G. Davi et al., PLATELET-AGGREGATION, ATP RELEASE AND CYTOPLASMIC CA2- THE EFFECTS OFCLORICROMENE( MOVEMENT ), Thrombosis research, 76(2), 1994, pp. 121-131
A placebo-controlled, double-blind, randomized, cross-over study was p
erformed in 24 healthy volunteers. 12 volunteers received Cloricromene
(100mg gastroresistant capsules twice a day) for 7 days, the other vo
lunteers received identical placebo capsules. Subsequently, after a 7-
day wash-out period, at day 15, each subject received the other treatm
ent. Blood samples were taken on days 1 and 15 (1st day of each treatm
ent) as well as on days 7 and 21 (7th day of each treatment) before th
e morning drug administration and 2 and 4 hours later. Platelet aggreg
ation and ATP secretion were studied in whole blood (WB) using ADP and
collagen as stimulating agents. Ca2+ fluxes were studied in aequorin-
loaded, washed platelets stimulated with ADP and collagen, while aggre
gation in platelet-rich plasma (PRP) was studied using PAF, ADP and ad
renaline as agonists. Consistent inhibition of aggregation and release
induced by both ADP and collagen was observed in WB after Cloricromen
e administration. Similarly, Ca2+ flux was also inhibited after drug a
dministration. Platelet aggregation in PRP was inhibited only after 7
days of Cloricromene treatment with ADP and adrenaline as stimuli. We
conclude that oral administration of Cloricromene leads to significant
antiplatelet activity in healthy volunteers, in particular when plate
lets are studied in the presence of other blood elements.