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2.6.6.8 Special toxicology studies No nonclinical data were provided. The sponsor states in section 5.5 ofthe NDA that doxycycline may produce mild to severe phototoxic reactions in the skin of treated human patients exposed to sunlight------------------ They state that this may be accompanied by onycholysis and pigmentation of the nails. In human patients, skin reactions may fo l1ow use of tetracyclines. The sponsor's summary states that cross-sensitization among the various tetracyclines is very common. Doxycycline inhibits chemotactic and phagocytic activity in neutrophils in vitro and in vivo, but may not be immunosuppressive at therapeutic doses. High concentrations may affect lymphocyte and IgG function. Slight decreases in humoral and cellular immune responses were seen in doxycycline-treated mice. (Vet. Hum. Toxicol. 30(5):431-443, 1988). |

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2.6.6.8 特殊毒理學(xué)研究 未提供非臨床數(shù)據(jù)。在NDA的第5.5節(jié)贊助商指出,在治療患者皮膚暴露于陽(yáng)光下時(shí),多西環(huán)素可產(chǎn)生輕度至重度的光毒性反應(yīng),------------------他們指出,這可伴有指甲的剝離和色素沉著。在使用四環(huán)素類藥物后,患者可能會(huì)發(fā)生皮膚反應(yīng)。贊助商總結(jié)指出,各種四環(huán)素類之間的交叉過敏是很常見的。多西環(huán)素在體外和體內(nèi)抑制嗜中性粒細(xì)胞趨化活性和細(xì)胞的吞噬活性,但在治療劑量時(shí)可能沒有免疫抑制作用。高濃度時(shí)可能會(huì)影響淋巴細(xì)胞和IgG的功能。在多西環(huán)素治療的小鼠中出現(xiàn)體液免疫和細(xì)胞免疫反應(yīng)的輕微下降。 (Vet. Hum. Toxicol. 30(5):431-443, 1988)。 |
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