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新型钙拮抗剂PN 200 - 110(伊拉地平)治疗心绞痛的疗效

Efficacy of a new calcium antagonist PN 200-110 (isradipine) in angina pectoris.

作者信息

Taylor S H, Jackson N C, Allen J, Pool P E

出版信息

Am J Cardiol. 1987 Jan 30;59(3):123B-129B. doi: 10.1016/0002-9149(87)90091-9.

DOI:10.1016/0002-9149(87)90091-9
PMID:2949583
Abstract

Angina pectoris is one of the major syndromes against which to test the therapeutic effectiveness of any new calcium antagonist. An interim analysis of the efficacy and safety of a new dihydropyridine calcium antagonist (PN 200-110 [isradipine]) in patients with confirmed coronary artery disease is reported. The study was carried out in 3 centers; 50 patients of an anticipated 96 have completed the double-blind comparative phases in 3 separate studies. Preliminary results from the placebo-controlled study indicate that PN 200-110 was significantly more effective than placebo in reducing the anginal attack rate and glyceryl trinitrate consumption in the 15 patients so far enrolled. Dose-response comparisons against nifedipine in 21 patients and against isosorbide dinitrate in 14 patients demonstrate that PN 200-110 has a similar antianginal efficacy profile to both drugs. No significant change in any of the monitored safety factors was noted in any of the patients taking PN 200-110. The side-effects profile compared favorably with that of nifedipine. These interim results suggest that PN 200-110 will prove to be an effective and safe drug for the treatment of angina pectoris.

摘要

心绞痛是用以检验任何新型钙拮抗剂治疗效果的主要综合征之一。本文报道了一种新型二氢吡啶类钙拮抗剂(PN 200 - 110[伊拉地平])在确诊为冠状动脉疾病患者中的疗效和安全性的中期分析。该研究在3个中心进行;预期的96例患者中有50例在3项独立研究中完成了双盲比较阶段。来自安慰剂对照研究的初步结果表明,在目前已入组的15例患者中,PN 200 - 110在降低心绞痛发作率和硝酸甘油消耗量方面明显比安慰剂更有效。对21例患者与硝苯地平以及14例患者与硝酸异山梨酯进行的剂量反应比较表明,PN 200 - 110与这两种药物具有相似的抗心绞痛疗效。服用PN 200 - 110的任何患者的任何监测安全因素均未发现显著变化。其副作用情况优于硝苯地平。这些中期结果表明,PN 200 - 110将被证明是一种治疗心绞痛的有效且安全的药物。

相似文献

1
Efficacy of a new calcium antagonist PN 200-110 (isradipine) in angina pectoris.新型钙拮抗剂PN 200 - 110(伊拉地平)治疗心绞痛的疗效
Am J Cardiol. 1987 Jan 30;59(3):123B-129B. doi: 10.1016/0002-9149(87)90091-9.
2
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Br Heart J. 1987 Jun;57(6):505-11. doi: 10.1136/hrt.57.6.505.

引用本文的文献

1
Duration of effects of isradipine during twice daily therapy in angina pectoris.每日两次服用伊拉地平治疗心绞痛时的疗效持续时间。
Cardiovasc Drugs Ther. 1994 Apr;8(2):199-210. doi: 10.1007/BF00877328.
2
Calcium channel antagonists. Part V: Second-generation agents.钙通道拮抗剂。第五部分:第二代药物。
Cardiovasc Drugs Ther. 1988 Jul;2(2):191-203. doi: 10.1007/BF00051234.
3
Isradipine. A review of its pharmacodynamic and pharmacokinetic properties, and therapeutic use in cardiovascular disease.伊拉地平。对其药效学和药代动力学特性以及在心血管疾病治疗中的应用的综述。
Drugs. 1990 Jul;40(1):31-74. doi: 10.2165/00003495-199040010-00004.
4
The pharmokinetics of isradipine in hypertensive subjects.伊拉地平在高血压患者中的药代动力学。
Eur J Clin Pharmacol. 1990;38(2):209-11. doi: 10.1007/BF00265988.