Six-month repeated dose toxicity of orally administered metacavir in rhesus monkeys

Zheng-li Chen1, Wen Zeng, An-chun Cheng

  • 1Engineering and Techonlogy Center for Laboratory Animals of Sichuan Agricultural University, Ya-an 625014, China.

Abstract

Insights

Metacavir, an anti-hepatitis B virus drug, showed dose-dependent toxicities in rhesus monkeys, primarily affecting the gastrointestinal tract, liver, blood, and kidneys. The no-observed-adverse-effect-level was determined to be 50 mg/kg/day.

Area of Science:

  • Pharmacology
  • Toxicology
  • Hepatitis B Virus Research

Background:

  • Hepatitis B virus (HBV) infection is a global health concern.
  • Novel antiviral agents are crucial for managing chronic HBV.
  • Metacavir is a deoxyguanosine analog with potential anti-HBV activity.

Purpose of the Study:

  • To evaluate the toxicological profile of metacavir.
  • To determine the safety of repeated dosing of metacavir in a preclinical model.
  • To identify target organs for metacavir-induced toxicity.

Main Methods:

  • A 6-month repeated dosing study was conducted in rhesus monkeys.
  • Animals were divided into four groups, receiving metacavir or vehicle.
  • Comprehensive assessments included biochemical, hematological, clinical, and histopathological evaluations.

Main Results:

  • Gastrointestinal toxicities (vomiting, decreased appetite) were observed at higher doses but abated over time.
  • Hematological effects included damage to red blood cells and decreased hemoglobin.
  • Liver function was impaired, with decreased protein, albumin, and glucose, and fatty changes in hepatocytes. Renal tubule damage was also noted.

Conclusions:

  • The primary target organs for metacavir toxicity are the gastrointestinal tract, liver, blood, and kidneys.
  • Toxic effects were dose-dependent.
  • The no-observed-adverse-effect-level (NOAEL) for metacavir in rhesus monkeys was established at 50 mg/kg/day.