2017
DOI: 10.1016/j.ijpara.2017.08.006
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Advances in bumped kinase inhibitors for human and animal therapy for cryptosporidiosis

Abstract: Improvements have been made to the safety and efficacy of bumped kinase inhibitors, and they are advancing toward human and animal use for treatment of cryptosporidiosis. As the understanding of bumped kinase inhibitor pharmacodynamics for cryptosporidiosis therapy has increased, it has become clear that better compounds for efficacy do not necessarily require substantial systemic exposure. We now have a bumped kinase inhibitor with reduced systemic exposure, acceptable safety parameters, and efficacy in both … Show more

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Cited by 30 publications
(69 citation statements)
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“…Recently BKI-1294 treatment was applied in pregnant sheep experimentally infected with T. gondii oocysts where it was partially efficacious against T. gondii infection, and no adverse effects of drug treatment were noted in this small ruminant model [36]. BKI-1369 and BKI-1770 are lead compounds for the treatment of diarrhea caused by cryptosporidiosis in calves [15,17]. In addition, excellent BKI-1369 efficacy was demonstrated against Cystisospora suis infection in piglets [18], and in a pig model of acute diarrhea caused by Cryptosporidium hominis ([16].…”
Section: Discussionmentioning
confidence: 99%
“…Recently BKI-1294 treatment was applied in pregnant sheep experimentally infected with T. gondii oocysts where it was partially efficacious against T. gondii infection, and no adverse effects of drug treatment were noted in this small ruminant model [36]. BKI-1369 and BKI-1770 are lead compounds for the treatment of diarrhea caused by cryptosporidiosis in calves [15,17]. In addition, excellent BKI-1369 efficacy was demonstrated against Cystisospora suis infection in piglets [18], and in a pig model of acute diarrhea caused by Cryptosporidium hominis ([16].…”
Section: Discussionmentioning
confidence: 99%
“…In the present study, we used the GB piglet model to evaluate the efficacy of BKI 1369, a candidate with less potential cardiotoxicity than that of BKI 1294, using the well-characterized C. hominis strain TU502 (12). BKI 1369 has been well characterized for potency, stability, metabolism, toxicity, and pharmacokinetics and has been shown to be potent against C. parvum in infected mice and calves (13). Piglets treated with BKI 1369 exhibited a significant reduction of oocyst excretion in feces, with considerable symptomatic improvement.…”
mentioning
confidence: 99%
“…In a calf model similar to the preceding, paromomycin demonstrated prophylactic efficacy against C. parvum challenge and proof of concept, but the drug dosage required was determined to be cost prohibitive for veterinary use [16]. While there is no universally applicable design for the calf model given geographic, institutional, and laboratory constraints, we have used the acute model described here to consistently replicate data demonstrating therapeutic efficacy for multiple bumped kinase inhibitor (BKI) drugs for further study, as well as to consistently replicate data demonstrating lower, clinically less satisfactory efficacy for other BKIs to eliminate from further study [11,17] (M.W. Riggs and D.A.…”
Section: Introductionmentioning
confidence: 99%
“…Reduction of oocyst shedding is an important treatment outcome when considering the epidemiologic importance of the environmental parasite burden and exposure risk to both humans and livestock [19]. By 8 or 9 days post infection (DPI), most untreated control calves are beginning to resolve diarrhea in this model [11,17]. Therefore, we end the experiment at 10 DPI to conclude initial efficacy determinations.…”
Section: Introductionmentioning
confidence: 99%
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