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Updated: Mar 8, 2026

Use of Rabbit Eyes in Pharmacokinetic Studies of Intraocular Drugs
Published on: July 23, 2016
In vitro ocular metabolism and bioactivation of ketoconazole in rat, rabbit and human
Amanda L Cirello1, Jennifer L Dumouchel1, Mithat Gunduz1
1Novartis Institutes for BioMedical Research, Analytical Sciences and Imaging, Cambridge, MA 02139, USA.
Abstract:
Oral ketoconazole is clinically administered for treatment of severe cases for fungal keratitis. Pharmacodynamics and efficacy of oral and topical (ocular) ketoconazole have been explored in rabbit. However, metabolism of ketoconazole in the eye in any species is not well explored in any preclinical species or human. An understanding of ocular drug metabolism in the eye is crucial for ocular therapeutics to facilitate the risk assessment and development of potential drug candidates for the clinic. We aimed to investigate the metabolism of ketoconazole in rat, rabbit and human ocular S9 fractions. Metabolism in liver S9 fractions was also studied for a direct comparison. Eleven putative metabolites were identified in the in vitro incubations. Of these metabolites, six were present in rat ocular S9 whereas eight were present in rabbit and human ocular matrices. Metabolic pathways in rabbit and human ocular fractions suggested the formation of reactive intermediates in rabbit and human liver and ocular S9 incubations, which was confirmed with trapping studies. Herein, we report eight human ocular metabolites of ketoconazole for the first time. To the best of our knowledge, this is the first report of ocular metabolic pathways and ocular bioactivation of ketoconazole in preclinical species and human.
Insights
This study investigated ketoconazole metabolism in ocular tissues. Researchers identified eight human ocular metabolites, revealing new insights into ocular drug metabolism and bioactivation pathways.
Area of Science:
- Ophthalmology
- Pharmacology
- Drug Metabolism
Background:
- Oral ketoconazole treats severe fungal keratitis.
- Ocular metabolism of ketoconazole is poorly understood.
- Understanding ocular metabolism is vital for drug development and risk assessment.
Purpose of the Study:
- Investigate ketoconazole metabolism in rat, rabbit, and human ocular S9 fractions.
- Compare ocular metabolism with liver metabolism.
- Identify ocular metabolites and metabolic pathways.
Main Methods:
- In vitro incubation of ketoconazole with ocular and liver S9 fractions from rats, rabbits, and humans.
- Identification of metabolites using analytical techniques.
- Trapping studies to confirm reactive intermediates.
Main Results:
- Eleven putative ketoconazole metabolites were identified in vitro.
- Six metabolites were found in rat ocular S9 fractions.
- Eight metabolites were identified in rabbit and human ocular S9 fractions.
- Metabolic pathways suggested reactive intermediate formation in rabbit and human ocular and liver S9 fractions.
- Eight human ocular metabolites of ketoconazole were identified for the first time.
Conclusions:
- This study provides the first report on ocular metabolic pathways and bioactivation of ketoconazole in preclinical species and humans.
- Identified human ocular metabolites and pathways are crucial for future ocular therapeutic development.
- Findings contribute to risk assessment for ketoconazole and related drugs in ocular treatments.
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