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January 1, 1992Rinsho yakuri/Japanese Journal of Clinical Pharmacology and TherapeuticsOpen Access

The Effect of Flosequinan (BTS 49 465) in Patients with Heart Failure. Hemodynamic Effects of a Single Oral Dose.

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Why the study?

Does a single oral dose of flosequinan improve hemodynamic parameters in patients with severe heart failure?

Population

29 patients with severe heart failure, mean age 57.3, 21 male, 8 female, in Japan.

Design

Cohort, open-label

Follow-up

24 hours

Key result

A single 100 mg oral dose of flosequinan significantly improved hemodynamics in patients with severe heart failure, including a 7.7 mmHg (41%) decrease in pulmonary capillary wedge pressure and a 16% increase in cardiac index.

Authors

KHKoshichiro HirosawaSKShinichi KimataTTTeruo Takano

Discussion

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Member takes

Overview

No practice change from this Level 3 cohort; leaves open whether flosequinan improves outcomes in severe HF.

Structured PICO

Does a single oral dose of flosequinan improve hemodynamic parameters in patients with severe heart failure?

P
Population
29 patients aged 22 to 79 years with severe heart failure (NYHA class III or IV) and elevated pulmonary capillary wedge pressure, monitored for 24 hours after a single dose.
I
Intervention
Flosequinan 100 mg single oral dose
O
Outcome
Hemodynamic parameters (cardiac index, stroke index, pulmonary capillary wedge pressure, mean pulmonary artery pressure, right atrial pressure, systemic vascular resistance) measured serially for 24 hourssurrogate

Main Result

Mean Difference: -7.7

p-value: p=<0.001

A single 100 mg oral dose of flosequinan exerts sustained beneficial hemodynamic effects, including increased cardiac index and decreased filling pressures, for 24 hours in patients with severe heart failure.

Limitations

  • Small sample size
  • Lack of a placebo control group (single-arm design)
  • Short follow-up duration limited to 24 hours

Cite This Study

Hirosawa et al. (1992) studied Severe heart failure (n=29). Flosequinan vs. Baseline was evaluated on Pulmonary capillary wedge pressure (PCWP) (-7.7 mmHg, p=<0.001). A single 100 mg oral dose of flosequinan significantly improved hemodynamics in patients with severe heart failure, including a 7.7 mmHg (41%) decrease in pulmonary capillary wedge pressure and a 16% increase in cardiac index.

synapsesocial.com/papers/6a9e8bb6024b9f7c1b0683b4https://doi.org/10.3999/jscpt.23.453
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