An assessment of the ocular safety of excipient maleic acid following intravitreal injection in rabbits

Toxicol Pathol. 2012 Jul;40(5):797-806. doi: 10.1177/0192623312441400. Epub 2012 May 2.

Abstract

Maleic acid was formulated in 0.7% saline and injected intravitreally in rabbits in order to evaluate ocular safety and tolerability. Maleic acid was formulated within a narrow pH range (2-3), administered in a fixed volume (100 µl), and concentrations ranged from 0.00 to 2.00 mg/eye (0.00 to 12.30 mM vitreous). Ocular evaluations were conducted at 2, 4, and 8 days post injection. Ocular irritation responses were observed at doses from 0.50 mg/eye (3.07 mM vitreous) to 2.00 mg/eye (12.30 mM vitreous) and included conjunctival redness and scleral swelling. Chemosis was observed at 2.00 mg/eye (12.30 mM vitreous). Funduscopic evaluations revealed enlarged retinal blood vessels and optic disk swelling at doses ≥1.50 mg/eye (9.22 mM vitreous), retinal folds and retinal discoloration at 2.00 mg/eye (12.30 mM vitreous). Histopathologic evaluations on days 4 and 8 post injection revealed retinal degeneration at doses ≥1.0 mg/eye (6.15 mM vitreous), conjunctival inflammation at doses ≥1.5 mg/eye (9.22 mM vitreous), and retinal pigment epithelial hypertrophy, optic nerve demyelination, anterior chamber fluid, and conjunctival fibrosis at 2.00 mg/eye (12.30 mM vitreous) maleic acid. The data suggest that maleic acid formulations at ≥1.00 mg/eye (6.15 mM vitreous) were not suitable for intraocular indications.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anterior Chamber / drug effects
  • Anterior Chamber / physiopathology
  • Dose-Response Relationship, Drug
  • Drug Evaluation, Preclinical
  • Excipients / administration & dosage
  • Excipients / toxicity*
  • Eye / drug effects
  • Eye / physiopathology
  • Female
  • Intraocular Pressure / drug effects
  • Intravitreal Injections / methods*
  • Maleates / administration & dosage
  • Maleates / toxicity*
  • Ophthalmoscopy / methods
  • Rabbits
  • Retina / drug effects
  • Retina / physiopathology
  • Retinal Diseases / chemically induced
  • Retinal Diseases / physiopathology*
  • Risk Assessment
  • Vision, Ocular / drug effects*

Substances

  • Excipients
  • Maleates
  • maleic acid