title: Oxymorphone hydrochloride, a potent opioid analgesic, is not carcinogenic in rats or mice.
abstract: Despite their long history of chronic use, little information is available regarding the carcinogenicity of opioid analgesics. Oxymorphone is a potent morphinan-type mu-opioid analgesic used for treatment of moderate-to-severe pain. Oxymorphone was tested for carcinogenicity in Crl:CD IGS BR rats and CD-1 mice. Oxymorphone hydrochloride was administered orally once daily for 2 years to rats at doses of 2.5, 5 and 10 mg/kg/day (males) and 5, 10 and 25 mg/kg/day (females), and mice at 10, 25, 75 and 150 mg/kg/day (65 animals per sex per group; 100 animals per sex in controls). In rats, survival was generally higher than controls in oxymorphone-treated groups, attributable to lower body weight gain. In mice, survival was generally higher than controls in females at all doses and males given < or = 25 mg/kg/day but lower in males given > or = 75 mg/kg/day due to a high incidence of obstructive uropathy. Opioid-related clinical signs and reduced body weight gain occurred in both species throughout the study. Nonneoplastic findings associated with oxymorphone pharmacology included ocular and pulmonary changes in rats considered secondary to inhibition of blinking and mydriasis, and antitussive activity, respectively, and urinary tract and renal findings in mice considered secondary to urinary retention. There was no target organ toxicity, and no increase in any neoplastic lesions attributed to oxymorphone. Plasma oxymorphone levels achieved in these studies exceeded those in patients taking high therapeutic doses of oxymorphone (Area under the curve [AUC(0-24 h)] values up to 5.6-fold and 64-fold in rats and mice, respectively). Oxymorphone is not considered to be carcinogenic in rats or mice under the conditions of these studies.
authors.affiliation: Endo Pharmaceuticals Inc., Chadds Ford, Pennsylvania 19350, USA. shuey.dana@endo.com
authors.forename: Dana L
authors.initials: DL
authors.lastname: Shuey
authors.forename: Cindy
authors.initials: C
authors.lastname: Woodland
authors.forename: Claudine
authors.initials: C
authors.lastname: Tremblay
authors.forename: Richard
authors.initials: R
authors.lastname: Gregson
authors.forename: Ronald J
authors.initials: RJ
authors.lastname: Gerson
mesh_terms: D000701:Analgesics, Opioid / Q000493:pharmacokinetics / Q000633:toxicity*; D000818:Animals; D001835:Body Weight / Q000187:drug effects; D015197:Carcinogenicity Tests; D002273:Carcinogens / Q000493:pharmacokinetics / Q000633:toxicity*; D004305:Dose-Response Relationship, Drug; D004435:Eating / Q000187:drug effects; D005123:Eye / Q000187:drug effects / Q000473:pathology; D005260:Female; D006801:Humans; D007958:Leukocyte Count; D008168:Lung / Q000187:drug effects / Q000473:pathology; D008297:Male; D051379:Mice; D010111:Oxymorphone / Q000493:pharmacokinetics / Q000633:toxicity*; D051381:Rats; D017207:Rats, Sprague-Dawley; D013997:Time Factors; D036401:Toxicity Tests, Chronic; D014566:Urogenital System / Q000187:drug effects / Q000473:pathology
chemical_list: D000701:Analgesics, Opioid; D002273:Carcinogens; D010111:Oxymorphone