Table 1

Assessment of clinical pathology and histopathology parameters following ISIS 416858 treatment

EndpointControl (PBS)ISIS 416858, mg/kg
481240
ALT, U/L 60 ± 40 61 ± 15 74 ± 29 61 ± 22 94 ± 34 
BUN, mg/dL 25 ± 4.8 27 ± 7.0 26 ± 4.3 24 ± 2.6 26 ± 6.4 
Total protein, g/dL 7.3 ± 0.5 7.4 ± 0.3 7.0 ± 0.4 7.0 ± 0.9 7.8 ± 0.7 
Platelets, 10 × 3/μL 506 ± 85 516 ± 141 452 ± 56 404 ± 93 357 ± 120 
RBCs, 10 × 6/μL 5.1 ± 0.3 5.2 ± 0.1 5.2 ± 0.5 5.2 ± 0.3 5.1 ± 0.4 
Complement Bb* − − − 
Tissue weight*      
    Liver − 1.0 1.1 1.1 1.3 
    Spleen − 0.75 0.88 1.4 1.5 
Histopathology      
    Liver-KC/hepatocytes      
        Basophilic granules − ++ ++ 
    Kidney-tubular epithelium      
        Basophilic granules − − − ++ 
        Degeneration/regeneration − − − 
    Lymph nodes      
        Histiocyte hypertrophy − + − ++ + − ++ ++ 
    SC injection site      
        Mononuclear cell infiltrates + − ++ + − ++ + − +++ + − +++ 
EndpointControl (PBS)ISIS 416858, mg/kg
481240
ALT, U/L 60 ± 40 61 ± 15 74 ± 29 61 ± 22 94 ± 34 
BUN, mg/dL 25 ± 4.8 27 ± 7.0 26 ± 4.3 24 ± 2.6 26 ± 6.4 
Total protein, g/dL 7.3 ± 0.5 7.4 ± 0.3 7.0 ± 0.4 7.0 ± 0.9 7.8 ± 0.7 
Platelets, 10 × 3/μL 506 ± 85 516 ± 141 452 ± 56 404 ± 93 357 ± 120 
RBCs, 10 × 6/μL 5.1 ± 0.3 5.2 ± 0.1 5.2 ± 0.5 5.2 ± 0.3 5.1 ± 0.4 
Complement Bb* − − − 
Tissue weight*      
    Liver − 1.0 1.1 1.1 1.3 
    Spleen − 0.75 0.88 1.4 1.5 
Histopathology      
    Liver-KC/hepatocytes      
        Basophilic granules − ++ ++ 
    Kidney-tubular epithelium      
        Basophilic granules − − − ++ 
        Degeneration/regeneration − − − 
    Lymph nodes      
        Histiocyte hypertrophy − + − ++ + − ++ ++ 
    SC injection site      
        Mononuclear cell infiltrates + − ++ + − ++ + − +++ + − +++ 

Cynomologus monkeys were administered ISIS 416858 (0, 4, 8, 12, 40 mg/kg/wk, SC) for up to 13 weeks. At the 13-week treatment time point, animals were subject to a complete necropsy. Blood was harvested for assessment of clinical chemistry and hematology parameters while tissue was preserved in formalin fixative and processed for microscopic evaluation. Data represents mean ± SD.

KC indicates Kupffer cell; ALI, alanine aminotransferase; BUN, blood urea nitrogen; and SC, subcutaneous.

*

Denotes fold above the control group. Histopathology severity score: −, not present; +, minimal/mild; ++, moderate; and +++, severe.

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