NETOBIMIN (NTB) is an anthelmintic prodrug which is converted
into albendazole by the gastrointestinal microflora after oral admin-
istration to sheep (Delatour et al 1986). Albendazole (ABZ) is oxi-
dised, by liver microsomal systems, into its pharmacologically
active metabolite, albendazole sulphoxide (ABZSO), and in a second
step to albendazole sulphone (ABZSO
2
), an inactive metabolite. The
pharmacokinetic behaviour of netobimin and albendazole is well
documented in sheep (Lanusse and Prichard 1990).
The low solubility of benzimidazole drugs and their limited
absorption from the gut, result in low bioavailability. Netobimin is
an interesting prodrug since it can be prepared as an ionic salt with
good water solubility. Fenbendazole (FBZ), another widely used
benzimidazole in veterinary medicine, acts as competitive inhibitor
of albendazole sulphoxidase activity when it is incubated in vitro
using liver microsomal preparations with albendazole as substrate
(FBZ inhibitory constant = 243 μM) (Galtier et al 1986).
The present in vivo study was designed to describe the pharma-
cokinetic parameters of albendazole metabolites in sheep, when
different netobimin oral doses were co-administered with fenben-
dazole (1·1 mg kg
–1
equivalent to 375 μM). The aim of this work is
to determine whether fenbendazole could be used to improve the
pharmacokinetic profile of netobimin.
Female Merino sheep weighing 48·5 ± 6·5 kg were used in this
trial. Animals were parasite-free and fed with hay and water ad
libitum. Sheep were allocated into two groups.
The study was conducted in two phases:
Phase I: animals were treated with netobimin (Hapasil
®
,
Schering Plough S.A., Madrid, Spain) by oral administration of
7·5 mg (six animals) and 20 mg kg
–1
body weight (four animals).
Phase II: After a wash-out period of one month, the same ani-
mals were treated with the same formulations and dosages of neto-
bimin plus 1·1 mg kg
–1
of fenbendazole (Panacur
®
, Hoechst lbérica
S.A., Madrid, Spain). Fenbendazole was given in a suspension
with netobimin.
All treatments were administered as a single dose orally. Blood
samples were collected from the jugular vein into heparinized
vacutainers during 120 hours after treatment. Blood was cen-
trifuged inmediately and plasma collected and frozen at –20°C
until the time of drug analysis.
Analysis of plasma for albendazole, albendazole sulphoxide and
albendazole sulphone was carried out by high performance liquid
chromatography (Redondo et al 1998). Parent netobimin was not
detectable in the plasma samples (< 0·4 μg ml
–1
). These results are
in accordance with data of Delatour et al 1986 following oral
administration in sheep.
Pharmacokinetic analysis for albendazole sulphoxide and alben-
dazole sulphone were carried out by using PKCALC software with a
non-compartmental model (Shumaker 1986). The pharmacokinetic
parameters are presented as mean ± S.D. Mean pharmacokinetic
parameters for each formulation were compared by analysis of
variance (ANOVA). Whenever a significant F-value was obtained, a
Newman-Keuls multiple range test was performed to indicate the
order of significance. Values of P ≤ 0·05 were considered statisti-
cally significant.
The plasma concentration versus time profile of the major
metabolite, albendazole sulphoxide, obtained by the administration
of each formulation is shown in Fig 1. There was a clear difference
in the curve profile after administration of netobimin at 7·5 mg kg
–1
alone and the curve after coadministration with fenbendazole.
However, in the case of the netobimin 20 mg kg
–1
and netobimin
plus fenbendazole, this difference was not observed and the plasma
curve is similar to the control. The pharmacokinetic parameters of
albendazole sulphoxide obtained with the different netobimin
treatments are displayed in Table 1. Statistical comparison was car-
ried out between each treatment of netobimin alone and with fen-
bendazole.
Netobimin and albendazole were efficiently converted by the
ruminal flora and the hepatic metabolic system of the sheep, these
prevented the detection of these two compounds in the plasma in
all formulations and at all sampling times.
The alteration of albendazole oxidative metabolism by the coad-
ministration of fenbendazole resulted in significant changes in the
pharmacokinetic patterns of albendazole sulphoxide in sheep.
When 1·1 mg kg
–1
of fenbendazole was used with a dosage of
7·5 mg kg
–1
of netobimin, the area under the concentration–time
curve (AUC
0-∞
) of albendazole sulphoxide showed a 75·5 per cent
increase from control value (AUC
0-∞
34·43 ± 7·91 versus 60·33 ±
11·93 μg h ml
–1
), while there was no difference in the AUC
0-∞
ratio
albendazole sulphone/albendazole sulphoxide from the control
value (Table 1).
The increase in the AUC
0-∞
of the albendazole sulphoxide could
be the result of several mechanisms: firstly, it has been reported
that fenbendazole causes inhibition of the albendazole sulphoxida-
tion by liver microsomes in vitro because both drugs are biotrans-
formed by the same enzyme system (Galtier et al 1986, Benchaoui
and McKellar 1996). Albendazole is converted into albendazole
Bioavailability of albendazole sulphoxide after netobimin administration
in sheep: effects of fenbendazole coadministration.
G. MERINO, A.I. ALVAREZ, P.A. REDONDO, J.L. GARCIA, O.M. LARRODÉ, J.G. PRIETO. Laboratory of Animal Physiology.
Faculty of Veterinary. University of León. E24071, León, Spain.
SUMMARY
After oral co-administration of two dosages of netobimin (7·5 and 20 mg kg
–1
with fenbendazole (1·1 mg kg
–1
) to Merino sheep, the
AUC
0-∞
of albendazole sulphoxide at the lower dosage of netobimin, was significantly increased (75·5 per cent) from control value
(34·43 ± 7·91 versus 60·33 ± 11·93 μg h ml
–1
). The pharmacokinetic parameters MRT and T1
/ 2
were also increased: 18·96 ± 2·54 vs
26·44 ± 4·69 h and 10·31 ± 1·72 vs 22·28 ± 6·75 h respectively. No data corresponding to the higher dosage of netobimin (20 mg
kg
–1
) were statistically different from control values. It is concluded that fenbendazole increases the bioavailability of albendazole
sulphoxide in sheep at the 7·5 mg kg
–1
dosage, and this may produce a potentiated anthelmintic action.
0034-5288/99/030281 + 03 $18.00/0 © 1999 W. B. Saunders Company Ltd
SHORT COMMUNICATION
Research in Veterinary Science 1999, 66, 281–283
Article No. rvsc.1998.0276, available online at http://idealibrary.com on