Key result
Benazepril, enalapril, lisinopril, and ramipril reduce ACE activity by ~75%, outperforming captopril in depth and duration.
Why the study?
The degree and duration of ACE inhibition by different ACE inhibitors in normal dogs after single dosing were not well characterized.
In normal dogs, captopril exhibited a lesser degree and shorter duration of ACE inhibition compared to benazapril, enalapril, lisinopril, and ramipril.
Captopril may provide inferior single-dose ACE inhibition in veterinary patients; Level 5 data leave optimal ACEI selection open for clinical trials.
This study was designed to determine the degree of inhibition of the angiotensin-converting enzyme (ACE) in 5 normal dogs given single doses of conventionally used ACE inhibitors (ACEis). In addition the time required for that inhibition to return to 50% of the difference between maximum and zero (control values) was measured as an estimate of duration of action. The 5 ACEis (with dosages given in parentheses) were benazapril (0.5 mg/kg), captopril (2.0 mg/kg), enalapril (0.5 mg/kg), lisinopril (0.5 mg/kg), and ramipril (0.25 mg/kg). Blood samples for ACE activities were obtained before dosing and at 1.5, 3.0, 6.0, 12.0, and 24.0 hours after dosing. All ACEis except captopril decreased ACE activities to approximately 25% of control by the 1.5- to 3.0-hour sample, and ACE activities returned to 50% of the difference by the 12-hour sample. The value of AVE activity returned to normal by 24 hours for benazapril, whereas values for ACE activity remained below normal for enalapril, lisinopril, and ramipril at 24 hours. For captopril, however, ACE levels decreased to approximately 80% of control by the 1.5-hour recording, and returned to levels not different from control by the 3-hour recording. Based upon this study performed on normal dogs given a single dose, no pharmacokinetic advantage or disadvantage is apparent for any ACEi except captopril, which, at the dosage used, decreased ACE levels to a much lesser degree and shorter time.
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Hamlin et al. (1998) studied Healthy (n=5). ACE inhibitors (benazapril, captopril, enalapril, lisinopril, ramipril) vs. Baseline (before dosing) was evaluated on Degree of inhibition of angiotensin-converting enzyme (ACE) and time to return to 50% of maximum inhibition. Single doses of benazapril, enalapril, lisinopril, and ramipril decreased ACE activities to ~25% of control, whereas captopril only decreased levels to ~80% of control for a shorter duration.
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