects, therapeutic use)
  • Female
  • Gaucher Disease (drug therapy)
  • Male
  • Mice
  • Mutagenicity Tests (methods)
  • Neoplasms (chemically induced)
  • Pyrrolidines (adverse effects, therapeutic use)
  • Rats
  • Rats, Sprague-Dawley

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