Sironi G, Montagna E, Greto L, Bianchi G, Leonardi A, Testa R
Research and Development Division, Recordati S.p.A., Milan, Italy.
Arzneimittelforschung. 1996 Feb;46(2):145-52.
The antihypertensive action of lercanidipine (CAS 132866-11-6, Rec 15/2375), a new 1,4-dihydropyridine (1,4-DHP) calcium entry blocker (CEB), was examined in spontaneously hypertensive rats (SHR) and renal hypertensive dogs after acute and repeated administration, in comparison to several reference 1,4-DHPs. In acute experiments in SHR, lercanidipine reduced diastolic blood pressure showing a potency similar to felodipine and 2-3 fold higher than those of nicardipine and nitrendipine, after both intravenous and oral administration. Analysis of the area under the curves of percent reduction of diastolic blood pressure exerted for 3 and 8 h after intravenous and oral administrations, respectively, showed that the duration of the antihypertensive effect of lercanidipine was longer than that of the reference dihydropyridines. After repeated administrations to SHR no tachyphylaxis was observed, as indicated by the marked and persistent decrease in systolic blood pressure elicited by lercanidipine, given orally once a day for 21 days. Moreover, starting from the first week of treatment, the daily basal values of systolic blood pressure of the rats treated with lercanidipine were significantly lower than those of the placebo-treated group. In renal hypertensive dogs, after acute oral administration, lercanidipine was as potent as nitrendipine. After repeated administration, the action of lercanidipine was longer lasting than that of nicardipine and no decrease in the antihypertensive effects was observed. The in vivo studies show that lercanidipine has a potent and long-lasting antihypertensive profile, suggesting that this compound may be used for once-a-day treatment.
乐卡地平(CAS 132866-11-6,Rec 15/2375)是一种新型的1,4-二氢吡啶类(1,4-DHP)钙通道阻滞剂(CEB),与几种参比1,4-DHP类药物相比,在自发性高血压大鼠(SHR)和肾性高血压犬中进行了急性和重复给药后,对其降压作用进行了研究。在SHR的急性实验中,乐卡地平降低舒张压,静脉注射和口服给药后显示出与非洛地平相似的效力,比尼卡地平和尼群地平高2至3倍。分别分析静脉注射和口服给药后3小时和8小时舒张压降低百分比的曲线下面积,结果显示乐卡地平的降压作用持续时间比参比二氢吡啶类药物更长。对SHR重复给药后未观察到快速耐受性,这可通过乐卡地平口服给药21天,每天一次引起的收缩压显著且持续下降来表明。此外,从治疗的第一周开始,用乐卡地平治疗的大鼠的每日收缩压基础值显著低于安慰剂治疗组。在肾性高血压犬中,急性口服给药后,乐卡地平与尼群地平的效力相当。重复给药后,乐卡地平的作用持续时间比尼卡地平更长,且未观察到降压效果降低。体内研究表明,乐卡地平具有强效且持久的降压特性,表明该化合物可用于每日一次的治疗。