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[Cefepime (BMY-28142 diHCl/L-arginine blend): one-month repeated dose subcutaneous toxicity study in rats]

T Kadota1, H Kondoh, H Chikazawa

  • 1Preclinical Research Laboratories, Bristol-Myers Squibb K. K.

Insights

Repeated subcutaneous cefepime (CFPM) dosing in rats showed localized injection site reactions, including depilation and scab formation, particularly at high doses. Some minor effects on body weight and consumption were also observed.

Area of Science:

  • Pharmacology
  • Toxicology
  • Animal Studies

Background:

  • Cefepime (CFPM) is a broad-spectrum cephalosporin antibiotic.
  • Understanding the toxicity profile of CFPM, especially when formulated with L-arginine, is crucial for its safe clinical use.

Purpose of the Study:

  • To evaluate the toxicity of a cefepime (CFPM) and L-arginine blend following repeated subcutaneous administration in rats.
  • To identify potential adverse effects and dose-limiting toxicities.

Main Methods:

  • Rats received daily subcutaneous doses of 150, 500, or 1,500 mg/kg/day CFPM for 28 days.
  • Control groups received saline or L-arginine.
  • Observations included general signs, body weight, food/water consumption, and hematology.
  • A one-month recovery period was included for some animals.

Main Results:

  • Adverse effects were primarily localized to injection sites (depilation, scab formation) in high-dose groups.
  • Slightly reduced body weight gain and altered food/water consumption were noted in some high-dose groups.
  • Hematological changes (lymphocyte and neutrophil counts) in high-dose males may relate to local inflammation.

Conclusions:

  • Subcutaneous cefepime (CFPM) at the tested doses demonstrated localized toxicity at injection sites.
  • Systemic toxicity was minimal, with minor effects on body weight and consumption.
  • The observed hematological changes were likely secondary to local inflammatory reactions.

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