Comparative pharmacokinetics of tyrosine kinase inhibitor, lapatinib, in dogs and cats following single oral administration

J Vet Med Sci. 2024 Mar 16;86(3):317-321. doi: 10.1292/jvms.23-0448. Epub 2024 Jan 29.

Abstract

Lapatinib is an orally administered tyrosine kinase inhibitor used to treat human epidermal growth factor receptor 2 (HER2) -overexpressing breast cancers in humans. Recently, the potential of lapatinib treatment against canine urothelial carcinoma or feline mammary tumor was investigated. However, the pharmacokinetic studies of lapatinib in dogs and cats are not well-defined. In the present study, the pharmacokinetic characteristics of lapatinib in both cats and dogs after a single oral administration at a dose of 25 mg/kg were compared with each other. Lapatinib was administered orally to four female laboratory cats and four female beagle dogs. Blood samples were collected over time, and the plasma lapatinib concentrations were analyzed by HPLC. Following a single dose of 25 mg/kg, the averaged maximum plasma concentration (Cmax) of lapatinib in cats was 0.47 μg/mL and achieved at 7.1 hr post-administration, while the Cmax in dogs was 1.63 μg/mL and achieved at 9.5 hr post-administration. The mean elimination half-life was 6.5 hr in cats and 7.8 hr in dogs. The average area under the plasma concentration-time curve of dogs (37.2 hr·μg/mL) was significantly higher than that of cats (7.97 hr·μg/mL). These results exhibited slow absorptions of lapatinib in both animals after oral administration. The Cmax observed in cats was significantly lower and the half-life was shorter than those observed in dogs. Based on these results, a larger dose or shorter dosing intervals might be recommended in cats to achieve similar plasma concentration as dogs.

Keywords: canine; feline; human epidermal growth factor receptor 2 inhibitor; lapatinib; pharmacokinetics.

MeSH terms

  • Administration, Oral
  • Animals
  • Area Under Curve
  • Carcinoma, Transitional Cell* / veterinary
  • Cat Diseases*
  • Cats
  • Dog Diseases*
  • Dogs
  • Female
  • Half-Life
  • Humans
  • Lapatinib
  • Protein Kinase Inhibitors
  • Tyrosine Kinase Inhibitors
  • Urinary Bladder Neoplasms* / veterinary

Substances

  • Lapatinib
  • Tyrosine Kinase Inhibitors
  • Protein Kinase Inhibitors