Alfaxalone population pharmacokinetics in the rat: model application for
PK/PD design in inbred and outbred strains and sexes
Abstract
Background and purpose The translation of new injectable anaesthetic
drugs from rodent to humans remains slow, despite the realisation that
reliance on the volatile agents is unsustainable from an environmental
perspective. The aim of this study was to investigate the influence of
rat sex and strain on the PK and PD of the anaesthetic neurosteroid
alfaxalone. Experimental approach Forty rats had cannulas inserted under
isoflurane anaesthesia for drug administration and sampling. Carotid
artery blood samples were collected for blood gas analysis, haematology,
biochemistry, and plasma concentrations of alfaxalone. Plasma samples
were assayed using liquid chromatography-mass spectrometry.
Compartmental non-linear mixed effects methods (NLME) models were
applied to two rat populations to determine whether body weight, sex and
strain influenced PK parameters Key Results There were significant
differences between the sexes for plasma clearance, half-life and mean
residence time in Lewis rats and mean arterial blood pressure was
significantly lower in the female rats at 120 minutes. An initial NLME
PK population model was used to design an adjusted alfaxalone infusion
for SD females matching plasma concentrations in males and minimising
cardiopulmonary depression but maintaining an appropriate hypnotic
effect. A final NLME population model showed that alfaxalone clearance
was dependent on both bodyweight and sex whereas volume of distribution
was influenced by strain. Conclusion and implications NLME PK models
offer the advantage of having a single model that describes a population
and therefore shares data interpretation between animals unlike the
standard deterministic PK approach. This approach can be used to propose
bespoke dosing regimens for optimal use of alphaxalone.