Abstract

BackgroundRobenacoxib (Onsior™) is a non-steroidal anti-inflammatory drug developed for canine and feline use for the control of pain and inflammation. It is available as both tablets and solution for injection. The objective of this safety study was to investigate the interchangeable use of two robenacoxib formulations in dogs using a novel study design alternating between oral tablets and subcutaneous injections. Thirty-two naïve healthy 4-month dogs were enrolled in this 88-day study and were randomized among four groups to be untreated or to receive robenacoxib at the highest recommended or elevated dose rates. The dogs were administered three 20-day treatment cycles each separated by a 14-day washout period. Each 20-day cycle was comprised of 10 days of once daily oral administration, 3 days of subcutaneous administration, followed by further 7 days of oral administration (Groups 2 to 4). The control group (Group 1) received oral empty gelatin capsules or subcutaneous saline injections. Assessment of safety was based on general health observations, clinical observations, physical and neurological examinations including ophthalmological examinations, electrocardiographic examinations and clinical pathology evaluations, food and water consumption, body weight, and macroscopic and microscopic examinations. Blood samples were collected for pharmacokinetic evaluation.ResultsBlood concentrations of robenacoxib confirmed systemic exposure of all treated dogs. All dogs were in good health through study termination and there were no serious adverse events during the course of the study. No changes in body weight, food consumption, ophthalmic, neurological examinations, electrocardiograms, buccal mucosal blood times, clinical pathology or organ weight were attributable to robenacoxib formulation administration. Primary treatment-related abnormalities were of low incidence at all doses. They were confined to macroscopic and microscopic changes observed locally at the subcutaneous injection sites and microscopic findings within the gastrointestinal tract. These findings were as expected based on previous studies with robenacoxib solution for injection alone and the known properties of this class of compound and mode of administration. There were no adverse effects which could be attributed specifically to the interchangeable use of oral and injectable robenacoxib.ConclusionsAlternating regimens of robenacoxib tablets and solution for injection were well tolerated in healthy young dogs.

Highlights

  • Robenacoxib (OnsiorTM) is a non-steroidal anti-inflammatory drug developed for canine and feline use for the control of pain and inflammation

  • The objective of the study was to establish the safety of the interchangeable use of robenacoxib (OnsiorTM) tablets and solution for injection in dogs starting at 4 months of age

  • The results of this study indicate that injections of robenacoxib can be safely administered instead of a tablet to a dog receiving oral therapy or that robenacoxib injection(s) can be followed by oral robenacoxib therapy

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Summary

Introduction

Robenacoxib (OnsiorTM) is a non-steroidal anti-inflammatory drug developed for canine and feline use for the control of pain and inflammation It is available as both tablets and solution for injection. Robenacoxib is a non-steroidal anti-inflammatory drug (NSAID) of the cyclooxygenase (COX)-2 inhibitor (coxib) subclass with a fast onset of action in dogs and cats [1, 2] It is a registered veterinary medicinal product available for dogs as an injectable (OnsiorTM 20 mg/mL solution for injection, Elanco Animal Health, Greenfield, IN) and oral (OnsiorTM 10 mg, 20 mg and 40 mg tablets, Elanco Animal Health, Greenfield, IN) formulation. OnsiorTM is licensed in the US for use in dogs for the control of postoperative pain and inflammation associated with soft tissue surgery at a dose of 2 mg/kg subcutaneously or 2 mg/kg orally (2– 4 mg/kg range) for a maximum of 3 days [3, 4]. The systemic bioavailability of robenacoxib solution is 88% and it is 62% with food or 84% without food, for the tablet [5]

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