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Repeated KI Prophylaxis in Case of Prolonged Exposure to Iodine Radioisotopes: Pharmacokinetic Studies in Adult Rats

Purpose To propose a new and effective dose regimen for stable potassium iodide (KI) repeated prophylaxis in case of prolonged exposure to radioactive iodine. Methods The pharmacokinetics of iodine was determined in rats by compartmental analyses after intravenous and oral administrations of the opt...

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Published in:Pharmaceutical research 2018-12, Vol.35 (12), p.227-12, Article 227
Main Authors: Phan, Guillaume, Chioukh, Rym, Suhard, David, Legrand, Alexandre, Moulin, Charlotte, Sontag, Thibaud, Rebière, François, Bouvier-Capely, Céline, Agarande, Michelle, Renaud-Salis, Valérie, Jourdain, Jean-René
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container_issue 12
container_start_page 227
container_title Pharmaceutical research
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creator Phan, Guillaume
Chioukh, Rym
Suhard, David
Legrand, Alexandre
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Sontag, Thibaud
Rebière, François
Bouvier-Capely, Céline
Agarande, Michelle
Renaud-Salis, Valérie
Jourdain, Jean-René
description Purpose To propose a new and effective dose regimen for stable potassium iodide (KI) repeated prophylaxis in case of prolonged exposure to radioactive iodine. Methods The pharmacokinetics of iodine was determined in rats by compartmental analyses after intravenous and oral administrations of the optimal dose of 1 mg/kg KI, which was previously selected in a dose-effect study. The thyroid protection against iodine-125 incorporation was followed during 24 h after a single oral dosing of KI. A repeated KI prophylaxis was modeled using initial estimates of iodine pharmacokinetic parameters. Results A dose regimen consisting in administrations of 1 mg/kg daily for 8 days was selected and studied. Plasma iodine concentrations predicted by simulation were verified by experimental data and varied after the third dose of KI between 174 and 1190 μg/l. The inhibition study of iodine-125 binding in the thyroid as a function of the time showed that the protection effect of KI could be correlated to stable iodine plasma concentrations. Hence, a theoretical decrease in iodine-125 thyroid uptake from 63 to 88% could be achieved in a 24 h-interval between two KI doses. Conclusion Given the satisfactory levels of thyroid protection, this dose regimen could be envisaged in order to extent KI indications for repeated prophylaxis.
doi_str_mv 10.1007/s11095-018-2515-1
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Methods The pharmacokinetics of iodine was determined in rats by compartmental analyses after intravenous and oral administrations of the optimal dose of 1 mg/kg KI, which was previously selected in a dose-effect study. The thyroid protection against iodine-125 incorporation was followed during 24 h after a single oral dosing of KI. A repeated KI prophylaxis was modeled using initial estimates of iodine pharmacokinetic parameters. Results A dose regimen consisting in administrations of 1 mg/kg daily for 8 days was selected and studied. Plasma iodine concentrations predicted by simulation were verified by experimental data and varied after the third dose of KI between 174 and 1190 μg/l. The inhibition study of iodine-125 binding in the thyroid as a function of the time showed that the protection effect of KI could be correlated to stable iodine plasma concentrations. Hence, a theoretical decrease in iodine-125 thyroid uptake from 63 to 88% could be achieved in a 24 h-interval between two KI doses. Conclusion Given the satisfactory levels of thyroid protection, this dose regimen could be envisaged in order to extent KI indications for repeated prophylaxis.</description><identifier>ISSN: 0724-8741</identifier><identifier>EISSN: 1573-904X</identifier><identifier>DOI: 10.1007/s11095-018-2515-1</identifier><identifier>PMID: 30298383</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Biochemistry ; Biomedical and Life Sciences ; Biomedical Engineering and Bioengineering ; Biomedicine ; Computer simulation ; Exposure ; Intravenous administration ; Iodides ; Iodine ; Iodine 125 ; Iodine isotopes ; Iodine radioisotopes ; Life Sciences ; Medical Law ; Nuclear energy ; Parameter estimation ; Pharmaceutical sciences ; Pharmacokinetics ; Pharmacology ; Pharmacology/Toxicology ; Pharmacy ; Potassium ; Potassium iodide ; Potassium iodides ; Prophylaxis ; Radioisotopes ; Rats ; Research Paper ; Thyroid ; Thyroid gland</subject><ispartof>Pharmaceutical research, 2018-12, Vol.35 (12), p.227-12, Article 227</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>COPYRIGHT 2018 Springer</rights><rights>Pharmaceutical Research is a copyright of Springer, (2018). All Rights Reserved.