Key result
Ro 03-7894 provides persistent beta-blockade lasting up to ~48 hours, outlasting Ro 03-5255.
Why the study?
The in vivo effects of the irreversible beta-adrenoceptor antagonist Ro 03-7894 on cardiac rate and contractility compared to a competitive antagonist were not fully characterized.
Ro 03-7894 shows prolonged in vivo beta-blockade; leaves open whether irreversible antagonists confer clinical benefit or safety advantages.
Two benzofuran-2-ethanolamines Ro 03-5255 (1-(5-acetylamino-benzofuran-2-yl)-1-hydroxy-2-isopropylaminoethane) and Ro 03-7894 (1-(5-chloracetyl aminobenzofuran-2-yl)-1-hydroxy-2-isopropylaminoethane) which had previously been shown to exhibit respectively competitive and irreversible beta-adrenoceptor antagonism in guinea-pig isolated atria, were compared in vivo using isoprenaline-induced tachycardia of anaesthetized guinea-pigs and heart rate and contractility (dp/dtmax) of open-chest anaesthetized guinea-pigs and of conscious cats. 2. In urethane-anaesthetized guinea-pigs doses of 3 mg/kg, s.c. of both antagonists produced significant blockade of the rate response to an 80% of maximum dose of isoprenaline after 4 h. In other experiments, guinea-pigs were pretreated with the antagonists and the responses to isoprenaline were then monitored. The slopes of the dose-response curves to isoprenaline were depressed for up to 24 h by Ro 03-7894 but this was not so with Ro 03-5255. 3. In conscious cats the course of blockade by Ro 03-7894 was followed in the same animals and was still evident after 48 h. In contrast, the beta-adrenoceptor blockage produced by Ro 03-5255 was not evident 24 h after administration. 4. The persistence of blockade by Ro 03-7894 was consistent with the irreversible mode of action demonstrated in vitro.
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Nicholson et al. (1979) studied this question. Ro 03-7894 vs. Ro 03-5255 was evaluated on Blockade of rate response to isoprenaline. Ro 03-7894 produced persistent beta-adrenoceptor blockade evident for up to 48 hours in conscious cats, consistent with an irreversible mode of action, whereas blockade by Ro 03-5255 was not evident at 24 hours.
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