RATIONALE AND OBJECTIVES. Iopromide-carrying liposomes were prepared a
nd were characterized pharmaceutically and biologically. METHODS. The
liposomes were prepared by the ethanol evaporation method and were cha
racterized by quasi-elastic light scattering (size) and equilibrium di
alysis (encapsulation efficiency and stability). Acute and subchronic
toxicity was tested in mice and/or rats and cardiovascular tolerance i
n rabbits. Pharmacokinetic parameters were determined in rats. Compute
d tomography (CT) imaging efficiency was obtained from rat and rabbit
studies. RESULTS. The mean diameter was 0.5 +/- 0.1 mum and the encaps
ulation efficiency ranged between 30% and 40%. The liposomes were stab
le in human and rabbit plasma for approximately 24 hours. The LD50 in
mouse and rat was approximately 3 g iodine/kg. In a subchronic toxicit
y study in rats with six doses of 1 g iodine/kg given every three days
, no adverse effects were observed. The pharmacokinetics in rats were
dose-dependent. Increasing the dose resulted in lower total clearance,
and longer terminal half-life. Elimination of iodine was complete and
the main route of excretion was via the kidneys. A clinically relevan
t computed tomography enhancement of the liver was reached after appro
ximately 200 mg iodine/kg in rats and 150 mg iodine/kg in rabbits. CON
CLUSIONS. The iopromide-carrying liposomes were well tolerated in anim
al studies and seemed to be suitable for the imaging of the liver.