**Background:** AT-533 is a novel heat shock protein 90 (HSP90) inhibitor with demonstrated anti-inflammatory, antiviral, and antitumor activities. Its gel formulation (AT-533 gel) has shown efficacy in repairing keratitis and dermatitis caused by herpes virus infection. Despite these therapeutic potentials, the acute safety profile of AT-533 and its gel had not been established. This study aimed to evaluate the acute toxicity of AT-533 and AT-533 gel in Sprague-Dawley (SD) rats to determine non-toxic doses and potential adverse effects.
**Methods:** Ninety SPF SD rats (6-8 weeks old, both sexes) were used. For AT-533, 60 rats were divided into 6 groups (n=10 each, 5 males and 5 females): control (sterile saline), vehicle (solvents), and AT-533 at 5, 50, 250, and 500 mg/kg. For AT-533 gel, 30 rats were assigned to control, blank gel, and AT-533 gel (5 g/kg) groups. All substances were applied transdermally once for 24 hours. Observations over 15 days included mortality, body weight, food consumption, and clinical signs. On day 16, blood was collected for hematology (WBC, RBC, HGB, HCT, MCV, MCH, MCHC, RDW, PLT, MPV, NE, LY, EO, BA, MO) and serum biochemistry (TP, ALB, ALT, AST, T-Bil, D-Bil, I-Bil, ALP, CRE, BUN, UA, TG, GLU, CHO, HDL, LDL, Na, K, Cl). Organs (brain, heart, liver, spleen, lung, kidneys, skin) were weighed and examined histopathologically. LD50 was calculated using Karber's method.
**Key Results:** In the AT-533 study, 5 deaths occurred in the 250 mg/kg group (1 male, 4 females) and 8 deaths in the 500 mg/kg group (4 males, 4 females). The LD50 of AT-533 was 228.382 mg/kg. Rats in the 250 and 500 mg/kg groups showed appetite loss for 1-5 days and reduced body weight. No deaths or abnormal symptoms were observed in the AT-533 gel study, with LD50 > 5 g/kg. Hematology: In the 500 mg/kg AT-533 group, PLT was significantly higher (933.5 ± 92.631 ×10^9/L) vs vehicle (520.667 ± 201.604 ×10^9/L, p<0.05). No significant differences were seen in other AT-533 groups or in the AT-533 gel groups. Biochemistry: In the 250 mg/kg AT-533 group, ALP was significantly elevated (329.4 ± 71.835 U/L vs 227.7 ± 78.370 U/L, p<0.05). In the 500 mg/kg group, ALP (343.0 ± 78.632 U/L, p<0.05), CHO (2.140 ± 0.234 μmol/L, p<0.05), HDL (0.900 ± 0.124 μmol/L, p<0.01), and K+ (6.790 ± 0.649 μmol/L, p<0.05) were significantly higher vs vehicle. No significant biochemical changes were noted in the AT-533 gel groups. Organ weights and coefficients showed no significant differences between low-dose AT-533 groups (5, 50 mg/kg) and vehicle, or among AT-533 gel groups. Histopathology revealed no pathological lesions in heart, liver, spleen, lung, kidneys, or skin in the AT-533 gel group.