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© 1988 Oxford University Press

research-article

Cheonic Toxicity of the Anticonvulsant Zonisamide in Beagle Dogs1

R. M. WALKER, C. J. DIFONZO, N. J. BARSOUM, G. S. SMITH and G. E. MACALLUM

Parke-Davis Research Institute 2270 Speakman Drvie, Mississauga, Ontario, Canada, L5K 1B4

Received August 7, 1987; accepted March 18, 1988

Chronic Toxicity of the Anticonvulsant Zonisamide in Beagle Dogs. Walker, R. M., Di-Fonzo, C. J., Barsoum, N. J., Smith, G. S., and Macallum, G. E. 1988. Fundam. Appl. Toxicol 11, 333–342. The chronic toxicity of the new anticonvulsant drug zonisamide (1,2-benzisoxazole-3-methanesulfonamide) was evaluated in a detailed 52-week study in which dose levels of 0, 10, 30 and 75 mg/kg/day were administered orally in gelatin capsules to groups of five Beagle dogs per sex. Potential toxicity was based on the effects of zonisamide on body weight and food consumption; clinical and ophthalmic examinations; electrocardiography and heart rates; clinical biochemistry, hematology and urinalysis determinations; organ weights and gross and histopathologic evaluations; electron microscopy of high dose and control male dogs; and plasma zonisamide concentrations. Zonisamide was relatively well tolerated during the study. In animals given 75 mg/kg/day, early body weight losses occurred and therefore, from Weeks 2 and 3 until study termination, for males and females respectively, the high dose was given as two equal portions (i.e., 37.5 mg/kg each) approximately 3—4 hr apart. Qinical laboratory analyses in the dogs given 75 mg/kg revealed a small but statistically significant decrease in plasma albumin concentration and a small increase in alkaline phosphatase activity. In animals given 75 mg/kg, liver weights were increased and a brownish discoloration of the liver was noted grossly at necropsy. No significant light microscopic changes were evident; however, electron microscopic evaluation of the liver tissue from the 5 male dogs given 75 mg/kg revealed the presence of concentric lamellae of paired smooth membranes which were not seen in control animals. At the 10 and 30 mg/kg dose levels, plasma zonisamide concentrations reached steady-state and were proportional to dose, but at 75 mg/kg, plasma levels were disproportionately higher and never achieved steady-state. The results of this study indicated that at the high dose level of 75 mg/kg, chronic administration of zonisamide had a mild effect on the liver, particularly the endoplasmic reticulum.


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