|
We have all heard the old adage that “if a little is good,
then more is better.” It is
easy to understand how a shrimp farmer
facing serious disease losses due
to bacterial diseases, such as vibriosis
and necrotizing hepatopancreatitis,
might be tempted to up the dose a
little in attempting to control these
diseases by treating with medicated
feeds containing oxytetracycline
(OTC). Errors in calculating the
amount of OTC premix to be added
during the formulation and manufacture
of medicated feeds can also occur
resulting in dose rates higher or
lower than the recommended rate.
For these reasons, the U.S. Food
and Drug Administration (FDA) requires
that a “Target Animal Safety
(TAS)” study be done in support
of any new animal drug application
(NAD). The FDA considers the results
of the TAS, along with the results
of other required studies, prior
to official approval of a new animal
drug (or new use of an existing animal
drug in the case of OTC) for the
U.S. market. When a drug is approved,
the label must clearly indicate how
the drug may be used (i.e., in feed
at specific dose rate and time for
a specific animal species, give the
withdrawal time prior to harvest,
etc.).
The major portion of the TAS study
was carried out by Bill Bray, Addison
Lawrence, and the staff at the Texas
Agriculture Experiment Station, Texas
A&M System, Shrimp Mariculture
Laboratory (TAES) in Port Aransas.
Rod Williams coordinated the design
of the TAS study and served as the “Study
Monitor.” As the Study Monitor,
Rod interfaced with personnel at
FDA to ensure that the study’s
protocol was approved by the FDA
prior to initiating the study and
that the study was run according
to the principles of “good
laboratory practices (GLP).” Industry
collaborators included Cargill (Giddings,
Texas), Rangen Feeds, Inc., and Phibro,
Inc. (the current manufacturer and
distributor of TM-100 for aquatic
animals). UAZ performed histopathological
analyses
on shrimp sampled at the termination
of the study.
The dose levels and dosing time in
the TAS study were much greater than
would be used in treating shrimp
with OTC responsibly. Not surprisingly,
TAES and UAZ found that shrimp treated
with the higher dose rates and extended
continuous exposure to OTC in the
feed showed a toxic response syndrome
that could be potentially serious
in terms of survival, growth rate,
and product quality. Such overdosing
would also produce shrimp that would
be
considered adulterated by FDA in
terms of drug residue.
The Center for Veterinary Medicine
of the FDA is the Federal Agency
responsible for insuring the safety
and efficacy of drugs and chemicals used
for disease control purposes in the
culture of aquatic animals. For a “new
animal drug” to be approved
for use with food animals in the
U.S., data for four major studies
are required. The central topics
of the four study areas are 1) efficacy
- the therapeutant (a drug or chemical)
must be effective at the recommended
dose or use rate for treating or
preventing the disease(s) identified
by the therapeutant’s sponsor;
2) human food safety - the use of
the therapeutant for its intended
use does not result in residues or
the therapeutant or its metabolites
which pose a hazard to humans; 3)
target animal safety - the therapeutant
does not pose a significant adverse
effect to the animals being treated
at the recommended dose or use level,
and 4) environmental safety - that
the therapeutant does not present
adverse environmental effect such
as harming non-target species or
accumulating in the farm’s
environment.
No antibiotics are currently approved
by the FDA for use with shrimp, but OTC
may be the first. Research on OTC use
in shrimp in the U.S. began 30 years
ago. This research has had as its intent
the eventual FDA approval of the drug
for use in treating bacterial diseases
in shrimp. During that 30-year period,
funding and in-kind assistance for OTC
studies have come from the USDA Marine
Shrimp Farming Consortium, the Texas
Shrimp Farmers Association, the National
Coastal Research Institute (NOAA), USDA
Center for Tropical and Subtropical Aquaculture,
the U.S. FDA Office of Science, the National
Marine Fisheries Service (NOAA), Marine
Culture Enterprises, Harlingen Shrimp
Farms, and from companies like Pfizer
and Phibro that have been in the business
of making and selling OTC. Most of the
studies required by FDA for the eventual
approval of the drug for use in shrimp
have been completed and a plethora of
data reports, supporting data and formal
publications on OTC use in shrimp have
been submitted to CVM/FDA. The Target
Animal Safety Study may be the last major
study required by CVM/FDA to complete
the data package (called the “Master
File”). Once the Master File is
complete and accepted by FDA, the data
generation process for OTC use in shrimp
will be completed. The last antibacterial
drug approved by the FDA for use in U.S.
aquaculture was Romet 30, and that was
more than 20 years ago. An approval for
OTC use in managing certain bacterial
diseases of shrimp could be the next
approved drug if the Master File (when
it is completed in 2004 with the TAS
and Environmental Assessment Reports)
is deemed by FDA to meet its data
requirements.
Getting back to the findings of the Target
Animal Safety Study: As was indicated
earlier, the experimental OTC medicated
feeds were made and fed to shrimp in
controlled laboratory studies at TAES.
UAZ did the pathological examinations
of the treated shrimp. The TAS study
was designed so that four (one control
and three experimental) groups of shrimp
were fed the drug at dose rates ranging
from 0 to 5 times the recommended dose
for treating certain bacterial diseases
for a time period of 3 times the normal
dosing period. Hence, one group of shrimp
(the negative control receiving the 0X
dose) received only normal shrimp feed;
a second group received the recommended
dose (the 1X dose or 4.5g OTC/kg feed);
and a third and fourth group were fed
feed at 3X (13.5 g OTC/kg feed) and 5X
(22.5 g OTC/kg feed) the normal dose
rate, respectively. All three groups
received the medicated feed for 6 weeks
(42 days), which is 3 times the recommended
treatment duration of 14 days for OTC
medicated feed use in shrimp.
Representative samples of experimental
shrimp in this TAS study were preserved
for histopathology at the termination
of the study. Shrimp fed the highest
(the 3Xand 5X) OTC doses presented some
significant signs of toxicity, while
the shrimp fed the 1X dose were similar
to the control group in their health
status. The over-dosing of OTC in shrimp
as demonstrated in this study results
in shrimp with soft shells and an atrophied
hepatopancreas with very low or totally
depleted lipid reserves. Along with the
gross signs presented by over-medicated
shrimp, the histopathological changes
in such shrimp can be used to diagnose
OTC toxicity when the case history suggests
that a misuse (due to an error in formulation
of the OTC medicated feed or to deliberate
over-dosing) of the drug may have occurred.
This important information will very
likely be incorporated into the FDA approved
label for any OTC product intended for
use in medicated feeds for shrimp in
order to warn users of the consequences
and signs of overdosing. Such information
can also be used by the shrimp culture
industry to ensure that OTC is used responsibly
to treat bacterial diseases of shrimp
and to aid shrimp disease specialists
in diagnos
ing OTC toxicity when it occurs.
|