Objectives: The primary aim was to characterize the influence of diet-induced obesity on the stereoselective pharmacokinetics of racemic bupivacaine in male and female rats.
Method: Rats were fed either a standard diet (StdD) or high-fat diet (HFD) for 12 weeks. A stereoselective assay was used to measure plasma concentrations after subcutaneous injection of racemic bupivacaine. A rich sampling protocol was initially employed for cannulated rats, while a sparse sampling in non-cannulated rats, coupled with Bayesian forecasting, was used in dietary assessment.
Key findings: Clearance (CL) of both enantiomers was significantly reduced in males fed HFD. StdD females had lower peak concentrations and longer elimination phases than StdD males. Stereoselectivity was modest, with the d-enantiomer displaying marginally higher CL than antipode. There was an apparent late-absorption peak with rich sampling.
Conclusion: Bupivacaine exhibits modest stereoselectivity in rats, with diet and sex influencing CL. The application of Bayesian forecasting in sparse sampling models in rats proved to be a robust tool for pharmacokinetic assessment, aligning with the goals of reducing numbers, refining experimental design and replacing invasiveness of procedures in the use of animals.
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