NOVEMBER 2022
577
a)
b)
Fig 3: Grade 1 and grade 2 injection site reactions, respectively. Common objects were used as a size reference for reactions. Extent of reaction was traced with silver pen in order to document any change in shape or size of reaction
TABLE 2: Change in (a) complete blood count (CBC) and (b) serum biochemistry (SBP) data comparison pre- and post-study. All study participants had CBC and SBP values within the normal reference range prior to the start of study. Note: only values with statistically significant changes are reported (p < 0.05)
Mean change SD P-value
a. CBC Parameter Hgb (g/L)
Hgb cell (g/L) HCT (%)
RBC (106/uL) MCV (fl)
MCHC (g/L) CHCM (g/L)
Nucleated cells (103/uL)
Lymphocytes (103/uL)
b. SBP Parameter P (mMol/L) Ca (mMol/L) Mg (mMol/L) Glob (G/L) T-Bili (µMol L) SDH (IU/L) K (mEQ/L) Anion
(mMol/L)
-25.81 -27.20 -10.00 -1.52 -2.43 17.62 16.19 -1.95
-0.69 Basophils (103/uL) -0.09
0.42 -0.26 -0.18 4.09
Gap
22.46 2.04 -0.95 -1.48
Median Change
18.23 <0.0001 -30.00 16.64 <0.0001 -27.00 6.07 <0.0001 -11.00 0.92 <0.0001 -1.67 1.25 0.04
40 80
60
-2.00
1.04 <0.0001 2.00 8.65 0.0002 10.00 0.99 <0.0001 -2.00
0.46 0.0007 -0.70 0.09 0.0005 -0.10
0.42 0.0001 0.35 0.09 <0.0001 -0.28 0.11 <0.0001 -0.21 2.71 0.01
4.00
9.58 <0.0001 22.24 1.87 0.003
2.00
0.90 0.0004 -0.80 1.53 0.003 -2.00
pharmacodynamic effects as represented by differences in improvement and healing. In addition, these studies were performed in different horse populations with alternative management techniques and considering our understanding of the multifactorial nature of managing EGUS in horses, management factors may have contributed to the outcomes of the different LAO formulations. Improvement in ESGD was seen by Day 14 and did not
formulation (Sykes et al., 2017a). Another study showed a significant decrease in ESGD scoring of 0.03 to 0.51 grades following GG administration (Birkmann et al., 2014). It is recognised that the different LAO formulations studied utilise different long-acting vehicles, therefore may provide different pharmacokinetic profiles and may demonstrate different
significantly change from the Day 14 to 28, which may suggest that a shorter dosing scheme may adequately achieve clinical efficacy for ESGD. Previous findings in another study with a different LAO formulation also showed the most ESGD improvement by Day 14 (96%) with 100% improvement following 4 weeks of dosing (Rendle et al.,
© 2021 EVJ Ltd
20
0
0 12 24 36 48 60 72 84 96 108 120 132 144156 168 Time (h)
Fig 4: Box and whisker plot of serum omeprazole concentration per each sampled timepoint
[Omeprazole]serum (ng/ml)
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