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December 1, 2005American Journal of Hypertension

Effect of BQ-123, an Endothelin Antagonist, on Renal Hemodynamics, Tubular Function, Vasoactive Hormones, and Blood Pressure in Healthy Humans: A Dose Response Study

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Key result

Infusion of the endothelin A antagonist BQ-123 in healthy men increased fractional excretion of sodium (20%) and decreased diastolic blood pressure (-6.3%) at a medium dose.

Why the study?

Does BQ-123 alter renal hemodynamics, tubular function, vasoactive hormones, and blood pressure in healthy men?

Population

11 healthy men

Comparison

BQ-123 infused intravenously at 0.1, 0.2, and… vs Placebo

Design

RCT, randomized, double-blind

Follow-up

1 hour (measured before, during, and after infusion)

Authors

EPElisabeth Skou PedersenUniversity of Science and CultureITIngrid Kaag ThomsenAarhus UniversityLFL FJORDSIDEAarhus University

Discussion

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Implication

Endothelin A antagonism increases natriuresis and lowers diastolic BP in healthy men; extends mechanistic data to humans and supports trials in hypertension.

Study Design

Type

RCT (n=11)

Blinding

Double-blind

Randomization

Randomized

Structured PICO

Does BQ-123 alter renal hemodynamics, tubular function, vasoactive hormones, and blood pressure in healthy men?

P
Population
11 healthy men evaluated in a randomized, placebo-controlled, double-blind dose-response study of the endothelin A antagonist BQ-123.
I
Intervention
BQ-123 (endothelin A antagonist) infused intravenously at 0.1, 0.2, and 0.3 mg/kg for 1 hour
C
Comparator
Placebo
O
Outcome
Glomerular filtration rate (GFR), renal plasma flow (RPF), fractional excretion of sodium (FENa), lithium clearance (CLi), blood pressure (BP), and plasma concentrations of renin (PRC), angiotensin II (Ang II), atrial and brain natriuretic peptides (ANP, BNP), and vasopressin (AVP)surrogate

Endothelin A antagonism with BQ-123 increases renal sodium excretion and decreases diastolic blood pressure in healthy men, despite stimulating the renin-angiotensin system.

Cite This Study

Pedersen et al. (2005) conducted an RCT in Healthy (n=11). BQ-123 vs. Placebo was evaluated on Renal hemodynamics, tubular function, vasoactive hormones, and blood pressure. Infusion of the endothelin A antagonist BQ-123 in healthy men increased fractional excretion of sodium (20%) and decreased diastolic blood pressure (-6.3%) at a medium dose.

synapsesocial.com/papers/6a82f4bd28b8a62be998f805https://doi.org/10.1016/j.amjhyper.2005.06.008
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Systemic and renal effects of an ET<sub>A</sub> receptor subtype‐specific antagonist in healthy subjects1998 · 46 citations
  2. 2Systemic ETA receptor antagonism with BQ‐123 blocks ET‐1 induced forearm vasoconstriction and decreases peripheral vascular resistance in healthy men2001 · 87 citations
  3. 3Endothelin-A Receptors Mediate Renal Hemodynamic Effects of Exogenous Angiotensin II in Humans2003 · 24 citations
  4. 4Endothelin receptor blockade lowers plasma aldosterone levels via different mechanisms in primary aldosteronism and high-to-normal renin hypertension2002 · 36 citations
  5. 5Role of Endothelin in the Increased Vascular Tone of Patients With Essential Hypertension1999 · 286 citations