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July 2003Print this Page

MIZZOU NEWS

PHOTO: Puppy
Neutersol is the first FDA-approved drug for puppies. Studies have shown that the drug is 99.6-percent effective and is a more convenient way for pet owners to neuter their puppies.

New Injection Neuters Animals Without Surgery

By Sarah Casey Newman
of the Post-Dispatch

Note: This June 14, 2003 article has been republished with permission from the St. Louis Post-Dispatch.

It may look like a puppy’s nightmare, but it sounds like the proverbial dream come true for animal lovers hoping to stop the killing of society’s unwanted pets.

Neutersol, the world’s first chemical neutering procedure for dogs, has been approved by the federal Food and Drug Administration and is now on the market.

In the world of pet news, the story is a big one – international in scope – yet it comes in part from a small laboratory in a small town in central Missouri. Mostly, it comes from the University of Missouri at Columbia, but even the St. Louis Animal Control and Adoption Center has played a part.

After more than 12 years of research and testing, Neutersol was approved for use in puppies 3 to 10 months of age. Company spokesman Don Polley of St. Charles says that its maker is already in the process of obtaining FDA approval for use in older dogs, as well as in cats, with horses and other equines also targeted.

Marketed by Addison Biological Laboratory Inc. in Fayette, Mo., Neutersol was developed by the late Dr. Mostafa Fahim, director of the Center of Reproductive Science and Technology at MU’s School of Medicine.

Polley, who spent 25 years in private practice before becoming director of veterinary services for Addison labs, called Neutersol “the greatest improvement in animal care that I’ve seen in the 30 years that I’ve been a veterinarian.”

What makes it even more ground-breaking, he said, is that “it wasn’t stolen from human medicine,” as other veterinary advancements have been. The goal from the beginning was a safe alternative to surgical neutering of animals.

The final field studies on Neutersol were conducted at five sites around the country, including Miami, New York, Phoenix – and Jefferson City. Polley said that of the 224 puppies that completed the study, 223 were rendered completely sterile by the drug, a success rate of 99.6 percent.

The worst side effect was an inflammatory response resulting from an improper injection, and it occurred in less than 1 percent of the dogs, Polley said.

The only other side effects were listlessness, lethargy and nausea, and they occurred in only a small percentage of the dogs. “The symptoms were very temporary, and they’re minor compared to the complications of surgical castration,” Polley said. “There’s no cutting, no stitches, no post-op discomfort.”

The procedure can sound scary – Neutersol must be injected directly into a puppy’s testicles. “But,” Polley said, “because there are no sensory nerves in the testicles, only pressure receptors, and because you give the solution at a very slow rate, you don’t have to use anesthesia. With most puppies, you need no sedation or tranquilization at all.”

Also, the injection is given with the tiniest of needles – 28-gauge, compared to the larger 21- and 22-gauge needles normally used for vaccinations, he said.

“It’s difficult to comprehend, I know,” Polley said. “You have to see it to believe it.”

Rich Stevson, manager of the St. Louis animal-control and adoption center, has seen it, and he was impressed. “It’s really pretty amazing,” he said.

After the drug was approved by the FDA in March, but before the official announcement in May, Polley practiced demonstrating the procedure on puppies from several shelters, including the city’s animal center. “I injected a total of 23 puppies, and 17 didn’t move at all. The other six flinched, but only a little,” he said.

Stevson noted that the procedures were done in the kennel, not in a veterinary setting. “To be able to do that right here and not have to put the animal through major surgery is a big advantage. There’s no anesthesia, no cutting, and you’re done in a matter of minutes,” he said.

Polley estimates the total time at six minutes: three to position the puppy, which can be done by an assistant, and a maximum of three minutes of the veterinarian’s time to complete the injection.

“Compare that to the 15 to 30 minutes of vet time and 45 to 60 minutes total time for a surgical procedure, and the savings is tremendous,” Polley said.

Because neutering fees vary from one geographic area to another, it’s difficult to make a general cost comparison, Polley said. But he expects the fee to be about the same for Neutersol as for a surgical neuter. Plus, Veterinary Pet Insurance has already approved Neutersol under its vaccination and routine-care coverage.

Jim Howard, owner of Howard Veterinary Hospital in Jefferson City, which participated in the clinical trials, agrees. He believes the clinical cost “will be slightly less expensive than the cost for surgical neutering. The cost of the drug is the big factor,” he said. “But it saves so much time. And everything can be done on an outpatient basis.”

Howard, who has begun incorporating Neutersol into his practice, noted that the procedure is “incredibly easy to learn, and the technique is very easy to master. It’s certainly easier than shots in other areas,” he said.

Polley believes some veterinarians will be reluctant to offer Neutersol because “the majority of them recommend neutering for health and behavior concerns, not population control,” and Neutersol has been approved and is marketed only for sterilization, not for stemming aggression.

“That’s why we targeted humane organizations and animal shelters to begin with,” Polley said, ‘because their main interest in spay/neuter is in controlling pet overpopulation.”

Theresa Williams, director of the Division of Humane Services for St. Charles County, is not yet sold on Neutersol. She said, “I would really like to know the behavioral effects of chemical neutering before committing to it.”

Polley said that two large animal shelters, one in Chicago and one in Miami, are already using the drug, and one of the large shelters in New York “is very interested.”

So is Stevson, who said that “if they can continue the process with older animals and cats, it will be a wonderful breakthrough in the field of veterinary medicine. We’re hoping that all of our vets will eventually go to this.”

Howard agrees that “the jury is still out on the behavioral benefits” of Neutersol. But he said that in the four years since the clinical trials, he has seen no health or behavior problems that he could associate with the drug. That includes his own French bulldog, Yoda.

Howard also said that the drug’s development “has some really cool implications internationally. I think when you get into pet overpopulation in Third World countries, for example, the ramifications could be major. All you need is a set of calipers (the size of the testicles determines the dosage), syringes and the drug, and a team walking door-to-door can cover an entire village. It’s really pretty exciting.”

So is being able to offer his clients a choice between surgery and an injection that takes only a matter of minutes, he said.

And, said Stevson, so is preventing unwanted litters. An estimated 20,000 animals are killed every day in the nation’s shelters. Anything that can help bring down that number, and with less risk to the animal than surgery entails, he said, “is a major step in the right direction”

©2003 St. Louis Post-Dispatch


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