0 criteria for neutropenia and thrombocytopenia.
Blood samples (~ 3.0 ml) were obtained by jugular venipuncture before doxorubicin treatment. Samples were allowed to clot and were then centrifuged, enabling serum to be drawn off and promptly frozen at − 80°C until analysis. Samples were stored in this manner until all were collected. Serum IGF-1 concentrations were measured using an IGF-1 ELISA (ALPCO Diagnostics, Salem, NH). This assay uses two specific and high affinity antibodies against human IGF-1. find more The first is coated on the 96-well microtiter plate, to which the serum sample was added. The second is biotinylated, resulting in color development after the addition of streptavidin-peroxidase-enzyme conjugate that was proportional
to the IGF-1 level in the serum sample. Statistical analyses consisted of Fisher exact and exact Mann-Whitney tests on first dose toxicity data. For paired data, the McNemar test and the Wilcoxon-signed rank test were used to evaluate incidence and severity of toxicity, respectively. Twenty-seven client-owned, cancer-bearing dogs were enrolled (Figure 1). Six dogs were withdrawn from the study after randomization but before administration of any doxorubicin. One of these six dogs was removed due to the finding of preexisting cardiotoxicity, one was euthanized before receiving doxorubicin, two owners were non-compliant with the feeding protocol, and the remaining two dogs developed concurrent illness before doxorubicin administration that precluded their involvement in the study. In Beta adrenergic receptor kinase addition, one dog was euthanized due to disease progression shortly IPI-145 mw after receiving the first dose of doxorubicin before toxicity data could be collected. Of the remaining 20 dogs (10 group A and 10 group B), 15 successfully crossed over and completed the second intended dose of doxorubicin on the study. Consequently, 15 dogs had complete gastrointestinal toxicity data available for both “fed” and “fasted” treatments. These dogs
were represented by six from group A (fed first, fasted second) and nine from group B (fasted first, fed second). Of the five dogs for which data were available for one dose of doxorubicin only, four dogs were in group A with three being withdrawn after the first “fed” dose. The remaining dog in group A had recorded toxicity data from the second fasted dose only. One of these five dogs with only one data set was randomized to group B and was subsequently withdrawn after the first fasted dose. Figure 1 outlines the reasons for lack of complete data from these five dogs. In each group, A and B, similar characteristics were observed in regards to age, sex, weight, breed, and tumor type (Table 1). All 20 dogs had lymphoma, and patient details reflected that of previous reports on dogs with this cancer type [21]. In addition, there were similar proportions of dogs receiving doxorubicin at the 1 mg/kg dose and 30 mg/m2 dose between group A and group B.