</rights><rights>Distributed under a Creative Commons Attribution 4.0 International License</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c516t-be64371e731940b489320dc7afafd882596ab5564eadabdc0c74a855fac3bf013</citedby><cites>FETCH-LOGICAL-c516t-be64371e731940b489320dc7afafd882596ab5564eadabdc0c74a855fac3bf013</cites><orcidid>0000-0001-7223-0559 ; 0000-0001-5225-4115 ; 0000-0002-8794-9862</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>230,314,780,784,885,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30298383$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink><backlink>$$Uhttps://hal.science/hal-02881796$$DView record in HAL$$Hfree_for_read</backlink></links><search><creatorcontrib>Phan, Guillaume</creatorcontrib><creatorcontrib>Chioukh, Rym</creatorcontrib><creatorcontrib>Suhard, David</creatorcontrib><creatorcontrib>Legrand, Alexandre</creatorcontrib><creatorcontrib>Moulin, Charlotte</creatorcontrib><creatorcontrib>Sontag, Thibaud</creatorcontrib><creatorcontrib>Rebière, François</creatorcontrib><creatorcontrib>Bouvier-Capely, Céline</creatorcontrib><creatorcontrib>Agarande, Michelle</creatorcontrib><creatorcontrib>Renaud-Salis, Valérie</creatorcontrib><creatorcontrib>Jourdain, Jean-René</creatorcontrib><title>Repeated KI Prophylaxis in Case of Prolonged Exposure to Iodine Radioisotopes: Pharmacokinetic Studies in Adult Rats</title><title>Pharmaceutical research</title><addtitle>Pharm Res</addtitle><addtitle>Pharm Res</addtitle><description>Purpose To propose a new and effective dose regimen for stable potassium iodide (KI) repeated prophylaxis in case of prolonged exposure to radioactive iodine. Methods The pharmacokinetics of iodine was determined in rats by compartmental analyses after intravenous and oral administrations of the optimal dose of 1 mg/kg KI, which was previously selected in a dose-effect study. The thyroid protection against iodine-125 incorporation was followed during 24 h after a single oral dosing of KI. A repeated KI prophylaxis was modeled using initial estimates of iodine pharmacokinetic parameters. Results A dose regimen consisting in administrations of 1 mg/kg daily for 8 days was selected and studied. Plasma iodine concentrations predicted by simulation were verified by experimental data and varied after the third dose of KI between 174 and 1190 μg/l. The inhibition study of iodine-125 binding in the thyroid as a function of the time showed that the protection effect of KI could be correlated to stable iodine plasma concentrations. 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Methods The pharmacokinetics of iodine was determined in rats by compartmental analyses after intravenous and oral administrations of the optimal dose of 1 mg/kg KI, which was previously selected in a dose-effect study. The thyroid protection against iodine-125 incorporation was followed during 24 h after a single oral dosing of KI. A repeated KI prophylaxis was modeled using initial estimates of iodine pharmacokinetic parameters. Results A dose regimen consisting in administrations of 1 mg/kg daily for 8 days was selected and studied. Plasma iodine concentrations predicted by simulation were verified by experimental data and varied after the third dose of KI between 174 and 1190 μg/l. The inhibition study of iodine-125 binding in the thyroid as a function of the time showed that the protection effect of KI could be correlated to stable iodine plasma concentrations. Hence, a theoretical decrease in iodine-125 thyroid uptake from 63 to 88% could be achieved in a 24 h-interval between two KI doses. Conclusion Given the satisfactory levels of thyroid protection, this dose regimen could be envisaged in order to extent KI indications for repeated prophylaxis.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30298383</pmid><doi>10.1007/s11095-018-2515-1</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-7223-0559</orcidid><orcidid>https://orcid.org/0000-0001-5225-4115</orcidid><orcidid>https://orcid.org/0000-0002-8794-9862</orcidid><oa>free_for_read</oa></addata></record>
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1573-904X
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subjects Biochemistry
Biomedical and Life Sciences
Biomedical Engineering and Bioengineering
Biomedicine
Computer simulation
Exposure
Intravenous administration
Iodides
Iodine
Iodine 125
Iodine isotopes
Iodine radioisotopes
Life Sciences
Medical Law
Nuclear energy
Parameter estimation
Pharmaceutical sciences
Pharmacokinetics
Pharmacology
Pharmacology/Toxicology
Pharmacy
Potassium
Potassium iodide
Potassium iodides
Prophylaxis
Radioisotopes
Rats
Research Paper
Thyroid
Thyroid gland
title Repeated KI Prophylaxis in Case of Prolonged Exposure to Iodine Radioisotopes: Pharmacokinetic Studies in Adult Rats
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