Abstract

BackgroundLotilaner is a new oral ectoparasiticide from the isoxazoline class developed for the treatment of flea and tick infestations in dogs. It is formulated as pure S-enantiomer in flavoured chewable tablets (Credelio™). The pharmacokinetics of lotilaner were thoroughly determined after intravenous and oral administration and under different feeding regimens in dogs.MethodsTwenty-six adult beagle dogs were enrolled in a pharmacokinetic study evaluating either intravenous or oral administration of lotilaner. Following the oral administration of 20 mg/kg, under fed or fasted conditions, or intravenous administration of 3 mg/kg, blood samples were collected up to 35 days after treatment. The effects of timing of offering food and the amount of food consumed prior or after dosing on bioavailability were assessed in a separate study in 25 adult dogs. Lotilaner blood concentrations were measured using a validated liquid chromatography/tandem mass spectrometry (LC-MS/MS) method. Pharmacokinetic parameters were calculated by non-compartmental analysis. In addition, in vivo enantiomer stability was evaluated in an analytical study.ResultsFollowing oral administration in fed animals, lotilaner was readily absorbed and peak blood concentrations reached within 2 hours. The terminal half-life was 30.7 days. Food enhanced the absorption, providing an oral bioavailability above 80% and reduced the inter-individual variability. Moreover, the time of feeding with respect to dosing (fed 30 min prior, fed at dosing or fed 30 min post-dosing) or the reduction of the food ration to one-third of the normal daily ration did not impact bioavailability. Following intravenous administration, lotilaner had a low clearance of 0.18 l/kg/day, large volumes of distribution Vz and Vss of 6.35 and 6.45 l/kg, respectively and a terminal half-life of 24.6 days. In addition, there was no in vivo racemization of lotilaner.ConclusionsThe pharmacokinetic properties of lotilaner administered orally as a flavoured chewable tablet (Credelio™) were studied in detail. With a Tmax of 2 h and a terminal half-life of 30.7 days under fed conditions, lotilaner provides a rapid onset of flea and tick killing activity with consistent and sustained efficacy for at least 1 month.

Highlights

  • Lotilaner is a new oral ectoparasiticide from the isoxazoline class developed for the treatment of flea and tick infestations in dogs

  • The absence of in vivo racemization is a prerequisite for a pure enantiomeric drug to make sense and for the investigation of the pharmacokinetics and safety of the opposite enantiomer to be omitted

  • A pronounced feeding effect was found for lotilaner, the exact time of feeding with respect to dosing did not have a significant impact on bioavailability

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Summary

Introduction

Lotilaner is a new oral ectoparasiticide from the isoxazoline class developed for the treatment of flea and tick infestations in dogs It is formulated as pure S-enantiomer in flavoured chewable tablets (CredelioTM). As a difference in potency of 10– 100 fold between lotilaner and its opposite enantiomer (Renantiomer) was measured in vitro against Ctenocephalides felis and R. sanguineus (s.l.) (unpublished data), CredelioTM was developed as the pure S-enantiomer. This reduces the amount of active ingredient in the final formulation, eliminates the need for the inactive compound to be metabolised and/or excreted by the patient and limits the possibility of secondary pharmacodynamic effects. The same dose, if administered as pure S-enantiomer, provides better efficacy and longer protection period as compared to the racemate, provided that there is no in vivo racemization

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