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吸入型长效β2肾上腺素能激动剂阿贝地洛(LAS100977)与茚达特罗、奥洛他定和维兰特罗相比的体外和体内临床前特征。

In vitro and in vivo preclinical profile of abediterol (LAS100977), an inhaled long-acting β2-adrenoceptor agonist, compared with indacaterol, olodaterol and vilanterol.

作者信息

Aparici Mònica, Gavaldà Amadeu, Ramos Israel, Carcasona Carla, Otal Raquel, Fernández-Blanco Joan Antoni, Montero Jose Luís, García Vicente Marco, López Rosa, De Alba Jorge, Doe Christopher, Puig Carlos, Vilella Dolors, Miralpeix Montserrat

机构信息

Almirall R&D Centre, Laureà Miró, 408-410, 08980 Sant Feliu de Llobregat, Barcelona, Spain.

Almirall R&D Centre, Laureà Miró, 408-410, 08980 Sant Feliu de Llobregat, Barcelona, Spain.

出版信息

Eur J Pharmacol. 2016 Jan 5;770:61-9. doi: 10.1016/j.ejphar.2015.11.053. Epub 2015 Dec 4.

DOI:10.1016/j.ejphar.2015.11.053
PMID:26656755
Abstract

Abediterol is a novel long-acting β2-adrenoceptor agonist (LABA) currently in development for once-daily combination maintenance therapy of asthma and COPD. This study investigated the preclinical profile of abediterol in terms of affinity, potency, selectivity, duration of action and cardiac effects in comparison to the marketed once-daily LABAs indacaterol, olodaterol and vilanterol. Abediterol was the compound with the highest in vitro potency for dog, guinea pig and human β2-adrenoceptors. In electrical field stimulated guinea pig trachea, abediterol demonstrated 5-, 44- and 77-fold greater potency than olodaterol, indacaterol and vilanterol, respectively. In anaesthetised guinea pigs, inhaled abediterol was also the most potent compound, with 5-20 times higher bronchoprotective potency than other once-daily LABAs against acetylcholine. The bronchoprotective half-life of abediterol in guinea pigs was 36h compared with 51h for indacaterol, 47h for olodaterol, and 18h for vilanterol. In anaesthetised dogs, abediterol also inhibited acetylcholine-induced bronchoconstriction, with higher potency than olodaterol and vilanterol [ID40 (dose inhibiting bronchoconstriction by 40%) of 0.059µg/kg, 0.180µg/kg and 2.870µg/kg, respectively]. In parallel, effects on heart rate in dogs were also measured. Abediterol showed greater safety index (defined as the ratio of the maximal dose without effect on heart rate and the ID40) than olodaterol and vilanterol (10.5 versus 4.9 and 2.4, respectively). Taken together, these data suggest that abediterol offers potent bronchodilation and a sustained duration of action suited to once-daily dosing, plus a reduced potential for class-related cardiac side effects.

摘要

阿地特罗是一种新型长效β2肾上腺素能受体激动剂(LABA),目前正处于研发阶段,用于哮喘和慢性阻塞性肺疾病(COPD)的每日一次联合维持治疗。本研究调查了阿地特罗与已上市的每日一次LABA茚达特罗、奥洛他定和维兰特罗相比,在亲和力、效价、选择性、作用持续时间和心脏效应方面的临床前特征。阿地特罗是对犬、豚鼠和人β2肾上腺素能受体具有最高体外效价的化合物。在电场刺激的豚鼠气管中,阿地特罗的效价比奥洛他定、茚达特罗和维兰特罗分别高5倍、44倍和77倍。在麻醉的豚鼠中,吸入的阿地特罗也是效价最高的化合物,其支气管保护效价比其他每日一次的LABA对乙酰胆碱的效价高5至20倍。阿地特罗在豚鼠中的支气管保护半衰期为36小时,而茚达特罗为51小时,奥洛他定为47小时,维兰特罗为18小时。在麻醉的犬中,阿地特罗也抑制乙酰胆碱诱导的支气管收缩,效价比奥洛他定和维兰特罗高[抑制支气管收缩40%的剂量(ID40)分别为0.059μg/kg、0.180μg/kg和2.870μg/kg]。同时,还测量了对犬心率的影响。阿地特罗的安全指数(定义为对心率无影响的最大剂量与ID40的比值)比奥洛他定和维兰特罗高(分别为10.5对4.9和2.4)。综上所述,这些数据表明,阿地特罗具有强大的支气管扩张作用和适合每日一次给药的持续作用时间,且与该类药物相关的心脏副作用可能性降低。

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